Should a 50 year old get a colonscopy w/ Z dogg

Vinay Prasad, MD MPH; Physician & Professor
Hematologist/ Oncologist
Professor of Epidemiology, Biostatistics and Medicine
Author of 450+ Peer Reviewed papers, 2 Books, 2 Podcasts, 100+ op-eds.
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[@freeforce3]

Where is the rest of the video?

[@BenjesBride]

zdogg's channel: "you know 40 people die of coloral cancer but 960 people die for other reasons out of like 100, people like it's a rare cause of death and there all these other ways you can die you get Lem you get hit by a truck you can die have a heart attack you can all these things that we're not talking about and John mandrola would say I only want to do something if you put a dent in the whole problem if you can show me that I'm really going to live longer live better by doing this otherwise leave me alone I don't want to be medicalized and I'm sympathetic to that point of view so I can see a John mandrola saying no thank you"

[@MatthewElvey]

@both: out of 1000. 40+960=1,000.

[@phbaynes4237]

I know 3 people that had their intestine perferated. One in terrible health now

[@diannsmith5894]

I’m a GI nurse. I’ve only ever seen a perforation ONCE, with a pt who had severe disease in her colon which made her colon like tissue paper. I think it has a LOT to do with the skill of the doctor performing the test.

[@kerrymartin7557]

Yikes!😳

[@patpoole6653]

@@diannsmith5894 umm hmmm

[@wallihaley5194]

Wow, I have had 4 colonoscopies (family history of cancer) and so far, no issues at all. I have never met anyone who had their intestines perforated during that procedure thought I do know the statistics say it’s a 1 in 10,000 chance.

[@kimlandefeld3005]

That’s what everyone glosses over. Perforations happen. I read if over 70 years old not to do unless there is a problem. Too easy to punch a hole. And the doctor isn’t even held responsible.

[@mamandapanda185]

My name is z dogg and I love the way boots taste nom nom

[@rockymountainwoman2618]

Dr Prasad thanks for referencing the research, pointing out the financial incentives and issues with screening.

[@shsummers]

"Z Dogg"....well, he was soooo prescient and 'on the money' regarding covid and the associated shot, so why WOULDN'T I want to listen to what he has to say?!? Please enlighten us, oh great one. Lol.

[@hooligan2005]

Thanks for that. I came to the comments to see if other people remember

[@wallihaley5194]

@@hooligan2005, well, I remember that he wasn’t enthusiastic about masking, thought it was stupid that CA mandated it even if you were outside, was totally against the schools closing, and didn’t think the vaccine should be mandatory. He sounded reasonable given the information he had and was willing to keep an open mind.

[@danielk6878]

Z Dogg is like a child and is embarrassing I will never forget his Insanity during covid. Even here he talks like a child about a stool sample. You're 50 years old so give me a break

[@wallihaley5194]

@@danielk6878 , actually he was pretty centrist during COVID. He wasn’t enthusiastic about masks, and thought we should not be shaming people for not wearing them, he definitely didn’t support schools and businesses closing, he was appalled by hospitals not allowing visitors who wanted to see their loved ones afflicted with COVID, and he didn’t support the vaccine mandate. He didn’t think young children needed to be vaccinated. What “insanity” are you talking about?

[@danielk6878]

@wallihaley5194 he was all for the shots and pretty mocking to those who didn't get them. And I watched a lot of his stuff. Plus he mocked many of the doctors that were trying to help the situation. And don't tell me that he didn't because again I watched many of his videos

[@bailey309]

Colonoscopy at 47 found a 6cm diameter polyp. Had it removed in a major operation a couple of months later. Biopsy showed cancer. 59 now. Have a colonoscopy every three years.

[@Mr.N0.0ne]

If only you'd write "I" in your sentences we would be able to know whether you are saying that you did something or whether you are advising others to do something. "Have a colonoscopy every three years" is an advisory statement to others, but based on your previous sentences you probably mean "I had a colonoscopy..."

[@rebeccakasthuri4202]

@@Mr.N0.0ne😂😂😂

[@BrianLatimersPage]

Z dogg likes to laugh at parents who lost children to the "safe and effective". Wretched behaviour, bordering on evil.

