Thursday, October 25, 2012

Non-Invasive Colon Cancer Screening

The Problem

If you are over fifty years, your doctor probably told you to get a colonoscopy or a sigmoidoscopy. This entails fasting for a short while and getting a tube inserted into my rectum. Not fun! What did I do in order to be subject to this kind of torture? Is there anything else I can do to avoid this?

Colorectal cancer occurs in the colon or rectum. The colon is the large intestine or large bowel, while the rectum is the passageway that connects the colon to the anus. Colorectal cancer affects men and women of all racial and ethnic groups, and is most often found in people aged 50 years or older. In the United States, it is the third most common cancer for men and women. Of cancers that affect both men and women, colorectal cancer is the second leading cancer killer in the United States. If everybody aged 50 or older had regular screening tests, as many as 60% of deaths from colorectal cancer could be prevented. Screening can find precancerous polyps—abnormal growths in the colon or rectum—that can be removed before turning into cancer. About nine out of every 10 people whose colorectal cancer is found early and treated are still alive five years later.
   
      
The Solution

There are three types of screening that can test for colorectal cancer. Any one of these three methods can be used to test for Colorectal Cancer, but only the FOBT is non invasive (and can be done in your own home):

High-Sensitivity FOBT (Stool Test): This is the least invasive method. You receive a test kit from your doctor. At home, you use a stick or brush to obtain a small amount of stool. You return the test kit to the doctor or a lab, where the stool samples analyzed for blood. This should be performed once per year.           

Flexible Sigmoidoscopy: For this test, the doctor puts a short, thin, flexible, lighted tube into your rectum. The doctor checks for polyps or cancer inside the rectum and lower third of the colon. If the FOBT is not done, this should be done every five years.

Colonoscopy: This is similar to flexible sigmoidoscopy, except the doctor uses a longer, thin, flexible, lighted tube to check for polyps or cancer inside the rectum and the entire colon. During the test, the doctor can find and remove most polyps and some cancers. If the FOBT is not done, this should be done every ten years. Colonoscopy also is used as a follow-up test if anything unusual is found during one of the other screening tests.

The Non-Invasive Option

The FOBT is quick, efficient, and convenient. The next time your doctor tries to send you for a pipe cleaning, ask about the FOBT option. Our CONSULT Gastroenterologist would be happy to interpret results and give you any further recommendations.

Get the FOBT and catch Colorectal Cancer early!

SynerMed – Innovating Healthcare
1600 Corporate Center Drive | Monterey Park, CA 91754
tel 213 406 2820 | fax 213.572.3808 | tmanetti@synermed.com
 

Monday, October 8, 2012

Viral Warts go Sub-Zero


Want to get rid of those stubborn warts on your finger? It's quick, easy and over the counter! 

Your science teacher's definition: The most common wart is called Verruca Vulgaris, which has been described as "a raised wart with roughened surface, most common on hands, but can grow anywhere on the body." Warts are caused by the HPV (Human Papilloma Virus).


Try this first!
Products containing salicylic acid and silver nitrate have been effective in removing some warts. These are available at your local supermarket or pharmacy/drug store. "Dr Scholl's Freeze Away Common and Plantar Wart Remover" and "Compound W Freeze Off" are commonly used to freeze away your common wart.  Both products are between $10 - $20, with the generic equivalents at cheaper price points.

Basic Instructions (for pressurized can applicators):
1)     Clean the area with the wart with a mild soap and wash clean.
2)     Prepare the pressurized can and applicator
3)     Apply the freezing compound to the wart (be sure to cover the entire wart, but avoid contact with non-affected areas)
4)     Discard the applicator tip (avoid contact with the tip, as it can infect another area)
5)     Wait 24 hours after treatment and wash the area with soap and water
Disclaimer: Be sure not to use these products around the eyes, lips, nose, genital, or anal areas.

or use the Home Remedy (unproven by medical science, but mama says it works): put duct tape on the wart and change the duct tape until the wart falls off. Isn’t duct tape good for everything?


If all else fails:
Not to worry! There's stronger stuff! Liquid Nitrogen is commonly used to treat those more stubborn warts.  Your doctor may even have some available in the office. Since warts are fed by your blood vessels (that's why they throb sometimes), they need to be frozen at very low temperatures at the localized site. These blood vessels are damaged/killed by the cold temperatures produced by the liquid nitrogen. Just ask your doctor to freeze it off!


After your treatment:
Unless you want some gross, virus filled fluid running all over your skin, RESIST THE URGE TO POP THE BLISTER! Tissue under the blister can be re-infected and your wart can grow back.  Put a Band-Aid over it.

Viral Warts is the most commonly seen condition on CONSULT Dermatology. Wart freezing is simple, quick, and able to be handled by either the patient or primary care physician. Let's freeze those warts off!


Thomas Manetti, MPH | CONSULT Project Manager
SynerMed – Innovating Healthcare
tel 213 406 2820 | tmanetti@synermed.com
CONSULT – Bringing Telemedicine to You