Topic Archives: colonoscopy

This particular bit of news leaves your friend Doc Gumshoe shaking his head in puzzlement.  To wit, in the US it is expected that there will be a substantial shortage of physicians in the upcoming years.   The American Association of Medical Colleges predicts that this shortage may reach about 122,000 physicians by the year […]

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  • Michael Jorrin, "Doc Gumshoe"

    This is a reply to your previous comment. The answer is YES, i had a prostate biopsy in 2002 & then a prostatectomy ab...

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    And of course a great read, Doc J. About colonoscopies: the procedure was different from my first one to the next one ...

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    With regard to "...tests for fecal occult (i.e. hidden) blood...to determine with great accuracy whether there is any bl...

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    yep. though bonner is bright, has unmatched knowledge/info/dasta sources, the cred, money enough to be independent, a re...

  • DrKSSMDPhD

    Yikes! Have you had colonoscopy? If so, how many times? When was it last performed? Was anything abnormal seen? Was your...

  • SoGiAm

    saint stephen Thank YOU! https://www.stockgumshoe.com/2017/12/special-comment-update-from-arth-ceo-terrence-norchi-md-...

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    That's what I need: wound management. My feet and legs keep breaking out in bleeds. I have more band-aids than a punk ...

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    $FECES Getting a fecal transplant in a pill might be just as effective as a colonoscopy https://www.theverge.com/2017/...

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    A better “medical” stock to consider is EXAS, Exact Science. I have been accumulating this for years. They have a n...

  • DrKSSMDPhD

    Thanks Dal. I saw that piece too when I flipped through the BeeB site early this morning. It's a kind of reiteration of ...

  • DrKSSMDPhD

    I had a good sit-down conversation with Dr. Norchi this afternoon. He knows nothing formally about the status of the ext...

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    #Metformin Cleveland, as someone who has had colo...

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    Great article. Thanks to living in Canada, I have been receiving PSA screening and colonoscopy treatment since before I ...

  • DrKSSMDPhD

    Hi Nibbler...thanks for posting. No such books that I know of, though I've been tempted to write one, not so much as a t...

  • DrKSSMDPhD

    Keep in mind that 100 micrograms of fentanyl (1000 micrograms is one milligram) is enough to sedate for a colonoscopy in...

  • DrKSSMDPhD

    Hi denton: If stool testing for C. diff toxin is negative, I suspect he has exocrine pancreas insufficiency leading to s...

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    $BIOC Biocept's continued languishing continues to amuse, but not concern me (yet). I was up late the other night an...

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    @kss and @johncolts SUrvived! It turns out the very nice Doctor Who performed the scope was a transplant hepatologist. ...

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    As I prepare to prepare for my colonoscopy Monday morning, it occurs to me that I have realized a new treatment should I...

  • DrKSSMDPhD

    Yes, plus oliceridine may only be 20 percent less respiratory-suppressive than morphine. Incremental improvement, sure, ...

  • DrKSSMDPhD

    The correct answer for today's question is....well, let's run the possibilties. An asymptomatic 45 yo AA male needs s...

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    E. The customer...uh, I mean patient is always right! Medicine is not about physicians making decisions anymore, it is a...

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    D. Any person wanting to undertake a colonoscopy that has no legitimate medical reason needs some serious help. The p...

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    I have never had one and am age 86; however, I would think it indicated for (a) through (c) to have a colonoscopy and if...

  • DrKSSMDPhD

    Question of the Day for 19 August Which ONE of the following patient scenarios does NOT represent a sound clinical in...

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    How about a 3D colonoscopy with a side of popcorn......

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    Blaming the adverse effects of e-commerce on retail business activities, Bloomberg reports today that the mall of the fu...

  • Gui_

    I have an appt. on the 28th with the man behind the curtain, only my third since the initial consultation and briefly be...

  • SoGiAm

    Colonoscopy Screening improves Colorectal cancer survival in Veterans! http://www.medpagetoday.com/MeetingCoverage/DDW/...

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    Truth is stranger than fiction. This month’s Gastroenterology & Endoscopy News includes an anecdotal note about a Cali...

  • DrKSSMDPhD

    Colorectal cancer incidence has fallen 45 percent since the 1980s, and much of that effect cannot be ascribed to better ...

