This all seems to be about managing risk factors rather than really preventing deaths.
Is there any place for coronary calcium scoring to determine who actually has coronary artery plaque rather than just the risk factors?
Do the patient's get angiography and referral for cardiac surgery or do they have to wait to see if they develop symptoms first?
I am hoping someone who knows will let me know.
I worked out my life expectancy on the individualised Scanadavian risk assessor. If I don't take a statin for the rest of my life I will live till 87 years 4 months. If I do take a statin every day for the rest of my life I will live to 87 years 6 months. AND the assessment has NO way of factoring in problems with side effects OR what the cost of treatment actually is. So if the extra heart failure, muscle problems, liver problems, memory problems, diabetes and cataracts don't shorten my life by any extent at all I will have an extra two months. Now, what does the cost of the statins, blood tests, consultation times add up to I wonder? Could that money be used for something better? I would prefer the money to be given to me to heat my house in the winter from the age of 60-87 rather than have another two months at the other end (and there is NO guarantee I will not have any side effects!).
I support the assisted dying bill. I have been a patient in the NHS over several operations and serious illnesses. You need to be aware that if you become a patient you will go without fluids for long periods of time, your pain and vomiting will not be controlled, the food will be tasteless carbohydrate which you may or may not be given assistance to eat, you may get bedsores, if you get put on a bed pan you may not be taken off it for a prolonged period of time. All this I have experienced or witnessed directly while a patient. One of my patients was even told to go to a toilet that had three large bedpans of faeces in it. Six months ago I had a one in 20 chance of ovarian cancer. I made the appropriate financial arrangements for my family and had carers lined up for my cat. My plan was to survive the cancer long enough to get the kids of to university in Sept and then get on with the three trips to Zurich. They do a very decent package deal for £13,000. Worth every penny. I think the option of assisted dying in this country would help people stick it out longer because they know that once their suffering becomes too much they can end it. My poor
aunt Sally, suffered terribly with complications from rheumatoid arthritis. She was a very religious woman. Several months before her death she was crying because she thought that God had forsaken her. I had no comfort to give her, being an atheist. I think that people who object to assisted dying do so for a variety of reasons but one important one is that they believe that the medical profession will solve all illness and suffering. As a profession we know that is is not true. I think individuals should have the choice of the time, place and method of their death.