Beginning in 2004, the U.S. Surgeon General designated Thanksgiving National Family Health History Day. What does that mean for you? It’s pretty simple; as you gather with your relatives for the holiday, whether in person or virtually, take time talk about and document health problems that run in your family. (Note that although this blog post focuses on gathering information related to colorectal cancer [CRC], the guidelines apply to any health condition, from diabetes to breast cancer.)
Waiting is hating
Americans hate to wait, whether it’s for food, Internet connectivity, or a green light. So it should come as no surprise that the more time patients spend waiting to see a physician, the more dissatisfied they are. What might be surprising is that longer wait times have a negative impact on other, potentially more consequential aspects of the patient experience, specifically patients’ confidence in their physician and how they perceive their quality of care.
Topics: colorectal cancer, CRC, colonoscopy, screening, ColoWrap, cecal intubation time, patient experience, hospital costs, tortuous colon, gastroenterologist, endoscopy nursing, GI nursing, endoscopist, looping in colonoscopy, healthcare costs, difficult colonoscopy, endoscopy
A recently published study in Journal of Gastroenterology and Hepatology Research found that use of ColoWrap significantly enhanced adenoma detection in obese patients, females, and patients 60 and older. In addition, ColoWrap was associated with increased polyp and sessile serrated polyp (SSP) detection in the cecum and ascending colon across all patients in the study. These findings provide substantial additional support for the utility of ColoWrap as a tool to improve colonoscopy quality, particularly for patients at-risk for a difficult colonoscopy due to a tortuous, redundant colon or body habitus.
“It’s probably IBS (irritable bowel syndrome) or internal hemorrhoids, but let’s get a colonoscopy just to be sure,” my physician said. It wasn’t IBS or internal hemorrhoids. It was stage IV colorectal cancer that had metastasized to 27 places in my body. It was the last thing anyone ever expected for a health-conscious, young, athletic woman with no family history. Thank goodness my PCP took this step, or else I would be dead.
All physicians want to provide superior care for their patients, but practicing medicine today can be complicated. In the last decade, doctors have been tasked with navigating new technologies, government mandates, and payment guidelines, all of which can detract from caring for patients.
Topics: gastroenterologist, colorectal cancer, CRC, endoscopist, adenoma, endocopy, women in GI, patient experience, nurse injury, GI injury, injury endoscopist, tortuous colon, difficult colonoscopy, bowel prep colonoscopy, abdominal pressure colonoscopy, looping in colonoscopy, safe patient hadling, screening
Why would you have a sedation-free colonoscopy, when the norm is sleeping through the procedure and having no recollection of it?
Topics: gastroenterologist, patient experience, hospital costs, colorectal cancer, CRC, endoscopist, endoscopy nursing, GI nursing, patient safety, Propofol for colonoscopy, Deep sedation, Propofol, polyp, adenoma, screening, patient, endocopy, nurse
Observational studies indicate that colonoscopy lowers colorectal cancer (CRC) rates and mortality in the general population. In support of these findings, a large-case control study showed that the procedure can significantly reduce the incidence of CRC and CRC-related mortality. However, colonoscopy may not be optimally effective for right-sided lesions. This might be due, in large part, to sessile serrated adenomas (SSAs).
If Colonoscopy Is the Gold Standard, Why Is Compliance So Low?
In 2018, 50,630 people in the United States will die of colorectal cancer, according to the American Cancer Society. It is the third leading cause of cancer-related deaths in men and women in this country.
Does FIT Measure up to Colonoscopy?
How do fecal immunochemical tests (FITs) stack up to colonoscopy, the gold standard for colon cancer screening? Admittedly, FIT might sound pretty good—no special diet, no colonoscopy prep, no hospital gown. But everything that shines is not gold.