Medical Tests That Can Save Your Life: 21 Tests Your Doctor Won't Order ...Unless You Know to Ask

Overview

Breakthrough medical tests can find dozens of deadly diseases before it's too late. But because of the state of modern healthcare (with insurers' red tape and doctors' busy schedules), most of us don't know that these tests are available -- let alone which ones to have, what they're called, or how to ask for them. That's all about to change. With this book, you'll learn how to determine if you're at risk for life-threatening conditions. Once you gauge your risk levels, Drs. Johnson and Sandmire teach you which ...
See more details below
Available through our Marketplace sellers.
Other sellers (Paperback)
  • All (34) from $1.99   
  • New (3) from $15.98   
  • Used (31) from $1.99   
Close
Sort by
Page 1 of 1
Showing All
Note: Marketplace items are not eligible for any BN.com coupons and promotions
$15.98
Seller since 2008

Feedback rating:

(278)

Condition:

New — never opened or used in original packaging.

Like New — packaging may have been opened. A "Like New" item is suitable to give as a gift.

Very Good — may have minor signs of wear on packaging but item works perfectly and has no damage.

Good — item is in good condition but packaging may have signs of shelf wear/aging or torn packaging. All specific defects should be noted in the Comments section associated with each item.

Acceptable — item is in working order but may show signs of wear such as scratches or torn packaging. All specific defects should be noted in the Comments section associated with each item.

Used — An item that has been opened and may show signs of wear. All specific defects should be noted in the Comments section associated with each item.

Refurbished — A used item that has been renewed or updated and verified to be in proper working condition. Not necessarily completed by the original manufacturer.

New
157954732X New item in stock, may show minimal wear from storage. No remainder mark. I ship daily and provide tracking! 100% Money Back Guarantee!

Ships from: FORT MYERS, FL

Usually ships in 1-2 business days

  • Canadian
  • International
  • Standard, 48 States
  • Standard (AK, HI)
  • Express, 48 States
  • Express (AK, HI)
$25.00
Seller since 2005

Feedback rating:

(223)

Condition: New
2004 Trade paperback New. lt shelfwear-Book Appears Unread Trade paperback (US). Glued binding. 264 p. Audience: General/trade.

Ships from: Lindenhurst, NY

Usually ships in 1-2 business days

  • Canadian
  • Standard, 48 States
  • Standard (AK, HI)
  • Express, 48 States
  • Express (AK, HI)
$45.00
Seller since 2014

Feedback rating:

(136)

Condition: New
Brand new.

Ships from: acton, MA

Usually ships in 1-2 business days

  • Standard, 48 States
  • Standard (AK, HI)
Page 1 of 1
Showing All
Close
Sort by
Sending request ...

Overview

Breakthrough medical tests can find dozens of deadly diseases before it's too late. But because of the state of modern healthcare (with insurers' red tape and doctors' busy schedules), most of us don't know that these tests are available -- let alone which ones to have, what they're called, or how to ask for them. That's all about to change. With this book, you'll learn how to determine if you're at risk for life-threatening conditions. Once you gauge your risk levels, Drs. Johnson and Sandmire teach you which tests to request from your doctor and how to make sure you get them. Genetic tests for cancer risk, the latest blood tests for heart disease, and even older tests like ultrasound have one thing in common: They can save your life.
Read More Show Less

What People Are Saying

Alan N. Weiner
Alan N. Weiner, D.O., Portland, Maine-based specialist in nutritional and environmental medicine
. . . a literary triumph in preventive medicine . . . an honest assessment of our current healthcare system, and an easy-to-understand self-help manual . . .
James M. Blum
James M. Blum, Ph.D., chief executive officer and manager, Marshall-Blum, Herbal Research Clinic
A great resource for the American healthcare consumer that explains complex medical conditions in understandable language.
John Caramagna
John Caramagna, D.O., Diplomate -- American Osteopathic Board of Family Physicians
. . . a fresh and welcome guide that will certainly enhance and improve the doctor/patient relationship . . . this book will change . . . lives.
Terence K. Gray
Terence K. Gray, D.O., Clinical Fellow, Harvard Medical School
This book tackles many of society's medical issues and transforms them into one easily readable format.
Read More Show Less

Product Details

  • ISBN-13: 9781579547325
  • Publisher: Rodale Press, Inc.
  • Publication date: 6/23/2004
  • Edition description: REV
  • Pages: 224
  • Product dimensions: 6.58 (w) x 8.76 (h) x 0.74 (d)

Meet the Author

David Johnson, Ph.D., author of Feel 30 for the Next 50 Years, is associate professor at the College of Osteopathic Medicine, University of New England, and adjunct professor at Boston University School of Medicine.