  • DrKSSMDPhD

    Well, this is bollocks. From Medscape: The first blood-based colorectal cancer (CRC) screening test, Epi proColon (Ep...

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    Thanks for you response Doc, no diabetes no irritable bowel colonoscopy about 5 years ago showed "odd ulceration" ...

  • DrKSSMDPhD

    Ray: the fundamental question to ask here is whether you had peptic findings (erosions, inflammation) in your esophagus....

  • DrKSSMDPhD

    Some cracks in the vitamin D facade. A new study in this week's NEJM suggests that vitamin D is not helpful in preventin...

  • Gui_

    Curious if anyone has experience with this, a long distance friend has a 24 year old daughter who goes in for a colo...

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    doc: I think it may be time for me to repost that long lost video of you doing a colonoscopy....

  • DrKSSMDPhD

    Microbiome May Predict Colon Cancer Tumor Mutational Status Neil Osterweil October 13, 2015 3 comments PrintEmail E...

  • DrKSSMDPhD

    Good reasoning, but medical protocols can veer to idiosyncratic reasoning based on tumor biology and presentation. My fi...

  • Gui_

    My first one thurs was a non event, I had no clue for the rest of the day anything had gone on. I also had an EGD and wa...

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    Thank you for your recommendation, Dr. KSS, but I won't be having another colonoscopy. My gastroenterologist referred ...

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    With all these colonoscopy jokes, is it time for me to repost that video from the early threads of Dr. KSS performing th...

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    Classic Joke: Man sees his colonoscopy physician on an elevator and says: "Good morning, Dr." Man gets off and friend ...

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    I apologize for using the wrong terminology; I was referring to an EGD. My internist referred me for a colonoscopy. T...

  • Anamorph

    The practice I go to for my annual physical is in a large teaching hospital, so the internist I see is always a bright-e...

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    Gui and Travis, It was the nurse's first day interning at the clinic, and the first colonoscopy of the day. The patie...

  • Gui_

    Ha! Here is the official song, really. Published on Mar 1, 2012 For Colon Cancer Awareness Month, StopColonCan...

  • DrKSSMDPhD

    An upper GI so-called is a series of images of esophagus and stomach and duodenum after swallowing barium. Upper endosc...

  • Gui_

    Kenny, I cheated and scooped (sorry) these off the net, being my first colonoscopy (3rd EGD) my #1 choice would be ...

  • Gui_

    I hope they dont use the same tool for both procedures since the colonoscopy is scheduled first....

  • Gui_

    Good gawd, I go thurs. a:m for a colonoscopy and EGD same day, I'm doomed....

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    I developed severe back pain in my early 50s. It took me a while to realize that it started right after I bought new hi...

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    For my latest colonoscopy I was rolled into the scoping room to "Another one bites the dust". I was a bit concerned but ...

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    Only on the Gummune can you learn what music to colonoscopy to :-) As I read your latest article I had this great track...

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    Hey Dr KSS, Hope you feel much better by now. Please be careful on your next colonoscopy, you never know who is listen...

  • DrKSSMDPhD

    Uh....wow.....if you have not had colonoscopy in the last 3 years you need one now, and if it is negative, you need esop...

  • SoGiAm

    Dr. KSS, I was "out of the loop" until returning to provide care for my parents a couple of years ago so I do not know ...

  • DrKSSMDPhD

    Yes, quite possible. But in medicine we often say true, true and unrelated. I would be sure he has had a colonoscopy in ...

  • DrKSSMDPhD

    Frank: the Italian paper is interesting. I think the first thing that truly has to happen is a good definition of dysbio...

  • DrKSSMDPhD

    Nitrous oxide is actually N2O. Medically we don't know specifically how it works except that it generally seems to tip t...

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    Ah, but the robot maker has essentially created a human that doesn't need to go off the job for a lunch break or attend ...

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    Dr KSS; My wife cannot stand the colon prep required for colonoscopy. Have any of your patients tried colon hydrotherapy...

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    There are many reasons for extended life spans, mostly due to advances in diagnositics, and awareness which is main reas...

  • DrKSSMDPhD

    Budesonide is sometimes used as an alternative to prednisone in patients because it does not survive first-pass metaboli...

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    Yes a colonoscopy with biopsy but unsure about primary exocrine pancreatic insufficiency. What tests would be required ...

