The American Cancer Society (ACS) recommends colonoscopy over all started around the age of 50. The purpose of the screening process of existing signs to look for colorectal cancer may develop this disease. More colonoscopies is recommended, followed by a 10-year intervals, provided that no problems are discovered. The ACS website, the process of "uncomfortable and invasive," and suggests that "someone take him home after the procedure." Preparing for a colonoscopy requires "cleaning the intestines," a special diet and a laxative the day before the procedure. Several potential complications colonoscopy, including perforation, hemorrhage and death, again according to the American Cancer Society. The most common complications of perforation occurring approximately once in every 1,000 procedures, according to a 2009 review published in "Genetics in Medicine." Death occurs every 12,500 procedures.
There are other, less invasive screening options for colorectal cancer, including virtual colonoscopy and stool tests, immunological tests such as fecal or stool DNA. Of course, these are not US physicians 'gold standard'. The gold standard of colonoscopy.
insertion of a thin, tube-like device during colonoscopy has a small camera called "Kolonoszkóppal" (what else-periscope?). This mini-chopper-like device is inserted into the rectum, where it is threaded throughout the colon. The Kolonoszkóppal allows viewing any initial diagnosis of colorectal cancer and biopsy and removal of suspicious lesions. If no abnormalities are found, suspect or not, two things happen before the device is removed when the patient is under general anesthesia: 1) The doctor who performed a procedure is enough time to the city and start a new life under the government tanúvédelmi- innovative programs and 2) If the drugs wear off and the patient is fully revived, a skilled counselor says something like for this patient.. "Sorry, we could not find anything the matter with you really do not have to go through this in the colon is fine we come back and see us again in ten years and then you "
No, I'm kidding, I made that up, because here's the really amazing truth of the matter:… the patient has been prepared for this the highly unlikely eventuality! And he went through with it anyway. He did not gobsmacked to learn that it was for nothing-he would have been good if he missed the whole thing. All he has is something comforting, it does not have the disease or is likely to soon. There are also hundreds of others lay in anticipation of the passing of time. How many more studies have to learn that not one of them? In any case, this is what I really hoped that being said, the results of the colonoscopy. At this point, the patient is not expected to not only capture the throat of the Medicos who did this to him, but on the contrary, he has been programmed to be happy all. Thus, he is likely to say something like this: "…. Oh, thank you, thank you, thank you I am sooo impressed with themselves the best I can hardly wait until we do it again, give me ten years."
I have I never paid much attention to what the ACS and other health organizations recommend one or another related study. I have been careful medical examinations, checkups, preventive testing, risk assessment and all of these medical curses. There is too much of this. has been a part of these activities, the medicalization of health for at least half a century. I became aware of the problem than health planning began in the late 60s. I was immersed in a medical policy and research for at least five years of transition from the current role of wellness promoter. I have a PhD in health and public order. I have seen up close and personal reality and wasteful, often with dangerous consequences, bloated, dysfunctional health care system. I have written extensively about it.
The problem of health is a medical issue just got worse. A recent Progressive Policy Institute (PPI) is Peter Orszag, director of the Congressional Budget Office, brought his estimates 5 percent of the country's gross domestic product – $ 700 billion a year – go for tests and procedures that do not actually improving health. It believes that "unreasonably high health care costs in the United States is a deeply rooted problem that must rise again from the root."
Doctors claim that preventive medicine is the gold standard colonoscopies. Well, it can, but who really needs the gold standard? Everyone over 50, every ten years? The jury's out. What's more, if 50 or more (or once it that far), you should consider some checks to determine whether the jury has a verdict due colonoscopies and a bunch of other tests and procedures performed routinely.
In 2008, the American Cancer Society considered the colonoscopy is the preferred test. Medicare pays colonoscopies and new health reform law (PPACA) forces the insurance companies to cover them.
Still, there's reason to resist this process in addition to the general knowledge that the health care system abounds in unnecessary testing, some of which may be hazardous to your health and well-being. For example, a colonoscopy is 3-4 times more expensive than a simple test of the sigmoidoscopy. This will entail, but partial "trial" that lasts but a few minutes. There is no sedation, no need to take out a practice or work, no pitcher laxatives or spooky emptying the colon in the evening, and perhaps there is no need to gastroenterologists, family or primary care physician often the procedure.) Best of all risk of complications (infections, bleeding, incontinence, or in the worst case, death), seven times less than the full Monte C major ordeal.
and here is the gripping: the inventor of the colonoscopy, Al Neugut wrote an editorial in JAMA this summer that he regrets trying to find a colonoscopy. Neugut said: "If today we were where we were in 1988, it is not based on the current evidence Institute colonoscopy."
