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  • Pelvic Exams and Pap Tests among Young Women | Cancer

    Pelvic Exams and Pap Tests among Young Women | Cancer

    Background

    A bimanual pelvic examination (BPE) is used to check a woman’s internal pelvic organs. The health care provider inserts two fingers into the vagina and then places pressure with the other hand to the lower part of the belly.

    The American College of Obstetricians and Gynecologists recommends BPEs only if young women have a medical history or certain symptoms like pelvic pain and unusual bleeding. The American College of Physicians and the American Academy of Family Physicians do not recommend performing BPEs on women who are not pregnant and are not having health problems.

    BPEs are not recommended before prescribing most hormonal contraceptives (including birth control pills), or during screening for sexually transmitted infections.

    A Pap test is used to check for cervical cancer by placing a speculum (medical tool) inside the vagina to collect cells from the cervix.

    Cervical cancer screening is not recommended for women younger than 21 years, according to leading professional organizations.

    The harms of unnecessary tests

    Unnecessary BPE and Pap tests could cause several harms, such as:

    • Fear.
    • Anxiety.
    • A false positive test result (a test result that tells you a disease or condition is present, when in reality, there is no disease).
    • Unnecessary treatments.
    • Unnecessary costs.

    Given these possible harms, it’s important for young women to receive BPEs and Pap tests only when necessary. BPEs and Pap tests should be a shared decision between the patient and the health care provider.

    About the study

    CDC researchers used data from the National Survey of Family Growth to estimate the number of potentially unnecessary tests in young women aged 15 to 20 in the United States. The data were combined from the years 2011 to 2017.

    Survey participants were asked if they had received a Pap test or a BPE in the past 12 months.

    The BPEs were classified as either medically needed (the test was necessary) or potentially unnecessary.

    The exam was considered medically needed if the young woman:

    • Was pregnant.
    • Used an intrauterine contraceptive device (IUD).
    • Received the test because of a medical problem.
    • Received treatment for a sexually transmitted infection such as chlamydia, gonorrhea, syphilis, or genital herpes.

    Key findings

    The study estimated that 1.4 million BPEs and 1.6 million Pap tests performed on females in the United States aged 15 to 20 in a single year may have been medically unnecessary.

    The study also found:

    • Young women who had a Pap test were 7 times more likely to report also receiving a BPE, compared with young women who did not have a Pap test.
    • Young women who had been screened for a sexually transmitted infection were 4 times more likely to receive a Pap test and 60% more likely to receive a BPE, compared with young women who had not been screened.
    • Young women who used a hormonal contraception method other than an IUD were 75% more likely to receive a Pap test and 31% more likely to receive a BPE, compared with young women who did not use non-IUD hormonal contraception methods.

    How to avoid unnecessary BPEs and Pap tests

    The study concluded that efforts to avoid unnecessary BPEs and Pap tests among young women could include:

    • Educating health care providers and women about when exams and tests are necessary.
    • Encouraging parents and patients to ask health care providers about when exams are appropriate.
    • Making a shared decision between the patient and the health care provider about whether exams and tests are necessary.

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  • ‘Trusting Idiots is Even Worse’

    ‘Trusting Idiots is Even Worse’

    U.S. Health Secretary Robert F. Kennedy Jr. condemned messaging to “trust the experts” in an interview, describing the adage as “a function of totalitarianism and religion,” leading to a slew of backlash online.

    “Above all, we are going to get rid of the taboos about challenging orthodox[ies]. It’s about challenging consensus.” Kennedy said in a Thursday interview with Fox News.



    “Your whole industry was telling the public for years, ‘Trust the experts,’” he continued. “‘Trust the experts’ is not a function of science or democracy. It’s a function of totalitarianism and religion.”

    The remark, meant to bolster his “Make America Healthy Again” agenda, was immediately mocked and criticized across social media.


    “This is actually a dumb f***ing thing to say,” wrote one commenter. “Yes, I trust the experts. Government telling you not to trust the experts is totalitarianism.”

    Other critics pointed out the dangers of dismissing expertise in favor of anti-establishment populism. “Blind trust is never a good idea,” an X user said, “but if someone is an expert in something like law, or medicine, or flying a plane, their knowledge and opinions are of a lot of value.”

    The same user, along with others, drew parallels between Kennedy’s rhetoric and the manipulation tactics of authoritarian regimes. “It’s primarily a totalitarian authoritarian move to discredit experts, so people can be manipulated with false information,” they added.


