Login email address password send new password email address forgot password? generic viagra Logout home news latest news news insight in pictures polls opinion tim's diamonds fog's blog journal talk the last word guest view guest editorial dr linda calabresi paul smith editor's choice clinical therapy update busting the myth grand rounds app of the week education online education seminars how to treat online clinical audits jobs general practice events in depth news review workwise in the hot seat video just4docs rural doctor competitions products companies print subscription home / opinion / guest view / forgetfulness, mild cognitive impairment and pre-dementia forgetfulness, mild cognitive impairment and pre-dementia 12 september, 2012 professor david le couteur comments latest from opinion polio strikes back highs and lows of rural medicine a vagina monologue case studies the last word: on man flu the pattern of over-diagnosis is the same for many diseases: we screen healthy people and those with minimal symptoms; we use sophisticated technologies that detect early or minor abnormalities that may not progress; and we treat people with these abnormalities on the assumption that this will prevent significant illness and death. viagra pills canada The downside of all this medical intervention is that we’re exposing healthy people to the potential harms of diagnosis, investigation and treatment without any certainty about long-term benefits. viagra 50mg com 8 comprimidos Indeed, there’s a growing unease that this trend is being driven by the financial benefits of creating a larger market for drugs rather than genuine health gains. buy female viagra in australia I work in geriatric medicine and over the last few years, i have seen how the changing definitions of dementia and alzheimer’s disease has insidiously been leading to over-diagnoses. Screening the healthy let’s start with the schema of over-diagnosis: are we screening healthy people and those with minimal symptoms? how much is viagra on prescription Yes. viagra 50mg com 8 comprimidos In the past, we diagnosed older people complaining of minor memory impairment with “benign senescent forgetfulness”, and told them that it didn’t require any further action. buy viagra without prescription It was, after all, benign. buyviagrajdf.com But this terminology progressed to “mild cognitive impairment (mci)” and now (more ominously), to pre-dementia and pre-clinical alzheimer’s disease. harga viagra 10 mg We are also being encouraged to screen older people for any memory impairment because this has now been defined. generic viagra online overnight shipping cheap generic viagra    



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