I have recently had some particularly horrible days at work over the holiday period – diagnosing a 43 year old mother of three with metastatic cervical cancer and telling a twenty two year old student that she needs surgery and chemotherapy for aggressive melanoma is the worst part of my job. I hate it. And perhaps what I hate most about it is that both of these situations could have had different outcomes if they had come to their GP sooner.
So I decided to compile a list. A list of resolutions I think all women should pay attention to this New Year. Don’t be that person that I have to break bad news to. Be the healthy person who gets to go home and tick off their resolution checklist with a smile on your face.
1. Get a pap smear. You’d be surprised how many women have never had one, or how many women put it off indefinitely despite getting reminder notices from their GP. If you are sexually active, you need a pap smear at least every 2 years (some people need them more often, depending on what the pap test results are). Sure it’s not fun and yes, it’s not particularly comfortable but neither is cervical cancer. Enough said.
2. Start doing a monthly breast exam. It’s not difficult and takes perhaps a minute to do. Formal breast screening is done free for women over 50 but breast cancer can, and does occur in younger women. A minute a month could save your life.
3. If you have a family history of blood pressure, cholesterol or type 2 diabetes issues, get these tested by your GP. The first involves a 10 second blood pressure reading and the second a simple blood test. The problem with all of the above issues is that most people don’t know they have them and can go undiagnosed for years because there are usually no symptoms. Keep in mind that simple lifestyle changes are usually the first line of treatment for most of the above conditions and that the earlier these conditions are diagnosed and treated, the less risk there is for long term complications.
4. Get a skin check. Melanoma, if diagnosed in the early stages, carries a survival rate of close to 98% (this is one cancer that we can treat and CURE if we can catch it early enough!)
5. Aim to do one positive healthy thing a day. It can be as simple as drinking your daily latte on skim milk. Or maybe walking to work on a sunny morning instead of driving your car. Small changes, every day, will make it easier to make that eventual big lifestyle change.
As you can see, none of the above points are difficult and nor should they be time consuming. They are achievable goals that each of us can tick off our new year’s resolution list. So spread the checklist around, tell all of your work mates and friends.
Let’s make 2012 the year of being proactive and healthy.
Rowena Lalji is a doctor based in Brisbane who fuels both her career in medicine and her passion for writing using the nectar of the gods – espresso coffee.







Comments
201 Comments so far
Rowena, who is it best to get a skin check from? My GP, or is there a specialist clinic I need to go to?
I had blood tests done just before Christmas for cholesterol, fasting blood glucose, thyroid, iron and liver function, as a follow-up to tests I had early last year and in October.
When I had my first blood test last year, I was alarmed to find out I had high cholesterol (am not overweight, I exercise daily and I generally eat well, although chocolate and a cookie after dinner are my vices) and so I suggested that my siblings get their cholesterol tested too.
My brother and older sister both came back with high readings – even though they are mad keen sportsmen and eat well. Heart disease runs on dad’s side of the family (I think both of my parents are on Lipitor) and diabetes runs on mum’s side.
My cousin also had blood tests done the same time I did and was majorly pissed off to find out that even though she does everything ‘right’ (diet, gym junkie etc), her cholesterol was high as well.
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Me too! Im total gym junkie, and even when nothing that could be deemed even slightly unhealthy went into my mouth I had cholesterol close to 7, i was 16!!
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Mine is 6.2 (total).
My triglycerides and hdl are good, but my LDL a bit elevated, hitch is what’s brought the total up. These are all the components of the cholesterol test. If one only is up, in the absence of other risk factors (with the exception of triglycerides I think), they just keep an eye on it. Mines also genetic on mums side.
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Great article….BUT skim milk is not a healthier choice — it has been denatured and the milk has alerady gone through enough processing as it is (pasteurization etc). The low fat movement is dead….why are obesity rates skyrocketing when there is all this low fat food around? Fat is needed for hormones, healthy brain function (cognition and mood) and satiety.
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It’s true that fat doesn’t make you fat (sugar does), but it does clog your arteries. Some fats are good, some aren’t. It’s about having the right fats in the right moderation, and considering some people drink a lot of milk, low fat milk is a really good way to help people avoid having too much fat – it’s not like we’re really in need of sources of fats these days.
