well-temperedforum.groupee.net
And you get a colonoscopy, and you get a colonoscopy, and you get a colonoscopy!

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27 January 2024, 10:42 AM
Daniel
And you get a colonoscopy, and you get a colonoscopy, and you get a colonoscopy!
Well, I get to have one, because my PCP ordered one yesterday.

Time used to be they wanted everyone over 50 to get one. I haven't had one and I'm over 55.

My personal theory is... insurance companies don't want to pay, and the fecal smear test, excuse me has become a substitute.

So, a scheduler for the practice employing my Dr. will call me next week with the specialists' practice for me to call.

So, there's that.
27 January 2024, 11:29 AM
wtg
quote:
Federal law

The Affordable Care Act (ACA) requires both private insurers and Medicare to cover the costs of colorectal cancer screening tests, because these tests are recommended by the United States Preventive Services Task Force (USPSTF). The law stipulates that there should be no out-of-pocket costs for patients, such as co-pays or deductibles, for these screening tests. But the definition of a "screening" test can sometimes be confusing, as discussed below.

The USPSTF currently recommends that people at average risk start colorectal cancer screening at age 45.

The ACA doesn’t apply to health plans that were in place before it was passed in 2010, which are called “grandfathered plans.” You can find out if your insurance plan is grandfathered by contacting your health insurance company or your employer’s human resources department. Even if you have a grandfathered plan, it may still have coverage requirements from state laws, which vary, and other federal laws.


https://www.cancer.org/cancer/...g-coverage-laws.html


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We are all visitors to this time, this place. We are just passing through. Our purpose here is to observe, to learn, to grow, to love… and then we return home. - Australian Aboriginal proverb

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27 January 2024, 11:45 AM
Daniel
Thank, wtg.

I'm thinking the non-invasive test meets the legal requirement.

https://www.cancer.org/cancer/...ning-tests-used.html
27 January 2024, 01:11 PM
wtg
Yes, I think it does. But I also think the doctor and patient are the ones that make the call as to which test is the best in a particular case. I mean, I don't think the insurance company can say that you must have a less invasive (read: cheaper) test if you and your doctor decide a colonoscopy is appropriate.

I need to schedule mine. I'm on the three year plan and should have had mine last summer. I put it off because of my spring gallbladder surgery and then my late summer COVID. Time to get it done...


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We are all visitors to this time, this place. We are just passing through. Our purpose here is to observe, to learn, to grow, to love… and then we return home. - Australian Aboriginal proverb

Bazootiehead-in-training



29 January 2024, 05:07 PM
AdagioM
My friend has learned, much to her dismay, that the smear test only checks for blood, and not all colon cancers bleed. She has been diagnosed with colon cancer.


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29 January 2024, 09:33 PM
Cindysphinx
The colonoscopy is one of the best tests out there.

It’s not a guess. It’s an eyes on visual inspection.

They can remove precancerous lesions on the spot.

You only have to do it every 10 years if all is well.

The peace of mind of not worrying about one of the most common and deadly cancers is priceless.
30 January 2024, 11:59 AM
Nina
It's not a fun procedure, but it's painless and important, IMO. I agree with Cindy (and I'm on the 5 year plan).

And afterwards, I always make my driver take me out for breakfast/lunch. So win-win!

PS: The drugs they give you for the procedure (I think versed?) are amazing. Big Grin
30 January 2024, 02:46 PM
Daniel
quote:
Originally posted by AdagioM:
My friend has learned, much to her dismay, that the smear test only checks for blood, and not all colon cancers bleed. She has been diagnosed with colon cancer.


Ah ha. I knew there was something about that test.

This is it. Thanks.

I'm sorry about your friend.
30 January 2024, 03:16 PM
wtg
There are fecal tests that only check for blood.

Cologuard is a fecal DNA test and it checks for both blood and DNA from suspicious cells.

From a link that Daniel posted earlier in the thread, the skinny on all the tests:

https://www.cancer.org/cancer/...ning-tests-used.html

As has been noted, a colonoscopy is the gold standard. And I'm guessing it will get even better with AI, which apparently helps find polyps and adenomas that might be missed by the GI doc.

https://erictopol.substack.com...ters-the-colonoscopy


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We are all visitors to this time, this place. We are just passing through. Our purpose here is to observe, to learn, to grow, to love… and then we return home. - Australian Aboriginal proverb

Bazootiehead-in-training



31 January 2024, 10:06 AM
Daniel
What's an adenoma?
31 January 2024, 10:16 AM
wtg
It's a benign polyp that can be a precursor to colon cancer. That is to say, if you don't get it early it tends to become cancerous for some people like me who have a family history of colon cancer, though it takes a long time.

https://en.wikipedia.org/wiki/Adenoma


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We are all visitors to this time, this place. We are just passing through. Our purpose here is to observe, to learn, to grow, to love… and then we return home. - Australian Aboriginal proverb

Bazootiehead-in-training



02 February 2024, 11:23 PM
Daniel
Thanks.

What's the difference between a cyst and a polyp?
03 February 2024, 08:09 AM
wtg
quote:
A polyp is a tissue mass shaped like a stalk or finger, commonly found in the colon, uterus, nose, and throat, among other areas.

A cyst is a fluid-, air-, or tissue-filled sac commonly found under the skin, wrists, knees, ovaries, and breasts, along with other parts of the body. When a cyst becomes infected, it fills with pus and is known as an abscess.


https://www.verywellhealth.com/polyp-vs-cyst-5525773


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We are all visitors to this time, this place. We are just passing through. Our purpose here is to observe, to learn, to grow, to love… and then we return home. - Australian Aboriginal proverb

Bazootiehead-in-training



03 February 2024, 10:58 AM
Piano*Dad
... and as we all know, abscess does NOT make the heart grow fonder.
03 February 2024, 06:19 PM
Daniel
https://youtu.be/D86THdhqSYQ?si=xoASUIfjwJjuppkX

Frowner

The specialist's office called me Monday but I told them I'd call them back because I was in the middle of doing four different projects. So I procrastinated for the rest of the week instead of calling Tuesday or Wednesday. My goal is to call Monday and ask for an appointment the second week of February.

I have a second teeth cleaning appointment I want to get done first. I've had one cleaning and four cavities filled. They couldn't clean the teeth as well as they can now that the cavities are gone. I have residual gum disease (it still bleeds a little when I floss and I think it will finally stop).

This is scheduled and I want to get it out of the way.