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Actually, I just looked it up. Apparently it's a thing and called "virtual colonoscopy" [1]. Seems like the future to me.
1. https://www.mayoclinic.org/tests-procedures/virtual-colonosc...
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I don't know what this means. Can you expand on your statement? Who is this person? What would we be farther forward to ?
https://en.m.wikipedia.org/wiki/Ignaz_Semmelweis He had very sensible ideas about hand washing a hundred years before it was accepted by most doctors. He was a bit weird though, and ended up being ignored.
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The problem with medical interventions, especially tests, is that they sometimes work. There will always be success stories. The big question is: are those success stories worth it, and are there other paths to those same success stories.
> The problem with medical interventions, especially tests, is that they sometimes work. There will always be success stories. Do you prefer medical interventions that never work? > are there other paths to those same success stories. Yes, in the US other options include high sensitivity FOBT, FIT, sDNA-FIT and CT colonography.
It’s time to share something personal again. When I was 20, I vividly remember being in the bathroom at my workplace when a large amount of blood started coming out. I did what any smart, effective 20yo would do: ignored it because I was embarrassed. Fast forward 10 years, and I’d been ignoring it for a decade. It had continued to happen every few months. Sometimes the blood was so bad I’d have to wait up to 20 minut…
> worth the small unpleasantness and major logistical annoyance. I’ve gone through it twice now. Both times, the most annoying part was the 2 or so hours they make you sit there in a hospital gown with no phone or electronics and nothing to do, while you are starving and uncomfortable and waiting to have the procedure. I don’t know if it’s like that everywhere. But would it really be that bad to let people hang on to…
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Sure but procedural complications are actually quite rare, as alluded to in this article. Misses from operator error, suboptimal bowel prep, or inability to complete the examination are more common and where we have the most potential for benefit from novel screening tests.
> Sure but procedural complications are actually quite rare, as alluded to in this article. article actually says that perforation (requires emergency surgery as per article) is between 1 to 100 and 1 to 20000 base on some studies, which sounds very high if it is not mistake.
It’s time to share something personal again. When I was 20, I vividly remember being in the bathroom at my workplace when a large amount of blood started coming out. I did what any smart, effective 20yo would do: ignored it because I was embarrassed. Fast forward 10 years, and I’d been ignoring it for a decade. It had continued to happen every few months. Sometimes the blood was so bad I’d have to wait up to 20 minut…
The problem is when you have BLACK blood in the stool. That may be an internal bleeding.
It’s time to share something personal again. When I was 20, I vividly remember being in the bathroom at my workplace when a large amount of blood started coming out. I did what any smart, effective 20yo would do: ignored it because I was embarrassed. Fast forward 10 years, and I’d been ignoring it for a decade. It had continued to happen every few months. Sometimes the blood was so bad I’d have to wait up to 20 minut…
Also there’s supposedly a poop test called fecal occult blood test that has a high rate of detecting colorectal cancer that you do over the course of 3 years. I saw this on nhk Doctor's Insight: https://www3.nhk.or.jp/nhkworld/en/ondemand/video/2086035/
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This is a large, randomized control trial, so obviously you should value this significantly higher than whatever doctors are doing to themselves. (history has more than a few examples of doctors practicing medicine that didn't make a whole lot of sense).
If only Semmelweis wasn’t such a strange chap, we’d have been much more further forward now.
There is a national screening campaign based on sending a sample of your stool, but getting a colonoscopy is a matter of asking your doctor.
It is true that colonoscopy is not the first mine of prevention but anyone who asks will get one. Free of charge.