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All milk has been heavily processed, not just skim. They take all the fat out of all the milk, and then put in precisely 1%, 2%, 4% according to whether it will result in full fat, skim etc. This is so that the result is a uniform product, as simply skimming full fat milk in a mechanical fashion does not necessarily result in 1% fat milk. The public demands consistency and this is the easiest way to achieve it.
Processing is not necessarily bad. For example, there is a big “raw milk” movement, but some reearch I read recently shows that drinking unpastuerised milk is OK if your gut is accustomed to the bacteria regularly present from a particular cow. For example, a house cow on a farm that regularly supplies that kitchen. But the human gut copes less well with raw milk from new sources, for example buying the odd bottle from a farmer’s market. The flora in our digestive tract needs time to adapt.
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so im 24 and have never had a pap smear, my doctor tells me i dont need one… Im not sexually active, but i have been sexually assaulted on more than one occasion…
I have had vaginal exams and ultrasounds etc, but is my doctor right or wrong?
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My guess would be to have one anyway. Nothing to lose and everything to gain.
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I was always told you start getting them once you’re sexually active? So in theory that’d be fine.
But… I’m a big fan of second opinions! Maybe see another doctor or if you come across someone in day-to-day life ask them? There are also government websites on this stuff that might be useful?
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Hi erinsy,
I am so sorry to hear about your assaults. If you have had any type of sex in the past (including oral-genital and manual-genital contact, and consensual or non consensual), you do need smears- the HPV virus (which is the cause of cervical cancer) can be spread from any skin to skin contact. For example, I recommend all my lesbian patients have smears, even if they have never had penile-vaginal intercourse (I’m a GP too)
The following link has the answers to some commonly asked questions:
http://www.health.gov.au/internet/screening/publishing.nsf/Content/cervical-faqs
Sorry to hear about your awful recent experiences Rowena- I too had to tell someone she had breast cancer in the week before Xmas. Not the best bit of our job at all. Great article- so much of the time people only see us when things are wrong, prevention is so much better than cure
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Ok thanks guys. i have no issue with getting a pap smear, better than cancer treatment! i guess i’ll book one in!
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Hi Skirt the Issue, I am pretty sure that this is going to get me crucified, but please believe I am not having a go at you, I simply want some clarification. May I ask if you participate in the PIP scheme, and if so, do you advise your patients about it. Do you also advise your patients of the risk of false positives and negatives with a pap smear? If a patient declined a pap smear but wanted birth control, what would you do? As I said, I am not having a go at you personally, but have had bad experiences with doctors who refuse to prescribe the pill when I have declined a pap smear. I have explained that I have made an informed choice not to screen, my risk profile is low, and the pap is not a mandatory test, it is simply a screening tool that I do not wish to participate in. I do not know you personally, but am simply looking for advice/answers about what to do if I do not wish to screen, but still wish to be treated for the issues that concern me. Thank you for your time, I hope you are not offended by my questions.
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I have put my response to these comments above
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It is my biggest annoyance that my friends believe they don’t need smears/STI tests because they’re lesbians (or trans men), and they think I’m just a worrier when I tell them to go get it done.
My girlfriend’s mother told her she’d never need one, and it took me a good year to convince her to go! Bah. (Her mum also told her that her virginity would ‘grow back’ if you left it long enough).
I’m glad you tell your lesbian patients to get smears, sometimes it’s hard to find a GP who is informed about lesbian sexual health.
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Actually Nico, your friends have every right to make up their own minds. Just like it’s your right to make up your mind that you choose to smear. I certainly hope your friends are smart enough to check out their risk for themselves and decide accordingly. If you drink or smoke Nico, I would hope that you get your lungs, stomach, liver, pancreas, brain and other organs checked out as often as you have smears. Not to mention your heart. Last year in America heart disease killed more women that ALL cancers combined. Cervical cancer doesn’t even make it into the top 10 cancers. I would expect that ALL women get their hearts checked as often as their cervixes as a matter of urgent priority.
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pygmygirl, You seem very passionate about the issue of pap smears, but you’ve constantly repeated yourself throughout the comments, so why exactly have you replied to mine, saying pretty much the exact same thing again? I’ve already read everything you’ve said before and, if anything, it’s making me less receptive to your message, as I feel that you’re just going through every comment which has a differing opinion and lecturing us.
