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Track your way to weight loss success Manage your family's vaccinations Join the conversation See more benefits Sign Up Why WebMD? My WebMD Show Menu My Tools My WebMD Pages My Account Sign Out FacebookTwitterPinterest WebMD HomeAward-winning writer, director, and film and TV producer Judd Apatow fell in love with comedy as a boy and started performing stand-up when he was still a teenager. As a young adult he decided to write comedy for others, rather than perform himself, and he ended up producing The Ben Stiller Show and writing for The Larry Sanders Show, Freaks and Geeks, and Undeclared, all of which won critical acclaim. His films have included The 40-Year-Old Virgin, Knocked Up, Talladega Nights, Superbad, Stepbrothers, Pineapple Express, Wanderlust, and The Five-Year Engagement. He sat down with WebMD Magazine to talk about his newest film, This is 40, plus what it's like to work with his wife and daughters (they have appeared in his films), who is mentors are, and his work with 826LA, a nonprofit that helps students develop writing skills.
Your new movie, This Is 40, captures the daily lives of a couple close in age to both you and your wife. They also have two young daughters, just like you. How much of your own life did you draw on for inspiration when conceiving and writing the movie?The movie was inspired by conversations I have with my wife about how we are doing, about what we can improve. I thought about conversations that I had with my friends about things that are going on in our lives, then I take it and try to make it funny.
Did writing and directing the new movie give you new insights into being a husband, a dad, a middle-aged man?With every movie I make, I’m trying to figure something out about whatever stage of life I am in. It forces me to do some real soul searching. We all want to feel as happy as we can and feel that we are in control, but the more control you try to have, the worse you seem to make things.
Do you and your wife have a “do better list” like the couple in the movie?We don’t write it down, but it is always in our brains, and there may be no end to it. For me, I need to learn how to be more present, to use tech less in the house, to spend more time with the girls, to be more involved in their school. Obvious things, but hard to do sometimes.
Both of your daughters, Maude and Iris, co-star in the new movie. How does directing them on set compare to directing them at home?On set, they have to listen to me. At home they can just ignore me. With all the people on the set, it is much harder for them to shut me out.
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 Dec. 3, 2012 -- Against clinical guidelines, many women are still getting Pap smears (a test that’s meant to find cancer of the cervix) even after they've had a total hysterectomy, which removes the uterus and cervix, according to a new government report.
The cervix is the “neck-like” lower part of the uterus. A Pap test uses cells scraped from the cervix to check for early changes that may indicate cervical cancer or precancer. The new report, from the CDC, looked at trends in Pap testing in U.S. women from 2000 to 2010.In telephone surveys of thousands of women, about 60% of those over age 30 who said they’d had a hysterectomy also reported having a recent Pap smear in 2010.
Even though that number was down about 15 percentage points since 2000, researchers said it was still too high.
“Some of these women would need continued screening, for various reasons, but that’s a small percentage,” says researcher Meg Watson, MPH, an epidemiologist with the CDC’s Division of Cancer Prevention and Control. “We wouldn’t think it would be 60%.”
A hysterectomy is an operation that removes all or part of the uterus. The most common kind of hysterectomy is a total hysterectomy, or an operation that removes both uterus and cervix.
Even after the cervix has been removed, doctors can scrape cells from an area called the vaginal cuff. And in the past, Watson says, many doctors continued to perform the test even after a total hysterectomy to check for signs of vaginal cancers.
“But vaginal cancer rates are quite low,” Watson says, and subsequent studies have shown that using Pap smears to find vaginal cancers isn’t an effective strategy.
Experts who were not involved in the research agree.
“It doesn’t really make a lot of sense,” says Virginia Moyer, MD, MPH, a pediatrician and chair of the U.S. Preventive Services Task Force, a panel of expert advisors that makes recommendations about tests and treatments that are meant to prevent disease.
Last year, the panel said most healthy women only need Pap smears every three years, and it advised women who’d had total hysterectomies for reasons other than cancer to skip the test altogether.
The American College of Obstetricians and Gynecologists and the American Cancer Society also recommended against routine Pap smears after a total hysterectomy.
“The only thing I can sort of speculate is that people get in the habit of doing them and just keep doing them without really thinking about it, which is regrettable,” Moyer says.
The Pap test is one of the great success stories in medicine. Before it was introduced, in the 1950s, cervical cancer was a leading cause of cancer death in women. The test is credited with helping cut the rates of cervical cancer deaths by 60% between 1955 and 1992.
But like many cancer screening tests, Pap tests can be harmful as well as helpful.
Watson says studies have shown that for every 100 abnormal Pap tests, only one woman will actually turn out to have cervical cancer. But all 100 women would need additional testing and sometimes invasive procedures to rule out cancer. That can cause significant anxiety and stress.
In cases where a woman has her cervix or uterus removed after cervical cancer, she would need to continue to get a regular Pap smear to check for cancer recurrence, Watson says.
But about 90% of hysterectomies are performed for non-cancerous conditions, like uterine fibroids.
“Obviously the large majority of that group would be people who had an unnecessary Pap smear,” Moyer says.




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