  • DrKSSMDPhD

    What testing was done? Has she had colonoscopy with biopsy to exclude microscopic or collagenous colitis? Are we sure th...

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    I've looked carefully at most of the above comments and have to respectfully disagree. This test is much like the PAP w...

  • DrKSSMDPhD

    Cologuard? It is not a viable alternative. It is the most egregious waste of medical resources in a generation. If the t...

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    Again Thank You Dr. Kss. I needed to be put on the right path. I wrongly thought cologuard would detect polyps as they w...

  • DrKSSMDPhD

    Hi Frank: a weird situation the last couple of days. Most of us in GI are now totally packed in til the end of year. Peo...

  • DrKSSMDPhD

    Agree Travis. The thing is, if one is afraid to undergo colonoscopy, is that person really prepared rationally to deal w...

  • Travis Johnson, Stock Gumshoe

    And on the effectiveness front, I think the argument for cologuard's DNA component is really slim -- compared to a much ...

  • DrKSSMDPhD

    I respect your point Howard. I would respond in these ways. One, I genuinely understand patient terror as few do. One re...

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    May I suggest this scenario as possibly adding some value for this product? If a person has a great fear of surgery/col...

  • DrKSSMDPhD

    Medical meetings, biotech news releases. I often pull up lists of capital placements by outfits like Third Rock and Novo...

  • DrKSSMDPhD

    OK, glad to help, For whom is this test helpful? Who benefits from it? If you can name one, or try, I can show you how u...

  • DBMD

    After you have seen patients die from colon cancer needlessly because they did not want or get a colonoscopy, one is mor...

  • DrKSSMDPhD

    I cannot resist sounding off on one minor subject here. We discuss biotech and investing, and many readers are no doubt ...

  • DrKSSMDPhD

    Good points JF. It's such an interesting field right now, and will explode continuingly for the next 5 years. A good ana...

  • DrKSSMDPhD

    There is a hypothesis, unproven, that greater bacterial diversity in the gut leads to better health. One of the probl...

  • DrKSSMDPhD

    Glenn it's important above all else that an investigator adhere to the spirit of the guidelines as well as the letter of...

  • DrKSSMDPhD

    James. yes the Indian Ayur Veda pharmacopoeia contains many arsenicals that lead to a process called hepatoportal sclero...

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    Thank you so much for all the informative articles you have written for us. I graduated from nursing school in 1984 and...

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    Hi Frank, saw the video - it's a hoot! On a technical point though we cannot use it as a theme song because it's about...

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    Given the recent positives from Durata, the negative mojo from Benitech, and the psychiatric debates, low-tech soap chem...

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    With respect I disagree. Most of my patients are seen q2-3 MONTHS. On very rare occasions I may see someone weekly to av...

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    Yah: I too just copied your post. Every male in direct line in my family died from colon cancer or complications therefr...

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    As far as colonoscopy becoming more mainstream with consumers, Katie Couric, perhaps back in the 90s, as a commentator o...

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    KSS, thank you for that extensive expose on colonoscopy. I believe it should be published in the appropriate periodical...

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    Thank you Dr. KSS for an excellent response to the Colon report. I have had several colonoscopy procedures and many pol...

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    Dr. KSS, Thank you so much. Again we get something more valuable than stock advice. I had my first colonoscopy thirty ye...

  • DrKSSMDPhD

    I won't equivocate: I was quite surprised to wake up, log on and see a teaser for an article in the publication I write ...

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    Good article and comments. To offer a little on the lighter side, read below. Frank Colonoscopy Journal: I ca...

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    My first colonoscopy revealed 3 polyps which were ok and removed. My second one was clear and yesterday I had my third c...

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    I refused colonoscopy, but persuaded my HMO to allow me to have the Quest Labs Colovantage (blood) test (it is FDA-appro...

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    If you think the colonoscopy procedure is daunting and weird, gentlemen, wait until you start having cystoscopy procedur...

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    When I had my colonoscopy, the television in the waiting room was playing the Rotor Rooter episode of Undercover Boss. ...

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    just update- there is a different fecal test- the occult blood test has about 30 some % of detecting cancer- the new on...

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    Every man over 40 years should have a colonoscopy! First time i had 2 polyps, the second time 3 and one of them was bad...

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