Also, my friends aren’t actually coming from a place of informed decision making/education, as LGBT sexual health, very often, focuses on gay cisgender men, so young lesbians/trans men find it very hard to get any information which they can then act on (by getting smears) or research more, as you and I have done. Their lack of knowledge is what worries me the most.
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Nico, I apologise if you felt I was lecturing you, I did not know if you had read the other posts. I just wanted you (and your friends) to know that there is some new, relevant information coming out from cervical cancer experts. As a woman I don’t like being lied to, or misled if you want to put a kinder spin on it, by government authorities, especially when it comes to my health.
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Further to this question,
I’m 20 and have never had one. I’ve only ever had one partner, we’ve never not used condoms, and we were both each other’s first. Is it necessary?
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Yep.
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Nope. Not if you are monogamous, and you are only having, and have only ever had, sex with each other. Check out some reputable doctors, and get their advice. Do not believe everything the pap screen associations tell you. They try to tell women who have had hysterectomies for benign conditions who no longer HAVE a cervix that THEY should be having pap smears. NO cervix? Pap smears screen for CERVICAL cancer???? Hmmmmm, what’s wrong with that picture??
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What are you suggesting the pap smear associations have to gain out of all these frivolous pap tests?
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rudyroo and kris2040, I can’t believe you are so hostile to another person expressing an opinion that is different to yours. As I have stated in my other posts, I have researched the World Health Organization (WHO), Dr. Angela Raffle who is a world expert on cervical cancer, research by Richard DeMay, and articles and advice from Dr. Joel Sherman who is a doctor with strong belief in patient consent issues. After researching these people and organizations and others, such as the cervical screening program in Finland (who have the world’s lowest incidence of cervical cancer), I have chosen not to screen. The fact that doctors here and overseas receive hefty payment incentives for screening women, and the fact that they need to meet targets for these payments concerns me. The fact that we are not given informed consent when we get a pap smear concerns me. Have you ever had a doctor tell you about the negative aspects of having a pap smear? If you are not given ALL the details of having a test, which includes all the positive reasons to screen, but ALSO all the negatives regarding screening, that is not informed consent. It just proves my point that only one other person on these comments has knowledge of the negative aspects of screening. Have none of you ever had a doctor/gyno tell you that there are negative aspects to screening? Once again, I am NOT telling women to ditch screening, all I am doing is stating MY preference not to screen, and why. I have also included the references I used to research this and come to this decision. The doctors, specialists, researchers, WHO and Finland program. I don’t understand what else it is that you want me to provide. If you want to have a smear test every year, twice yearly, once every 2 years, never, or just when it suits you that is YOUR decision. Just like my decision not to screen is MY choice to make. As for what the pap smear associations have to gain from these “frivolous” pap tests, in order to keep their funding, they have to screen millions of women so they can “save” the few. Abnormal cells, CIN 1, 2 & 3 are NOT cancer, and like HPV, will regress on their own in most cases. The latest research shows that 1000 women will have to screen for 35 YEARS to save just one woman’s life. Without scare campaigns, lies and half truths, the pap screen associations will not be able to scare women into screening, and keep their numbers up, and therefore keep their funding. As I said, check out the Fins program. They only screen women once every 5 – 7 years, they do not screen women under 30 unless she has symptoms and Finland has the lowest rate of cervical cancer in the world. They are about to go to hrHPV testing, and only pap test women who are positive to HPV. As I said, I have researched this for myself, have decided to adopt their program, and am simply stating this is what is right for me, and giving you my reasons why. I am not telling anyone to ditch screening, all I am saying is that if you have questions about it, or you don’t like pap tests, so some research, other countries do not test as often as Australia & the USA, and these countries have LOWER rates of cervical cancer.
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Oh tosh! I’m calling BS on this. I’ve had a hysterectomy and in no way have I been told to continue with pap smears. Your ranting is getting a bit OTT.
Occasionally, depending on a persons medical history they may be required to have a high vaginal vault smear, but that is not the norm. So please stop exaggerating.
‘ hmmm what’s wrong with that picture?’ you ask……perhaps you need to ask yourself exactly WHERE you are getting your information from.
