thex10
3 hours ago
I am glad they’re screening for it. I was born to someone who had the virus, but didn’t know I had Hep C myself until I submitted myself to an exceptionally thorough STI testing panel. I say exceptional, because the standard ones I’d done throughout college and early adulthood do not happen to include that particular test. So I feel a bit lucky to have been able to get diagnosed and treated in my mid-20s, before the disease could do much damage.
nly
3 hours ago
That's odd. I just looked at what I thought was a pretty standard piss and blood STI test results of my own, and it covered:
- Syphilis
- Hep B
- Hep C
- HIV 1 and 2 and P24
- Chlamydia
- Gonorrhoea
thex10
2 hours ago
I forgot to mention my experience was in the northeastern USA in the 2000s-2010s. I’m happy you got a better standard of care than I did!
Aurornis
2 hours ago
Hep C screening at least once for adults >= 18 is recommended and considered standard of care in the United States. I checked my medical records and I have a negative Hep C result in an old checkup when I was younger, and another one from a new provider who insisted on a big panel of standard testing for new patients (despite me having no risk factors).
It’s unfortunate that your early providers dropped the ball. I wonder if they assumed you had already been tested for some reason?
nly
an hour ago
Crazy how different healthcare is in different countries.
In the UK once you've had your childhood vaccinations it's entirely possible you'd simply never see a doctor again in your life until you're ready for your prostate exam in older life.
There are no regular checkups or preventative care on the NHS for mid life adults unless you're proactive
frereubu
an hour ago
I presume you're not a woman, because there's cervical screening for women aged 25-64 every five years. Also depends on what you mean by "mid life", but there's breast screening offered to women aged 50-70 and bowel cancer screening offered to people from 50 to 74 every two years.
There are real trade-offs with screening, and screening too much has harms as well as too little, although I'm not qualified to make a judgement on where that line sits relative to where it is in the UK.
gs17
an hour ago
In the US it's entirely possible to do that as well. I've never been forced to see a doctor outside of getting a form signed before grad school.
1234letshaveatw
19 minutes ago
Interesting, my insurers, through my employers, have always required a annual physical
alpinisme
14 minutes ago
Required in what way? Better coverage (or lower rates) if you do it? Or is it literally no coverage if you don’t?
roryirvine
an hour ago
That's not quite true - there's a 5 yearly Health Check which is offered to those over 40 with no other known health issues (in England, but Scotland/Wales/NI have similar schemes).
Local councils are responsible for arranging invitations for those not currently registered with GPs, so it ought to be more or less universal - though there are inevitably a few people who'll slip through the net.
It's pretty basic, but the evidence suggests it's been reasonably effective at dealing with the "he didn't see a doctor for 40 years and then just dropped dead from a heart attack" stereotype.
tuesdaynight
42 minutes ago
Is that necessarily bad? I mean, aren't there studies showing that annual checkups don't make much difference in mortality or healthy longevity?
Aurornis
an hour ago
> In the UK once you've had your childhood vaccinations it's entirely possible you'd simply never see a doctor again in your life until you're ready for your prostate exam in older life.
It's entirely possible to do this in the US, too, but it's not the default path. I know some people who think it's a point of pride to brag that they haven't been to a doctor in 20 years. I know other people who never miss their annual checkup and are frustrated that their doctors won't order every test they hear about from their podcasts. The US approach to healthcare is varied and confusing to outsiders, even if you remove all of the unreasonably complex insurance stuff from the equation.
> There are no regular checkups or preventative care on the NHS for mid life adults unless you're proactive
If you wanted to request an annual checkup, could you ask for one and get it without problem? Or would they require a specific reason to visit?
SoftTalker
6 minutes ago
I'm not a big proponent of restricting speech but "Ask your doctor about..." advertising should be banned in the USA. If you don't have medical training you're in no position to decide what medical conditions you may have or what treatments might be appropriate. If you want to be a doctor, go to medical school.
ButlerianJihad
37 minutes ago
The last insurance carrier I had, through an ACA Marketplace plan, has an incentives program for members. If you go see the PCP for an annual checkup, you get about $50. If you "go paperless" 100%, you get another $50.
There are about four incentives altogether, and the money is loaded on a Prepaid Visa card that is branded by the insurance carrier. The funds are not restricted, and you can spend them on anything where Visa is accepted. The cards are sometimes cycled out and replaced, but I do not know if the funds had an expiration date. There were no fees to hold the funds, and no fees to spend them.
basisword
an hour ago
To be fair, almost nobody is going from childhood vaccinations > late-middle age without seeing a doctor. And when you do go with an ailment general blood tests seem pretty standard these days at GP's along with standard vitals checks. They also do preventive care where necessary. Every woman is invited for cervical screening once they turn 25 and then every few years until they're in their 60's. Regular mammograms are also a thing after a certain age/depending on risk factors. Bowel cancer screening too. STI testing is free and, depending on where you live, done by post. Also depending on your definition of 'childhood' there are a few vaccines given when you're a teenager (HPV for example). And if you ever travel you'll be visiting the doctor for vaccines then too.
SoftTalker
5 minutes ago
I don't think I've been to a doctor in close to 40 years, except for treatment of a few acute injuries. I've had a few vaccine boosters, but I get those at a pharmacy.
nly
2 hours ago
Ah OK, this was in London
paulmist
an hour ago
In Europe I don't think it's commonly done. For example, the standard Dutch MSM STI test [1] covers HIV, Syphilis, Chlamydia, and Gonorrhoea only while Trichomoniasis, HPV 2 and Herpes are rather common. That being said, it's freely available at most hospitals.