This is a fascinating topic because much of medical spending is tests that may or may not be wasteful. GI specialists make 30% of their revenue on patients with IBS.Patient visits, scoping, etc. Colon rectal surgeons are quick to send people to get a colonoscopybecause this is a large part of their business.It's tough because when someone comes in with abdominal pain,diarrhea (or constipation), the concern is they may have cancer at numerous sites,colitis, Crohn's and a couple dozen other diseases (rare.) A lot of patients who complain of these problems do actually have thesedisorders. There are ways that experts can differentiate one from anotherwithout doing expensive x-rays, MRI, colonoscopy. Blood sed rate, c-reactiveprotein, stool tests for blood, anemia, etc. but even the absence of a problemin these tests does not rule out any other problem. Recently I was told by one rookie surgeon to get a colonoscopy immediately.He implied Crohn's was a possibility. Then I saw one of the best surgeonsin the world who was puzzled and did not call for a scope. They need to invent a safe, non-invasive, inexpensive means of scoping.CT scans are poison and expensive. Capsule endoscopy is super expensive.Colonoscopy is invasive, requires sedation, is expensive and carries a smallrisk of bowel perforation. We sent a man to the moon, we should be ableto find a way to scope people in a outpatient setting with no sedation ina matter of minutes. Until then, let the money pile up.
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