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Rudyroo, I am saying that there a lot of women out there here, in NZ and in the USA that are told they MUST keep having a pap smear after having a total hysterectomy for benign reasons. There are also virgins, rape victims and ordinary women who just don’t want a smear that are denied access to birth control unless they have a smear. There are women who have gone to the doctor with broken bones, ear infections and other problems that have nothing at all to do with a pap smear. They have been denied treatment or the pill until they have a pap smear. I am not saying that this happens in most cases, I am sure it does not. But the fact that it happens at all is illegal, immoral, against human rights and should not ever happen. Sadly, these cases are not in some third world country who treat women with contempt and disrespect, these and many other documented cases have happened in Australia, the UK, the USA and NZ. In some parts of NZ the doctor’s surgery will send a nurse around to your house to “assist” you in making your appointment for your pap smear. The reason I am furious about these things should be obvious. The reason I may seem OTT to you is precisely because not many people know about these things, and I apologise if you feel I am being OTT. However, if any of the above instances happened to you or someone you love, would you not be furious and want to let people know about it, to help them know their rights, and to avoid being treated like this?
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Your above claim is absolutely false pgymegirl- please refer to the guidelines I linked to above- women who have a hysterectomy including cervix removal for benign conditions are NOT recommended to continue having smears
“21. I’ve had a hysterectomy. Do I still need to have Pap smears?
Following a hysterectomy, women should discuss their ongoing need for cervical screening with their doctor. Women who have had a hysterectomy usually do not require further Pap smears. However, in some cases, Pap smears may still be needed.
Women who have had a total hysterectomy, that is, the uterus and cervix removed, and have ever had treatment for severe changes on the cervix, are recommended to continue to have smears taken from the upper vagina (known as vault smears). Women who have had a hysterectomy but have never had a Pap smear should also have a vault smear. Women who have had a partial hysterectomy, where the cervix is not removed, should still have a Pap smear every two years.
Many women do not know exactly what type of hysterectomy they had. If you are not sure, it is important to find out. If your doctor has no records of the operation, an internal examination or a cell sample may be needed.”
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SkirtTheIssue, my claims are not false. Many women who have had a total hysterectomy for BENIGN conditions are told by their medical practitioner that they must keep having yearly pap smears. I posted about it because it makes me angry. My nanna who is in her 90′s and is in a home has been made to endure this procedure every year since she was 85. The only reason I found out about it was because she was freaking out one day when I was there visiting, saying she just did not want to see the doctor that day. I told her that she should be checked out by a doctor, she has some medical conditions related to her age. She then told me she didn’t care about getting her eyes checked and blood pressure taken etc etc, but she did not want the doctor “poking about down there”. I asked what she meant, and found out she was subjected to yearly pap smears, even though she had a total hysterectomy for a benign issue in her 60′s. Can you explain why a lady that is 95 who has told her medical carers repeatedly that she does not want a pap smear is basically forced to endure one? I am furious about this, and threatened legal action. The pap tests promptly stopped, yet no one would give me an answer as to why she was subjected to it in the first place, particularly since she asked not to have it. If I had not been visiting on that particular day (strangely, it was not my normal day for visiting) I have no doubt that my nanna would be enduring a yearly pap to this day.
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You are using a straw man argument- of course that is a horrible situation, I can not argue with that- but you can not blame the Cervical Cancer Screening program for that situation and therefore write off the program- that doctor was not complying with the guidelines! This is the very reason the guidelines are there- so situations like this are avoided!
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SkirtTheIssue, I am replying to your post lower down regarding my nanna. The point I am trying to make is that why are women not informed that a pap test is not mandatory. This is not just happening to my nanna, it is happening to other people’s relatives too. If people were more informed of the guidelines, and of the fact that it is not mandatory things like this would not happen, or at least not as often. How is this a straw man argument when I am NOT opposing pap smears, I am simply arguing for informed consent and other choices? I admit that I am furious about what happened to my Nanna, but wouldn’t you be too in that situation?
