Tag Archives: Screening Patients

DR. C’S JOURNAL: BENEFITS OF COLONOSCOPIES OVER 50

Colonoscopy is good preventative medicine for everybody over the age of 50. A video was posted yesterday on colon cancer metastatic to the liver. Although this is treatable, metastatic colon cancer is a miserable condition, markedly lowering quality of life. You are much better off preventing colon cancer then having to deal with it, and in this sense, colonoscopy is a very good trade off.

Colonoscopy is no fun. You have to modify your diet well in advance, and take a magnesium citrate clean out in order to get rid of fecal matter that would prevent proper visualization of your colon. You should get your first colonoscopy at age 50 or earlier depending upon your family history of polyps, colon cancer, and other bowel problems.

In my own case, I had a number of colonoscopies, and nothing serious was discovered. I still think it is a very good idea. Although I never had a colon polyp or cancer discovered, I have recently, at the age of 89, developed bladder cancer of the slowly progressive and non-invasive kind.

The thought occurred to me that getting regular cystoscopies might catch bladder cancer at an earlier stage. I was told by an authoritative Physician that this has previously been tried and not proven to be useful. I also recommend going into a dermatologist regularly to remove actinic keratoses, which have the capability of developing into cancer. I believe you cannot be too vigorous with preventative therapy.

Interestingly, good sleep, diet and exercise are recommended in the prevention of colon cancer. Please refer to the mayo clinic article on colonoscopy for more information.

–Dr. C

Mayo Clinic article

TELEMEDICINE: “FORWARD TRIAGE” FOR SCREENING PATIENTS DURING COVID-19

 Direct-to-consumer (or on-demand) telemedicine, a 21st-century approach to forward triage that allows patients to be efficiently screened, is both patient-centered and conducive to self-quarantine, and it protects patients, clinicians, and the community from exposure.

Interview with Dr. Judd Hollander on how health systems can use telemedicine services during the Covid-19 pandemic.

It can allow physicians and patients to communicate 24/7, using smartphones or webcam-enabled computers. Respiratory symptoms — which may be early signs of Covid-19 — are among the conditions most commonly evaluated with this approach. 

Health care providers can easily obtain detailed travel and exposure histories. Automated screening algorithms can be built into the intake process, and local epidemiologic information can be used to standardize screening and practice patterns across providers.

Disasters and pandemics pose unique challenges to health care delivery. Though telehealth will not solve them all, it’s well suited for scenarios in which infrastructure remains intact and clinicians are available to see patients. Payment and regulatory structures, state licensing, credentialing across hospitals, and program implementation all take time to work through, but health systems that have already invested in telemedicine are well positioned to ensure that patients with Covid-19 receive the care they need. In this instance, it may be a virtually perfect solution.

Read full article at NEJM