[@brockreynolds870]

No, you are just blaming "safe and effective". Sudden cardiac arrest happens in young people all the time, that's why legislation was passed in many states 10-15 years ago requiring defibrillators be installed in high schools. I know Rhode Island passed the law in 2012.

[@gmil2573]

Really appreciate your candor and humor. This is a true public service, thank you!

[@cybersectech3171]

Why was the last sentence cut off "Forty people die of colon rectal cancer but....

[@Ramiiam]

Make that 41.

[@sailorsamperson3345]

one of the ultimate cliff hangers… I’ll be looking for the next episode.

[@stldweller]

Dr. Prasad, I love your takes.

[@bfspitzer]

Always enjoy listening to your discussions! As a general surgeon I also do colonoscopies and flexible sigmoidoscopies. I find that patients are more compliant with oral bowel prep going the typical direction than they are with enemas going the opposite direction. Medicare pays $191 for a screening colonoscopy and $59 for flexible sigmoidoscopy (CA), so not quite that $2000 in the cecum😂. The fear of being blamed for leaving a right sided lesion behind is a stronger force than any financial incentive, despite not having a statistical basis for that feeling. Really appreciate the work you do!

[@michaelplunkett5124]

Right sided lesions behave differently. See flex sig study by Prof. Wendy Atkins. It’s larger and better than any colonoscopy study done. US GIs won’t allow colonoscopy study because they will lose.

[@goutfromfriedokra]

This is confusing. I'm 47. So I should get flex sig instead of cologuard and colonoscopy based on data?

[@Cary2693]

Z Dog a fool

[@NOYFB982]

Cologuard also has FIT as part of it…and, most (some would say almost all) of the diagnostic power of Cologuard is the FIT ($15) portion, not the genetic test portion ($500)…!!

[@jenbullock9414]

Interesting thanks

[@r3sfernjbb]

I became extremely ill from the prep. Passed out, temp loss of hearing. Apparently I’m not the only one either.

[@razmiihsan8897]

Thank you very much for sharing your thoughts prof. May Allah bless you with the straight path.

[@MPJohnny5]

Z Dogg the super vax king 👑

[@mrwojna]

I’m glad people are not forgetting that. Has he come around or doubling down?

[@MetalAsFork]

@@mrwojna He was a massive prick. I imagine there's been zero prostration or contrition at all. At best you'd get a version of "I was just doing what I thought was right".

[@valsmom1]

These two aholes condemned non vaxxers while arrogantly defending the clot shot. Well compensated doctors murdered patients in hospitals because they would not treat early and derelously withheld ivermectin from patients. Remember the unforgivable advice to sickened people to stay away from hospitals and doctors until you had trouble breathing? ☠ 💰

[@mrwojna]

@@MetalAsFork They deleted my reply, didn’t they? 😂

[@MetalAsFork]

@@mrwojna Probably. Could be a link or certain word that got it autopruned.

[@Drfresh1402]

Z dogg is on the wrong side of history.

[@eastsidebubba]

I'm curious. What if instead of death, you want to find out what testing has the biggest decrease in the need for a colostomy bag.

[@snowps1]

My 64 year old uncle just died from colon cancer a two weeks ago because he never went for a colonoscopy at age 50. He was too embarrassed. When he started having symptoms he just ignored them because he was too embarrassed. When he finally went to the doctor the cancer was everywhere and he only lived about 18 months after that.

[@Mr.N0.0ne]

What is common cancer?

[@ceeemm1901]

@@Mr.N0.0ne The one rich people don't get.

[@snowps1]

@@Mr.N0.0ne sorry, colon cancer

[@sassysandie2865]

That’s a story, not the norm.

[@martinlutherkingjr.5582]

@@sassysandie2865Normally people who get colon cancer die from it if it is discovered late. So it is the norm in colon cancer patients unlike prostate cancer.

[@merrymary6013]

One of my favorite podcasts ever; you 2 doctors together! Always love your knowledge, your truth speak and your honesty Dr. Prasad. You cut this one short, leaving us all wanting more!