    Others noted the irony in Kennedy accusing science of resembling religion, while amassing a fiercely loyal following. “Totalitarianism is achieved when a group of folks refuse to [vaccinate], or decide to drink raw milk… because they ‘follow’ you,” a user accused. “There is no ‘questioning’ going on.”

    “It’s not about trust, all the research is there for all to see and examine,” argued another.

    Originally published on Latin Times



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  • All of That: Reflections on Motherhood and Letting Go

    All of That: Reflections on Motherhood and Letting Go

    My mother died suddenly in 2013 at just 67, when our older daughter was two and our younger daughter was an infant. Before that, my mom helped watch the girls while I worked. I’d drive to my parents’ nearby home and work upstairs in their cozy loft while they read, snuggled, and played with my girls. In retrospect, it was this beautiful stolen season: I got the support I desperately needed, that feeling of being a part of the village so long a part of our shared human history—and I also got to walk downstairs each day and eat lunch and have coffee breaks with my own dear momma. It was the experience of motherhood I had hoped for.

    After my mom died, everything unraveled for a while. I felt so alone. Motherhood was a vast dark ocean, and I was clinging to the sides of a rickety little dinghy.

    Other than a brief stint working on-site part-time for a contract position, I’ve always officed out of our home (I still do). In those early years of being a new mom, depending on the season of life, I worked between 10–40 hours per week, with varying degrees of success and sanity on a day-to-day basis.

    The romance of working from home wears thin when you realize that working and parenting are not really things that can happen simultaneously. This realization sinks in approximately 14 minutes into your first day of working from home while trying to care for one or more children.

    Between the feedings and the diapers and the naps and the fighting and the I’m huuuuunnngrys and the spilled everything everywhere and the Can you fix this? and the scraped elbows and the When are you gonna be done, Mom? — any amount of real productivity felt purely accidental, or was the result of desperately putting on Scooby-Do episodes at 11 in the morning and locking myself in my room.

    Many days, I said no to doing things with my girls because I had a deadline to meet. Or I said yes to them, because I felt guilty, or because I genuinely just wanted to be with them — and then was left frantically working until 2am, long after they’d gone to bed, to get in a workday that had started at 9pm.

    I often felt like both a sub-par parent and a sub-par employee. Some days, I was. I cried in frustration, and beg-yelled to please be left alone so I could just string together a few connected thoughts. I slept through early morning Zoom meetings, forgot to get cupcakes for my kid’s birthday at school, mixed up due dates, was late for every damn thing, and zombied my way through assignments and tea parties alike. That’s the reality.

    There were wonderful days, too, moments of grace and revelation and transcendent connection. Some moments I loved in an otherworldly way, like my whole body was made of warm light. Other days felt like I was falling from an airplane with no parachute. My children are the most effective teachers I’ve ever had in my life. And when I say effective, I mean like in the way that doing 100 squats a day will give you an amazing butt: the triumph comes with some brutality. Like most personal growth, it has mostly all occurred in the trenches.

    Saying the real things out loud

    I resented being a stay-at-home mom sometimes. I know this is a generally frowned-upon thing to say. It’s almost always followed up solicitously by some version of, But kids are amazing, for sure. So amazing. Best thing that ever happened to me. There is this expectation that we temper our messy feelings with a sweeping declaration that negates what doesn’t feel or sound good.

    I don’t think I need to balance out my real human experience with less-messy narratives. So I will let the first statement just be its own reality: I resented being a stay-at-home mom sometimes. At times, I was swallowed by the fear that I was losing the very essence of myself. My creativity, time to write, time to take care of my whole self, my hunger for solitude and silence, my friendships—all of it was getting subsumed under this identity of Mom that so often felt like a too-big coat draped around me.

    There’s a robust body of mindfulness research (I know, I know) that says our greatest joy is found in living fully in the moment. And yes, that’s real. This is also real: it was so hard to be with it all sometimes.

    Yes, there are women who genuinely love full-time motherhood. They make of it an art, feel themselves called and enlivened and energized by this job. They are amazing to watch, and I honor and salute them. I love to see people living enthusiastically into their purpose.

    Me, I have often felt like the guy in those 90s commercials wearing the white coat. You know the one: I’m not a doctor in real life, but I play one on TV.

    Meaning, some days I was really feeling the role, absorbed in the storyline. I was so connected with the character of Mom that I was Mom, like on the inside, too. A lot of other days, I was reciting lines and looking frantically around for stage direction and waiting for some benevolent off-camera Director to call, Cut! And…that’s a wrap, people. Good work today. Why don’t y’all head on home and get some rest?

