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Old 07-06-2014, 10:19 PM
Status: "I am Blessed." (set 13 days ago)
 
Location: Spurs country. "Go, Spurs, Go!"
3,424 posts, read 3,978,953 times
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Thank you for the link to the Virtual Colonoscopy information. However, it is still required for one to do the day before "evacuation", and a tube is still inserted into the body. I think these are the two issues that make alot of folks not want to have one, or actually not have one at all. Personally, I would rather be "out" with the conventional one than awake with the virtual one. I have had one in the past and my doctor is wanting another one now, I just need to schedule it.
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Old 07-06-2014, 10:45 PM
 
5,431 posts, read 3,459,869 times
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I thought the only tube with a virtual colonoscopy was the insertion of gas into one's colon to make it blow up a bit for easy viewing by the cat scan.

There is also another type of colonoscopy where a person swallows a very tiny pill containing a camera, and then the camera comes out the colon containing necessary photos.

I think this is easier and cheaper, and all the practitioners and surgeons and internal medicine physicians and anesthesiologists would not get to use all of their traditional colonoscopy skills learned in school which are big moneymakers.

I think evacuation the day before is so easy and simple - I can never understand why people complain so much about the day-before procedure when the colonoscopy snake up your colon is the part to worry about due to possible puncture or infection or pain plus various forms of anesthesia to worry about.
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Old 07-06-2014, 11:15 PM
 
Location: San Antonio
7,629 posts, read 14,389,649 times
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Quote:
Originally Posted by Escort Rider View Post
Are you missing my point on purpose? It was not painful!
Well....that might be YOUR experience, but as a nurse I have done Flex-Sigmoidoscopies on folks that were in LOTS of pain for the air used to expand the colon thru the twists and turns, so please don't think you are the norm...it is VERY apparent YOU are SPECIAL!
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Old 07-06-2014, 11:19 PM
 
Location: San Antonio
7,629 posts, read 14,389,649 times
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Even though I still have some nasty habits - I get my regular colonoscopy (now every 3 years because I seem to have inherited some of my parents' tendencies to grow not such nice stuff in my colon). Robyn[/quote]

About the ONLY thing we have no control over (lifestyle habits) is the "gene pool" we are required to swim in....you are SMART to get your regular reviews, colon cancer is one of the MOST TREATABLE if caught in time!!! Playing "ostrich" and sticking your head in the sand ignoring is NOT a great idea!
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Old 07-07-2014, 09:33 AM
 
Location: State of Being
35,885 posts, read 67,212,814 times
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I made a blanket statement earlier in this thread (just read back over all the posts). I did not mean to state that all tests, including mammograms, were basically nothing more than revenue generators for the providers.

What I should have said is that there are many false positives in these "routine" exams. And, many unnecessary biopsies. Ultrasound is better, for example, in detecting many breast cancers than is a mammogram.

So if you suspect you have an health problem, educate yourself.

Let me give an example of what I consider overuse of diagnostics.

I had a CT about 8 years ago, abdominal. During the CT, a tumor (about 12 cm) was discovered on my liver. The doc felt it was benign (such hemangiomas are not that uncommon!). However, it is located next to my bile duct.

My gastrointerologist said that the only problem would be if the hemangioma grew larger and blocked my bile duct. His recommendation? Have an annual CT to make sure it hasn't grown.

I had an adverse reaction to the contrast used in the CT, and this was the NOT the commonly used contrast (as I had previously had an adverse reaction to the standard stuff). I am in no hurry to get "diagnostic" CTs (out of pocket, too, may I add) annually just to see if this benign hemangioma, which has probably been there since birth, has grown.

Logic told me that if something pressed on my bile duct, then I would have symptoms, right? So I asked my doc . . . suppose that tumor grows - what symptoms will I present? He said (as one could guess) . . . yellowing of the eyes, change in color of skin, gastric problems, etc.

I said, "Why would I spend the money and go through the dangers of adverse reaction to contrast annually to make sure something hasn't occurred? Why wouldn't I just take a "watchful waiting" approach and do something once I have symptoms?"

Doc's reply? "Most folks are going to have anxiety once they know a tumor is present, so that is why we would suggest an annual scan."

Meehhhh. I can check it out with an ultrasound, first of all . . . and secondly, why would I experience anxiety about a tumor that isn't causing trouble?

Use some discretion, folks. That is what I meant to say in the earlier post. If having a diagnostic will rest your mind as you are feeling anxiety about a potential problem, then that is reason enough to have it. If you are having symptom, by all means, find out what various tests are out there . . . rarely is there just ONE WAY to diagnose a problem.

For example . . . have an fecal occult test annually. If blood shows up, then research it further with your doc. You might need to go further with a colonoscopy. And if you are not confident about a regular colonoscopy, research getting a virtual colonoscopy.