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Erinsy, I am so sorry you have had to cope with being assaulted. You sound like you have a great doctor, who is very understanding. HPV tests are much more accurate, and much less invasive than a pap smear, you can even get kits that you can use at home. (I guess a bit like a DNA test you can do from home). If it is really bothering you that you have not been checked, perhaps you could try that option. I think the test is from a company called Delphi. Perhaps talk about it with your doctor.
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Melanoma cannot always be treated if caught early enough. My father died on 20th Dec 2011 after a long battle with this cancer. He had skin checks every year and always, always avoided the sun. The locom GP he went to see to see told him the spot was ‘nothing to be concerned about’ How wrong he was, We don’t blame the GP, these things happen. All the precautions/test can be taken and you still lose.
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I am very sorry you lost your father.
I had a mole that always looked a bit odd to me. I had it checked a number of times by GPs, mole clinics and a dermatologist and they were not concerned. Then I had not had any checks for about 18 months and I decided to have it removed. It was an early melanoma, it had probably “turned” into one since my last check.
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A friend of mine noticed a suspicious mole that changed colour while she was pregnant. Dr told her not to worry about it, it turned out to be cancerous and for a while there they thought she might not live. Luckily she survived, but only because she sought a second opinion.
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My health in the last 2 years has become much more important to me than previously. But i’ve never gotten a professional skin check which i’m hoping to get an appointment for in a couple of weeks.
I have alot of moles and they’re actually very hard to keep track of in terms of changes and i have no idea why i’ve never gotten them checked before.
Thanks for the reminder!
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I didn’t have a pap smear until I was 26.
I was PETRIFIED. And putting it off made it worse!
I’ll admit, I’m a bit of a prude, and the thought of someone putting a speculum* inside me was overwhelming – so I just never had a pap smear.
Trying to get a pill script was fraught with anxiety and switching doctors and concocting lies, same deal when my girlfriends or mum would talk about it (I was so ashamed, no one knew except my husband).
Then for a while I was convinced that I would have a bad result and if that was the case, well why bother anyway? Best not to know for sure right? WRONG!
After I got married something changed, I felt more responsible for my life, because someone else was counting on it too.
So one day, I plucked up the courage and made the appointment.
And you know what…? It was FINE, GREAT actually. I went to a women’s health clinic where they made me feel so welcome, the nurse was really informative and didn’t even blink when I mentioned I’d never had a pap smear before. She showed me the device (she called them salad tongs! great ice breaker!) and how it all works and I felt informed and totally empowered!
The actual smear test took a matter of seconds and felt less uncomfortable than when you put a tampon in a bit skew-if. I left the clinic with a smile on my face and afterwards raved about it to my husband!
When I got my result I felt great relief and also happy that I had my health under control.
It was a very positive experience for me and I think I will actually look forward to my next appointment. Well, maybe that’s an overstatement, but I don’t think I will dread it in any case.
Most women complain about how awful and uncomfortable it is, plus the ads for it only make you feel MORE guilty and anxious. So I wanted to share a positive story for those who are in the same scared, anxious boat I was in only 12 months ago.
*If I’ve gotten this confused, I apologise, i have a tendancy to confuse it with a range of other similar words and I can’t really google it from my office desk ( :S) to check if its correct. You know what I mean right!
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You’ve got the word right – you even spelled it correctly
I find pap smears undignified (lying there doing frog’s legs) but not painful. I got a similar sense of empowerment from having a mammogram a couple of years ago.
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I had my first one two years ago and it was uncomfortable but I don’t remember it hurting. After being sent a couple of notices (should’ve had my follow up early Spring 2011) I had my second one in mid December. For whatever reason, it hurt. Same Doctor performing the test, same everything and she was telling me to relax and I’m thinking “I can’t, you’re hurting me!” then when she said to relax again I snapped and asked her how was I meant to relax when all that pressure was hurting. Turns out she was a little too far in. Probably only backslid towards the entrance less than 1cm but it changed from pain to mild discomfort! I’m grateful that she listened but the rest of the day I felt sore and I’ve not been sexually active since I split up with the ex a while ago (read as 18 months ago) so maybe there’s a difference in “conditioning” of the downstairs area for those who are sexually active and those who aren’t?
