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Testing, Testing
by author Suzanne Morphet

Naturopathic doctors (NDs) use naturopathic and conventional diagnostic tools when treating patients. As primary care practitioners, they perform physical exams, Pap smears, and diagnostic lab tests and refer patients to specialists as required.

However, NDs combine conventional treatments with alternative treatments such as diet, exercise, and lifestyle modification.

Conventional wisdom

In conventional medicine, the annual physical has given way to the periodic health exam. What your health care practitioner means by periodic depends on your age and gender; intervals between preventive medical tests decrease as age increases.

Ask your health care practitioner to follow the testing schedule recommended in the Preventive Care Checklist Form^©—endorsed by the College of Family Physicians of Canada. Physicians who used the checklist in a trial provided almost 50 percent more recommended preventive tests than those who did not use it.

If your health care practitioner doesn’t know about the checklist, print off a copy from the For Your Practice page of the College’s website (cfpc.ca) and take it along to your next exam.

Naturopathic testing
Naturopaths also perform a variety of tests on an as-needed basis. Here’s a sample:

Test	Purpose	Type of test
allergy testing / immunology	to identify food allergies (e.g. Celiac disease testing) and environmental allergies such as mold or pet dander	blood
digestive testing / gastrointestinal	to analyze digestion, absorption, bacterial balance, yeast, and parasites that indicate disturbances of the gastrointestinal tract	depending on what is tested— stool, urine, breath, or blood
hormone testing / endocrinology	to analyze hormone levels that adversely affect adrenal function, libido, menopause, thyroid function, insulin resistance, etc.	depending on what is tested—blood, urine, or saliva
nutritional	to identify nutrient insufficiencies that may cause chronic fatigue, depression, learning disabilities, immune problems, etc.	depending on what is tested—blood, urine, or hair
toxic/heavy metal	to identify and measure toxic levels of elements such as mercury, lead, and aluminum that cause heavy metal toxicity	depending on what is tested—blood, urine, or hair

Tests for adult women of average risk

Test	Disease	Age	Frequency
mammography	breast cancer	50 to 69	every 1 to 2 years
Hemoccult multiphase test or sigmoidoscopy or colonoscopy	colorectal cancer	50	every 1 to 2 years
Pap smear	cervical cancer	18 (or after sexual initiation) until 69	after 2 normal smears, screen every 3 years
screening for sexually transmitted infections	gonorrhea, HIV, syphilis, chlamydia, hepatitis B	high-risk individuals of all ages	with every new, unprotected sexual encounter
fasting blood glucose	type 2 diabetes	40 or sooner if at risk	every 3 years
bone mineral density test	osteoporosis	65 or sooner if at risk	every 2 to 3 years if normal every 1 to 2 years if abnormal

What about HPV testing?

The human papilloma virus is the main cause of cervical cancer, but researchers are still trying to determine whether testing for the virus is better than the Pap test, which analyzes cellular changes in the cervix and is accurate 95 percent of the time.

Tests for adult men of average risk

Test	Disease	Age	Frequency
Hemoccult multiphase test or sigmoidoscopy or colonoscopy	colorectal cancer	50	every 1 to 2 years
screening for sexually transmitted infections	gonorrhea, HIV, syphilis, chlamydia, hepatitis B	high-risk individuals of all ages	with every new, unprotected sexual encounter
fasting blood glucose	type 2 diabetes	40 or sooner if at risk	every 3 years
bone mineral density test	osteoporosis	65 or sooner if at risk	every 2 to 3 years if normal every 1 to 2 years if abnormal

What about prostate tests?

Prostate specific antigen (PSA) testing can identify prostate cancer at an earlier stage, but according to the Canadian Task Force on Preventive Health Care, the test may generate false positives, meaning cancer may be indicated where there is none. Monitoring symptoms of prostate cancer is better prevention, says the Canadian Cancer Society.

Suzanne Morphet is a freelance writer and editor in North Saanich, BC.

Source: alive #322. August 2009

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