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" ... CMS billing rules mandate separation of problem identification and treatment. If a health problem is diagnosed during a wellness screen, the procedure code for billing changes as does who pays and how much. Critically for the patient, the service is no longer free. Colonoscopies are a favorite example as discovery of a polyp mid exam, at minimum, generates a copay. Not only is this awkward and confusing, it is counterproductive. Under these circumstances prevention could collapse into an expensive exercise that assures healthy seniors that nothing is wrong. ... "
" ... In addition to family history, non-modifiable risk factors include age (age over 45 or 50) and male gender (men have higher rates). People that are African-American or that have ulcerative colitis, Crohn’s disease, or an inherited polyp condition called polyposis are also more likely to develop colorectal cancer. All of these risk factors are hard to change, however, and while it is important to know about them, I tend to focus my patient conversations on modifiable risk factors that we can change. ... "
" ... On Thursday, August 20, 2020, Dr. Anthony Fauci, one of the most recognized voices in this country and perhaps on the planet, had surgery to remove a polyp on his recognizable but ailing voice box. Don’t look for a scar on his neck when he comes back into the public eyes and ears— he won’t have one. That’s because the majority of vocal cord surgeries are performed through a telescope to visualize the voice box, and these surgical procedures are carried out with tiny microscopic-sized scissors, forceps, and dissectors. Others are performed with lasers with a sub-millimeter contact point. In some situations, these laser procedures are even performed in a doctor’s office under local anesthesia, meaning the patient is fully awake. ... "
" ... The Man O’ War is comprised of four different types of polyps, or essentially four co-dependent animals. The gas-filled bladder that allows the Man O’ War to float is made of a single polyp whose specialty is releasing gas, creating the colony’s wind-catching sail. ... "