As one wag put it, the gold standard for preventive medicine physician payments only gold from this point of view.
This is personal. I am almost 74 and have never had one. Many of my friends find this appalling. My wife and son have been after me to get it done. And one of the best mates who I'm very honored because of the half-dozen different reasons, pulled out all the stops to persuade him to turn almost feel the colon drastic steps will be taken to other units, including the unveiling of me as a false prophet wellness.
Charlie Chaplin said. "Life is a tragedy when seen in close-up, but a comedy long shot" When pondering the pros and cons of this procedure, I continue to wrestle with the go / no go decision. I consulted my ouija board, astrology chart and prayer book. Still, the cases for and against that colonoscopy seems to be that balance. (Yes, of course I was joking with astrology chart and prayer book.)
I admit that considering the two elections, I started, and will continue to be biased to "give it a pass" option. To paraphrase Mr. Chaplin when seen up close, the prospect of going it seems unworthy of tragic. I suspect, however, that if I were to go through with it, and it turns out that the test results will allow me to stay on the planet's surface for a while, I hesitate to seem comical in retrospect.
influential people in my life has been after me for many years to this process. This influential group includes primary care doctor, my son and my wife. The concerns are well designed, of course, appreciated and valued. I suspect, however, their combined influence of excessive caution about potential future problems with too little concern about the inconvenience of the whole process, and there is a substantial likelihood that this proves that no longer needed. Unfortunately, the pressure to resist more or to just do it, it is almost unbearable.
The latest attack started about a month ago a training ride. The bike-friendly and the athlete of my age, who I call "Sandy" asked if they had a colonoscopy recently. I replied that I did not. A further questioning, I had to admit that I do not plan to be a time soon. I thought it was the end. It is not true. Later that morning, I received a long e-mail from him. He claimed that a "wellness guru," my audience expects me too interested in their own health. He argues that modern colonoscopies (as opposed to what? – The kind of doctor out of the Middle Ages) rather simplistic and that my advanced age, is easy to grow things (except for nose hair). This meant that there is a substantial likelihood that one or more polyps to be found in the colon. He is called "a stubborn old goat." But he softened that, adding that "those who admire and love will be sad if the resistance proves fatal. It ended with a warning that if you do not get a colonoscopy and colon cancer caused my death, she will boycott my funeral and do not read weekly wellness newsletter.
It was very powerful and motivational especially the parts involving flattery. I asked a few associates, including more doctor-friendly, their views on the matter. About half suggested it was not necessary, the other said that it is a good idea, however, the latter has reasons has achieved this. "it will be that everyone who is concerned about the best interests of feels good when it happens."
realized that if I had known this test, you will need to do in order to please my son, my wife, a doctor, Sandy and others who are big fans of colonoscopy. These people are more and more a nuisance now in order to provide security sake.
However, a doctor friend in Perth pointed out that some medical groups, including the Preventive Services Task Force, a 75 than when to stop for routine colon cancer screening. According to him, they (like myself) who consume a diet rich in fiber, and to live wisely otherwise you probably do not need the procedure. It also pointed out that colonoscopies are not supported in Australia and does not extend to Australia's universal health insurance system. He basically did not recommend it. Many others expressed in a similar situation a few hard enough given the history of this country over test, which can be dangerous and costly to society.
Well, I'm still the proverbial fence. I made an appointment with the doctor is highly recommended in early February. I plan to get along with my hesitation and concerns. Perhaps the good doctor will help you make the light. Maybe not.
Needless to say, at this point I am not recommending or against colon another screen. But I do not recommend to you what I read up on the pros and cons, and collect all the concerns and issues and discuss them with competent health professionals. If necessary, a second or third opinion. It is a good idea if you are considering any invasive medical test or procedure. Then do what you think is rational. Do not submit to the test or anything else to please relatives or friends. Even if it is threatening to boycott the funeral.