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View Poll Results: Cologuard Test Result: Negative or Positive?
Negative. No further screening necessary. 10 83.33%
Positive: Colonoscopy recommended. 2 16.67%
Voters: 12. You may not vote on this poll

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Old 07-14-2019, 11:48 PM
 
Location: Albuquerque, N.M.
221 posts, read 119,516 times
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Negative.

My local provider failed to get a preauthorization and they tried to bill me $750 for this test. I filed an appeal and eventually it was covered via Medicare Advantage. Close call. Be sure to check if this is preauthorized and covered before agreeing to this test, which you have to sign for. I suspect PAs are pushing these kits for the kickbacks.
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Old Yesterday, 12:54 AM
 
3,939 posts, read 7,527,935 times
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There are other threads on colonoscopies (although they tend to get closed). I really just wanted to ask that specific question about Cologuard. I know from their information what percent of positives are "false," what percent are cancer, what percent are small, harmless polyps, etc. But what I didn't see in their information was what percent of Cologuard tests come out positive and what percent negative.


To discuss the value of colonoscopy or the best prep system, maybe someone could start a different thread.
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Old Yesterday, 05:05 AM
 
Location: northern New England
2,466 posts, read 1,071,315 times
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Mine was a false positive.
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Old Yesterday, 08:09 AM
 
Location: northern New England
2,466 posts, read 1,071,315 times
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the powers that be.
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Old Yesterday, 08:54 AM
 
Location: Surfside Beach, SC
2,302 posts, read 2,685,753 times
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Quote:
Originally Posted by VTsnowbird View Post
the powers that be.
Thank you! I had no idea. I thought he was referring to one specific mod and couldn't for the life of me, figure out what that meant.
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Old Yesterday, 09:55 AM
 
Location: SW Florida
9,760 posts, read 7,043,834 times
Reputation: 14300
Quote:
Originally Posted by NightBazaar View Post
I used a Suprep kit. It was a lot simpler and cheaper than going for a full blown colonoscopy exam which is a lot more expensive. The advantage is that you can do it at home in the privacy of your own bathroom. The kit was supplied free, but there was a charge for the hospital's lab results. With Medicare and a supplementary health insurance, the out of pocket expense was very low. If the result of the stool sample show some issues, then a colonoscopy is a good follow up. I've used the Suprep test 2 or 3 times. The results have been negative. I've had a colonoscopy done a few times. They removed a few polyps and the lab test results on the polyps were also negative.

My wife has used the kit treatment also. In her case, a little bit of blood was found by the lab, and some kind of risky bacteria. She took antibiotics to clear the bacteria, but went in to the hospital for a colonoscopy to check on the blood issue. The amount was not visible to the eye. About 3 polyps were removed and examined. The lab results were negative for cancer.
Guess as most of us know, the Cologuard test is reported as positive whether it's for blood, or cancer markers, and it doesn't distinguish between these. So I'd expect a few positive results from those with hemorrhoids that sometimes bleed, other intestinal issues, and even a small amount of bleeding from other GI sources that aren't cancer.

The test for blood is qualitative, not quantitative, and the test is designed to be sensitive to small amounts of blood in the stool as any amount is considered abnormal. It also doesn't indicate where in the GI tract the blood is coming from (wouldn't that be nice-would have saved me from a colonoscopy last, I guess, as my positive occult blood was apparently coming from bleeding gastric ulcers. I coulda just had the upper endoscopies, as my colonoscopy showed normal results. Hindsight, LOL. .

I think it was likely your wife had H. pylori, a bacteria that colonizes the GI tracts of about half a given population. This bacteria can cause ulcers, gastritis and gastric inflammation and they tend to treat it with antibiotics when they find it, especially in a person showing GI signs or symptoms.
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Old Yesterday, 10:48 AM
 
Location: Bella Vista, Ark
71,984 posts, read 83,671,479 times
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Quote:
Originally Posted by Cdarocks View Post
Just get the colonoscopy. It's not a big deal at all.
No, not a big deal but still if you can take a test that is not evasive in any way, it is better than something that can be invasive. I think most of us would be happier with a simple go, got, gone than drink, live in the bathroom 1/2 the might, get up at 4am,off the the hospital, have a shot or a handful of pills and then have someone drive you home.
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Old Yesterday, 01:58 PM
 
5,096 posts, read 8,072,332 times
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Quote:
Originally Posted by Travelassie View Post
Guess as most of us know, the Cologuard test is reported as positive whether it's for blood, or cancer markers, and it doesn't distinguish between these. So I'd expect a few positive results from those with hemorrhoids that sometimes bleed, other intestinal issues, and even a small amount of bleeding from other GI sources that aren't cancer.

The test for blood is qualitative, not quantitative, and the test is designed to be sensitive to small amounts of blood in the stool as any amount is considered abnormal. It also doesn't indicate where in the GI tract the blood is coming from (wouldn't that be nice-would have saved me from a colonoscopy last, I guess, as my positive occult blood was apparently coming from bleeding gastric ulcers. I coulda just had the upper endoscopies, as my colonoscopy showed normal results. Hindsight, LOL. .

I think it was likely your wife had H. pylori, a bacteria that colonizes the GI tracts of about half a given population. This bacteria can cause ulcers, gastritis and gastric inflammation and they tend to treat it with antibiotics when they find it, especially in a person showing GI signs or symptoms.
You're quite right. It's likely that the blood present (again not in amounts detectable by the eye) was probably from small hemorrhoids. And the bacteria was indeed found to be H. pylori. She was given a endoscopy as well as a colonoscopy. I've had the same thing done. Following the procedure, the lab also looked for signs of the bacteria, and found no signs and that the antibiotic accomplished what it was supposed to.
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Old Yesterday, 02:01 PM
 
5,096 posts, read 8,072,332 times
Reputation: 3066
Quote:
Originally Posted by nmnita View Post
No, not a big deal but still if you can take a test that is not evasive in any way, it is better than something that can be invasive. I think most of us would be happier with a simple go, got, gone than drink, live in the bathroom 1/2 the might, get up at 4am,off the the hospital, have a shot or a handful of pills and then have someone drive you home.
LOL! Yes, living in the bathroom pretty well sums up the night before such a procedure.
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Old Today, 12:09 AM
 
Location: I live in reality.
1,048 posts, read 961,036 times
Reputation: 1840
Quote:
Originally Posted by Cdarocks View Post
Just get the colonoscopy. It's not a big deal at all.
The colonoscopy isn't the bad part. It's the prep FOR the colonoscopy the day before that is killer!
Personally, at 66 I would not do anything if I had a positive result for either test, but I have so many spine issues that I am not into prolonging my life much any more. Eight levels of titanium is enough; and I still have pain each and every day. Luckily, nobody in my family on any side has had colon cancer. I have the ColoGuard sitting on my desk at home now x 3 months.
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