Page 10 - Boca Exposure - November '22

Page 10, Boca Exposure
Misleading News On Colonoscopy

For Colon Cancer Screening

By Steven E. Reznick, by the international media and played up with the idea No sane person wants to prep for a colonoscopy and
M.D., FACP that maybe screening colonoscopy isn’t such a great tool? have the procedure. However, it is one of life’s necessary
I rarely take issue NBC and CBS nightly news covered it that way. CNN prevention evaluations. The media’s presentation of
with research which actually led with a misleading headline about it. this study added great doubt to its efficacy. People will
is peer reviewed and If you actually looked at the individuals who had the undoubtedly skip colonoscopy screening due to the way
published in prestigious colonoscopy and applied those numbers to the patients newspapers and TV news shows covered this study.
medical journals, but a invited to have the colonoscopy, then the death rate from CRC Colonoscopies save lives and by removing precancerous
study published in the would have been reduced by about 50 percent and colorectal polyps with malignant potential save suffering too. I just
New England Journal cancer by 31 percent. The message should have been “If you had my colonoscopy. I hated every minute of the prep.
of Medicine regarding were screened with colonoscopy your chances of dying from The bowel cleansing preparation continued to upset my
screening for colon cancer colon cancer were reduced by at least 50 percent.” system for 12 hours post procedure. That said, it was
created more havoc and There were problems with the study. The health worth every second of feeling uncomfortable to prevent
uncertainty about the worthiness of screening with a care providers doing the colonoscopy were not as a miserable disease.
colonoscopy than is appropriate. accomplished at finding polyps as the physicians who Dr. Reznick is board certified in internal medicine
Michael Bretthaur, M.D., Ph.D. of the University of perform the study in the USA. The 10-year follow-up with added qualifications in geriatrics. He has been
Oslo in Norway invited almost 85,000 adults aged 55 to period of who developed colorectal cancer is considered voted a “Best Doctor” by his peers. His practice is now
64 in Europe to participate in a screening colonoscopy too short a window for this particular disease which open to a limited number of new patients. To schedule
or serve in a control group with no screening. Only 42 probably requires a 15-year observation window. The a complimentary meeting with him to discuss your
percent of those invited took the colonoscopy. Based research team conducting the study will now be following health needs, and his personalized care concierge
on the large numbers in the study, the conclusion was the participants for another five years to correct this flaw. medicine practice, call (561) 368-0191 or visit www.
that the procedure did little to reduce death from colon The numbers and conclusions are expected to change with BocaConciergeDoc.com.
cancer over a 10-year period. This conclusion was noted the additional five years of data.
What Is Mohs Surgery?

time depends on how far the skin cancer extends beyond Once your skin cancer is removed, your surgeon will
the obvious lesion. It takes longer to perform than a regular determine which plan will result in the best cosmetic
surgical removal, as the patient must wait for the tissue to outcome, either by placing stitches, letting the area heal
process and for the doctor to evaluate the margins under on its own, or perhaps by sending you to a plastic surgeon.
the microscope. On average, Mohs surgery lasts anywhere If you have skin cancer concerns, or believe you’re a
from two to five hours, but varies patient to patient. candidate for Mohs surgery, our team of board certified
Where Does The Procedure Take Place And What dermatologists and skin care experts are here to help.
Happens Post Surgery? We have a board certified facial plastic surgeon on
Mohs surgery is typically done in an office setting. The patient site to provide a team approach to the best cosmetic
By Siperstein Dermatology Group is fully awake during the surgery, but is quite comfortable, as outcome possible. We’d love to provide you with five-
If you have a personal or family history of skin cancer, the area being treated is completely numb with local anesthesia. star, lifesaving care, so please reach out to schedule an
there’s a very good chance you’ve heard of Mohs surgery. You may want to bring something to eat and a book to read, appointment today!
But what exactly is it and why is it used to treat skin cancer? keeping in mind that the amount of time you are in the office is
According to the Skin Cancer Foundation, Mohs unpredictable, as it depends on the extent of your skin cancer.
surgery is considered the most effective technique for
treating many types of basal cell carcinoma (BCC) and
squamous cell carcinoma (SCC), which are the two most
common types of skin cancer. Mohs allows you to keep
as much healthy skin as possible, because the surgeon
only removes the cancerous cells. This typically leads
to more favorable cosmetic outcomes.
Why Is It So Effective?
Mohs surgery is so effective because the procedure
entails removing one thin layer of tissue at a time. As
each layer is removed, its margins are studied under a
microscope for the presence of cancer cells. If the margins
are cancer-free, then the removal part of the surgery is
complete. If not, more tissue is removed from the margin
where the cancer cells were found, and the procedure
is repeated until all of the margins of the final tissue
sample examined are clear of cancer. In this way, Mohs
surgery eliminates the guesswork in skin cancer removal,
producing the best therapeutic and cosmetic results.
This tissue-sparing procedure has an unparalleled cure
rate for BCC and SCC of 98 percent or higher. Mohs differs
from other techniques in that microscopic examination of
all excised skin occurs during rather than after the surgery,
thereby eliminating the need to “estimate” how far out or
deep the roots of the skin cancer go. This allows the Mohs
surgeon to remove all of the cancer cells without cutting
healthy skin around the cancer.
How Long Does Mohs Surgery Take To Perform?
Since the procedure is done in stages, there is no way
to predict how long the procedure will take. The length of

Introduce Yourself
To Your Great,
Great Grandchildren

You have taken care to protect your financial
assets for future generations. Have you done the
same for precious memories? If not, we can help
preserve YOUR STORY for future generations to
share and cherish. In a relaxed interview format,
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Go to mystory.biz to see an actual interview.
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