    Some days I felt out of control, desperate, and deliriously exhausted. I’d watch some mornings, nonsensically enraged, as my husband biked off, unencumbered. He only had one job to do for eight whole uninterrupted hours, surrounded by things like other grown-ups, recognition, annual bonuses, and health care.

    Blissfully-retired people would come up to me, probably just returned from a 10-day Scandinavian river cruise, and coo and congratulate. There I’d be, with my brand-new baby, my teething toddler, my hair unwashed and my clothes wrinkled and smattered with dried spit-up, my body aching—and they’d tell me to “just enjoy every minute.” I knew they meant well, and I get the amnesiac power of nostalgia. But also, part of me was just like, Geez lady, read the room.

    I don’t know what kind of mom that makes me, other than not alone.

    I don’t think it’s necessary for me (or any mom, any woman) to regard these moments of exasperation, unfulfillment, or longing as wasted time. These aren’t feelings I shouldn’t have had, or something to be ashamed of. They just…are.

    I don’t think it’s necessary for me (or any mom, any woman) to regard these moments of exasperation, unfulfillment, or longing as wasted time. These aren’t feelings I shouldn’t have had, or something to be ashamed of. They just…are. They’re as natural and human as my moments of contentment and elation. They have seasons and things to teach. Under this huge umbrella experience called Motherhood, they all belong. I know that wrestling with this complicated identity has never meant that I love my kids any less.

    Even today, when I see new moms at church or in our neighborhood, I always ask how they’re really doing. I always say, “Parenting is a beautiful gift, and it’s also okay to not love every single minute.” Sometimes they laugh knowingly, and sometimes they start to cry. When we’re struggling in silence, even when that struggle is the most normal, near-universal thing in the world, we can feel so defective for not feeling how we think we should be feeling.

    Saying the real things out loud can be a form of tender medicine, I’ve found.

    Saying the real things out loud can be a form of tender medicine, I’ve found.

    Crossing a threshold into a new form of motherhood

    In 2018, for the first time in eight years, I found myself facing the prospect of whole days to myself again. I know there are women who have done it for longer, and bless ’em — but eight years is still a long time. In Introvert Years, it’s like 100. I couldn’t believe that much time had passed. I had a second grader and a kindergartener. The river-cruising retirees where definitely right about one thing: it all went by like I was holding a scoop of water in my hands.

    Before I had kids, I spent hours a day alone. I quite liked it. It was jarring to have that open space suddenly shrink down, to have every spare minute and square inch of my body taken up, occupied, demanded. It was equally as jarring then, nearly a decade later, to have that space reappear. Only now I was a totally different human being. The whole world was different, and I had to figure out how to be in silence again.

    The night before our youngest daughter Stella’s first day of kindergarten, we snuggled up in the dark before bed. (For the record, before-bedtime snuggles are probably my very favorite ritual.) We talked about her first day of kindergarten, and how we were feeling about it. She had been buzzing all day long, spontaneously jumping up and down with excitement as she’d talk about finally going to school. We talked about the last five and a half years together.

    I got to tell her I was so grateful for our time together, because I was. And I got to tell her I was happy for her to go to school, because I was.

    I got to tell her I was so grateful for our time together, because I was. And I got to tell her I was happy for her to go to school, because I was.

    I asked her how she was feeling. She said, “I’m feeling nervi-cited, Mom.” My girls invented this word to describe that mix of emotions that comes with treading unknown but anticipated waters: nervous + excited.

    The next day, as we dropped her off, I watched her bouncy energy suddenly drop as she entered the chaotic classroom. Our girls attend an immersion school, and the teachers spoke to her in Chinese, which of course she didn’t understand yet. She didn’t know anyone. Everything was big and new and unfamiliar. She looked shell-shocked, like she might start crying — not out of sadness, but just out of not knowing what the hell was going on.

    She looked like I had felt so many times in my life, so many times in the previous eight years. My chest welled up with that tidal wash of empathy.

    I knelt down by those tiny tables and chairs. “How are you feeling, kiddo? What’s going on in your heart right now?”

    She looked down at the table, staring hard. “I’m feeling nervi-cited. And a little shy.” I assured her this was normal on such a big day. She nodded.

    She was so quiet, so unlike her usual bombastic self. “Mom?” she said, still looking down, willing herself to be brave. “There’s something else. With the nervi-cited and the shy. It’s miss. I’m going to miss you. Nervi-cited-shy-miss. All of that.”

