Why Your Colonoscopy Can’t Wait
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/ Categories: WELLNESS, 2021

Why Your Colonoscopy Can’t Wait

When COVID-19 made its first appearance in Bennington, many people put off their regularly scheduled care out of fear of becoming infected with COVID-19 at the hospital. While the fear was understandable, it was ultimately unfounded. No transmissions of COVID-19 occurred to patients that we are aware. In honor of National Colon Cancer Awareness Month in March, we’d like to encourage you to resume your regular screenings, especially your colonoscopy. Here are our top 10 reasons for talking to your doctor about colon cancer screening today.

  1. Early colorectal cancer often has no symptoms, which is why screening is so important.
  2. Colorectal cancer is pretty common. Approximately 4.6 percent of men (1 in 22) and 4.2 percent of women (1 in 24) will be diagnosed with colorectal cancer in their lifetime.
  3. Most people have at least one risk factor for colorectal cancer. Risk is greatest among those with a family history of colon cancer, older people, men, and African Americans. Other risk factors include behaviors traditionally associated with high-income countries: sedentary lifestyle, Western diet, and smoking. Nobody is at zero risk.
  4. There are lots of screening tests available for colon cancer. For people of average risk, most doctors recommend a stool test every year, a stool DNA test every 3 years, and a colonoscopy every 10 years.
  5. While a colonoscopy is an invasive test, it is especially effective at detecting colon cancer. It’s so effective that if the majority of people in the United States age 50 or older were screened regularly for colorectal cancer, the death rate from this disease could plummet by up to 70 percent.
  6. Polyps and lesions that can turn into cancer can be removed during a colonoscopy. Let’s ponder that idea for a moment. What if your mammogram or prostate exam actually prevented cancer? You would be absolutely certain to schedule it as often as it was recommended!
  7. Insurers understand how powerful colonoscopies are. They cover them, because they work. It’s far better business to pay for one colonoscopy every 10 years than for 10 years of colorectal cancer treatment. For those who are insured, your colonoscopy is probably free. Note, if a polyp is removed, your insurance may cover it differently than a screening.
  8. The doctors and nurses make the experience of having a colonoscopy as comfortable as possible. You can choose from a number of different anesthesia methods based on your own comfort level and insurance coverage.
  9. Lots of safeguards help make receiving a test or treatment at the hospital as safe as can be. Among them, hospital staff are fully vaccinated, which lowers the risk of spread. Many community members are also vaccinated at this time. We screen for COVID-19 before the procedure. We encourage you to wait in your car, using our virtual waiting room, rather than sitting in the waiting room. And finally, all patients are masked, and staff wear masks and additional protection to keep you and themselves safe.
  10. There’s a lot of satisfaction and peace of mind that comes with taking all of the preventive steps you can and increasing your odds of living a healthier and longer life.

Talk to your doctor about your personal and family history and about when you should have your colonoscopy. Then schedule it, prepare for it as directed, and walk into your colonoscopy appointment knowing that you are making great use of your time and effort. 

David Furman, MD, is a gastroenterologist with SVMC Gastroenterology, part of Southwestern Vermont Medical Center and Southwestern Vermont Health Care, in Bennington. This column was written as a part of Southwestern Vermont Medical Center’s observance of Colorectal Cancer Awareness Month, which is celebrated each March. For answers to questions about colorectal cancer screening, call 802-447-5551.

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How to Maintain a Healthy Immune System

There are so many things that we have little control over. We can't control what genes we get, how old we are, or what viruses are circulating in our environment, but there is a lot we can do to prevent illness. Remarkably, many of the same habits that protect you from diseases like diabetes, cancer, and heart disease also help your immune system fight infections.

Most viruses can't hurt you until they get inside your body. So, we can help our immune system if we avoid viruses and cut off the ways they travel. Viruses can spread through the air, but not usually for very far. Keep your distance—at least 6 feet—from others, and be a good neighbor by wearing a mask in all public areas.

Viruses that cause the most common illnesses—respiratory infections, including the common cold, flu, and the new COVID-19—travel into the body through your mouth, nose, and eyes and make their way to the areas they infect, like the lungs. The best way to break this chain is to clean your hands frequently, and don't touch your face with hands that have touched anything else. In addition, you can reduce the number of viruses in your environment by cleaning frequently touched objects with a bleach- or alcohol-based cleaner.

Vaccinations are your next line of defense. Immunizations, like the flu shot, introduce a small and harmless part of a virus or bacteria. The vaccine gives your immune system an opportunity to make antibodies against the virus. A vaccinated immune system responds more quickly and effectively when illnesses are introduced. What's more, when we all get vaccinated, we decrease the likelihood that anyone will get sick. If you are unsure about whether you or your children are up to date on their vaccinations, call your primary care provider’s office.

Your third line of defense is living a healthy lifestyle. It is clear that the same things that help the rest of our bodies function also improve the strength of our immune response. Likewise, things that hinder our bodies' ability to function compromise the immune system.

Regular exercise might be the most powerful way to maintain a healthy immune system. By increasing heart rate and blood flow, we allow the cells and substances of the immune system to move through the body freely and do their job efficiently. Similarly, things that slow the movement of cells and substances, like smoking or drinking alcohol in excess, may decrease the body’s ability to function and decreases the immune response, as well.

Getting adequate sleep may also positively affect the immune response. Chronic sleep deprivation has been shown to decrease the beneficial boost in immunity from vaccinations.

Our emotional state, too—whether we are stressed, lonely, or depressed, for instance—affects our immune response so much that a relatively new specialty called psychoneuroimmunology now studies the connection. One pioneering study, conducted in the early 1980s, found that college students operating within a stressful 3-day exam period had fewer of the cells that fight tumors and viral infections. In simple terms, the students almost stopped producing immunity boosters and infection fighters.

Finally, physicians have concluded that eating a mostly plant-based diet—including fruits, vegetables, beans, nuts, whole grains, and lean protein—supports overall health and may also support immunity. Nutritious foods include important vitamins that the immune system needs to function, such as beta carotene, vitamin C, vitamin D, and zinc. Note, however, that supplements that claim to improve immune function have not yet been shown to do so to the extent necessary to protect against infection and disease. It is better to eat whole foods that are rich in vitamins rather than take supplements.

Always consult with your provider before making changes to your exercise plan or trying a new supplement and if you have any medical concerns. Physicians and the other professionals working in their offices also provide help for developing a plan for a healthier life. Call your primary care office or 802-447-5007 to find a primary care provider.

Healthy habits, like those that protect your body from disease and infection, are not always easy to adopt or maintain. Perhaps knowing just how important they are to maintaining a healthy immune response will provide the extra motivation necessary to make them a priority.

Kim Fodor, MD, is an internal medicine physician at SVMC Internal Medicine.

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