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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The Latest Testing Information

The world of COVID-19 testing is very complex and changing rapidly. But gratefully, unlike early on in the pandemic, tests are available for everyone who wants one, whether they have symptoms or not. Below is a list of common questions, along with answers from SVMC’s Laboratory Services Director Karen Bond and SVMC’s Director of Perioperative Services Tanya Cowder, MSN, RN, CNOR.

What are the reasons someone may get tested for COVID-19, even if they don't have symptoms? People without symptoms of COVID-19 are being tested when they are admitted to SVMC, before being discharged to other facilities, before scheduled surgeries, or because they may have been exposed to the virus. Primary care providers are also able to order a test for those who need to return to work or school or to end quarantine or isolation. And anyone can be tested through the Vermont Department of Health's Pop-Up Clinics.

What types of tests are available for detecting active cases of COVID-19? SVMC offers Polymerase Chain Reaction (PCR) testing that is processed at both outside labs and our own lab, depending on how quickly results are needed. PCR, which was pioneered by American biochemist Kary Mullis in 1983, actually amplifies and detects the presence or absence of small gene sections. In this case, it determines whether or not COVID-19 is present.

The specimen is most often taken from deep in the nose-throat passageway (nasalpharyngeal). Patients experience eye watering and a burning sensation for 30 seconds or less. The test can also be taken from inside the nose (anterior nares), depending on the patient population. The most common type of test, like those administered both at SVMC’s drive-up testing station and at the Vermont Department of Health’s Pop-Up Clinics, is greater than 90% sensitive (meaning that the test picks up the virus, if it is present) and greater than 90% specific (meaning the test detects the COVID-19 virus, as opposed to other viruses).

How do I get my results and what should I do? Results are usually provided by a primary care provider within 48 hours. Your primary care provider will share specific directions regarding what you should do next. The Centers for Disease Control and Prevention is sharing this table, which provides a synopsis of tests, what results mean, and guidance for what to do. If the test is positive, the Vermont Department of Health may call before the primary care provider to initiate contact tracing.

Are all of the tests sufficiently available? Yes. Anyone with an order from their primary care provider can be tested at the drive-up testing site at SVMC. Anyone can be tested at the Vermont Department of Health's Pop-Up Clinics. Visit https://humanresources.vermont.gov/popups for times, dates, and locations. Tests for inpatients at the hospital are also in adequate supply.

Important Note: Remember test results offer a snap shot of the current active viral load. A negative test result doesn’t reveal whether you have been exposed in the past or predict whether you will be infected in the future. Whether or not the result is positive, we should all continue to wash our hands frequently, wear masks when in public and in proximity to those outside of our household, and stay 6 feet from others.

What about antibody tests? Antibody tests (serology) are also available. It does not tell you if you have active disease. Antibody tests check for antibodies that appear in the blood between about 1 – 3 weeks after symptom onset and may remain as long as a lifetime. Antibody tests may be positive while a person is infected. It is not yet known whether these antibodies protect against reinfection with the COVID-19 virus. For many other similar viruses, antibodies are protective for years or longer, but we do not yet have adequate data to know for COVID-19. Patients who would like the test would get a referral from their primary care provider and come to the SVMC Lab to have blood drawn. Results are delivered by the primary care provider.

Those who receive a positive antibody test or who have recovered from COVID-19 may qualify to donate plasma with the American Red Cross. The plasma, which includes antibodies, may help those fighting the disease. Learn more at https://www.redcrossblood.org/donate-blood/dlp/plasma-donations-from-recovered-covid-19-patients.html.

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