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Doctor insights on: Ama Colonoscopy Guidelines

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Current recommendations for breast cancer screening?

Current recommendations for breast cancer screening?

Awareness: For you few years from now regular breast examination by the physician, monthly self examination, annual mammography , if needed sonography, some times mri, core needle biopsy of suspicious dencities. Genetic study ( braca i & ii ) if there is strong family history. ...Read more

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Dr. Charles Cattano
2,048 doctors shared insights

Colonoscopy (Definition)

Colonoscopy is the procedure of using a long flexible camera to visualize the entire colon from the inside with the option to take pictures, video, perform biopsies, remove polyps, etc. Generally people are sedated and do ...Read more


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Screening for breast cancer--need latest us recommendations and rationale?

Screening for breast cancer--need latest us recommendations and rationale?

Awareness: Form age 35 (in suspicious group ) to 40 yrs and on regular breast examination by the physician, monthly self examination, annual mammography , if needed sonography, some times mri, core needle biopsy of suspicious dencities. Genetic study ( braca i & ii ) if there is strong family history. ...Read more

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Current STD screening recommendations?

Current STD screening recommendations?

Risk-based: Talk to your healthcare provider about specific concerns! in general, if you are a woman under 25, test for gonorrhea and chlamydia each year, and over 25 if you have new partners or multiple partners. Hiv/syphilis/hepatitis testing if you have another std, have had more than one partner since your last test, or use injection drugs. Pap tests every other year (age 21-30) or every three (age 30-64). ...Read more

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Do colonoscopies screen for colon cancer?

Do colonoscopies screen for colon cancer?

Yes.: That is one of the main reasons for colonoscopy. The gastroenterologist usually can see every part of the colon wall and biopsy suspicious lesions. Often this is curative if found early. While not completely true, consider all polyps to be future cancers and most cancers come from polyps. Screening should begin at age 50 unless there is a history to suggest beginning earlier. ...Read more

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Is there any agreed upon guidelines for psa screening?

Is there any agreed upon guidelines for psa screening?

USPSTF: No agreement, but the US Preventive Services Task Force publishes a synthesis of the data and recommendations based upon prevailing evidence. http://www.uspreventiveservicestaskforce.org/prostatecancerscreening.htm ...Read more

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If I had clean colonoscooy 10 years ago,no family history of colon cancer, no issues, iscologuard ok?

If I had clean colonoscooy 10 years ago,no family history of colon cancer, no issues, iscologuard ok?

Maybe one day: There are large studies underway right now to answer that question. The US Preventative Services Task Force has not yet decided on whether the fecal DNA test is enough on its own to screen for colon cancer. ...Read more

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Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?

Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?

COPD and DNR: I recommend going to uptodate and review what their recommendations are. This is the best source of good medical information I have found. When you read the sections on these issues you can also click on the reference to see the cited reference. ...Read more

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What are the dietary guidelines for post liver transplant patients?

What are the dietary guidelines for post liver transplant patients?

Moderation: A generally healthy diet is most important. Unless a specific genetic disease is present, most recipients should try to follow an overall moderate diet that is not typically american and not too rich in carbohydrates and fats. But with a new, healthy liver, there are no specific restrictions. ...Read more

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Best institution for experimental protocol to add to nexavar (sorafenib) for metastatic HCC - 34 yo Asian male, s/p omental resection?

Best institution for experimental protocol to add to nexavar (sorafenib) for metastatic HCC - 34 yo Asian male, s/p omental resection?

Many: The top Cancer Centers are located in Houston(MD Anderson) and New York(Sloan Kettering Center. Tell us which state you live in, we might be able to help you find someone closer to your home ...Read more

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What happened at komen foundation for breast cancer screening?

What happened at komen foundation for breast cancer screening?

Still there: The komen foundation still provides money to organizations to provide screening mammograms. I recommend checking iwth your local health department to programs. Komen relies on donations to keep providing this worthwhile services. ...Read more

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Family history lung cancer before 50. I'm 32 former smoker. Good age for low dose CT screen? I do not fit current screening requirements. Studies say I have 80% increase lc risk, scared!

Family history lung cancer before 50. I'm 32 former smoker. Good age for low dose CT screen? I do not fit current screening requirements. Studies say I have 80% increase lc risk, scared!

Too early to screen: Fam hx of lung cancer in a first degree relative? Less concerning if it is not. Former smoker at 32? What is your pk/yr smoking history? Risk does not increase significantly over nonsmokers until > 10 pk/yr. Smoking assoc lung cancer is very rare before 45 yoa. If lc is in first degree relative & smoking hx >10 pk/yr and very concerned discuss with your PCP and get low dose CT at 45 then every 2 y ...Read more

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What are screening recommendations for intestinal cancer?

What are screening recommendations for  intestinal cancer?

Colonoscopy: Colonoscopy is recommended to begin at age 50. Further recommendations are made depending on the findings of the first colonscopy. ...Read more

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Best nci national cancer institute breast cancer risk assessment tool?

Best nci national cancer institute breast cancer risk assessment tool?

Gail Risk Assessment: Gail breast cancer risk assessment tool. See: http://www.Cancer.Gov/bcrisktool/. ...Read more

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Is colonoscopy w/o biopsy reliable? Does routine colonoscopy w/o symptoms also check for anal cancer? Finally, can be cancer mistaken for hemroids.THX

Is colonoscopy w/o biopsy reliable? Does routine colonoscopy w/o symptoms also check for anal cancer? Finally, can be cancer mistaken for hemroids.THX

Here are some...: Your Q is well taken. However, even today all what medical professionals can do is to apply current available knowledge, skill, technology, medication, common sense, & wisdom at reasonable time in reasonable way for reasonable patient. More facts: Behind what we know always still hides a lot of what we do not know. Nonetheless, what you have had should be sufficient to assure your current health. ...Read more

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Must I vaccinate my child according to standard CDC guidelines?

Must I vaccinate my child according to standard CDC guidelines?

Reasons for guides: The cdc guides along with those of the aap and other groups are based on several main ideas.How soon can they be given & provide safe & effective benefit?How many can be given at a time with the safe & effective coverage.How often are boosters to maintain coverage? With international travel a carrier can be in your mall tomorrow & expose your kids.Gamble on the protection & ur kid may pay a price. ...Read more

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In 2012, only 9% of eligible patients received an annual wellness visit. Why don't more primary care doctors perform it for their medicare patients?

In 2012, only 9% of eligible patients received an annual wellness visit. Why don't more primary care doctors perform it for their medicare patients?

Minimal incentive.: 100% of our eligibles get it. I suppose that many don't do it because it is not incentivized well. It is a lot of work and creates a lot of new processes and thinking. ...Read more

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Experts, might someone recommend nexavar (sorafenib) for a stage 4 inactive neuroendocrine pancreatic cancer patient?

Experts, might someone recommend nexavar (sorafenib) for a stage 4 inactive neuroendocrine pancreatic cancer patient?

Possibly: Stage 4 indicates that you have net at a site distant from the pancreas or regional lymph node, likely the liver. Not clear what you mean by"inactive", whether you mean it is stable or not secreting any substance. In any case, sorafenib (nexavar) is being tested in metastatic net in clinical trials (http://clinicaltrials.Gov/ct2/show/nct00131911) & (http://www.Ncbi.Nlm.Nih.Gov/pubmed/23475104). ...Read more

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