[@ChrisCapoccia]

Since US insurance is largely only covering colonoscopy and not covering sigmoidoscopy, this whole discussion is just pushing people to skip all the screening which seems like a net harm to me. It's true that best current evidence shows sigmoidoscopy is just as good as colonoscopy, but some screening is better than no screening even if it's not as fantastic as marketing might make it seem. (Bretthauer et al 2022 "Effect of Colonoscopy Screening on Risks of Colorectal Cancer and Related Death") Additionally this discussion is skipping over separate advice for people with family history. Prep is not that bad. You take a vacation day and play with your phone on the toilet all day

[@bruceperry1408]

Fear of prep is overdone but they did not include the ones that fall ding prep and sustain injuries. Small number? but happens.

[@nicole-1]

😂 is it wrong that I didn’t mind the prep? Felt like I was peeing out me bumhole 🫢

[@EvelynSchmechtigCochran]

Kaiser does a poop test to check for blood. Is that good enough?

[@surgicalcapscom]

moved to 45 to make more MONEY, it's all about the colon money journey

[@goutfromfriedokra]

are u a surgeon? How do u know?

[@jamescalifornia2964]

Colonoscopy is conclusive . Stool test is not .

[@martanieradka4675]

Colonoscopy is not that bad, you get sedated but a little, you can watch the screen with the doc. It is just uncomfortable afterwards as you’ll have a lot of air in your intestines. Prep is indeed a bit difficult as you will be sitting on the toilet a lot, but you prepare at home so not a big deal. If you are concerned and have some symptoms go and have it. Scripps in San Diego does a great job, not sure how it is done elsewhere.

[@yuaus]

How often do you get flex sig?? Every 10 years? Add FIT annually still on top of Flex Sig?

[@felixmoyoedonmi]

Oh no, not Zdog again. Please 🙏

[@Kaplan3093]

Cry, cry

[@karenkaren3189]

Don’t watch him if he bothers you

[@sl4983]

Why not?

[@felixmoyoedonmi]

@@sl4983 The shameless defense of the clotshot is unpardonable.

[@ceeemm1901]

@@karenkaren3189 Gotta keep an eye on the enemy....

[@Rickpa]

I love it when you guys talk shit!

[@aerogers4117]

It cuts off with "but...". We don't need a 💩 cliffhanger.

[@MAwithMKloves2knit]

I'd love to hear the end of this.

[@ben.tanner]

The full episode is also available, on KZbin and the podcast 🙂

[@pista01slk]

I did the poop in a box thing. I had to do it again because apparently the sample was too large.

[@jamescalifornia2964]

Very common...

[@kbaz6658]

No mention of colonoscopy when you know you have a genetic predisposition heterozygous or homozygous? Prep clean out is better than it used to be. I got propofol on the last few occasions. Had a nice dream and woke up rested. Is there an age when you probably can stop colonoscopies when you have had polyps in the past? Drs saying the prep is brutal? Smh.

[@elizabethw.454]

It's definitely not "brutal" lol

[@karenkaren3189]

I agree the prep wasn’t bad Just stay close to the bathroom

[@kerrymartin7557]

My friend said it was. She had ONE conoscopy & says she'd rather die from cancer than do it again.🤷🏼‍♀️

[@kbaz6658]

Experiences vary depending on the prep and the Dr doing the procedure. Some people don't handle them well, and their pain and pooping threshold is different. It shouldn't be painful, but the experience varies obviously. Just wonder what specifically was worse than dying. Prep, nurses, IV, anesthetic, dr, embarrassment?

[@oliverallen5324]

cut at just the wrong moment :(

[@stevehaver7545]

Had the colonoscapy at 52. The worst thing was drinking the prep "go lightly" everything else was easy. Drink it all the day before. I drank 12 oz every 90 minutes until it was gone. About 8 glasses. I mixed 3 or 4 packets of crystal light lemonade flavoring into the gallon jug. It helped a lot. Dont mix anything with red or blue or green. Clear as possible. No issues. They found 1 polyp. Told me not to come back for 7 years. I will wait until 60. Pro tips : Eat light the day before the prep. Mix in crystal light lemonade to make it taste better. Drink it all the night before. 8 large glasses with ice works good. Do not eat anything once you start prepping. Do not eat anything until you get the proceedure other than water.