But don't be held hostage to docs who 1. are concerned about liability and 2. are concerned about running patients through on a regular basis in the name of "screening" when it is really just easy revenue. Not talking about a baseline screening here! They are always a good idea, so later comparisons can be made.
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Old 07-07-2014, 09:44 AM
 
Location: Tennessee
23,649 posts, read 17,623,979 times
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Quote:
Originally Posted by ohio_peasant View Post
It does seem that financially, causal relationship between good habits and good outcome is stronger than in matters of health!

Saving money early in life, making reasonable investments, managing risk, sticking to a plan… well, there are no outright guarantees, but few people achieved substantial wealth by constantly being in debt, making impulse purchases, chasing after investment-fads and slipping into defeatist rejection of the market.

On the other hand, it appears that many people abused their bodies and nevertheless managed to reach a ripe age without deleterious consequences, while so many others made wise decisions and seemingly reaped no reward.

It's ironic that so much of our financial "health" is dependent on factors beyond our control, such as economic policy, geopolitical risk, interest rates, corporate malfeasance and so forth… yet the causal relationship between good habits and good outcome remains so strong; our bodies, meanwhile, are in literal sense "ours"… yet so often they surprise us, negatively or positively.
True. There are general trends one can follow. If someone lives their entire life heavily indebted, they will probably end up bad off financially. One can follow a more prudent fiscal course, and also end up wiped out. All you can do is try to adjust the odds in your favor.

If someone spends their last few years in a nursing home or other facility, this will easily run into the six figures. That's assuming the person doesn't have an extended hospitalization, etc. I have known quite a few elderly who seemed to be very prudent with their money, personally responsible, but were wiped out by end of life costs.

I've also know heavy boozers and other people who have made very poor lifestyle choice end up fine. My grandfather was a lifelong boozer, had a heart attack in 2010, but sobered up and has had few problems otherwise. Financially, he's done okay, especially for an alcoholic who was self-employed all his life.
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Old 07-07-2014, 10:16 AM
 
Location: in the miseries
3,302 posts, read 3,584,621 times
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Quote:
Originally Posted by anifani821 View Post
Don't wait on the "medical establishment" to oversee your health. You need to be your own health advocate.

If you feel you need a screening, discuss that with your primary care physician.

People tend to only consider what is covered by their insurance. However, if you feel that you need something addressed and it isn't covered by insurance, then pay for it out of pocket.
Exactly what we did with bh.
Family history of heart attacks etc., so he asked for a stress test.
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Old 07-07-2014, 12:25 PM
 
Location: SoCal desert
8,093 posts, read 13,245,924 times
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There's already a colonoscopy thread in this forum - why rehash it here?
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Old 07-07-2014, 01:30 PM
 
Location: State of Being
35,885 posts, read 67,212,814 times
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Quote:
Originally Posted by luvmyhoss View Post
Exactly what we did with bh.
Family history of heart attacks etc., so he asked for a stress test.
Very smart to be proactive!!!!
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Old 07-07-2014, 04:20 PM
 
Location: Ponte Vedra Beach FL
14,628 posts, read 17,950,422 times
Reputation: 6717
Quote:
Originally Posted by marcopolo View Post
What's the context? If 100,000 people have colonoscopies as recommended, and 100,000 in a control group do not, how does the overall mortality and morbidity of each group compare?

Between infections, perforations, anesthesia-related damage, the effects of wiping out the biome of the gut, the false positives generating unnecessary further procedures with their own risks, etc., etc., etc., how do the sum total of these health negatives compare to the sum total of health benefits of colonoscopies??

NO ONE KNOWS. Why is that?
Read the studies. And - more importantly - talk with your doctors. And - if you don't trust your doctors - GET NEW DOCTORS.

And then draw your own conclusions. And act accordingly. I honestly don't care to educate you or anyone else. Or argue with you either. Because I don't care if you or any other stranger to me winds up with colon cancer. And bleeds out like my late mother did when the cancer ate through her colon. Not to mention that before the terminal bleed - she had to have a "wire cage" up her butt for months to keep her colon somewhat open - because the cancer had obstructed much of it. I was there through all of this. It was hideously painful for her for a pretty long time - and mortifying in terms of us seeing it - especially at the end. And if I had even a 1 in 50 risk of perforation which would allow me to avoid a grotesque death like that - I'd still get my colonoscopies.

You remind me of people who worry about childhood vaccinations - and avoid them. Because you are totally unfamiliar with the diseases they prevent.

Anyway - I just try to make intelligent decisions about my own health care. And nothing you - a total stranger who's probably not a doctor - says on an anonymous chat board will cause me to question the advice I get from my doctors. Which - at this point - since I'm in my late 60's - with a mother who died of colon cancer - and a personal history of multiple colon polyps (some pre-cancerous) - is to get colonoscopy now every 3 years (unless I come out "clean" on the next one). Robyn

P.S. FWIW - I don't know what the heck you're talking about when you use the phrase "biome of the gut":

Biome - Wikipedia, the free encyclopedia
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