As a child, I’d always had this big dark mark on my leg but my doctor told my Mother not to worry about it. As an adult, I’d had cysts removed and because I get keloid scarring (ie when faced with trauma [not everyday scrapes more like piercings and surgical trauma that on anyone else, wouldn't do any damage] my skin is too good at repairing itself, the repaired tissue keeps on forming so your scar tissue is raised and just stops when it wants to) my surgeon would inject the wound site with steroids to prevent the scar tissue from growing then eventually moved on to topical creams, not fun but that mark on my leg suddenly turned into a lump in my early 20s and just by the by I showed it to my Doctor (she of papsmear fame) and in a no nonsense way said “Nope, it’s coming out!” and referred me to the same surgeon/specialist who’d done the cysts on my ears. Was very afraid I’d end up with a raised scar (the site is the size of a 20cent coin) but there was no scarring. Well the dark mark is there but it’s not raised in the slightest, woohoo! I used to be amused by people who would fuss and primp because they had scars (discolouring) and I’d be thinking, you call that a scar? THIS is a scar and for years I’d only wear my hair down (grew up with it always up) to hide the raised lumps that were a leftover from surgery but slowly slowly, ie it’s taken me reaching my late 20s to let go and having my hair up a few times last year was huge for me and so what if there are huge scars? At least the surgeon did his job and removed what wasn’t supposed to be there!
I avoid the sun like the plague, have done since childhood! My primary school had a no hat no play rule and all those ads (slip-slop-slap) worked wonders on me so I’m always in a hat, long sleeves even in Summer or I have a parasol to hide from all the sun we’re getting. I’m ethnic, been here since I was in nappies but seriously do not get the fascination with the sun! Remember that hole in the ozone?!? Friends (as in your loving besties/siblings) mock me and call me a vampire cause I really do avoid the sun. Wouldn’t be surprised if I was vitamin D deficient.
PS – Is it wrong that I still haven’t picked up my papsmear results?
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1 – Check! I always stay on top of my PS schedule, having had some bad results in the past. Just so important to keep an eye on these things. Please do it, ladies.
2 – I’ve seen the videos and pamphlets and I give it a go – yet I’m never really sure if I’m doing it right. Next GP visit, I might have to ask them for a demo
3 – Check!
4 – Still on my to-do list – as is going to the DENTIST! Does anyone else find this seemingly impossible to make time for?
5 – Is switching to skim milk really a positive health change (especially if you’re not overweight)? I’ve heard that it has far less calcium and that full cream dairy products are always better than the highly processed low fat options. So confused…I have been trying to start this year more healthily with less alcohol and more swimming, though the arrival of my period ALWAYS makes me want to skip the pool and head to that most evil of fast food chains…always hard to get back on the wagon after that.
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Skim milk actually has more calcium that whole milk. And while most “low fat” or “diet” foods have added sugar, plain skim milk does not.
http://www.dietstop10.com/milk-facts-whole-skim/
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I am TOTALLY dentist – phobic and this is the biggest thing I am hoping to confront and deal with this year……but I am still scared to death of going (irrational as it may sound). I haven’t been for years and my teeth are in a really bad state – but still I can’t bring myself to make an appointment. May 2012 be the year I deal with this embarrassing phobia. xx
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Lindalou, I’m 25 and went to the dentist for the first time last year in 10 years.
I’m spending alot of money on things that could have been prevented or fixed at an earlier stage simply because i didn’t like going to the dentist.
Make the time because teeth will not fix themselves, and make sure you find a really good dentist because it’ll take away the anxiety you feel.
Mine talks me through what he’s doing as he’s doing it, explains everything and asks if i have any questions before and after each procedure. Something as simple as that can help make you feel more at ease.
Trust me, you won’t regret it (other than maybe the money!!)
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Thanks Miss V, great advice – it’s one of those things that my rational mind says – just do it – and my irrational mind says – just put it off a bit longer. I will ask around for a good dentist in my area (I am new here) and JUST DO IT!
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Lindalou, I am absolutely terrified of the dentist…not sure why as I’ve never had anything done in the past. I don’t like people touching my mouth, I have sensitive gums and I’m generally sensitive to pain in general.
When my husband made an appointment for me in secret, the dentist was very understanding about the anxiety and gave me Penthrax (the tube you inhale from for pain relief that paramedics use). It removed all the discomfort associated with a scale a clean and I almost slept through the whole thing. Best $80 I ever spent!!
