Colon cancer

pokler

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#22
It's not about saving money, IMHO.

Every thing you do in life has a risk/benefit. Doesn't mean people take rational considerations of risk e.g. person I know who is afraid to fly will drive from NY to Florida every year even tough the risks associated with driving is much higher than flying(4)

The issues being discussed is if the risk of developing colorectal cancer is higher than the risk of having a complication from a colonoscopy.

For example rate of perforation was 0.85 per 1,000 patients(1) There are always risks of general anesthesia; related mortality in patients without relevant systemic disease is low, at 0.4/100 000 (2) There are other risks I haven't listed.

The incidence of colorectal cancer starting after a negative colonoscopy: 0.4% at 3 years, 0.8% at 5 years and 2.3% at 10 years(3)

So you have to decide if the increased risk of going from 5 years to 10 years (2.3%-0.8% = 1.5%) Is worth the complication risk doubling i.e.,you have 2 opportunities if every 5 years vs 1 opportunity every 10 years.

You pays your money, you takes your choice




1. in the four provinces Canada.
2. Cleveland Clinic
3.NIH
4.passengers in cars and trucks were injured at a rate of 42 per 100 million miles traveled. For air travel, it was 0.007 per 100 million
If you make the wrong choice the colon cancer will likely kill you at that age much more so than perforation. That's the difference.

Anyway for those of you taking notes on Pokler .. I had 3 polyps today.
With that info you can now sleep well tonite .
 
#24
There is a major difference between Cologuard vs colonoscopy:

Cologuard detects cancer i.e. precancerous polyps that have become cancer and much less effective (42%) at advanced adenomas which are advanced polyps well on their way to becoming cancer.

colonoscopy detects precancerous polyps that can be prophylactically removed.

Big difference and a deal breaker IMHO

I second that emotion @genius I should have been more specific.

A colonoscopy is generally the preferred method for colon cancer screening, particularly for individuals at high risk or with a family history of the disease. This procedure allows doctors to both detect and remove precancerous polyps during the exam, offering the most thorough evaluation available.

Cologuard, a stool-based test, provides a more convenient and noninvasive screening option. However, it has important limitations—it may miss some precancerous growths and has a higher chance of false-positive results compared to a colonoscopy. While it can be a useful tool for average-risk individuals, it is not the most reliable choice for those with increased risk factors.

Ultimately, a colonoscopy remains the gold standard for colon cancer prevention and early detection. If you have a family history of colon cancer or other risk factors, it’s important to discuss your screening options with your doctor to determine the best approach for your health.

Kisses....
 
#28
Get a colonoscopy. Learn from my mistake. I waited till i was 58. I had stage 4 cancer . It spread to my liver. This was 2018. I'm still here. I was lucky. They removed part of my liver. I get scans every year now. They have been clean. Dont delay getting one at least by 55. Chemo and surgery isnt fun
 
#29
Get a colonoscopy. Learn from my mistake. I waited till i was 58. I had stage 4 cancer . It spread to my liver. This was 2018. I'm still here. I was lucky. They removed part of my liver. I get scans every year now. They have been clean. Dont delay getting one at least by 55. Chemo and surgery isnt fun
I’m glad you are ok. But age 55? No way . You never want to wait until you are 55 to get your first one.
 
#30
I’m mid 40’s and waiting on my consult. My MD strongly pushed for it even though I have no symptoms or family history. I’m more complicated as I’m an anesthesia risk. Waiting to see what the GI thinks as far as cologuard vs the real thing.
Funny side note, I had a friend show up, prepped for their colonoscopy a month early. Right day, wrong month. Had to do the prep all over the next month.
 
#32
Two suggestions for the future of those scheduling a colonoscopy. One: if your insurance is paying for it, tell the Dr you suspect you have gerd and get an endoscopy during the same procedure…you are already under anyway. Its a great and simple screening that takes 10 min in and of itself.

I did just as a precaution and he found the beginnings of Barrett’s, which can lead to esophageal cancer. During an endo they look at your throat and stomach. Ronnie James Dio died of stomach cancer. And I’ve had pre cancerous polyps removed during the colonoscopy. Upon a two year secondary screening and treatment, no sign of Barrett’s.

Yes the propofol is the best sleep you’ll ever have. Michael Jackson was on to something!

You DON’T have to fast completely the day before. You can still have breakfast. Most Dr’s won’t tell you this. Google it! I’ve had quite a few colonoscopies and I always have breakfast-within the guidelines. And for liquids at lunch, I add frog fuel liquid protein with jello and I’m actually full. Dinner is the only meal when you really fast. I never tell the dr I ate and he always compliments me on how good the bowl prep was. For me the “Sup Prep” is the best. Insurance doesn’t pay for it and it’s usually a little pricey. One prep at night then another early morning then off to the races.

Some Dr’s will try to get you to schedule the endo for another day because they get paid for only half the procedure cost when they stack it with the colonoscopy. But…they can and will, depending on the Dr perform both back to back.

Either way, get screened!
 
#33
Two suggestions for the future of those scheduling a colonoscopy. One: if your insurance is paying for it, tell the Dr you suspect you have gerd and get an endoscopy during the same procedure…you are already under anyway. Its a great and simple screening that takes 10 min in and of itself.

I did just as a precaution and he found the beginnings of Barrett’s, which can lead to esophageal cancer. During an endo they look at your throat and stomach. Ronnie James Dio died of stomach cancer. And I’ve had pre cancerous polyps removed during the colonoscopy. Upon a two year secondary screening and treatment, no sign of Barrett’s.

Yes the propofol is the best sleep you’ll ever have. Michael Jackson was on to something!

You DON’T have to fast completely the day before. You can still have breakfast. Most Dr’s won’t tell you this. Google it! I’ve had quite a few colonoscopies and I always have breakfast-within the guidelines. And for liquids at lunch, I add frog fuel liquid protein with jello and I’m actually full. Dinner is the only meal when you really fast. I never tell the dr I ate and he always compliments me on how good the bowl prep was. For me the “Sup Prep” is the best. Insurance doesn’t pay for it and it’s usually a little pricey. One prep at night then another early morning then off to the races.

Some Dr’s will try to get you to schedule the endo for another day because they get paid for only half the procedure cost when they stack it with the colonoscopy. But…they can and will, depending on the Dr perform both back to back.

Either way, get screened!
Yeah, I did that back in the day when I was in my late 40's. I always had GERD (when I was a teen I thought it was nromal to have a burning feeling in my stomach). The drugs to treat it back prior to late 1970's were awful and worked by drying up glands in the digestive tract. This included the saliva glands which made eating a problem as everything had to follow with a glass of liquid to swallow. Any food you ate like a sandwich just became a dry clump in your mouth impossible to swallow without added liquid. Eating pretzels were impossible.

Tagamet (Cimetidine ) was a miracle drug w/o this side effect and Sir James W. Black won the noble prize in 1988 for development of drugs that targeted a specific function in the body. There are even better drugs today that are better.

Away, I went to a gastro guy to do an endoscopy and he said to do an colonoscopy at same time to set up a benchmark.

I assume when you do both that you insist that the dr do the endoscopy first (joking of course)
 
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