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marklewismd.bsky.social

@marklewismd.bsky.social
191 followers 154 following 6 posts
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marklewismd.bsky.social @marklewismd.bsky.social · 14/12/2024
5) talk to your doctor about your gut health (a diagnostic scope to work up symptoms is *different* than screening), know your family history (who’s the youngest relative affected by colon cancer & at what age?), and choose the approach that’s right for you Wishing you the best! m
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marklewismd.bsky.social @marklewismd.bsky.social · 14/12/2024
4) all in all there is no substitute for embodied experience — I can now better counsel my own patients on what colonoscopy entails; keep in mind, though, that many modern stool tests aren’t “just” looking for blood but precancerous DNA too (albeit not with perfect sensitivity)
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ALT: a man is standing next to an open toolbox with a cartoon character in front of him
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marklewismd.bsky.social @marklewismd.bsky.social · 14/12/2024
3) there is obviously a much larger debate around where to set the appropriate time of first screening, e.g. 50 or 45 for average risk? At age 45 I had five polyps removed (which will now be examined by pathology to determine if they had any malignant potential but *probably* better out than in)
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marklewismd.bsky.social @marklewismd.bsky.social · 14/12/2024
2) similarly sedation makes the whole procedure more comfortable but a “propofol nap” requires additional recovery time afterward — I was certainly in no state to drive myself home, for instance, nor could I work today as I usually would
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marklewismd.bsky.social @marklewismd.bsky.social · 14/12/2024
First colonoscopy done so finally this minister’s son can practice what he preaches! My impressions: 1) there’s definitely opportunity cost when it comes to the prep (for me MiraLAX + Dulcolax + simethicone + Gatorade) but there’s no way around needing to clear the lumen for the gastroenterologist
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marklewismd.bsky.social @marklewismd.bsky.social · 13/12/2024
Hello Bluesky! Rather than dipping my toes into new waters I am going to dive right in Tomorrow I’m having my first-ever colonoscopy Along with my gastroenterologist I am going to document the process to allay any fears or questions others have about the procedure See you in the morning! mark
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