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Firstly, 5 Tests That Could Save Your Life - Spending more on medical care is the last thing anyone wants to do, but, it can pay off. A new generation of tests can pinpoint unusual markers of heart disease, tiny tumours, or signs of liver disease well in advance of trouble. These screens aren't needed by everyone, so they may not be available on the NHS or covered by private health plans. But if you have a high-risk health history, shelling out for one of these tests could save your life.
What? | Who could benefit? | Why? | What's involved? | Test positive, now what? | How much does it cost? |
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Heart Disease Blood panel |
Anyone with a family history of early heart disease. | Cardiovascular disease remains Britain's No 1 killer. Even people with normal cholesterol levels have heart attacks. | Blood is checked for elevated levels of C-reactive protein, homocysteine and Lp(a) lipoprotein - all are associated with a higher risk. Can also reveal small, dense LDL ("bad" cholesterol), another risk factor. | Your doctor may recommend lifestyle changes - exercise, healthy diet - to lower LDL, or may prescribe statins; certain B vitamins can also reduce risk factors. | £115-£210. Not routinely offered on the NHS. Ask your GP for a referral to a private hospital or laboratory in your area. |
Aneurysm Abdominal ultrasound |
This deadly weakening of an artery wall is most common in men over 65, smokers over 60 with high blood pressure and anyone over 55 with a family history of aneurysms | Aortic aneurysms develop undetected over many years and 85-90% of ruptures are fatal. Repair prevents fatal ruptures in 95% of cases | A quick, non-invasive ultrasound scan looks for deadly bulges in the artery wall that could burst, causing severe internal bleeding and possible death. The abdomen is the most common site for the scan. | The ultrasound can reveal if the aneurysm is big enough to require surgery to repair it. Smaller bulges are monitored with repeat ultrasounds. | Ask your GP to arrange a scan. Population screening for men over 65 is on the cards. £200 upwards for a private scan. |
Hepatitis Blood panel |
Anyone who has had a blood transfusion before 1991, used intravenous drugs, had unprotected sex with multiple partners, drinks heavily; or has a family history of liver disease. | 4,000 Britons die annually from liver disease, yet it is often symptomless. Up to 450,000 people with hepatitis C do not know they have it. Early diagnosis and treatment prevents premature death or liver transplant. | Your blood is checked for antibodies to the most important hepatitis viruses (B and C); liver enzyme levels are assessed for inflammation; blood protein measurements reveal liver (sometimes kidney) failure. | Interferon and other drugs can treat viral hepatitis. May need treatment for liver disease. You may be advised to reduce alcohol intake | Ask your GP for a test if you are at risk. £90-£120 privately. |
Lung Cancer Spiral multi-slice (CT) scan |
If you smoke heavily - or have ever done so - consider getting tested. People who've been exposed to asbestos and those regularly around second-hand smoke should also talk to their doctor about having this scan. | With some 24 million current and former smokers in the UK, lung cancer is the UK's biggest cancer killer, responsible for more than 33,000 deaths each year. It's rarely diagnosed early enough, so only 5-6% of patients survive more than 5 years from diagnosis!! | The patient lies on a table, which passes through the scanner. A scanner uses the images to create a 3-d model of the lungs and can detect smaller cancerous tumors less than 1cm in size) than standard x-rays can. | Follow-up tests to determine what cancer treatment is needed. CT scans are still being studied to ensure that identifying the cancer early leads to better long-term survival rates. | £100-£300 |
Ovarian Cancer Ultrasound, CA-125 blood test, pelvic examination |
Women with first degree relatives diagnosed with ovarian cancer, colon cancer or breast cancer under 40, or in both breasts, or with a male relative with breast cancer. |
The disease will usually show only subtle, often-missed signs (such as bloating, weight gain, back pain, fatigue) before it progresses to a stage that's often fatal. When detected early, the 5-year survival rate is 95 per cent. | Transvaginal ultrasound scans for cancerous masses on or near the ovaries. The blood test checks levels of CA-125, a tumour marker elevated in nearly 90 per cent of women with early ovarian cancer. Pelvic examination. | The specialist will recheck CA-125 levels, then advise surgery to remove the tumour - a much less extensive procedure than treatment at later stages, when cancer has spread. | £200-£300 for ultrasound. £50-£60 for blood test. Health insurance may cover if at high risk. |