    Yes. All of that.



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  • Skincare as You Age Infographic

    When I dove into the scientific research for my book How Not to Age, I uncovered the best ways we can care for our skin as we mature. What are the most important lifestyle factors? The best topical creams? Are there any beneficial procedures? This infographic summarizes the main takeaways.

    skincare infographic 1

    skincare infographic 2

    skincare infographic 3

    skincare infographic 4

    Get this infographic as a downloadable PDF with citations here.

    For more details about the studies referenced in this infographic, watch the related videos for free on NutritionFacts.org’s YouTube channel or on our website’s Anti-aging topic page.



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  • Dr Oz Mocked for Insisting It’s Americans’ ‘Patriotic Duty’ to Stay Healthy: ‘Cutting Medicare is Unpatriotic’

    Dr Oz Mocked for Insisting It’s Americans’ ‘Patriotic Duty’ to Stay Healthy: ‘Cutting Medicare is Unpatriotic’

    Dr. Mehmet Oz believes it is the “patriotic duty” of Americans to stay healthy, but hearing the assertion from the head of Medicare and Medicaid, which are currently facing potential cuts, did not inspire patriotism in all Americans.

    “Seventy percent of the money we spend is on chronic illness, and we’re not getting our money’s worth,” Oz said Fox News Thursday. “So for folks listening right now, it’s your patriotic duty to be as healthy as you can.”



    Critics bristled to the comment, accusing Oz of blaming patients for illness while ignoring health determinants like affordability, access and socioeconomic barriers.

    “Then make health care affordable and reinstate not having medical debt affect credit scores,” one user replied.

    Others pointed to recent GOP-led policies—such as proposed cuts to Medicare and Medicaid and tariffs on prescription drugs—as counterproductive and hypocritical. “Cutting Medicare, Medicaid, and putting tariffs on prescription drugs hardly makes us healthier,” wrote one. “In fact, I would say that is unpatriotic.”


    Some pushed back against the idea that individuals should carry patriotic responsibility for chronic or congenital illness. “Cancer doesn’t care if you’re healthy or not,” one post read, while another sarcastically added, “I guess I just chose Type 1 diabetes when I was young—what an unAmerican a**hole I am.”

    Healthcare advocates and progressives also took issue with the lack of systemic solutions. “Then why don’t we have universal healthcare, you know, so we can all fulfill our patriotic duty?” a user asked.

    Many resented the statement’s framing, even if they agreed with his message. “Being healthy is important, but calling it a ‘patriotic duty’ is just a convenient way to shame people while ignoring the systemic healthcare issues that make wellness inaccessible for many,” read another comment.


    Oz made similar comments when he was sworn in last month, going on to suggest that Americans should save money on drugs by staying healthy.

    Originally published on Latin Times



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  • Helping Your Family Cope With Military Deployment (for Parents)

    Helping Your Family Cope With Military Deployment (for Parents)

    When a parent is sent away for military service (deployment), family life changes. You may wonder how your child will handle it all, but parents and caregivers can help kids cope.

    Telling your child about deployment is the first step. Being honest, talking to kids in terms they can understand, and making plans to stay in touch are key.

    To help your child adjust to this new transition, try the tips below.

    How Can I Help My Child During Deployment?

    While your family member is gone, there are lots of things you can do to keep home life normal and stay strong as a family:

    Stick to a routine. When there are big changes in life, keeping some things the same at home can be a comfort. Try to stick to your child’s regular routines, like getting ready for bed or doing a fun Saturday morning activity.

    Stay connected. Keep the deployed parent part of your child’s life. Besides having phone and video calls, kids might:

    • Make an online photo album to share or send handwritten letters or care packages.
    • Start a scrapbook with things like artwork, pictures, and report cards for when the parent returns home.
    • Think good wishes about the parent at the same time each day, like at bedtime.

    Talk often and listen. Chat with your kids about the things that upset them. Let them know it’s OK to be worried sometimes and that you feel that way too. Simply listening and letting children know that you understand can comfort them.

    Make sure kids are active, eat right, and sleep well. Stress can lead to eating foods that aren’t healthy or spending too much time online, watching TV, or playing video games. Exercising, choosing healthy foods, and getting enough sleep can help kids stay at their best.

    Try not to overload kids. It’s not your child’s job to take on the household duties of the deployed parent. Kids should focus on school and their after-school activities. If they’d like to help, letting them do a few extra things can make them feel like they’re pitching in. Small helpful tasks can include watching younger siblings once in a while or making dinner one day a week.