[@darrisnelson5223]

70… no colonoscopy for me.

[@missdeeva2266]

Stage 3 rectal cancer discovered during a colonoscopy for my husband. These screenings save LIVES and not enough people go for them. I personally think the age needs to be lowered for screening because our diets/lifestyle in this country is directly related to all the CRC cancers

[@baseballdude8491]

Cliff hanger Where's the ending of video Do I gotta go to zdog

[@gribbler1695]

yup

[@cooldoctor174]

Rest of vid please

[@ben.tanner]

They did post the full video also. And it's on the VPZD audio podcast.

[@karenkaren3189]

I’ve had 3 colonoscopies so far, no problem. Had one or two polyps removed.

[@olibertosoto5470]

LOL! Surprise!!! The thumbnail says it all.

[@ybrueckner5589]

Go litely was named by the creators of clockwork orange

[@jp7357]

I’ve had 3 .. first one 15yrs ago found a polyp ? Removed. Went plant based … no more polyps. I also know 2 people who have died horribly from colon cancer (in mid 50's) after refusing to get colonoscopies … one had a family history.

[@brockreynolds870]

I had a good size polyp removed at age 29. Another smaller one removed at 39, and smaller one yet at 47.

[@brianmartalus6231]

Just got my first colonoscopy yesterday. Prep really was not fun procedure was fine although going under general anaesthesia always makes me nervous for some reason. Glad I did it now now that it's over.

[@kbc1883]

You don't have to go under general anesthesia. I didn't when I had a colonoscopy. It isn't comfy, but it was bearable and I certainly prefer that to the dead brain cells that definitely happen every time one goes under general and the many risks that come with general.

[@brockreynolds870]

It's not general anesthesia. It's called "twilight" anesthesia

[@kbc1883]

@@brockreynolds870 Even twilight anesthesia results in the risks and guaranteed negative consequences, particularly brain cell destruction, that many of us prefer to avoid by going without any anesthesia. It isn’t for everyone, but I’d rather have the momentary pain than the lasting damage.

[@dort5436]

My dad died of colon at 43! 50 is too old

[@purplgrits7916]

Have you ever had a flex sig VP? Not fun and if it’s positive a colonoscopy anyway , think about it

[@gordhead]

I like to do mine separately

[@JRR100]

Came here just to comment. These two have no historical track record and have not appologized.

[@patpoole6653]

What do colonoscopy and mammograms have in common? No effect on the all cause death rate, hmmmm, they don't work. I have had numerous friends and family injured in this process. One that was perforated and had to have 2 surgeries to fix and almost died. Mother in her 40's symptom that they did it for excessive thirst.

[@brockreynolds870]

"numerous"...... it happens in 1 in 10,000 procedures, and you have "numerous"? Do you live in Bangladesh or something?

[@brockreynolds870]

One thing that is not mentioned in this discussion.... prep is much less painful if you liberally coat the anus before you begin with vaseline, it helps to protect the skin from the caustic nature of the prep solution and digestive acids that cause burning to the skin.

[@sebastianforbes1]

colonoscopy is 2,000 in the US ??? I paid about 120 in a private Moscow clinic

[@ceeemm1901]

Australia you get it free on the medicare tab with a GPs referral. You'd think with all the goosing the US public are getting from their medical profession that their bowels would be crystal clear.

[@JS-su5dz]

😂Private Russian clinics are garbage and scam. They misdiagnose, and even kill people on purpose to get more money out of desperate families. US healthcare system is far from perfect, but at least you know your doctor didn’t buy his medical school diploma.

[@petrapiciacchia2456]

Here in Alberta , Canada when I do a FITT TEST you crap on plastic wrap that you cover the toilet seat with. Then you take this corkscrew like device that you take a sample of your stool. Then you put the device into a testube that is provided and close the lid. Bring it back to the lab centre and wait for your results.

[@kathya1956]

Not going here

[@ericbwertz]

I might have a drink with ZDogg, but I don't know about getting a colonoscopy with him.

[@SchmittsPeter]

Colonoscopy is not a breeze, if you are not sedated 😂.

[@Mentallycheckedout365]

Definitely NOT! I've done it 3 times un-sedated. It was horrible!

