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Pastimes : Heart Attacks, Cancer and strokes. Preventative approaches

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To: LindyBill who wrote (2411)12/6/2008 8:41:40 PM
From: mistermj  Read Replies (1) of 39296
 
Good article from Dr. Richman. He is going right into my Google Reader.

I noticed in the comments section of that blog post that he doesn't think much of calcium scoring.

I've always thought Dr.Davis explanation made a lot of sense regarding calcium scores and the 30% growth factor ect....have to look into Dr. Richmans's view more thoroughly when I get some time.

Michael Richman, MD, FACS said...
Thank you for your kind words Joe. In regard to calcium scoring, you are exactly right. It provides me with no information and exposes people to unnecessary radiation. I also think many physicians have bought them and need to use it. CIMT is a good surrogate for generalized Cardiovascular disease but the problem is that insurance and Medicare do not pay for "screening". I use it in patients that have borderline NMRs as a way to assess how aggressive I will be with treatment.


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