    Limit the news. Your child may be tempted to keep checking the news to learn about where the deployed parent is. Set limits on what kids read and watch, and talk with them about what they see. Set aside time to chat about what your child has heard on the news or from other people.

    Help kids feel calm. Encourage children to do what soothes them. They may want to draw, write, read, listen to music, go for a walk, or play with a pet.

    Volunteer. Your deployed family member is helping other people. Doing the same can make your family feel connected. Look for ways you and your kids can volunteer in the community.

    Get support. When a parent is deployed, it can put a lot of pressure on the other family members to take on extra tasks. Ask for support from relatives, friends, community members, and other military families. You can also see what programs the military offers to help you get through tough times. Check with your installation’s Military & Family Support Center or visit Military OneSource (800- 342-9647).

    How Can I Help My Family Adjust When a Parent Returns?

    When a deployed parent comes home, most families need time to find their balance. Here are some ideas to make the shift easier:

    Talk with each other. A lot can change when a parent has been away. The kids are older and may have new interests and ways of doing things. Everyone may be more self-reliant. Talking with your newly returned family member and being honest can help everyone figure out where they fit into the new routine.

    Give it time. The first few days and weeks of being together as a family might be rocky. Putting pressure on yourself or your loved ones to act or feel a certain way makes things harder. Be patient as you get to know each other again. Give the whole family plenty of chances to connect.

    How Do I Know if My Family Needs Help?

    Family members may react to a parent’s absence for military service in different ways. For example, if your child has anxiety, the signs might be subtle. Babies and toddlers may be withdrawn or clingy. Preschoolers may act as they did when they were younger (like regressing in potty training) or have new fears (like monsters under the bed).

    Older kids and teens who feel anxious may:

    • eat less than usual or have stomachaches
    • have sleep problems and nightmares
    • be restless
    • seem aggressive, angry, or sad
    • withdraw from activities
    • have trouble at school

    If your child has any of these problems, try to be calm and understanding. Talk with kids often and let them know things will be OK. It’s also important to be clear about what behaviors aren’t acceptable. Everyone still needs to follow the household rules.

    Help children express their strongest feelings in words. Keeping a journal is a good way for older kids to do this. Tell them when you’re feeling proud of their good behavior, kindness, and helpfulness.

    It’s also common for parents to be stressed during and after a military deployment. Finding ways to ease stress may help.

    What if We Need Extra Support?

    Sometimes you or your family may need more help. This is often the case if a deployed parent has been injured or has a mental health condition like posttraumatic stress disorder (PTSD). The military can offer counseling for the parent who has returned. Therapy may help you and your kids too, giving everyone a safe way to share feelings and get support. You can ask your doctor to suggest someone local.

    Military OneSource has both child and adult counseling services available. You also can call (800) 342-9647.

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  • Supporting iron intake when starting solids

    Supporting iron intake when starting solids

    Why is iron so important in the early years, and how can dietitians help families get it right from the start? In this follow-up episode from our hugely popular Paediatric Symposium, Associate Professor Ewa Szymlek-Gay dives into the science and practicalities of iron nutrition in babies and toddlers – from starting solids to supplements. A must-listen for dietitians working in paediatrics, maternal health or family nutrition.

    Hosted by Brooke Delfino

    Biography

    Associate Professor Ewa Szymlek-Gay leads a research program focusing on micronutrients and health at the Institute for Physical Activity and Nutrition, Deakin University. She has over 20 years of experience investigating micronutrient absorption and requirements; the aetiology and consequences of micronutrient deficiencies and excess; and strategies to enhance the content and bioavailability of micronutrients in the diets of at-risk populations in low-and high-resource countries, and the impact of these interventions on functional outcomes.

     

    In this episode, we discuss:

    • Why iron matters in early childhood
    • When and how to introduce iron-rich foods
    • Iron-rich options for baby-led weaning
    • Practical tips for vegetarian and plant-based families
    • Iron enhancers and inhibitors explained


    Additional resources

    • Click here to catch up on our Paediatric Symposium ‘A journey through early life nutrition’
    • Click here to download or order free resources from the MLA Healthy Meals website

    Supported by 


    The content, products and/or services referred to in this podcast are intended for Health Care Professionals only and are not, and are not intended to be, medical advice, which should be tailored to your individual circumstances. The content is for your information only, and we advise that you exercise your own judgement before deciding to use the information provided. Professional medical advice should be obtained before taking action. The reference to particular products and/or services in this episode does not constitute any form of endorsement. Please see  here  for terms and conditions.