David Sandmire, M.D., is an associate professor in the Department of Biological Sciences at the University of New England, where he teaches neuroscience, anatomy and physiology, and cardiovascular physiology. Both authors live in Kennebunk, Maine.
Read More Show Less

Read an Excerpt

PSA Tests For Prostate Cancer

Prostate specific antigen (PSA) was discovered in 1979. It is a protein produced by the cells that line the inside of the prostate. Prostate cancer changes the cellular barriers that normally keep PSA within the ductal system of the prostate, causing PSA to be released into the blood in higher quantities. All of the tests below consist of a simple blood draw and a laboratory analysis.

The total PSA test measures the total amount of PSA in your blood. The results are given in ng/ml (nanograms of PSA per milliliter blood), and a total PSA of 4 ng/ml or higher is considered to be a possible sign of prostate cancer. The risk increases as this number goes higher.

The total PSA and DRE (digital rectal examination) are generally the first line of tests done for detecting prostate cancer. If a suspicious finding occurs in either of these tests, your doctor will probably order follow-up tests, like a percent-free PSA test or transrectal prostate ultrasound, to determine if you should have a prostate biopsy.

The PSA velocity test is a measurement of the total PSA level over a period of time. Total PSA velocity should be determined over 24 months by measuring the total PSA on at least three separate occasions, spaced as equally apart as possible -- ideally, every 8 months. A rise in total PSA of over 0.75 ng/ml per year over this time is suggestive of prostate cancer and may warrant having a prostate biopsy.

The total PSA that is measured in the blood exists in two major forms -- PSA that circulates bound to proteins (the more abundant form) and PSA that circulates "free" in the blood (not bound to proteins). The percent-free PSA test, by measuring only that amount of the total PSA that is in the free form, enhances the overall reliability of the PSA test, because men with prostate cancer tend to have a lower percentage of PSA in the free form than men without prostate cancer.

The percent-free PSA test is mainly used as a follow-up test in men who are found to have a total PSA level in the so-called "gray area" -- between 4 ng/ml and 9.9 ng/ml -- to help determine who should undergo a prostate biopsy and who should not. Currently, a prostate biopsy is recommended in these men when their percent-free PSA is less than 10 percent. A biopsy is usually not recommended when their percent-free PSA is greater than 25 percent. If the percent-free PSA is between 10 and 25 percent, the patient's overall risk profile is used to decide how to proceed.

Follow-Up Testing

Once your doctor determines that you have an abnormal digital rectal examination or an abnormal PSA (based on total levels, percent-free PSA, PSA velocity, or a combination), the next step will most likely be a transrectal ultrasound of your prostate.

For the transrectal prostate ultrasound (TPU), a cylinder-shaped ultrasound probe will be gently placed in your rectum as you lie on your left side with your knees bent. The probe is rocked back and forth to obtain images of the entire prostate. The procedure takes about 15 to 25 minutes to perform.

The TPU can display both the smooth-surfaced outer shell of the prostate and the core tissues surrounding the urethra (the tube that comes out of the bladder down through the penis). The doctor will look at the entire volume of your prostate.

If the TPU shows an enlarged prostate, this indicates either inflammation of the prostate (prostatitis) or benign enlargement of the gland. A TPU showing either a distinct lump or an irregular area within the gland suggests cancer. If a lump or irregularity is seen, a biopsy will be taken in order to definitively diagnose cancer.

Reliability

Total PSA Test

The total level of PSA in serum is increased by factors other than cancer. So, like the DRE, total blood PSA alone is neither accurate nor optimally specific for prostate cancer screening. Only 15 to 25 percent of men with an elevated total PSA (greater than 4 ng/dL) are found to actually have prostate cancer. Similarly, up to 30 percent of men who do in fact have prostate cancer have a normal total PSA blood level.

