{"id":1719,"date":"2015-10-26T09:45:54","date_gmt":"2015-10-26T16:45:54","guid":{"rendered":"https:\/\/phcprimarycare.org\/?p=1719"},"modified":"2015-10-19T09:55:03","modified_gmt":"2015-10-19T16:55:03","slug":"memories-fade","status":"publish","type":"post","link":"https:\/\/phcprimarycare.org\/?p=1719","title":{"rendered":"Memories Fade"},"content":{"rendered":"<p>Memories fade.\u00a0 Like looking through a fogged mirror\u2026or scope<\/p>\n<p>How quickly fades from our minds the delightful memories of our adventures in dreamy Colonoscopyland.<!--more-->\u00a0 In a recent news release from the American College of Surgeons, \u00a0it was determined that the important details about the appropriate screening schedules for colo-rectal cancer for a patient fades with time.<\/p>\n<p><a href=\"https:\/\/www.facs.org\/~\/media\/files\/clinical%20congress\/alame%20abstract.ashx\">The study<\/a>, authored by Dr. Amer Alame, a colorectal surgeon at St. John Hospital and Medical Center in Detroit, \u00a0randomly selected 50 post colonoscopy patients for each of 4 time periods since their procedure &#8211; 2 months, one, two, \u00a0and four years.\u00a0 At two months post procedure, nearly everybody, 94%, could recall the date within one month of their colonoscopy.\u00a0 That recall fell to 42%, 30% and \u00a028% by one, two, and four years, respectively.<\/p>\n<p>Perhaps more alarming, the percentage who knew about polyps on their endoscopy was 65.2%, 31.6%, 35.7% and 37.5% in the four groups.\u00a0 Even worse \u2013 those who could accurately recall the number of polyps found on their exam was a paltry 39.1%, 10.5%, 7.1% and 6.25%.\u00a0 Well, at least it beats my personal recall of my children\u2019s birthdays and ages.<\/p>\n<p>So this brings us to consider three things:<\/p>\n<ul>\n<li>In the office, check for original documentation as you might not fully trust the recall for this important screening test.<\/li>\n<li>Consider the possibility that translating a patient&#8217;s recall into the electronic record may transform erroneous information to factoid.<\/li>\n<li>Given the poor recall of this important procedure, other important health history items may also be inaccurate.<\/li>\n<\/ul>\n<p>This Blog is just an additional reminder about the importance of colo-rectal cancer screening for our patients.\u00a0 It\u2019s an unfortunate fact that according to 2007-2011 data, four of the highest county rates of age adjusted invasive colon cancer in California occurred in Partnership counties.<\/p>\n<p>Screening saves lives.<\/p>\n<p><a href=\"http:\/\/www.uspreventiveservicestaskforce.org\/Page\/Document\/RecommendationStatementFinal\/colorectal-cancer-screening\">The USPSTF summary of recommendations for colorectal cancer screening<\/a> are as follows:<\/p>\n<p><a href=\"https:\/\/ml3zltbr0lxh.i.optimole.com\/w:auto\/h:auto\/q:mauto\/ig:avif\/https:\/\/phcprimarycare.org\/wp-content\/uploads\/2015\/10\/CRC-Table.jpg.png\"><img data-opt-id=1513068110  fetchpriority=\"high\" decoding=\"async\" class=\"  wp-image-1722 aligncenter\" src=\"https:\/\/ml3zltbr0lxh.i.optimole.com\/w:300\/h:155\/q:mauto\/ig:avif\/https:\/\/phcprimarycare.org\/wp-content\/uploads\/2015\/10\/CRC-Table.jpg.png\" alt=\"CRC Table.jpg\" width=\"340\" height=\"182\" \/><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Memories fade.\u00a0 Like looking through a fogged mirror\u2026or scope How quickly fades from our minds the delightful memories of our adventures in dreamy Colonoscopyland.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1719","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=\/wp\/v2\/posts\/1719","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1719"}],"version-history":[{"count":3,"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=\/wp\/v2\/posts\/1719\/revisions"}],"predecessor-version":[{"id":1724,"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=\/wp\/v2\/posts\/1719\/revisions\/1724"}],"wp:attachment":[{"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1719"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1719"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/phcprimarycare.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1719"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}