[@martyllanos73]

Why is Vinay speaking in 3x speed and Z dog in 1x?

[@mermaidcoveclothesandnails]

Vinay just speaks really fast. I enjoy hearing his speedy brain at work.

[@thk929]

Doctor ordered me FIT test, part of Canadian screening process. Had some symptoms of bloating. FIT result positive. Sent for colonoscopy. One 1.6m tubulovillous polyp removed. My bloating symptoms still there . Probably digestive tract issue. I’m a 62 yrs. old woman. Don’t know if I would have done colonoscopy if FIT was negative. This is all paid by our universal healthcare. No cost to us.

[@jamescalifornia2964]

You now know conclusively that you do not have colon cancer 👍

[@dano1234v]

Still payed by you if you have a job and pay taxes government money does not come out of air comes from tax payer

[@nicole-1]

Had to wait 7 months to get it 😖 and pay $45 or the prep though.

[@thk929]

@@dano1234vDoesn’t everyone pay taxes including in the USA?

[@thk929]

@@nicole-1If we have FIT positive result, colonoscopy is scheduled within 2 weeks. Period.

[@OurFamilyInMotion]

The problem with FIT testing such as Cologuard is that it misses most pre-cancerous polyps. A colonoscopy diagnoses polyps and allows the doctor to remove them at the same time thus reducing the risk of colon cancer.

[@carbonking53]

The problem is the US medical system has turned colonoscopies into an industry with limited data to support asymptomatic tests.

[@isaacwhull]

colonoscopy is easy pickens, $175/mo for Medicare for the colonoscopy!

[@amiller2121]

You're asking if a 50 year old should get a colonoscopy with Z Dogg in the room? Yikes.

[@atort]

NO MORE Zdog! Please!

[@sl4983]

Why..?

[@atort]

@@sl4983 He's a MAJOR jab pusher and said everyone was stupid basically who didnt jab. Extremely condescending man throughout the entire plandemic.

[@atort]

@@sl4983 extremely condescending man who basically called everyone stupid who didnt jab! emotional and extremely unprofessional!

[@sl4983]

@@atort whoah! Didn't know that

[@Singmeadream]

He was a huge a hole about the vax, called us terrible names. Good thing it’s in the digital database forever.

[@theurbaneducator8936]

Can we request and receive a flex instead of colonoscopy?

[@eclecticjourneys4004]

This one is awkwardly edited

[@dano1234v]

Mafia medical

[@gj2986]

makes the bloods and crips look like choir boys

[@rebeccakasthuri4202]

You are funny 😂

[@sl4983]

Never will.

[@alphaomega1351]

I 💩 my pants 👖. 😳

[@iaan81]

Sedation is not mandatory during colonoscopy. It may hurt sometimes a lot, but the pain will stop.

[@kbc1883]

Exactly! I had one without general and it was not comfy but I was fine. Sure beats losing the brain cells that die every time one goes under general anesthesia and avoiding the other risks that come with undergoing general.

[@David_10157]

@@kbc1883I’m getting one without anesthesia. Is the pain that bad and how long does it take?

[@kbc1883]

@@David_10157 It was quite intense... more extreme pressure rather than sharp pain. I have high pain tolerance (e.g.- I got wisdom teeth pulled with only local anesthesia), so it was bearable. I don't recall how long it took. Maybe 6 or 7 mins of them in there looking around. Best of luck to you!

[@leonsighdoria1919]

Flex sig sucks, you only see less than half of the colon. I just had one and they got my 1 polop they would have missed with a sig only. Bad advice from this quack internet doctor.

[@StoryThyme100]

Colonoscopy.....try having a defecography!

[@explorerny1]

Such terrible and dangerous information……….

[@kathleendellavia7862]

Who gives a “crap”

[@rashoff]

I like how everyone glossed over fentanyl like it’s nothing

[@tomd5178]

Nice to see ZDogg again.

[@sassysandie2865]

Ugh! Not so much. Wish Vinay would distance himself from that clown.

[@tomd5178]

​@@sassysandie2865he's good for a laugh. How can that be bad?!

[@EvelynSchmechtigCochran]

Kaiser does a poop test to check for blood. Is that good enough?