PSA Velocity Test

This test has a reported sensitivity of about 72 percent and a specificity of 95 percent. Remember, sensitivity is the ability to detect the disease when it's truly there. Specificity is the ability to detect the absence of disease when it is truly absent. Therefore, this test is pretty good at detecting prostate cancer when you in fact have it, and it is very good at informing you that you do not have it. However, since this test is done over a 2-year period, it isn't appropriate when a quick diagnosis is necessary.

Health Risks

There are none for the various PSA tests; these are simple needle draws. And there are no serious risks from a TPU without a biopsy. Infection is rare, only occurring as a result of biopsy (if one is done) rather than as a result of the ultrasound itself.

Cost of the Screening Tests

The standard PSA blood test costs between $20 and $60. Some self-testing home kits are available for about $40 from Web sites like TestCountrycom. The free PSA blood test and the PSA velocity test cost about $100 each. Medicare and most health insurers typically cover these tests for men over 50.

Reprinted from: Medical Tests That Can Save Your Life: 21 Tests Your Doctor Won't Order ...Unless You Know to Ask by David Johnson, Ph.D., and David Sandmire, M.D. with Daniel Klein © 2004 by David Johnson, Ph.D. and David Sandmire, M.D. Permission granted by Rodale, Inc., Emmaus, PA 18098. Available wherever books are sold.

Read More Show Less

Table of Contents

Preface vii
Part 1 Using This Book
Introduction 3
Your Personal Risk Profile 15
Getting What You Need from Your Doctor 25
Part 2 The Conditions
Abdominal Aortic Aneurysm 39
Bladder Cancer 42
Breast Cancer 46
Carotid Artery Disease and Stroke 55
Colorectal Cancer 62
Coronary Heart Disease 68
Esophageal Cancer and Barrett's Esophagus 74
Hemochromatosis and Hereditary Hemochromatosis 80
Hepatitis C 85
Hereditary Nonpolyposis Colorectal Cancer 90
HIV and AIDS 94
Kidney Cancer 100
Lung Cancer 104
Osteoporosis 109
Ovarian Cancer 114
Pancreatic Cancer 120
Prostate Cancer 126
Stomach Cancer 131
Type 2 Diabetes 138
Part 3 The Tests
Abdominal Ultrasound for AAA and Kidney Cancer 143
Blood Glucose Tests for Type 2 Diabetes 146
Blood Tests for Hemochromatosis 149
Blood Tests for HIV 151
BRCA1 and BRCA2 Genetic Tests for Breast and Ovarian Cancer Risk 155
C-Reactive Protein Test for Coronary Heart Disease Risk 159
CA-125 and TVU Tests for Ovarian Cancer 164
Colonoscopy for Colorectal Cancer and Precancerous Polyps 169
DEXA Scan for Osteoporosis 172
Duplex Ultrasound for Carotid Artery Disease 174
EBCT for Coronary Heart Disease 177
EGD for Esophageal Cancer and Stomach Cancer 180
ELISA for Hepatitis C 185
EUS and ERCP for Pancreatic Dysplasia or Cancer 188
H. Pylori Tests for Stomach Cancer Risk 191
HNPCC Genetic Tests for Cancer Risk 192
Homocysteine Test for Coronary Heart Disease 197
ITST for Carotid Artery Disease and Coronary Heart Disease 199
Low-Dose Spiral CT Scan for Lung Cancer 203
NMP22 Test for Bladder Cancer 207
PSA Tests for Prostate Cancer 209
Appendix The Treatments 213
Index 257
Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star

(0)

4 Star

(0)

3 Star

(0)

2 Star

(0)

1 Star

(0)

Your Rating:

Your Name: Create a Pen Name or

Barnes & Noble.com Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & Noble.com that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & Noble.com does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at BN.com or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation

Reminder:

  • - By submitting a review, you grant to Barnes & Noble.com and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Noble.com Terms of Use.
  • - Barnes & Noble.com reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & Noble.com also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on BN.com. It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

 
Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously

    If you find inappropriate content, please report it to Barnes & Noble
    Why is this product inappropriate?
    Comments (optional)