Since I am telling you (almost) everything, dear readers, and we are not going to (well, almost not) hide, let me say that a few days ago I had a colonoscopy. .
Published at 6:00 p.m.
Completely preventive. Family history.
Apparently, some of you grimace as you read these words, especially in a picture that makes you think you know where the camera tube is inserted …
Aha. I understand.
I’ll get back to that in a moment.
This is a chronicle of prevention.
In Canada, 11% of all cancers are colon cancer, the third most common and the second leading cause of death. We are talking about 24,800 cases of colon cancer in the country in 2021, including 6,400 in Quebec; 9,600 dead in Canada, 2,600 in Quebec.
Taken “on time”, this shit is perfectly treatable. Discovered at an early stage, there, as always with the crab, a different story.
Prevention is important here, says D.e Melanie Belange, president of the Quebec Association of Gastroenterologists. Colonoscopy is, of course, a form of prevention, but it is used when a person has symptoms or has a family history (my case).
There is another form of prevention that is widely used among our neighbors in Ontario. This is a self-test designed for people aged 50-74 to detect hidden blood in the stool.
Self-examination, in the sense of doing it yourself.
Occult, in the sense that the blood is not visible to the naked eye.
In the saddles… I don’t have to paint a picture for you.
In Ontario, all people with a medium risk of colon cancer (50-74 years) are invited to take this self-test (FIT, for fecal immunochemical test), which is extremely simple: the sample is sent to the return laboratory, the sample is analyzed and if detected Hidden blood, you are sent for a colonoscopy.
Thus, precancerous polyps can be removed before they develop into stage 1, 2, 3 or 4 cancer.
For an individual, this is fantastic: he avoids the torments associated with cancer, with all its inherent devastation.
It’s fantastic for society, you don’t have to paint a picture: a colonoscopy polyp won’t be a cancer that has to be treated in surgery and oncology, with all the costs and resources for the health care system.
Polish? Polyp. Think of a wart in the intestines. Not all polyps in the gut are cancerous. But all types of colon cancer start with a polyp.
Therefore, all polyps are removed during colonoscopy.
This is the second time I’ve created this column to say the same thing.
For the first time in 2010. I laid eggs Press a series about cancer, about my fear of cancer – my parents both died of cancer. I researched this evil both for the public’s right to information and to banish my family history to understand this evil.
And I talked about my first colonoscopy to point out that Quebec doesn’t have a hidden fecal occult screening program for the middle-risk population.
Let me quote myself: “Quebec does not have a structured colon cancer screening program. In this, Quebec is fully in line with its chaotic way of managing the fight against cancer… »
I was talking about Ontario, which started its pilot project on occult blood screening in 2003. In 2010, half of Ontario residents with moderate risk underwent some form of screening.
In 2010, the Quebec oncology community called for these self-tests in Ontario to help more Quebecers avoid colon cancer …
Move the cursor to 2022: nothing. Nothing has changed from this point of view.
That’s silly, isn’t it?
(The test exists in Quebec. But it’s not systematic for people aged 50-74, you have to ask for it. Today, starting at age 50, even without a family history, you have to ask your doctor to take iFOBT, this fecal occult blood test. , the equivalent of FIT Ontario. And repeat it every two years.)
In this era, when the post-pandemic will include a share of all types of medical surgery, if we could eliminate polyps without letting them turn into tumors that need to be operated on, I think it would be good not only for Quebecers but also for the system. Quebec City Health…
There are committees, there are reflections, D explains to mee Melanie Bellanger. This contributes to the development of thinking in some of these committees. She understands the pandemic that froze the network. But she knows that if we followed Ontario, lives would be saved, resources would be better used.
There is a lack of green light from the government. When he gives the green light, it will pass quickly.
De Melanie Belange, president of the Quebec Association of Gastroenterologists
One night in November 2000, in the Cité de la Sante, my father died of colon cancer.
He was 53 years old.
That is, at my age, at the age of 50, apparently, my health is good, my father had a cunning polyp in his colon. Not all polyps are cancers, but all cancers start with polyps. This was his case.
He would never develop cancer at the polyp stage. I can say that my father will be renovating my backyard terrace this sunny Saturday as I write this column …
My father could do anything: he built a family house with his father. Painting, stripping, plumbing, insulation, Gyproc installation, floor change, etc. It was hard for my father to express his feelings, but when he came to install an IKEA cabinet in my apartment, it was his way of telling me, “I love you…”
He would also know his three grandchildren, all born in the years after his death, his death the night Laval was snowed.
I have already told you above that colonoscopy involves inserting a camera tube where the sun does not shine. A sedative makes this part of the deal almost painless, never be afraid.
No, it’s the hardest 24-30 hours before that. We can’t eat for 24 hours. And you have to empty your gut, with laxatives that you have to swallow. In my case (there are others): we dilute the solution in 4 liters of water, which we must drink in two doses, 250 ml glasses, every 10 minutes (
It’s like drinking, say, sea water.
It’s not very fun, I’ll be honest with you.
But did you know it’s even less fun than 16 glasses of water solution?
Undiagnosed colon cancer that migrates to the liver and kills you.
So I drank 16 glasses thinking about you, Dad. With each sip. It gave me courage.
I would like you to be here, standing in my yard, measuring for the patio, with your tool belt.
It seems to me that you would get along well with the little one.