Medical issues and procedures

[Esteban]

^ Hope you get better soon, Rick. As I mentioned before, I've been lucky so far and have not gotten it.

[RickFLM4]

Originally Posted by Esteban

^ Hope you get better soon, Rick. As I mentioned before, I've been lucky so far and have not gotten it.

Stay lucky!

[chassis]

Originally Posted by KRS_SN

True. There is an adage that most men die with a prostate growth than from it.
A related chart on PSA screening in asymptomatic men

Interesting chart. Is there something similar for colorectal (bowel) screening?

[KRS_SN]

Originally Posted by chassis

Interesting chart. Is there something similar for colorectal (bowel) screening?

The Quantitative Feacal immunochemical test.
Risk of colorectal cancer (CRC):

In an asymptomatic patient >50yr old, the risk of CRC is about 1 in 200.
In a symptomatic patient group, without qFIT testing, the risk of CRC is 3.3%
Using qFIT as a test in symptomatic patients defines 2 groups:
qFIT positive, with a risk of CRC of 16%
qFIT negative group (without IDA or a mass), with a risk that is below the asymptomatic population i.e. 1cm, Inflammatory Bowel Disease and Cancer):
qFIT400 - >50% chance of significant pathology

[Maynard]

Are trying to say that detecting prostate cancer earlier than stage IV does not offer any benefits to the patient? That seems like dangerous nonsense. Trying to go from epidemiology to individual decisionmaking is a tricky business (business being the operative word here, as what is usually being saved is $).

[chassis]

Originally Posted by KRS_SN

The Quantitative Feacal immunochemical test.
Risk of colorectal cancer (CRC):

In an asymptomatic patient >50yr old, the risk of CRC is about 1 in 200.
In a symptomatic patient group, without qFIT testing, the risk of CRC is 3.3%
Using qFIT as a test in symptomatic patients defines 2 groups:
qFIT positive, with a risk of CRC of 16%
qFIT negative group (without IDA or a mass), with a risk that is below the asymptomatic population i.e. 1cm, Inflammatory Bowel Disease and Cancer):
qFIT400 - >50% chance of significant pathology

Thanks. This is brilliant.

Does it mean 68 colonoscopy referrals were correct, out of n=2000? In layman's terms, 3.4% correct referral rate?

BMC looks like a useful resource, thanks for bringing it to light.

[KRS_SN]

Originally Posted by chassis

Thanks. This is brilliant.

Does it mean 68 colonoscopy referrals were correct, out of n=2000? In layman's terms, 3.4% correct referral rate?

BMC looks like a useful resource, thanks for bringing it to light.

If you focus on the green box(where qfit was normal) and the white box linked to the green No cancer.
Ie if Qfit is normal 99%sure you don't have cancer.

A screening test is good if it excludes cancer
Out of 1000 people with normal qfit only 1 could have cancer.
So Over 50's getting a qfit test which is quite a simple test every 1-2 years is the best insurance policy to pick up any colorectal cancer before any symptoms arise at an early stage.

[chassis]

Originally Posted by KRS_SN

If you focus on the green box(where qfit was normal) and the white box linked to the green No cancer.
Ie if Qfit is normal 99%sure you don't have cancer.

A screening test is good if it excludes cancer
Out of 1000 people with normal qfit only 1 could have cancer.
So Over 50's getting a qfit test which is quite a simple test every 1-2 years is the best insurance policy to pick up any colorectal cancer before any symptoms arise at an early stage.

Thanks. Is there a chart, similar to the prostate example earlier in the thread, that says anything about the number of lives saved due to FIT screening?

[KRS_SN]

Originally Posted by chassis

Thanks. Is there a chart, similar to the prostate example earlier in the thread, that says anything about the number of lives saved due to FIT screening?

Not a chart but this is the best I could find
https://gut.bmj.com/content/70/12/2321

[GarySL]

Stung by a yellow jacket today, scrambled for first round of Prednisone, with Ibuprofen and Zyrtec chasers and ice pack

[Lady Jane]

Originally Posted by GarySL

Stung by a yellow jacket today, scrambled for first round of Prednisone, with Ibuprofen and Zyrtec chasers and ice pack

That's nasty looking.

[GarySL]

I react terribly to insect stings. Not to an Epipen degree, but yeah a degree of nastiness

[RickFLM4]

Originally Posted by GarySL

Stung by a yellow jacket today, scrambled for first round of Prednisone, with Ibuprofen and Zyrtec chasers and ice pack

Goddamn. Hope you had the prednisone in stock.

[Esteban]

Yikes! That looks bad. Remind me to never get stung by a yellow jacket. 👎

[GarySL]

Originally Posted by RickFLM4

Goddamn. Hope you had the prednisone in stock.

Thanks Rick, luckily we keep the 7-6-5-4-3-2-1 prednisone prescription in our camping gear & in the car. Sucks for timing, as I was getting ready to complete work on our second unit facade rebuild. I helped with one handed duty.

[Llarry]

Originally Posted by GarySL

Stung by a yellow jacket today, scrambled for first round of Prednisone, with Ibuprofen and Zyrtec chasers and ice pack

I went through a few years of getting stung by yellow jackets every year and it seemed to always be in the same spot on my left hand -- and would swell up like that. Haven't been stung in years, fortunately.

[CLTMDA]

I am allergic to bees, but went through a dedensification program as a kid. My reactions are now like that and tend to resolve themselves with a strong dose of Benedryl. Parents say I came within 5 minutes of dying twice, but only remember one of those. I look at getting stung now as a booster shot.

On another note related to this thread, I got the pleasure of having my gallbladder removed a few days ago. The thing ruptured while they were taking it out, causing them to keep me in the hospital an extra day or two.

[vreihen16]

Originally Posted by CLTMDA

The thing ruptured while they were taking it out, causing them to keep me in the hospital an extra day or two.

You're lucky. I had my appendix pop during surgery in the age of disco, and I spent 17 days in the hospital recovering.....

[Esteban]

Originally Posted by vreihen16

You're lucky. I had my appendix pop during surgery in the age of disco, and I spent 17 days in the hospital recovering.....

You've gone through some shit, haven't you?

[vreihen16]

Originally Posted by Esteban

You've gone through some shit, haven't you?

I never mentioned my root canal without Novocaine. I'm a walking malpractice suit.

On the topic of medical issues, is there an official name for the hand/arm motions of elderly people (not naming a prominent politician as an example) where they walk with their hands forward like they are carrying an invisible walker or bracing themselves for a fall? I caught myself doing that the other day, and want to know what it is to do my homework before an upcoming doctor appointment in a few weeks.....

[Lady Jane]

Originally Posted by vreihen16

On the topic of medical issues, is there an official name for the hand/arm motions of elderly people (not naming a prominent politician as an example) where they walk with their hands forward like they are carrying an invisible walker or bracing themselves for a fall? I caught myself doing that the other day, and want to know what it is to do my homework before an upcoming doctor appointment in a few weeks.....

It's called Gait Disorder or Dementia Posturing depending on diagnosis.

[KRS_SN]

Originally Posted by vreihen16

I never mentioned my root canal without Novocaine. I'm a walking malpractice suit.

On the topic of medical issues, is there an official name for the hand/arm motions of elderly people (not naming a prominent politician as an example) where they walk with their hands forward like they are carrying an invisible walker or bracing themselves for a fall? I caught myself doing that the other day, and want to know what it is to do my homework before an upcoming doctor appointment in a few weeks.....

Festinant gait