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And -- it only takes about eight or ten minutes to the -- draws to perform this procedure.
They negotiate the scope around the -- which is often very difficult -- spent a good part of their effort not so much looking but negotiating instrument.
And then they look on the way out because that's the only way they really can't look here so they get -- one shot at it.
When we do a virtual cloth being on every colon I get to look at the call at least six times I can look at it ten times -- -- but it never less than six times well.
Even if you're not that bright if you get look at something six -- gonna have to have a little more accuracy.
So there's certain advantages -- you know you're released you're seeing the real it's virtual I thought what's you know from target.
No I just I don't understand how you could really be seen the inside of the -- a guy explain to the CT scanner -- if I had any kind of -- -- you know it.
-- -- can't fix multiple very thin slices that's not virtual and all that's that's quite -- it's taking.
Cross sectional images of very very thin slices of whatever organ you're looking -- And we look at those images but the computer also that generates a three dimensional rendering of that.
So it's not it's not fictionalized plus the software is so clever it actually knows what you've looked at so F five gone through this Colin.
He will show me by pressing a button the areas in this case they light up green that I haven't seen.
So we can actually direct me to the -- I haven't seen to make sure is you don't call attention to what may be about -- problem letters to very -- question is something a lot of well you know let's -- this job.
There are technologies available now.
That are not FDA approved in this country although I use it because I do some research is one of the company's -- computer aided detection.
A computer basically scans the colon and says look at this look at this look at this yeah and and I decide whether or not it's something real or not.
Does -- you two that would be one of the simpler asked very helpful.
And along the same way.
The virtual colonoscopy finds what are called extra -- findings as well.
It can find.
A -- is correct.
Yes you can find anything that can find kidney cancer pancreatic cancer confined and we know people in our organization.
Went in for a virtual colonoscopy and they found other.
Forms of cancer that there were caught an early -- -- were treatable so there are some side benefits to the virtual colonoscopy that you only get from that test.
I can understand why people who smoke get lung cancer.
Why are some people vehicles it.
Nobody knows they think it's related to diet they think it's related to obesity.
But they're really they really don't know what causes colon cancer smoking certainly contributes to it.
But that's that's what's scary about this is that if you don't smoke and -- way.
And we have lots of thin vegetarian cervical cancer alliance who have colon cancer we've people in their twenties and thirties cause -- why do you have other countries out of there are rated.
Even if you not had any we eating the wrong things and it's.
We do find a lot less -- cancer in the Mediterranean countries in the Asian countries where less incidence.
Yeah yeah there's there's less mcdonalds and more fish right Ryan a -- I think that while there are some vegetarian from.
The deacons who would get colon cancer I think your odds of -- -- feel lot of red meat and generally things of that do you feel arguing that for a lot of -- -- about Bob wants to know how can I find out who does the virtual method in Phoenix's.
-- could -- -- -- -- the American College of Radiology AC or dot org.
American -- reality based in Reston Virginia would probably be appropriate and there is.
A wider -- -- -- ninety.
Because it's a CT scans to cat scanned and radiologist who trained in.
Imaging and such as cat -- so that's where it originated with there was actually invented by.
Doctor David binding who's -- radiologists now it and -- Anderson in Houston so you as a radio.
Would do the exam the do the virtual and you're not gonna.
Go in there and and perform surgery if someone they have -- you know I'm gonna do the and we heard them and the firm to adapt when against a neurologist if they need to have a -- -- -- -- remove Apollo.
And like you said about one out of ten people need at -- and then can -- Kennedy I think I made a wise career.
We'll see you mr.
President Obama finishes up with his health care reform of this -- -- about your pick between two -- -- is performed.
That's real actually go anywhere and then and the person off well there are advantages and disadvantages I think it's only fair that we.
Discuss those and the advantages of -- called -- beyond that you don't get to put to sleep.
-- -- very brave and stayed awake but most people with control I didn't want -- To hold on -- -- okay well this Iowa what do we doss yeah you can tell me about it.
I want to knock down and I wasn't and I thought it was going to be and then they got -- well you're not.
You know I cleaned out although you have called back and they give me a hard time about it.
Like but I drank all that stuff I -- -- -- what you told that it did a white young like he was -- whole thing was meant.
It was nothin' dude I did what I.
How to lying though but cleaned up -- -- think I stopped eating about the study and seven if -- -- have a lot of you know in me.
-- full of it and that.
Either allow you to give Pedro says.
That I am glad to know virtual call he's been around for years to that -- told you before -- literally been.
Yet on the other than.
But you're going back so often because of that had colon cancer and because apparently the -- -- -- correct in the removing them domino and he.
For you if you were finding polyps yeah you probably should get it.
It's an article about it because you're gonna continue to have polyps and you're gonna have to have -- removed and doctors -- -- if I'm wrong but I would definitely say.
He should have standard if he's got -- polyps every.
Couple years old wooden.
The virtual tests show the we'll hit but I would say I would mean to conventional wisdom is that yes -- Fed.
The film history of colon cancer -- -- -- this group.
Let's assume that let's let's forget about you -- about somebody who will -- the difference would be that if you're with a doctor.
What does general thank you instead of the the -- is then one.
When they're in there looking if they see it they can take care of -- right right then and there that's you don't have to go through the flight and that's why the convention -- if somebody who's had a.
History of polyps should have conventional what we call -- -- now to a meeting using a light instead of this can.
But -- the downside -- that his well I display.
I don't disagree that's why say at least once.
In that person's screening history -- -- life they should get one virtual colonoscopy and -- study from the annals of internal medicine.
Has confirmed to me what I and many other doctors already -- -- haven't.
Internist I work in the Washington DC area right down in that downtown Washington DC.
And I have.
But lots of doctors and the patients and one of the reasons that they've come around to getting their patients involved with this technology is all of them.
Have seen patients who've had a -- last few in the last six months fifty years -- with colon cancer.
They pretty got good size colon cancer -- six months or -- that they were -- for dating gets seen probably on the right side of the colon so we know that.
I'd like to think of -- local Los the end of virtual Cosby is being complimentary it's not a war it's not like mine's better than yours that's silly what we care about.
In medicine I think most doctors those -- you wanna do the right thing for the patient did I do and I think most doctors do and I don't think.
I don't think that's that the minority think -- the vast majority we want to do the right thing what the right thing is sometimes isn't so clear.
So in this case I would see it as time evolves we get more exposure I think we'll find that people come around to the idea that.
Getting at least one virtual colonoscopy at some point in -- screening history with your high risk of Lawrence is -- be a good idea.
There is gonna show things that aren't seen on the optical colonoscopy well what else -- -- your -- none of what you honestly I don't know any but do it disparaged and it's very I teach the course someone of the teachers instruct -- -- the course of the American College of Radiology.
We teach other radiologists around the country decline from all fifty states to learn how to do this and it's a two day course is very intense -- that twelve -- today and the good thing when they're done at that -- that this thing it's certified.
It is very difficult for us to recruit radiologist to do this.
Why because they're difficult you have to actually pay attention and take time they're not the easiest test to interpret you don't to -- -- that you'd have to -- want to make the commitment to do.
-- and nobody's gonna get rich doing virtual colonoscopy so you know what from my.
You know sort -- a new figures say -- -- -- -- cook is the truth and I don't have any self interest the self interest is that.
I do enjoy doing and I think it's a good test here but if the gas from Iran this want to do -- -- somebody I had no -- that are all Jin has a question can in this test be used to look at deliver.
People -- liver disorders -- is have a tendency.
Okay oriented to that question CT scans can be used to look at the -- in patients with hepatitis C people with hepatitis C have an increased risk among other things cirrhosis and have had a cellular carcinoma cancer of the liver but a virtual cold enough to one of things we do is he's -- very low radiation dose.
Because he's gonna have subtly -- -- your lifetime we'd like to keep the radiation -- as low as possible that we little -- down it goes to do this because the call is filled with fair you don't need a lot of extra days to get -- there.
We can really lower the dose that's very good for keeping it goes down and it's fun -- seen the Colin.
But delivered to see the little -- -- got have a much higher dose so I wouldn't substitute a virtual colonoscopy for the detailed evaluation.
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