The informed patientCategory
I thought it would be a good time to show a real-life example of colorectal cancer prevention in action. Let’s pretend that you are a friendly neighborhood gastroenterologist, just minding your own business and doing a screening colonoscopy on a patient.Share this:
If there is one take-home message for colorectal cancer screening it is this: Start screening most people at age 50. Colonoscopy is the preferred screening test.Share this:
So, after this careful analysis, here are my concluding thoughts on anal sex as a healthcare professional specializing in colon and rectal diseases:
Anal sex seems to significantly raise your risk of having fecal incontinence.
You probably just shouldn’t do it.
If you are going to do it anyway, don’t do it too frequently.
It seems like common sense, but use lots of lube.
When finding a partner for anal sex, smaller is probably better.
Here in Long Island, NY where I practice, it seems to be the norm to have a precolonoscopy visit. This visit serves several important purposes in my mind: I can meet the patient, take a history, and make sure they actually need a screening colonoscopy. I can answer all of the above questions in more detail than the primary doctor can. I also get to give them my basic talk about the purpose of a colonoscopy, how and why we remove polyps, the importance of good bowel prep and how to do it, and the small associated risks of a colonoscopy. We can talk about what to do with medications, and where to arrive on the day of the test, and parking, and all those seemingly small details that can make a patient stressed-out about the test for no good reason.Share this:
Most people know that they cannot eat anything after midnight if they have a procedure scheduled the next day. However, what about when a procedure is not actually scheduled? Sometimes a little bit of common sense and a little foresight needs to be applied to avoid having a procedure delayed an entire day because of the NPO rules. Here are two common situations that I encounter (without exaggeration) several times per week:Share this:
Clostridium difficile (C. difficile) has become the most commonly hospital acquired infection in the US, and also occasionally causes inf…Share this:
“Are you still taking lasix?” I asked the patient. He was new to the office, here for a routine post-hospital follow up visit after recen…Share this:
As a patient, you only have control over a few parts of your colonoscopy. Usually you have a choice of which doctor does the procedure. …Share this:
I believe in transparency and open communication. I tell my patients the truth and expect the same in return. The truth seems to have a w…Share this: