What is Digg?63 Comments
- Fawkes, on 10/17/2007, -1/+10aren't there enough ***** on TV already?
- garugaga, on 10/10/2007, -2/+8In other news, virtual colonoscope porn sites are on the horizon.
- aliengoods, on 10/10/2007, -3/+8I know. They're going to take all of the fun out of the real thing.
- jwd2213, on 10/10/2007, -1/+6yea just what i was thinking, taking a ***** is allot worse than having something shoved up my ass
- DrDigg, on 10/10/2007, -1/+6They are on the horizon of proving they are worthwhile and on the horizon of getting covered by insurance companies/medicare. They still have some issues to sort out - screening intervals and cost benefit analysis stuff. But you are right that they have been done for years. I don't think that the Army has replaced regular screening colonoscopies with virtual. The VA definitely hasn't and they have more people over 50 than the army.
- inactive, on 10/10/2007, -0/+4as someone who has had one done... the stuff they make you drink has the consistency of mineral oil.... and regardless of what flavor you get it still is terrible...ohh... and the dosage is 1 gallon.....................so the news presented still pointless
- inactive, on 10/10/2007, -0/+3I checked. Satan is not listed as a PPO provider.
- GeneralKickass, on 10/10/2007, -0/+3Dude would you rather get a diagnosis now or end up on your deathbed 2 years later? Bunch of pansies I say.
- djpants428, on 10/10/2007, -0/+3wow, this kinda thing may just replace my usual saturday night.
- inactive, on 10/10/2007, -1/+4Hmmm...medicine is rather Satanic with blood...and the killing and goats...
- Velnich, on 10/10/2007, -0/+3Colonoscopies really aren't that bad. If you can get over the whole "my ass is exit only lawlz" bull *****, it can be a kinda cool experience to see what your insides look like.
- blathersby, on 10/10/2007, -0/+2I just edited a story on this for my Copy Editing class on a quiz. Awesome coincidence!
- funkytaco, on 10/10/2007, -1/+3I just saw my mothers colonoscopy photos which was to look for divertuculosis.
I AM SCARRED. My mom essentially goatsed me. - Aesculapius, on 10/10/2007, -0/+2There are 3 things that are not brought up in this article:
1. A study done about a year ago looked at patient preference between traditional colonoscopy, flexible sigmoidoscopy, barium enema and virtual colonoscopy. Barium enema and virtual colonoscopy both inflate the colon with large amounts of air (greater than tradition colonoscopy) and can be quite uncomfortable. Patients preferred traditional colonoscopy over any other test.
2. Radiation. CT scan has been the cool kid on the block lately with all the 128 and 256 slice imagers now showing up in hospitals. Couple that with a 3D rendering machine and you get very pretty pictures. This comes at the cost of all the radiation these patients are now receiving. A CT scan of the abdomen and pelvis (which is a part of virtual colonoscopy) is estimated to carry a 1 IN 1000 LIFETIME RISK OF CAUSING A NEW PRIMARY CANCER. Currently the perforation risk for colonoscopy is around 1 in 1000. So, would you rather face the risk of getting a cancer or getting a perforation?
3. The study that this article discusses showed that the results were highly operator dependent. Meaning that the accuracy depended on who was looking at the scan. - DrDigg, on 10/10/2007, -0/+2Thank god or I'd be out of a job. GI docs are the butt of all jokes though.
- ABombbmoBA, on 10/10/2007, -0/+2I have had 3 or 4 colonoscopies before. It isn't bad at all. They give you a cocktail in your IV so you don't even remember most of it. The worst part is drinking the laxative. I almost always end up vomiting it up and then just taking laxative pills instead. After it was all said and done... I had a very bad case of diverticulitis that was causing abdominal wall abcesses... they ended up removing half of my colon.
- fcukbush, on 10/10/2007, -0/+2pics or it didn't happen
- Smight, on 10/10/2007, -1/+3
If you don't count the ANAL RAPE part, drinking laxatives is definitely the most unpleasant part. - valkyries, on 10/10/2007, -0/+2dont worry u wont even remember the ANAL RAPE part :P
- Velnich, on 10/10/2007, -0/+2You obviously haven't had the procedure done.
- Typhoon2009, on 10/10/2007, -2/+4Let's see, drink a bile-like substance or be anally penetrated with a ***** camera...
- zephc, on 10/10/2007, -0/+2Will someone tell the aliens, so they can stop abducting people at night with promises of "free colonoscopies"?
- NSResponder, on 10/10/2007, -1/+3These guys have been doing virtual colonoscopy for several years.
http://www.netkisr.com/
I first heard about them when they attended a developer seminar at Apple about four years back, IIRC.
-jcr - mastercheif, on 10/10/2007, -1/+2Half Lytley ftl.
- inactive, on 10/10/2007, -1/+2I'm actually more interested in CT Angiograms of the heart for rapid assessment of Coronary Artery Disease.
As cool as virtual colonoscopy is, it still can remove polyps or perform biopsies. - tathead, on 10/10/2007, -2/+3On the horizon? Our company, http://www.lifesignsmd.com, has been doing them for a while now. The U.S. Army has used virtual colonoscopy in place of the traditional form since 2005.
- vault, on 10/10/2007, -2/+3Just what I've always wanted, a virtual colonoscopy.