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I always found it hard to make time for number 4 a basic skin check. After much pestering from my mum and dad who both have had minor skin cancers I had a check the week before Christmas! Lucky really because I had an early stages skin cancer that needed to be removed then and there! It literally took 10 minutes for the skin check and removal of the nasty sucker.
Its worth it
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Can’t agree with this enough. And thank you to the doctors that have to say these difficult things to women (and men).
I had a pap test about a month ago and was terrified when my doctor discovered a small growth on the cervix. I’m 24 years old and thought it was the end of the world. I was so grateful to discover at the specialists that it was a polyp and he removed it straight away on my lunch break. I am blown away though how much it’s removal has changed the way I feel “down there”. Everything was a little irregular before but now I feel healthier than ever.
Don’t be scared. Doctors aren’t there to hurt, they’re there to help.
Take care ladies x
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What a brilliant, simple and timely article, thankyou! I’m a generally healthy 29 year old, and am a single mum to a gorgeous 2.5 year old girl. I work, study, and raise her, and though I do try and take care of myself I’m definitely guilty of too many late nights, too much coffee, and the occasional Chocolate Week.
In the last month we’ve both had bad health scares that have landed us both in hospital. In both cases the worst-case scenario was pretty scary. Luckily we are both now on the mend.
I have never been so grateful for our much maligned public hospital system where we both received top-notch care (thank you RNSH) and have vowed that this year there will be no excuses – I will make sure we are both as healthy as possible, and will be proactive about my own health.
Pap smear- booked, melanoma check – booked. Thank you for the great reminder. Both were overdue. Look after yourselves people! I will never again take our good health for granted and am SO very grateful for the early screening options available.
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Do you need a pap smear test if you’re not sexually active?
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yes!
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If you have ever been.
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http://www.health.gov.au/internet/screening/publishing.nsf/content/papsmear
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Yes. Any women over the age of 18 needs a pap smear, even if you’re not sexually active or have had the cervical cancer vaccines. They discovered nuns were getting cervical cancer despite not being sexually active.
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Who is “they” and please provide the evidence to your outlandish statement if you want to be taken seriously.
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YES! It’s not just sex that can affect the health of that area. They can detect cancers and other health issues. Do it for your own peace of mind.
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The cervix is at the junction of the vqgina and uterus -2 different types of cells. It is vulnerable to cell changes because of this alone.
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Tanlee, unless you have unexplained bleeding, pain, a DVT, sexually un-active women are NOT recommended to have a smear. Check out the World Health Organization, they have up to date information on their site. Also check out Dr. Angela Raffle, who is a UK Cervical Cancer specialist. Dr. Joel Sherman also has lots of information, and a blog where he will answer your questions. He is not a quack, he is an eminent doctor who answers questions honestly. If you have any symptoms, or feel something is not right, of course go and get checked out, but if you are only thinking of going because “everyone says you have to”, just do what you think is best for you. Personally, I choose not to have pap smears anymore. I have not had one for 8 years, and I have not been struck down by cancer in this time. If I am sick or don’t feel right, I go to the doctor. If not, I just live my life.
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I used to smoke but never got struck down by cancer while I was still smoking. I still quit though. Because it’s the right thing to do for my body.
What an irresponsible load of crap you’ve written, pygmygirl.
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Kris2040, you are entitled to your opinion, just as I am entitled to mine. I have researched the risks and benefits to myself regarding pap testing and smear tests, and have chosen for myself not to screen. I in no way would advise someone to avoid papsmears, all I have said is for people to RESEARCH this topic. It is an individual choice of whether to have ANY sort of test. Personally, unless I have symptoms or don’t feel right within myself, I will not have a pap smear. A friend of mine had regular, yearly smears, was told everything was fine. She ended up demanding another smear at one point, as she had symptoms that were distressing, after being told her pap smear was fine, and that she had no problems. She ended up with adenocarcinoma – spent months having Chemo/radiotherapy and now has many other problems, including after effects from all the therapy. Her oncologist told her she would have had the tumour there for years. How did having regular pap smears help her? A hrHPV test would have picked this up, but no one tells us how unreliable the pap test is. I now listen to my body, and go to the doctor whenever I feel there is anything wrong, but since I have researched pap tests, I have made the personal decision NOT to have them and will use other options that are much more reliable to make sure I am healthy. That for me, is the right thing to do for my body. Since you used to smoke, do you get every part of your body tested for cancer as often as you get your cervix tested?
