of joint swelling and pain might be as important as sophisticated testing to
distinguish the type of arthritis you have.Multiple joints are usually involved with rheumatoid arthritis,
osteoarthritis, and autoimmune problems.Autoimmune and rheumatoid arthritis are more likely to be symmetrical
and involve the upper body. Lower body involvement points more toward osteoarthritis
and gout.Of course it is also possible
to have more than one form of these common diseases.Your diagnosis is important because the
treatment might be different for different conditions.
The risk of
complications from colonoscopies might outweigh the potential benefits after
the age of 75, unless you have a history of polyps previously treated.Mammograms over the age of 70 and sometimes
earlier than that can lead to overtreatment.Thermographies might be better as a preventive test.With no previous history of precancerous
lesions, pap smears can be discontinued at age 65.PSA’s have no benefit after the age of 75 and
are optional for men before that.Bone
density tests are recommended every five years, beginning at age 65 for women
and 70 for men.One ultrasound per
lifetime to screen for abdominal aneurysm is recommended.I would add CardioRisk tests for arterial
plaque, a questionnaire for the risk of falls, and periodic blood tests for
vitamin D, CRP sensitive, glucose, Lp(a), and other lipids.
See AARP Magazine, February/March issue, 2017, p. 24-25.