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  • MAGA Calls to ‘Revoke’ Trump’s Surgeon General Nomination Accusing Her of Getting ‘the Covid Jab’: ‘Another MAHA Grifter’

    MAGA Calls to ‘Revoke’ Trump’s Surgeon General Nomination Accusing Her of Getting ‘the Covid Jab’: ‘Another MAHA Grifter’

    President Donald Trump’s newly announced nominee for US Surgeon General, Dr. Casey Means, is facing backlash from within the MAGA movement after right-wing activist Laura Loomer accused her of being a “MAHA grifter” for previously receiving the COVID-19 vaccine.

    Loomer shared a screen recording allegedly documenting Means — then using the handle “@DrCaseysKitchen” — receiving her COVID vaccine live on the social audio app Clubhouse in February 2021. The revelation sparked outrage among anti-vaccine factions of the “Make America Healthy Again” (MAHA) movement, a public health push led by Health Secretary Robert F. Kennedy Jr.

    “The new Trump nominee for US Surgeon General took the COVID JAB,” Loomer wrote. “So how can she be a representative for MAHA?”

    Loomer, a close ally of President Trump and outspoken critic of COVID-19 mandates, further claimed Means was “pretending to be someone she isn’t,” citing her inactive medical license and former social media identity. “Her nomination should be REVOKED,” she declared.


    Dr. Means, who graduated with a medical degree from Stanford and co-authored Good Energy, has become popular in wellness and biohacking circles for promoting metabolic health and criticizing pharmaceutical companies. She has closely aligned herself with RFK Jr.’s anti-establishment health agenda.

    Hardline MAHA loyalists — many of whom reject vaccines and see the movement as opposition to COVID-era health policies — refuse to trust recipients of the COVID vaccine.


    While some commenters attempted to give Means the benefit of the doubt, citing the frequency with which employers required vaccines at the time, others were suspect of Means and even Kennedy for associating with her.


    For others, her nomination only fueled suspicion of the government.


    Means’ nomination has already faced scrutiny for her lack of clinical experience. Trump admitted on Thursday that he didn’t really know her, and chose her based on RFK Jr.’s recommendation.

    The White House and Health Secretary Kennedy have not yet responded to Loomer’s post or the growing demands from MAGA figures to withdraw Means’ nomination.

    Originally published on Latin Times



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  • Official Clickbank Landing Page – Feel Nectar

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  • Meningococcal Disease Tests: MedlinePlus Medical Test

    Meningococcal Disease Tests: MedlinePlus Medical Test

    What happens during a meningococcal disease test?

    Your provider will take samples from your blood and may also take a sample from your CSF to do a spinal tap (lumbar puncture) to check for the Neisseria meningitidis bacteria in your body. These samples will then be sent to a laboratory to test for meningococcal disease and figure out which antibiotic will work best for treatment.

    If the meningococcal bacteria are in the samples, the laboratory will be able to culture (grow) them using the meningococcal culture test. If it’s not clear from this test whether your samples have the meningococcal bacteria in them, your provider may order additional tests such as the meningococcal antigen test or PCR test.

    During a blood test:

    If your provider thinks you might have a meningococcal infection, they may collect a blood sample for a meningococcal culture test, PCR test, or antigen test.

    A health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial. You may feel a little sting when the needle goes in or out. This usually takes less than five minutes.

    During a spinal tap:

    If your provider thinks you might have a meningococcal infection, they may collect a CSF sample for a meningococcal culture test, PCR test, or antigen test.

    To get a sample of CSF, a provider will do a procedure called a spinal tap, also known as a lumbar puncture. A spinal tap is usually done in a hospital. During the procedure:

    • You will lie on your side or sit on an exam table.
    • Your provider will clean your back and inject an anesthetic into your skin, so you won’t feel pain during the procedure. They may put a numbing cream on your back before this injection.
    • When the area on your back is completely numb, your provider will insert a thin, hollow needle between two vertebrae in your lower spine. Vertebrae are the small backbones that make up your spine.
    • Your provider will withdraw a small amount of cerebrospinal fluid for testing. This will take about five minutes.
    • You’ll need to stay very still while the fluid is being withdrawn.
    • Your provider may ask you to lie on your back for an hour or two after the procedure. This may prevent you from getting a headache afterward.

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