HPV test awareness, knowledge still low

Friends, I love hearing about HPV awareness in our nation, and how great it is.  However, if only those who I see day after day with diagnosed-HPV had been as educated.

I want to stop this cycle of amazing and brilliant people getting hurt solely by not being informed.  HPV education and prevention wasn't taught in school back in the days.  So now it's up to us to share the message.  And it's up to doctor's like me to lead the pack.   Let's do this.

I got you.

-- Dr. Dale

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HPV test awareness, knowledge still low

By Shereen Jegtvig

NEW YORK (Reuters Health) - Americans are more aware that there is a test for the human papilloma virus (HPV) than counterparts in the UK and Australia, according to a new study, but few people knew much more than that.

"Awareness of HPV has tended to be low but has been rising since the introduction of testing and vaccination," said Jo Waller, the study's senior author.

People seem to be more aware of HPV vaccination than testing, however, which is not surprising given the publicity around the vaccine, added Waller, a public health researcher at University College London.

The Pap test, used to look for abnormal cell changes in the cervix, is much older and generally familiar to most people, but the newer HPV test looks for the virus that causes those changes, Waller said.

The HPV test was only introduced in the 1990s and it's used a little differently in each of the countries that were included in the new study, Waller pointed out.

In the U.S., HPV testing is used as a screening tool in women over the age of 30. In both the U.S. and the UK, HPV testing is also used along with the Pap test to determine the next steps in treatment - for instance, biopsy.

In the UK and Australia, the HPV test is also used to monitor treatment results.

Waller said that many studies have attempted to assess the public's knowledge about HPV and HPV testing, but they all used different methods and asked questions in different ways, so it's hard to compare the findings.

"We wanted to use the same questionnaire to look at knowledge across three countries where HPV testing is used in different ways," she told Reuters Health in an email.

The researchers used an online survey to find out if participants in the U.S., UK and Australia were aware of HPV testing and HPV in general.

The first question asked was 'Before today, had you ever heard of HPV?' Participants who responded 'yes' were then directed to 15 general questions about HPV.

Participants were then asked 'Have you ever heard of HPV testing?' Those who responded 'yes' were asked six more questions about the test.

Of the 2,409 men and women who answered the survey, about 61 percent had heard of HPV, Waller's team reports in the journal Sexually Transmitted Infections.

Among those who had heard of the virus, only half were aware of the HPV test. Awareness of the HPV test was higher in the U.S. than in the UK and Australia.

The participants who had heard of HPV testing, on average, answered less than half of questions about details of testing correctly. Overall, women knew more than men.

Most of the survey participants did know, for example, that the HPV test can be done at the same time as the Pap test, and that a positive HPV test doesn't mean a woman will definitely get cervical cancer.

But they didn't know a negative HPV test indicates a low risk of cervical cancer. Few also knew that the HPV test is not an indicator of whether the HPV vaccine is needed.

"It's also important for people to understand that although the HPV vaccine protects against HPV, it's still really important for women to have screening, to check for (virus) types not covered by the vaccine," Waller said.

Women who are screened and found not to have the HPV virus should be reassured that their risk of developing cervical cancer over the next five years is extremely low, Waller added.

SOURCE: bit.ly/1aLPRNE Sexually Transmitted Infections, Online January 9, 2014.

7 Things Only Gluten-Free People Understand

Aside from specializing in Anal Warts (HPV), Hemorrhoids and Colonoscopies, as I'm also a gastroenterologist I handle hundreds of celiac cases each month.  Many of my patients who are suffering from "celiac" and "non celiac gluten sensitivity" are afraid of the life before them should they decide to change their eating habits.  As gluten-free alternative have matriculated into our grocery stores (even Ralph's sells gluten free), and at our sandwich shop (Mendocino Farms is the best), it's become much easier to have gluten-free offered to you versus digging to find it. -- Dr. Dale

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7 Things Only Gluten-Free People Understand

http://www.huffingtonpost.com/2014/01/25/only-gluten-free-understand_n_4660022.html?1390660836&utm_hp_ref=healthy-living

Despite the trendiness of going gluten-free, only about 1 in 133 people truly have celiac disease, an autoimmune disorder that causes damage to the small intestine when gluten is ingested. Another small group have a condition doctors call "non-celiac gluten sensitivity" that can also produce symptoms.

In addition to the stomach trouble, joint pain, mood swings and other symptoms, people who don't eat gluten often also face seemingly-endless peeving comments like, "I could never give up bread!"

But dealing with both uncomfortable symptoms and uncomfortable situations has a silver lining: There are certain lessons learned by only those who eat gluten-free. We asked our Twitter followers and Facebook fans to share some of those truths with us. Here are a few of our favorites. If you're gluten-free, you know...1. That there are so many other yummy, yummy alternatives! --Tara Francy Brown

gluten free alternatives

2. That the people serving, selling and distributing your food really have no clue how it is made, and what is in it. --Dylan Armstrong3. Processed foods have taken over. --Optamus Primel

gluten free processed foods

4. How much gluten can affect both physical and mental wellbeing. --Laura B. Russell5. Gluten is hidden in soy sauce, beer, some mocha powders in coffee shops and many salad dressings. --Elizabeth Paul

soy sauce gluten
quinoa

6. How good you feel without it!! --@FayeWoodhead7. That's there's tons of food that I can eat. --Debbie Cronrath Hassel

Alternatives to colonoscopy.

So, guess what?  Colorectal cancer is the second-leading cause of cancer deaths in the U.S. for men and women combined, the illness is highly curable when detected early. BUT, there are alternatives to the often uncomfortable colonoscopy.

Virtual (CT Scan)

  • *no sedation

  • *still have to drink the "prep drink"

  • *misses polups less than a centimeter, which means the results could lead to a false sense of security.

Blood Stool Test

  • *have your doctor test your stool for blood.

  • *very good to DETECT colon cancer hopefully at an early stage, but does NOT prevent colon cancer.

I got you.

-- Dr. Dale

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