First RCT of Colonoscopy ever- NordICC is a Negative Trial! Implications, Interpretation & More
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- čas přidán 8. 10. 2022
- Vinay Prasad, MD MPH; Physician & Associate Professor
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My mother had early stage colon cancer, probably from poor eating after my dad’s death. She did 6 weeks of radiation which caused terrible burns on her abdomen. These burns went untreated, and my mother suffered terribly. Ultimately, she was so weak that she fell one day at home, hit her head on the dresser. Over the next few days she complained (which was rare) about horrible headaches, so we took my mother to the emergency center at the major hospital downtown Fort Worth. My sister explained every detail of her cancer, radiation, the burns and mostly the headaches from hitting her head on a dresser! The hospital concentrated on her burns ignoring the headaches. Inside of a week my mother was dead, due to a brain bleed that had been neglected. Over all my mother received terrible care….careless care. The colon cancer, radiation, all about the money not really care. Her burns going untreated. Supposedly they did get rid of the cancer, but the lack of care ultimately killed her. I do not trust doctors, I feel they are money hungry glorified drug pushers. Every doctor I go to gets upset over me challenging the prescribed drugs or procedures they recommended. They also don’t appreciate my pre diagnosis before I come to the appointment. But if one goes to the doctor with out any prior information, one winds up taken advantage of or perhaps given poor care and won’t know it.
I am an RN who always has a diagnosis when I walk into a doctor's office. After years of telling the doctors what is wrong with me, I find that is always what my diagnosis is. It was a rare doctor who challenged my thinking, and believe it or not, once I was wrong! The point is, the doctors are too lazy to do any work, and if the patient tells them what is wrong, they will unquestionably accept it. I have changed my approach, now days I walk in, leave my nurse hat outside, and explain my symptoms. Then I wait for what the doctor has to say. That is his job and what I pay him to do. I like the old-timer doctors, they still practice medicine. I am so sorry to hear what happened to your mother, that whole story is horrific. Just wanted to present an alternative view about when to accept a diagnosis, and you are right, we have to educate ourselves the best we can when dealing with doctors.
I am so sorry to hear about your mom's terrible suffering.
I’m so sorry about your mother. Iatrogenic death is the THIRD leading cause of death. I’m pretty sure my dad was a victim, 1989.
I’ve never trusted doctors and have rarely seen one (last was in about 1997 for bacterial bronchitis that I couldn’t shake and needed antibiotics)). An off-label treatment in 1988 had ruined my life, so I decided to do without the best I could. I’ve never had a flu vax (nor ever had the flu). I barely take any OTCs.
Mainstream Drs are scum...they have bought into a God complex, the woke culture, they dont treat the patient they treat the stat, or mindlessly follow their Groups protocol. The 2nd or 3rd cause of death is medical malpractice!
@@traceybaldwin6509
Tracey The Doctor Who is going to deliver my baby, didn’t tell me there’s a good possibility his head wasn’t gonna make it through my pelvic. So I labored for 36 hours almost died they cut him out of me they call it a cesarean. That was in 1975 I like you decided I didn’t trust these doctors either. There were still good doctors around at that time. Now they’re just taught to dole out drugs, and get kickbacks. I also have only taken one flu vaccine when I was very young maybe 20, made me so sick, and very mad. So I’ve never have taken the flu shot sense, I haven’t gotten the flu, I don’t think I’ll ever trust the doctors. I’m excited to see what Dr. Vinay Prasad has to say about this Colonoscopy. It all falls back on, they’re given a license to practice, whether they got is a D grade or an A+ grade, they’re not practicing on me. The money machine, I’m pretty sure all my families follow protocol the last couple of years. It makes me very sad. I do appreciate Dr. Vinay Prasad thank you for sharing 💕
12 year Endoscopy nurse here. I’ve circulated in hundreds of colonoscopies, and my hospital just finished construction on a 3 story GI center. Here’s what I’ve noticed through the years: 1) Our GI patients with upper and lower issues are getting younger. Having teens/young adults as patients used to be rare, not any more. 2) When GI symptoms aren’t answered through endoscopy, congratulations, you’ve won a CT scan and prescriptions. 3) In my experience, a positive Cologuard usually results in nothing, or a polyp or two. 4)I asked most of our GI physicians which part of the fancy GI center was going to be dedicated to diet/nutrition counseling for better GI health, they all acted like I was crazy. 5) The aforementioned younger patient base have terrible diets, drink 8 Red Bulls a day, and wonder why they don’t feel good. Many are on anxiety meds and are hoping to be granted disability benefits. 6) When the recommended age for first screening went from 50 years of age to 40, I asked the GI Dr’s if we’ve been getting young patients with detected tumors on my days off because I must be missing the reason, they looked at me like I was crazy again. I left GI/Endoscopy a few months ago, I felt like a factory worker cramming as many patients on the assembly line as I could in a day so the hospital can make as much money as possible, while ignoring preventative care/lifestyle issues. I will say, if you have a family history of colon cancer/polyps, it’s important to be screened regularly. Oh, and I wish fecal occult tests differentiated between tumor bleeding and hemorrhoidal bleeding. Almost everybody over 30 has hemorrhoids. I can go on and on, I’ve become extremely disillusioned with “health” care. Oh, one more thing, I’ve never worked with a Dr that couldn’t get to the cecum, unless a large tumor prevented them from advancing the scope.
