Preparing for the race was so intensive that I've been swamped catching up with "honey-do's" at home. I intended to go to Rhapsody today but ended up loading everything then getting sidetracked with bookkeeping, marketing for Cypress Preventive Imaging, etc. I have receipts 2 months old to log - and that was during the pre-race spending spree.
I'm trying to get the word out to all of my family, friends and colleagues about electron beam computed tomography (EBCT). You know already that for many the first symptom of heart disease is a heart attack - a nasty surprise. Traditional screening methods (called Framingham after the researcher that published them) include age, family history of heart disease and/or diabetes, and whether the patient smokes(d). This screening method catches about 1/4th of those at risk. That is, 3/4ths of the population at risk of heart disease go undiagnosed until the damage is so bad that things start breaking.
Most of you also know my wife, Janet, is Drs DeBauche's and Razeghi's Physician Assistant at Cypress Preventive Imaging. These cardiologists are onto something important that you should know about.
Recent studies concluded that the presence (or absence) of calcium in one's arteries is a much better indicator of heart attack or stroke risk (calcium is the substrate upon which plaque collects and plugs off the circulation - old arterial lesions calcify). But to measure calcium in one's arteries requires a Coronary Artery Calcium Score (CACS). The technology is so good that every US president since Clinton received one annually. In 2009, the state legislature amended the Insurance Code to require most health insurance policies in Texas to pay up to $200 for a CACS for at-risk patients. Chances are good that your policy will pay for CACS for:
Men ages 45-76
Women ages 55-76
All Diabetics
Individuals at intermediate or higher risk for Coronary Heart Disease
Two similar technologies measure CACS: traditional 64-slice Computed Tomography (CT scan), and Electron Beam Computed Tomography (EBCT). The differences between the two include: 1) a 64-slice CT machine costs about $1.5MM (commonly available at all medical centers) versus $5MM for EBCT (by GE Healthcare, only 5 in Texas); 2) a CACS by EBCT requires about 10 to 20 times less radiation(!) - about the same as a mammogram and not much more than you naturally get flying coast to coast; 3) the CT scan mechanically moves the X-ray source around you and is too slow to image your beating heart without an injection to slow your heart versus the EBCT that aims the X-rays from a stationary source using an electron beam like your old TV CRT did at 60 Hz (the electron beam is so fast it can clearly image your beating heart without chemically slowing it down and is not subject to getting mechanically "stuck" and over-exposing anyone); 4) the EBCT was specifically designed to detect coronary calcium; and 5) Cypress Cardiology offers a CACS by EBCT for about $200 versus thousands for a CT scan elsewhere. Both technologies require the clothed patient to lie still for about 15 minutes and can detect other abnormalities like gall and kidney stones, cancer, etc. but because the patient prep (IV, contrast, etc.) for the CT scan is more complicated, the overall test by CT takes much longer. And those that cannot be put to sleep without great risk (like the president or those with severe heart problems) may opt for a virtual colonoscopy with EBCT (no ugly scopes - yea!).
Many of the cancers found by EBCT are caught in curable stages (EBCT can detect lung cancers as small as 3 mm). Annual monitoring of suspicious growths with EBCT results in much less radiation exposure over the long term compared to 64-slice CT scans (some studies suggest that repeated exposure to older higher-dose CT scans may actually cause cancer but the new machines are better - just not as good as EBCT).
Many middle-aged, athletic, patients in the prime of their lives are keen to get their whole body scanned as a baseline for future reference and/or to ensure anomalies, if any, are addressed early and quickly. Doing so with an EBCT is about $1000 and an order of magnitude less radiation compared to one by traditional CT.
Extending careers by early detection and active prevention of heart disease is a win-win for employees and employers alike - especially "industrial athletes" whose adrenaline-filled jobs require them to go from zero to 60 in seconds - fire fighters, etc. There is also interest by high-stress executives and international travelers that want the very best health checks. First class corporate wellness plans now include CACS. And for $200, why not? DeBauche and Razeghi are very much into "clinical relevance," that is, they don't just send you away with a large pile of cryptic paper and film - they will help you understand the clinical relevance of all of your test results. They are into education.
Wouldn't it be great to know whether you are at risk of heart attack BEFORE you experience symptoms? And to have evidence to understand that risk? If your CACS is high then you can get therapies that can lower your risk of heart attack up to 90% - that is, the next heart attack you prevent may very well be your own. And for those with low risk, you can avoid further testing and therapies - as well as take comfort that hard evidence indicates you are in good health.
BTW, how is your health?