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You ARE advising people though. As another person rightly pointed out, you’re as bad as anti-vaxers with your Gish Galloping posts.
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Kris2040, the rest of you are advising on this blog, why is it any different for me to state my opinion? I have advised people to RESEARCH, weigh up their personal risk and do what is right for them. I have repeatedly stated that no one should ditch screening. Why is it that the rest of you are able to blithely say “yes, get a pap smear, you have to”? For starters, no one HAS to, it is a voluntary screening test. Where is your evidence that people MUST get a pap smear? Heart disease, bowel cancer, lung cancer and skin cancer are all much more common than cervical cancer, in fact heart disease is the number 1 killer of women. Do you get your heart checked as often as you get a smear? You have smoked, so do you get your lungs checked each year? I am not trying to start a fight with you or anyone else on these comments, I am just curious as to why you feel I am not entitled to state my opinion backed up with the reasons why, yet you feel you are entitled to state your opinion.
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You’re advising people to “research” and telling them they don’t need to have a small screening procedure which has been proven to save lives. That is dangerous and irresponsible. I throw you in the same basket as anti-vaxers.
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May I ask why suggesting people RESEARCH – ie – get FACTS is so terrible. I am only commenting on this because there are many women not comfortable with pap smears, for many reasons. Rape, incest, cultural, religious or just personal preferences. I am simply saying that if you don’t want a pap smear there are other options that are very reliable and not as invasive. Cancer is a terrible thing, I would never advise someone not to get checked out, and I am NOT advising people not to get paps. I am simply pointing out that for people who do not, or will not smear there are alternatives that they can use to make sure they are looking after their health. I am not anti vax, I am not anti smear, I am simply anti bullying, and think that women who don’t/can’t smear should be able to have a safe and effective alternative to make sure they can catch cancer early and look after themselves. I would never advocate someone not to smear or for that matter test for anything. The same with vaccinations. The reason we don’t have polio etc is because of the great work of vaccination programmes. What is your alternative to women that can’t bring themselves to smear?
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Funny, I had my mole map appointment on Monday, check. Doctor decided to do a random pap smear last year before I was due, check. No family blood pressure problems, but there is type 1 diabetes in the family, so might check that out. Regular exerciser and generally good eater, check!
I had a great GP when I lived in the inner west in Brisbane. She retired and I’m going to the go that is just behind my house and all the doctors there are good but I don’t love them the way I loved my old GP. Does anyone know any good GPs in inner north brisbane? Don’t mean to be picky but I prefer lady doctors too.
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I go to Peggy Wong at the kelvin grove QUT med centre (you don’t need to be a student) and she is amazing. She is thorough and actually cares about you. I find all the docs at paddington med centre on Latrobe tce are really good too
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I am with Jane Propsting in Clayfield – and have been since before I was born!
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Nicole Lewindon at Toowong Village medical
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Not inner north… but I’ve got a great GP in Kenmore, just a quick trip down the ICB and onto the Western Fwy and you’re there.
Dr Elspeth Darveniza (07) 3378 2333.
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Elspeth is a great, caring GP (she’s also a family friend). She is truly as nice in everyday life as you would see as a patient.
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Whippersnapper Type 1 is not hereditary, only type 2. Although there is a chance that you will still be diagnosed with type 1 in adulthood, it is pretty rare. You cannot do anything to stop the onset of type 1 as its causes are genetic and not diet or lifestyle related.
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Thankyou for the reminder. On the phone right now making an appointment for my (overdue) pap smear.
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i felt smug reading this list. i am on top of all these.
but, doc, “history of blood pressure”? do you mean high blood pressure? cos i have low blood pressure + family history of it. is that something to be worried about? oh, and weirdly low cholesterol.
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I too have low blood pressure, runs on the family, and there is nothing you can about it but you don’t need to worry about it – apart from hitting your head when you faint. Ha ha. It usually rises
as you get older, but I have been told it’s not a problem so hope that helps.
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Apologies, I did mean high blood pressure.
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