There are plenty of doctors moving into the health space. Most GI problems magically vanish with nutritional interventions. It’s a very positive space with lots of opportunity though it does run contrary to the current business model of healthcare which is a problem that requires solving. Virta health is one of the few that have been successful.
Do they say they were unable to get to the cecum?
$$
@@NicholasAndre1 Some 10 years ago I was having GI problems. The doctor prescribed the usual BS. At the end of the appointment the nurse, in passing asked how long had I taken the peptobismo I wrote down on the pre appointment interview. I said ... years. ... Her eyes showed her surprised concern and explained that Peptobismo should only be taken for a short period of time, a couple weeks max. I guess I was getting bismuth poisoning. I just changed my diet and dropped the PB. That fixed it.
@@luiswhatshisname7667 the doctor still got the fee. Should have been paid to the nurse.
I've had 4 colonoscopies over the past 30 years. The first one cost about $600 and the price went up each time. Four years ago my doctor wanted to do another one but I refused because of the price which varied from $3,000 to $6,000 depending upon the hospital. My guess is the reason for the current big push for colonoscopies is…drum roll please…money! The procedure takes very little time to perform, consumes a minimum amount of medical supplies, and results in a large profit. Best thing since sliced bread for hospital profits…real pain in the rectum for the rest of us!
One of the most eye-opening books I've ever read: American Sickness by Elisabeth Rosenthal. Explains everything. You will never see US healthcare the same again...and it's even worse than you think.
@@gracelynne3918 I just purchased this on audible. Thanks for the recommendation
@@gracelynne3918 Thanks! I just ordered it from Interlibrary loan.
Purchased thanks for the recommendation I'm always looking for new titles.
Replacing tax supported non-profit health care facilities (ex. City, County and State Hospitals ) with 3rd Party For Profit Corporate owned Health Care (in an Oligarchy) beginning in the 80’s was predictive of the joke/rip off our health care system has become.
I live in South America. My doctors here - where the medical care is superior - no longer look to the US as they do to Europe. The FDA has lost all credibility and the world knows it.
The FDA receives about $800 million a year from the pharma industry. A lot of people in the FDA find a new job in the pharma industry.
At the same time the EMA receives about $300 million a year from the pharma industry.
In both cases that's close to 90% of their total budget.
In the 80’s, the hijacking of health care by 3rd party For Profit Corporations began …. The structurally corrupt US Oligarchy not only did not stop this but assisted thru legislation. In the late 80’s, the Anti-Trust Laws that had served the country well for decades were abandoned …. the results were predictable ….. merger fever, Oligopolies and Monopolies. Add Govt corruption and Health Care is about Profits for Corporations ….. not patient care.
Absolutely. The US Healthcare System is 100% profit driven. It is not Health driven. Just look at the issues with transgender surgeries. Europe has moved away from surgeries and cross sex hormones for teens. But the US is going full steam ahead with it because it has become a billion dollar industry here.
The same thing happened to me. The doctor was about to send me down a long road of tests for chest pain. The nurse yelled across the office, “There’s nothing wrong with that girl, but GERD.” She knew intimately that my bloodwork was perfect over several years. Solution: I lost 30 lbs, and the acid reflux and chest pains magically disappeared. Smdh, thank God for nurses! 🙏🏾
Agreed, I’m thankful for true nurses, I’ve worked with (and lived with) some.
Unfortunately, there are still many that are simply good, obedient, non- questioning, medical-machine drones.
Unfortunately if the drs first approach was to recommend weight loss..they would probably be accused of calling you fat and not taking your symptoms seriously
similar happened to me. An er doc wanted me to go to this specialist and that.