- jdm0778, on 10/10/2007, -1/+2it says they still have to inflate the colon to see, i don't really see a huge advantage to that....
- inactive, on 10/10/2007, -0/+1ya, goatse.csx right? oh wait... damn internet.....
- sethosayher, on 10/10/2007, -0/+1Looks like my 'final-frontier' won't be explored anytime soon. Take that Kirk.
- skyfire1, on 10/10/2007, -0/+1This is going to be a hard one...
- boson3, on 10/10/2007, -0/+1Thundercracker, the gallon of stuff (GoLytely, Kleenprep) is not like mineral oil. To me it was list like a regular liquid. But it IS one horrible tasting gallon of evil, even the pineapple flavored version I had. They're also using an alternative to the gallon of evil (polyethelene glycol) these days which is a saline-based evacuant, taken in two doses of about 8oz that still takes awful. I've had that too-- it's like drinking a full glass of heavily salted water. To me it tastes worse than GoLytely but at least you don't get the bloated I'm-gonna-puke feeling from having to cram a whole gallon of stuff down.
I call bullsh*t on the "and carry a small risk of puncturing the bowel" comment. My friend's sister died from complications due to a bowel puncture that occurred during a colonoscopy, performed in a very well-known hospital. She was afraid of having it done at the local hospital, and traveled five hours to this one. My friend refuses to go for the procedure now. - LordSubtle, on 10/10/2007, -0/+1and then, virtual colonoscope shemale porn sites are on the horizon!
- yoda17, on 10/10/2007, -0/+1I can't wait.
- DrDigg, on 10/10/2007, -0/+1There are alternative preps that are smaller volume, but you are right you still have to do the prep for the virtual. Plus you are not sedated for the virtual one, while most regular colonoscopies you are knocked out.
- GeneralKickass, on 10/10/2007, -0/+1Dude it's drink a bile-like substance or drink a bile-like substance AND be anally penetrated with a ***** camera.
- code2joy, on 10/10/2007, -0/+1yes put the robot in my ass!
- GeneralKickass, on 10/10/2007, -0/+1The thought of a camera up my ass scares the ***** out of me. I probably won't be needing those laxatives...
- jtarheel, on 10/10/2007, -0/+1The one disadvantage to the virtual colon-scope, if they find a polyp, they can't snip it then. You have to come back, which means going through the gallon of fluid again. Which, some say, is the worst part. You are drugged into not remembering the actual procedure, although, not everyone forgets. The worst part is being part of a ward where several others have had the same procedure and you are told not to be bashful about releasing the gas inside you. So, you become part of flatulence brigade.
- jizzlies, on 10/10/2007, -0/+1LOL!!!
- thaslaw, on 10/10/2007, -0/+1Now THAT's what I call a romantic sunset.
- thaslaw, on 10/10/2007, -0/+1Geez. Why was it essential?
- DrDigg, on 10/10/2007, -0/+1I'm a GI doc and your correct about most of that stuff. That being said the issue that still needs to be sorted out is how frequent you need to do VC. They are not as good for small polyps so you may need one every 5 years (instead of 10 years for colonoscopy). If that is the case the economics is a little closer. The other thing is that the software for VC is so easy to read that I imagine GI docs will be reading them as well.
What I expect is most GI docs will buy a CT scanner and do their own reads and then do the colonoscopies on the polyps they find. Most radiologists are plenty busy doing other readings that it won't be an issue (unless the physician fee for reading a VC is huge - but it won't be). - knulpm, on 10/10/2007, -0/+1The virtual colonoscopy is an interesting example of politics in medicine. Currently, scoping people is a huge moneymaker for doctors who specialize in the Gastrointestinal system. And the "Katie Couric" effect led to MUCH greater awareness of colon cancer so, GI docs can make cash out the whazoo by doing a steady stream of colonoscopies (This isn't to say it's a scam, everyone over 50 SHOULD be scanned, but it's still a moneymaker).
Now Radiologists (doctors who specialize is imaging technology of the body...they're basically the "nerds" of doctors in personality) have invented method for checking for colon cancer with less cost and more convenience with what apears to be equal accuracy. In the future of VC replaces traditional colonoscopy this a huge coup for radiology. Especially consider many of their interventional techniques have been "borrowed" by other specialties (Cardiology/Vascular surgery for cleaning out arteries, Neurosurgeons for repair fo aneurysms).
Just a peek into the politics of medicine for you guys. - grrrrrrrrrrrrrr, on 10/10/2007, -0/+1OMG!! Herkimer! Is that you in Satan's colon?! [the best ad hominem...is served cold...with Barium]
- vtel001, on 10/10/2007, -0/+1The Visualization Lab at Stony Brook Univ. is one place where a lot of research in this field has been conducted
http://www.cs.sunysb.edu/~vislab/projects/colonosc ... - bib4tuna, on 10/10/2007, -0/+1this sucks, one of the things im looking forward to in 30 years is drinking that jug of goop and staying home from work ***** my pants... it was a laugh riot when my parents were doing it!
- DrDigg, on 10/10/2007, -0/+1Most studies show the perforation rate (hole in colon) of about 1 in a 1000-3000. But statistics are for populations not persons. Your chance is either 0% or 100%
- cleansecolon, on 07/24/2008, -0/+0This is very good news!
- LeonardSH, on 11/21/2008, -0/+0Very good
http://www.bowtrols.com/ -
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