2020 ACS 2012 ACS 2018 USPSTF Age 21‒24 No screening Pap test every 3 years Pap test every 3 years Age 25‒29 HPV test every 5 years (preferred) , HPV/Pap cotest every 5 years (acceptable) or Pap test every 3 years (acceptable) Pap test every 3 years Pap test every 3 years Age 30‒65 HPV test every 5 years (preferred) or HPV/Pap cotest every 5 years (acceptable) Pap test every 3 years (acceptable) or HPV/Pap cotest every 3 years (preferred) Pap test every 3 years (acceptable) Pap test every 3 years, HPV test every 5 years, or HPV/Pap cotest every 5 years Age 65 and older No screening if a series of prior tests were normal No screening if a series of prior tests were normal No screening if a series of prior tests were normal and not at high risk for cancer
Dysgenesis in the brain can be a factor in autism spectrum disorders (ASD): Dendritic spine dysgenesis Atypical numbers and structures of dendritic spines in the central neurons of people with autism. This cellular pathology is also found in experimental mouse models of ASD. Cerebral cortical dysgenesis A malformation of the cerebral cortex that can occur when neural migration is defective during gestation. Symptoms include a thickened cortex, high neuronal density, and poor boundaries between the grey and white matter. Olfactory bulb dysgenesis A dysgenesis or agenesis of the olfactory bulbs and projection zones in the brain may contribute to ASD. Other neuroanatomical abnormalities in autism include: Agenesis of the superior olive, Dysgenesis of the facial nucleus, Reduced numbers of Purkinje neurons, and Hypoplasia of the brainstem and posterior cerebellum. ASD is a chronic condition with a wide range of symptoms, including difficulty with communication and social interactions, repetitive behaviors, and obsessive interests.
DOCTORs APPOINTMENTs Before a procedure, get to meet the physician and acknowledge their authority before you mention your sensitivities. Find a way to make a compromise. Even request more time for an appointment if you want to have topical numbing agents wait to work, to discuss alternatives, etc. Before a procedure, look up the physician and/or the clinic website. Find pictures of the inner building and search for FAQ, policies, procedures, reviews, etc. Before a procedure, bring a fully charged phone and any sensory necessities such as plastic cups for water, ice pack, self testing kits, written notes and copies, etc. TIPS For CHECKs Feel the instruments and get comfortable with them. Ex: at the dentist, you’re weary of the suction straw. If no plastic cups for rinsing, ask them for some or, have them turn the suction on a low setting and feel it with your finger before they use it in your mouth. Perhaps they can put something on if you don’t like the sucking noise. See how you feel with the specific doctor. Ex: Dr. A seems hurried and strict, but Dr. B seems more empathetic. Or perhaps ask if a nurse can be in the room with you to. Try having the doctor teach you how much you can do. Ex: for a strep throat test, ask if you can swab your own throat, even have them hold your hand whilst you do it in a mirror. Or tell them the way your throat’s structure may find it easier to tilt, etc. (my search NeuroFabulous)
If feasible, other tests the patient fears might be performed while the patient is sedated. For example, before or after dental work, vaccines could be administered, blood could be drawn, and gynaecology or other physical exams could be done. This practise requires coordination and communication among providers. 💙 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3708482/
💙 https://www.legalzoom.com/articles/what-is-medical-power-of-attorney 💙
Tue June 22nd, 2010 at 9:39pm I work with Autistic children every week. I work with a boy who has never spoken to me. Today he looked me straight in the eye and said “Thank you, Samantha” I cried so hard. He GMH
🍑 https://www.nhs.uk/conditions/cervical-screening/what-happens-at-your-appointment/ 🍑
#papcore #cancercore #medcore #dna #ladykin #spectrumcore #guidᥱ