I said "doc, i work nights as a nurse, i drink bangs like they are water, I dip at least a can of Copenhagen a day, and I drink coffee to help me sleep, and I work in a critical care unit where my cortisol is always off the charts. The cause is obvious."
When I went to a lower acuity, daytime setting and stopped relying on caffeine and nicotine to feel normal: bam, those issues (mostly) went away.
Lord this made me have flash backs to statistics in college! Had a doctor about 10 years ago that it was time for my colonoscopy. I said no thanks. He said I could not be his patient if I refused. He is no longer my doctor. In fact, I have no doctor. All they do is run tests on you till they find something.
lol. have fun with that.
Reasonable. 😂
"early screening saves lives." But what they really mean is that early screening improves five-year survival. Of course it does, but that doesn't mean you lived longer than you would have, you just knew about the cancer longer.
lol. you know they can remove it and it is pretty highly curable during early detection right?
@@1997Ghostabsolutely if you have screening and operations you won’t die of cancer 😂😂😂😂
My dad had his requisite Colonoscopies every year past age 62 until they perforated his colon. He was so sick, hospitalized but they insisted it had noting to do with the Colonoscopy he had a week prior. That was in. He never went back. My dad lived to be 91 and died from complications due to dementia.
Sad. No one should have to suffer like that 😢
Thank you for this! Fight the good fight against overscreening, overdiagnosis, and overtreatment!
Contaminated equipment is also a risk of colonoscopy.
Yes... I got a medical alert sent out by the FDA trying to figure out a way to reduce infection from cross contamination from endoscopies.
These things cannot be autoclaved so they have to be treated with a disinfectant gas, usually ethylene oxide... Which is listed in the EPA list of poisons as carcinogenic.
Let's figure out some other way.
I had one and won't do that again.
Drinking that stuff made me sick. They put me completely out... And I wasn't lucid talking to the Dr like Katie was.
It completely disrupts your gut microbiom that Drs seem so ignorant about.
It's like they're saying
Oh here! Let's do everything we can to tear up your gut microbiom and not tell you how to build it back.... That ought to send you back for some more drugs for that!
Oy! Only they don't work. So it's Stool softeners for life.
Tremendously intelligent and refreshing commentary by a intellgent, balanced and sober person who has no other motivation than to be guided by what the data actually shows and not the money, speciality bais, or the politics. I'm sure the GI docs will begin to petition to have this man band from CZcams for daring to go against the orthodoxy of the absolute benefit of colonscopy based screening.
Has anyone studied the effect of "cleaning the colon" for testing and what it does to the microbiome? It can't be a healthy thing to do. I would like evidence that it's not disruptive to gut flora that we're starting to understand have such a huge role in overall health. I've never seen that addressed.
My mother had 2 colonoscopies. Both times within a month she suffered blockage and ischemic colitis. It was not until the 2nd time did I realize it was likely the colonoscopies that were the cause. Unfortunately, that 2nd emergency caused her colon to die and an emergency iliostomy had to be performed. Of course the doctors refused to acknowledge the connection saying that colonoscopies were very safe. 😕.
Athough I received the COVID 19 vaccine, this colored my opinion of mandated "perfectly safe" vaccinations.
You actually care about people. You aren't just going through the motions. You have courage.
New mantra
Going through the motions....🤣🤣🤣
Here's a thought. Instead of saying "We could have spent it on this." or "We could have spent it on that." Why do we have to spend it at all? If I decide a Disney+ subscription isn't worth the money, it doesn't mean I need to go to a movie theater to offset that decision.
My thoughts exactly.
I love Vinay, but he is a liberal/progressive :). He just happens to be an intelligent and rational one so he is a breath of fresh air.
@@rationalnuggets9617 To me, it looks like he has been evolving quite a bit over the last couple of years. He remains evidence and data driven. He just hasn't arrived at the point to where he can see that sometimes less spending is the answer to bad spending instead of better spending.
That being said, he has been navigating the same censorship tight wire as others, and the potential consequences don't appear to unnerve him.
Vinay, the paper was a bombshell for sure, and previous research has indicated as much and perhaps the need for non-invasive testing or maybe, as you said, the test that has the best evidence. Appreciate your comments on the USPSTF. We are going to be discussing this paper and upcoming research, and the review of many studies you didn't discuss here, for a while. This paper and your interpretation, of which I mostly agree with reservations and room for discussion, will create shock waves in my field. Thank you for your education and insightful, well composed discussion on this subject.
