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Is "colorectal cancer" rising in "young people"?

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Re: Is "colorectal cancer" rising in "young people"?

#171

Post by abuani »

ipsento606 wrote: post #163
leviathant wrote: post #114

Earlier quoted context omitted.

I did a colonoscopy at 38, because I saw something in the toilet that looked like the lingonberries at Ikea. Everyone was like "Man that seems early" but when I woke up, the doctor expressed some surprise when he told me they removed a couple of polyps. A week or two later, I got a bill for several thousand dollars, and I just had to roll with it. I believe that in the US, there is a certain age, after which, they're…

> I believe that in the US, there is a certain age, after which, they're covered. There is a lot of confusion over this point, even among support agents for health insurance companies. i) The Affordable Care Act specifies that all Marketplace health plans must cover colorectal cancer screening for adults 45 to 75 years at zero cost [i]. That means no copay and no coinsurance, even if you haven't met your deductible.…

Reading this should make everyone in the US furious about the state of our health system

Re: Is "colorectal cancer" rising in "young people"?

#172

Post by bonsai_spool »

genewitch wrote: post #166
bonsai_spool wrote: post #160

Earlier quoted context omitted.

> The risk of serious complications like major bleeding or perforation is closer to 40-80 per 10,000 What's your reference for this? That's incredibly (read, unbelievable) high for a routine procedure.

not who you asked but the perforation is 3-5 per 10,000; cardiovascular issues is 52 per 10,000, polyp removal carries risks of bleeding or perforation, and underlying patient physiology. RESULTS Among the 30,818 records identified, 82 population-based studies from 24 countries were included, involving a total of 38.5 million colonoscopies. The estimated incidence per 10,000 colonoscopies was as follows: gastrointest…

You are hardly describing "serious complications" ('bleeding', and 'respiratory events' are very non specific, and the fact that this is an uncited meta-analysis across nations makes the whole enterprise suspect), even less so since your source averages 24 countries while we are speaking about US colonoscopy recommendations.

My source is not seeing one perforation each week at work.

> just ask any AI

These do not give reliable answers, as I am sure you know

Re: Is "colorectal cancer" rising in "young people"?

#173

Post by dqv »

ipsento606 wrote: post #163
leviathant wrote: post #114

Earlier quoted context omitted.

I did a colonoscopy at 38, because I saw something in the toilet that looked like the lingonberries at Ikea. Everyone was like "Man that seems early" but when I woke up, the doctor expressed some surprise when he told me they removed a couple of polyps. A week or two later, I got a bill for several thousand dollars, and I just had to roll with it. I believe that in the US, there is a certain age, after which, they're…

> I believe that in the US, there is a certain age, after which, they're covered. There is a lot of confusion over this point, even among support agents for health insurance companies. i) The Affordable Care Act specifies that all Marketplace health plans must cover colorectal cancer screening for adults 45 to 75 years at zero cost [i]. That means no copay and no coinsurance, even if you haven't met your deductible.…

> i) The Affordable Care Act specifies that all Marketplace health plans must cover colorectal cancer screening for adults 45 to 75 years at zero cost [i]. That means no copay and no coinsurance, even if you haven't met your deductible. You pay $0.

At least with my ACA insurance plan, you have to appeal it first because they pretend like it's actually diagnostic even though it was billed as screening.

It's fraud prevention! You see, people love to shit in a bucket multiple times a year to have their shit tested all to defraud insurance companies.

Re: Is "colorectal cancer" rising in "young people"?

#176

Post by dqv »

abuani wrote: post #171
ipsento606 wrote: post #163

Earlier quoted context omitted.

> I believe that in the US, there is a certain age, after which, they're covered. There is a lot of confusion over this point, even among support agents for health insurance companies. i) The Affordable Care Act specifies that all Marketplace health plans must cover colorectal cancer screening for adults 45 to 75 years at zero cost [i]. That means no copay and no coinsurance, even if you haven't met your deductible.…

Reading this should make everyone in the US furious about the state of our health system

I mean it does. That's why so many people cheered when Brian Thompson was... involved in a shooting and died.

Re: Is "colorectal cancer" rising in "young people"?

#177

Post by mhb »

voxl wrote: post #109
mhb wrote: post #105

Earlier quoted context omitted.

> Left alone that polyp will very likely eventually become cancer I don't think so. You have a reference?

https://pmc.ncbi.nlm.nih.gov/articles/PMC9924026/ Though I regurgitate this information based off conversations with gastroenterologists not one off studies.

You claimed that "polyp will very likely eventually become cancer". I don't think this is true, in general, for polyps even though some might become cancerous. The paper you provided is pretty dense, but it didn't see to me as though it is saying that polyps generally become cancerous.

Re: Is "colorectal cancer" rising in "young people"?

#178

Post by mhb »

Findecanor wrote: post #145
mhb wrote: post #105

Earlier quoted context omitted.

> Left alone that polyp will very likely eventually become cancer I don't think so. You have a reference?

You can't tell whether a polyp is cancerous or not before you have removed it, sent it to the lab and got the results back. Therefore, all polyps should be removed. (Sending them all to the lab might be superfluous though)

Yes. That is the recommendation because "some" polyps are or may become cancerous. Not because all do. Unless you are saying that they do?

Re: Is "colorectal cancer" rising in "young people"?

#179

Post by bonsai_spool »

ramesh31 wrote: post #97
antinomicus wrote: post #68

Earlier quoted context omitted.

Risks? The risks of a colonoscopy are crazy low though.

>"Risks? The risks of a colonoscopy are crazy low though." Not at the statistical level. Death rate from complications is about 1 in 10,000: https://www.endoscopy-campus.com/ec-news/risk-of-death-from-...

>>"Risks? The risks of a colonoscopy are crazy low though."

> Not at the statistical level. Death rate from complications is about 1 in 10,000:

THAT IS NOT what this paper says. Please avoid commenting about things that you do not understand!

Here is the actual article: https://www.cghjournal.org/article/S1542-3565(20)31076-4/ful...

First, the study looks at people who had a positive screening Cologuard/FIT test. These are not normal people!

Second, the test looks at DEATHS WITHIN THIRTY DAYS of the procedure. In fact, the article goes on to say that there are ZERO deaths related to the actual procedure. ZERO.

Re: Is "colorectal cancer" rising in "young people"?

#180

Post by susiecambria »

hylaride wrote: post #41
TrackerFF wrote: post #8

Had my first colonoscopy 4 months ago, after going for a couple of years with every red flag symptom under the sun. The procedure was a piece of cake. As the standard is where I'm from (Norway), I was only administered some sedatives - but honestly I couldn't feel much difference. I watched the procedure on the screen, which was quite fascinating. The worst part, by far, was the emptying / prepping. A month prior to…

> The worst part, by far, was the emptying / prepping. This. The procedure itself was a snap (I was completely sedated; I'm in Canada), but it was NOT a fun 2 days of "pooping" pure liquid and being hungry. I don't think I was away from the toilet for more than 20 minutes at a time.

Having had three colonoscopies so far, my system for prep is to change what I eat at least the week before. Jello, ice pops. . . generally light stuff. At some point before I start drinking the beverage from hell, I get butt cream. Smear it on and then drink. Keeping a layer of diaper rash ointment on the tush helps a LOT.

I suggested to the pharmacists at my local pharmacy they should recommend butt cream when someone buys the prep stuff. Not sure if they do it, but all agreed it was a good idea.

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