Great information and excellent presentation! Years ago, when I was covered by the Kaiser medical plan, the preferred colorectal screening at Kaiser was a flex sig every 5 years and a stool-sample (FOBT at first but later when available it was FIT) test annually, which is what I had. When I moved and no longer had Kaiser but had an insurance plan, I was pressured by my doctor to have a colonoscopy, but I looked closely at the stats on perforation rate and chose to have a flex sig again. I did it without any sedation, which allowed me to actually watch what the camera saw during the procedure. When he reached the top of descending colon flexure on the doorstep of the transverse colon, the doctor tried to talk me into letting him continue all the way to the cecum thus becoming a full colonoscopy, but stood firm and refused. Now with this new study, I'm glad I did that. It's your colon and you have the choice. So, stand firm and do what the evidence says, not what the "consensus advice" tries to persuade you to do.
Great comment you made, “screening turns healthy people into patients.”
Thank you.
I've been reading Gerd Gigerenzer on risk assessment, and am more and more comfortable not going for screening and focusing on lifestyle.
And dealing with questions of quality of life
Fascinating... think of all the time, money, inconvenience, and actual harm done with NO EVIDENCE of benefit! (I had a complication from anesthesia with that "You are fifty" colonoscopy, and that was the sickest I have ever been and I missed weeks of work.)
Great video. Preventative medicine is such a contradiction in the US and Canada. We're way too polite over these backwards incentives and pretending we're all evidence based practices.
0 90s
More important than the trial, how does one get clarity of thought like you have Dr Prasad.
Mammography, because of its risk of inducing cancer is not recommended in healthy women in Switzerland as preventive screening
And its about as common in the US as getting your bloodwork done.
Do you do thermography in Switzerland or just manual breast exams?
Yeah, I stopped that dangerous test 3 yrs ago when I realized how corrupt and dangerous diagnostic testing..my eyes got opened with this bs evil scamdemic.
Zur Früherkennung von Brustkrebs werden Frauen ab dem 50. Lebensjahr alle zwei Jahre Mammografie-Untersuchungen empfohlen. In Kantonen mit Früherkennungsprogrammen bekommen Frauen ab dem 50. Lebensjahr alle 2 Jahre eine persönliche Einladung zur Mammografie-Untersuchung. Frauen in Kantonen ohne Früherkennungsprogrammen bekommen keine Einladung, sind jedoch dennoch angehalten für ihr Wohl und ihre Gesundheit regelmäßig eine Mammografie-Untersuchung durchführen zu lassen. Dies muss jedoch eigenständig mit dem Frauenarzt oder der Frauenärztin des Vertrauens besprochen werden.
That’s not why it was not recommended.
My golly I was right. I read the prior research and have been declining colonoscopy due to the risk profile and lack of evidence for benefit. I get flack from my wife and doctor for this. Now the lack of evidence has grown up and is now evidence of a lack of benefit.
I made the decision many years ago that I would not have colonoscopy screening. I am very glad I did. I will never have one unless I have symptoms that specifically indicate one.
The last couple of years have been so revealing...Great channel with very informative and useful comentary.
Insurance companies should give people choice and because they don't they're shooting themselves in the foot cost-wise.Instead of a mammogram or colonoscopy, I would like a MRI for a Bakers cyst to realize the underlying cause or the inflammation. I should have money available from 2 decades of no mammograms or colonoscopies. Walking is essential to maintaining my good blood pressure and positive attitude.
So the industry tells us of sharp increases of colon cancer numbers. I have had several patients with positive FOB or Cologuard and negative colonoscopies. The patients are not happy and not trusting. This VLOG has really been eye opening. Thanks!
but presumably you know that stool screening tests err on the side of sensitivity at the cost of specificity. It’s your fault for not counseling your patients on the fact that even with a positive stool test they are still more likely to have a negative colonoscopy than not. It’s all a risk benefit discussion
@@rickshay4656 my conversation with patients is regarding EBP and current guidelines when a positive test has resulted. I then refer to GI to discuss all risks vs benefit and for further work up if indicated.
@@rickshay4656 Yep. Just talking about this with my doctor last week and he said he had a patient in the next room completely freaked out over a positive cologuard test. smh. She is now saying she will ONLY do the colonoscopy now. This doctor is a spine doctor btw - not anyone who deals in cancer. I did a cologuard but I also read that there are false positives with them - and that sometimes insurances will count cologuard as the screening and make you pay for the colonoscopy. Since I have no family history I am not running to have that horrible test done - I will stick with cologuard for now.
There is a clear increase among younger persons with colorectal cancer.
@@aguyfromnothere there's a clear increase in young people of diseases that used to be associated with old people. There's also a big increase in obesity + type 2 diabetes in young people that puts them at increased risk for cancer + cardiovascular disease which were once diseases of old age.
I was injured by this test, then i was told that i was crazy, really...seriously ....results
I don’t see Drs anymore.... been thriving the best i can since 2011.....
Medical industrial complex is a for profit entity. I feel like that's all anybody really needs to know.
Brilliant .... I had rectal cancer in 2006 ... 10 hr operation and long term radiaton (from which I still suffer) but had annual colonostomys until last year when I was so weak after the dreadful prep that I passed out after the fifth attempt to find a vein for the sedative. Woke up on a drip. I will never ever have one again. Thank you for this.
I think your risks are different then what he is generalizing in this paper. I wouldn't take your specific case as an example as this study controls for such factors as history of bowl related cancers and screens these people out of the trial. This is otherwise healthy individuals for routine follow up. I am a phd researcher. Definitely talk to your provider though about your situation and alternatives etc.
I read your book Ending Medical Reversal a while back and this video is a very fun listen. There's always so many variables that one might think nothing of (the effect of a simple test, for example) and how negatively it MIGHT effect the patient. What a crazy world of data you work in LOL.
"There's nothing like money and true belief that is the methamphetamine of being a doctor...it really reinforces the behavior...colonoscopy screening. -Dr. Vinay Prasad
My favorite medical researcher giving an endorsement of one of my favorite comedians! Wasn't expecting that.
Thank you for following actual science. Most people don’t understand what that means.
You talk about the downside of colonoscopy but not the downsize of living with the cancer. I knew someone that had his colon reconstructed .
Please keep doing this type of stuff. This stuff has a much bigger impact than your clinical practice and you are unusually good at this.
Thoughtful critiques and jokes. Vinay always brings it.
This is one of my favorite channels. Thanks for making these videos and clearly explaining the research.
Happy thanksgiving dear Dr. You are an amazing gift and affirmation to my gut feelings on our medical system . Just like the banks truck people to make $ so does the medical field. Why are we looking for problems instead of solving the ones right in front of us ? Thanking you for you passion and honesty. You are one brilliant young man blessings ❤
Please look at mammograms and the over treatment of DCIS!
czcams.com/video/paCAc9p_GsQ/video.html
@@nicole2828 I’m personal friends of Peter.
I think you are brilliant. Thanks for looking out for all of us.
Second rant… I am in the high risk group for breast cancer. They recommend a yearly breast MRI. This involves Gadolinium dye. Gadolinium dye can’t be good for the kidneys or liver. I declined. Eventually a mastectomy would be recommended if cancer was diagnosed. I don’t believe the yearly MRI would change the outcome for better.
@@BenjesBride When I see someone like yourself being influenced by a young, overzealous CZcams doctor who does not know your personal history and is not a breast surgeon or an oncologist I get very concerned. I'm a breast cancer survivor, none in my family, low risk BUT I had it. If you don't trust your own doctor,, shop around. There are millions and some DO consider lifestyle. I will not see a doctor that doesn't consider true prevention. For me that's largely diet and exercise. But I don't ignore screening either. I just try to offset the radiation with proper nutrition and supplementation.
A screening tool is not prevention it's early detection. I think you're right that an MRI isn't going to prevent cancer. Only lifestyle will. Unfortunately, even if you were to adopt a pristine largely whole food plant based diet and did moderate exercise daily, it would not eradicate all risk, especially since breast cancer tumors take so long to manifest. When I was diagnosed with BC everyone was shocked because I ate so well, took supplements, worked out in the gym, AND was low risk. But 30 years of eating poorly had done it's insidious job.
Overdiagnosed is an excellent book on the subject. I highly recommend it to everyone. Especially those who think screening saves lives.
What is the age limit for colonoscopy? because I have seen serious problems in 80+ age patients with the preparation protocol before the procedure. Colonoscopy became popular because GI docs got excited and made them super wealthy.
My father had seizures from the preliminary prep.
Incredible content. This is why I subscribed. Thank you as always, Dr. Prasad!
Thank you for your honesty about all of this! Much appreciated!
VP 🙌🏻 you are a rockstar!
Here! Here! Well done! Thank you You give me hope that medicine is not dead. You lead by example. Do not loose your ethos.
Doc: your studies and opinions are always welcome! Thank You.
By the way, I can't tell you how much I love to listen to you !! ❤️
Love your passion and truth telling.
When actor Chadwick Boseman died in 2020 the news outlets did HUGE scary stories about how colon cancer is starting to kill young people!! They were advocating for testing earlier in life etc. I was at my doctor's office this week and I was telling him about this and he was saying that he had a patient in the other room flipping out because her cologuard test was positive and now she has to get a colonoscopy. Her reaction to this was to just get a colonoscopy. My husband had bleeding for a LONG time and I couldn't get him in to be tested because he is too afraid. Turns out that he only had hemorrhoids when he finally did the colonoscopy - but they didn't treat them while he was on the table. Instead they woke him up to come back and have ANOTHER procedure.
Wow!!! And what a typical ending. If that's not about more money I don't know what is.
Typically it's a gastroenterology who does a colonoscopy. Its a colo rectal surgeon who does the proceedure for hemeriods. Or a proctologist.
They didn’t do anything when they found out it was hemorrhoids because they want to charge the insurance for another procedure! It’s so sad to see how our medical system is more about sick care instead of health care! I think since Covid, we have seen that it’s more about money and big Pharma! Thank God your husband is OK since hemorrhoids are curable ❤️ God bless you and your husband 🙏🙏
@@misfit_pets5731 yes, I realize you are correct now! Of course!!! That's the way they divide even that area up!
If you didn’t consent to band hemorrhoids before the colonoscopy, they’re not allowed to legally perform that after discovering them. You can’t consent for every possible thing for every procedure, besides common things (remove polyps, etc). Majority of hemorrhoids don’t need banding and efficacy of banding is not really standard of care/proven.
Thank you for sharing your wisdom! Telling the truth! Saving lives! 👍👍❤️
This is so helpful. I'm in my 50's, no family history of colon cancer, and have one of the Ehlers Danlos Syndromes, which affects the inner skin. Not surprisingly, there are countless stories of perforation and internal injury among the EDS crowd, who has enough GI drama before any interventions. Nevermind the gastroparesis, which makes adequate prep a major challenge. I've never thought colonoscopy makes sense for me, but my (obviously non-EDS aware) docs keep pushing it, anyway. Thanks for this.
Ask your docs about a Cologuard test.
@@alexk48 I told them that's what I'm doing. But I fear for people with hereditary connective tissue disease that aren't as assertive pains in the ass as I am.
@@alexk48 Thank you for the very helpful suggestion
@@alexk48 A plain FIT test is better, less expensive, easier to do. The DNA test got combined with the FIT test for Cologuard since the DNA alone actually isn't as good as the FIT test alone. And then got heavily advertised at a super expensive price. The FIT test involves only brushing the feces with a brush and is way cheaper and way easier.
I think a FIT test is a better and easier choice than Cologuard, see my other reply. Wasn't aware of the increased perforation risk with your diagnosis, wow, worth knowing about.
Thanks for covering this, bringing in your expertise and experience in context!
Thank you, Dr. Prasad !! The only reason anyone does these things are because they have insurance that will cover the procedures and they have been duped. A lot of people are making a lot of money 💲💰. I have never had a mammogram or colonoscopy, and never will !!
Yes, follow the money.
I agree, if the procedures are covered 100% (or "free") by your insurance then one has to think why? It is obvious that our insurance companies do not have our best interests in mind when the cost to have the Insurance far outweighs the quality of care we receive. And just a side note: most vaccines, if not all, are also covered by insurance. If you don't have insurance the jab is free.
My husbands doctor denied him his medication for ulcerative colitis unless he submitted to yearly colonoscopies. He's 22.
He couldn't get one last year because he was taking care of me as I had hyperemesis gravidarum during pregnancy with our son. She cut him off.
So I started having him eat raw ginger root everyday and it has helped him loads more than the medication ever did. That medication was 400 dollars a month btw...
Honey'll do fine too. Maybe a spoon of ginger in a spoon of honey in a tea/smoothie/warm milk?
Look up Slippery Elm. It soothes mucosal lining from end to end. It’s good to have on hand. Sounds like the doctor did you a favor-now you’re using healthy cures instead of pharma’s chemical “bandaids”.
@@ms-jl6dl I've never heard of honey being used for UC, have you had success with that? I'll take that into advisement.
Search for Omega 6 and colon cancer.
@@charitybrook6279 UC patient and practicing herbalist here. Honey is useless for UC. (Unless you count the fact that it is one of the safe sweeteners on a diet like the SCD, which works for some people.)
Love this information! Had my first colonoscopy and you are right. The prep is horrible and the whole experience very anxiety producing. Plus I had it during COVID making it double trouble. I think next time I'll opt for the sigmoidoscopy!
Vinay just gives us more reasons not to trust medicine. I hope in another timeline companies and people in medicine aren't in it for just money. What doesn't need a reset? But in a non-WEF style of doing it.
Dr. Prasad gives us so many more reasons to arm ourselves with information and be skeptical of and critically engaging with "established and longstanding" medical wisdom.
@@davidsamson1453 Well put
Amen
It need a "non-profit based" incentive structure. It needs an "all cause mortality" metric to judge all clinical interventions, active or passive.
@@davidsamson1453 For any significant medical intervention, always seek a second (dissimilar) opinion to obtain a holistic understanding of risks and benefits.
Dr Prasad, hearing you is quite the education . Thank you
In my 40s I had IBS so I was told to get a colonoscopy. I've always had a low blood pressure, the prep wiped out my electrolytes, so on the table my BP was too low (barely 80/50) to get anesthesia. I told them proceed without it but they wouldn't. I got sent home with a 24-hr heart monitor and nuclear stress testing. Verdict: 'athlete's heart'. Haven't ever had a colonoscopy yet. IBS lessened when I finally got treated for low thyroid. Now in my 50s I'm told I need one so I get the stool test, also inconclusive so far.
In some states in the US, anesthesia is the norm for colonoscopy, so much so that it is hard to find a doctor that will do it without it. But in other states, anesthesia is the exception.
Wow. I have also had low BP, but I guess it may depend on what it was pre op. I just once had an anesthetist say oh well I won't worry till your BP is below 70/45, based off my baseline well bp of 90/50. But if your hr was up I can see why they may be worried
I have always enjoyed your podcasts. IMHO this is your best. If… I’m coming after you. Classic.
Thanks SO MUCH ! So glad to share no colo for MOI!
As usual, another excellent analysis of a research study. Thanks. These podcasts are my morning coffee. :-)
Love to see you report on the research and other things that determined 1) either mammography OR thermography would win the backing - and $$$ - of insurance companies, and 2) that mammo should win. I read the medical journalist reporting series decades ago and was completely shocked when, after all the data was reported, the powers that be cristened the mammography machine (and a smear campaign against thermography ensued, still carrying on today).
Great article. Goes on to show why health care in the US is becoming more expensive. its all about doing the one procedure that you can bill for the most.
Love these videos. You love numbers and stats- like looking behind the screen of creation.
Thank you!
Love it, brother. Thank you.
Keep up the good work VP!
I’ve been thinking this about colonoscopies for decades. Thanks for your usual thoroughness and well thought out commentary. 😊😊
You've been thinking about the results of a clinical trial that was just published this year for decades? Where is your time machine?
@@TheFrygar I have been thinking a colonoscopy doesn’t make much difference, but is very invasive, for decades. This isn’t the first study about colonoscopies. This is the first time I’ve seen a study on long term impacts.
@@ScottPaton this was the first RCT powered for cause specific AND all cause mortality benefit, that's why this one was so important because it's the first to show NO benefit to ACM.
Simply excellent! Anyone can disagree, but it takes experience, knowledge, and passion to effectively argue a position. This was something science inherited from original western philosophers and the foundation of critical thinking. This video is a smiling example of such a philosophy and a rare ship in an ocean of deceit that is pervasive in science now and far too many in the medical community.
“Do no harm” is now merely a suffix to the real motivation of “… to the growth of my bank balance!”
Interesting. Thanks, Vinay. Do you have a you tube primer on how to do studies that inform?
Very informative. Nice job calling out USPSTF at 25 min.
A true public service. Thank you Doctor.
Brilliant as usual. Thank you.
Wow! I'm going to pay attention to European studies. Thank you!
My mom was 86 years old and very frail. She had a low blood count and had been passing blood. The doctor and his nurse were giving my mom the full court press on a Colonoscopy. I was in the room and told them both flat out "No." I suspected that my mom was popping Tylenol for her back and she actually confessed to taking twice the recommended dosage. I told the doctor that we needed to get her pain medication straightened out and then see. The problem fix itself after that. My mom was from the generation that trusted doctors. I, on the other hand, don't trust them and inch.
Tylenol was know trouble even then. I take ibuprofen as needed. 1500mg at a time 😢
That’s not on the doctors, that’s on your mom for not telling them what was going on lmao
@@bassamsyed2028As I recall the doctor knew but instead opted to sell a procedure that would net him more revenue.
Love this channel. I have learned so much!
I love this channel
My father had a negative sigmoidoscopy 3 years before he was diagnosed with stage IV colon cancer in the part of his colon not covered by the sigmoidoscopy. If he had had the full colonoscopy like he wanted , he likely wouldn’t have died from mestasticized colon cancer
You have to realize that the evidence for routine screening takes tragedies like these into account AND the tragedies when people die from routine colonoscopies. It turns out that they don't save more lives than they take, but that doesn't deny that some people would have been saved by one, even while an equal or larger number would have been killed by one.
Actually all cancers have micro-mets by the time we detect them (there are billions of cancer cells in even a small tumor) - so the eventual outcome is much more likely determined by tumor/host interaction, the underlying biology of the tumor, and response to treatment. That is why early detection is probably of little or no value, as this paper confirms.
@@GlobalShutterNY Are you actually arguing there is no long-term survival benefit to finding/removing a pre-cancerous polyp (or Stage I cancer) vs finding a Stage IV cancer?
Thank you for sharing this important information on colonoscopy screening-wow. So…would these data suggest colonoscopy only be indicated for diagnostic use?
Hi Dr. Prasad! What about individuals with a family history of colon cancer in a 1st degree relative? Thanks for your astute analysis!
As someone who had a colonoscopy planned for the next few weeks, this gives me a lot to discuss with the doctor during the preliminary appointment today. Thanks for this important discussion: medicine should be based on science, not habit and precedent. Have we learned nothing from the fiasco with Ancel Keys?
Most podcasts I've got to speed up 'cause they talk so slowly, but with Vinay I've actually got to slow the speed down.
Thank you Dr Prasad
Very good video and very informative. I had 3 colonoscopies' all benign, no family history of colorectal cancer in my family, at the age of 65 I told my GI this is it NO MORE.
This is so interesting, such a great analysis. thank you doctor
My mom always refused colonoscopies. She was scared of them. No symptoms, in fact she was feeling great until around November. She pushed it off until December, until she couldn't handle the pain anymore. She was having blood as well. They thought it was diverticulitis but things were so bad off they couldn't get the scope up through there. Took them 5 months of stupid tests (barium enema, ct scans) before they sent her into surgery and we just found out she has at least stage 3 colon cancer. The tumor imploded and perforated her colon, unfortunately went all over her other organs. We do a ct scan of her chest tomorrow, if it's migrated up there it will be stage 4. At the very least she's going to need chemo. I wish I could have talked her into a preventative scope years ago, we might not be here today.
Thank you I have realized that eating healthy and exercise will do more for me than anything else. We could shrink our healthcare system if we simply stuck to the truth!
Colonoscopy 150cm, sigmoidoscopy 60 cm ……yes, most (50%) colon cancers are at the last bit of the colon but there are also some at the transversum and the ascendence (25%) part (end of the colon). 😮
very interesting breakdown. thank you for this thought-provoking analysis, Dr. Prasad.
“As null as it gets, pretty null!” I enjoy that you are both a statistics freak and a low-key comedian!
Great stuff! Thanks Dr Prasad
thanks vinay!! excellent!!!
I wish everyone - heath care workers or not - fully understood this video. Just subscribed.
Fantastic scrutiny
If they found cancer or I suspected I had it, I''d do Joe Tippen's Fenbendazole protocol as well as resonance frequency controlled implosions at cancer's specific mortal oscillatory rate. With regard to the latter, I trust the science of physics much more than the art of medicine.
Fenbendazole is very similar to Ive*mectin which is used in South Korea against stage IV cancers. LDN might be usefull too together with keto diet (no glucose) or even better-fasting.
@@ms-jl6dl The Tippen's Protocol now includes Ivermectin.
Can you point us to a website? Thanks.
Thank you so much for this video. I just had the procedure following a positive FIT test. My doc said nothing to worry about, let's test again in 10 years. Hopefully by then we'll know what really should be done
I’m impressed. Glad I subscribed.
I am glad that Dr. Vinay Prasad is outspoken! Its time to stop over screening. Its a waste of resource and should put the resource into healthy food support to many low income people.
I am agree I don't want that procedure drinking that liquid its ridiculous! Thank you! Your video would help us to educate in the long run.