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March 25, 2026 15 mins
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Speaker 1 (00:12):
Hi.

Speaker 2 (00:12):
I'm Abbie Bonel with iHeartRadio, KUTV two News and the
Utah Department of Health and Human Services joining us and
of course our colon cancer expert in studio. Today. March
is colon Cancer Awareness Month and it's the leading cause
related to death for those under the age of fifty,
which is a traveling statistic. So great to have Emily

(00:35):
Van Cohman, a nurse practitioner in gastro enterology at Intermountain Health,
Thank you for stopping by the iHeart Studios today in
Salt Lake City. Emily, great for you to share your
knowledge with us.

Speaker 1 (00:48):
Thank you. I'm so excited to be here today.

Speaker 2 (00:50):
Unfortunately, you've seen it with your own eyes many times over.
Colon oscopis do save.

Speaker 1 (00:56):
Lives, Absolutely save lives. I've been in the endoscopy lab
for many years where we can detect and prevent colon
cancer in one stuff during a colonoscopy, and it's an
absolute must for anybody starting at age forty five now
to get a colonoscopy.

Speaker 2 (01:16):
Well, the Journal of American Medical Association releasing really disturbing
data just this year. Colon rectal cancer is now the
leading cause of cancer related deaths, but both men and
women under the age of fifty in the US. Why
why are we seeing these disturbing stats.

Speaker 1 (01:34):
It's so alarming and we don't fully understand why. One
shocking statistic I've shared before is people born in the
year nineteen ninety are four times more at risk for
rectal cancer and two times more at risk for colon
cancer compared to people born in nineteen fifty. And as
a millennial, it's really alarming. And again, all of the

(01:56):
time that I've spent in the endoscopy lab and taking
care of patients in the clinic, we're seeing it younger
and younger. Many factors play into it. We think with lifestyle,
sedentary lifestyle, processed meats, tobacco can play a factor into it.
But in terms of the young the young age, we're

(02:17):
not entirely sure. But that's why we've lowered the guidelines
and the screening age.

Speaker 2 (02:21):
So what is the recommendation because we're looking at people
in the thirties, aren't we who are being diagnosed even
forties here? Should they be having additional home kit tests
or should you just be monitoring symptoms? However, when symptoms
start to show with colon cancer, it can be at
a more advanced stage.

Speaker 1 (02:40):
Yeah, So when colon cancer is detected early, ninety percent
of the time it is curable. So that is of
a reassuring statistic that we can put in our back
pocket for reassurance. So we can look at modifiable and
non modifiable risk factors. You can't change your age, you
can't change your family history, you can't change you know,

(03:01):
maybe a disease that you have that puts you more
at risks for colon cancer, like genetic problems like Lynch
syndrome FAP, or inflammatory ball disease like all sort of
colitis or Crohn's disease. Those things put you more at risk.
So those are non modifiable risk factors. Modifiable risk factors
are things like avoiding tobacco, alcohol, increasing our fiber, maintaining

(03:26):
thirty minutes of exercise every day, and avoiding ultra processed
meats red meats specifically, So those are things we can
look at more so controlling.

Speaker 2 (03:37):
Do you know, I'm just looking at these other statistics here.
It's kind of it is troubling. Cases they say have
been rising annually over the past two decades by one percent,
while other deaths and cancer types such as breast, lung, leukemia,
and brain are all falling very disturbing. So anybody really
who has been born in nineteen ninety with somebody in

(04:00):
that age group right now, I'd have some major questions.
What would you advise them to do?

Speaker 1 (04:05):
Well, you should meet with a primary care physician because
for an average risk person, meaning that they don't have
a family history or they don't have any of these
you know, diseases or symptoms, screening starts at age forty five,
and that's a safe place to start. If you did
have symptoms like low blood levels, fatigue, unintentional weight loss,

(04:27):
abdominal pain, rectal bleeding, or change in your bowel habits,
that's definitely something that you should be seen for. A
lot of people come in all the time. I see
it every day. Oh I think I have hemorrhoids. And
rectal bleeding is never normal until proven otherwise, and so
that's something that you should be seen for. And again,
family history, those type of things you can discuss with

(04:49):
your primary care physician if it's if it's before the
age of forty five that you need to be screened.
Another thing to take note of is if you do
have a first degree relative with colon cancer, meaning a parent, sibling,
or a child, you should be screened ten years earlier
than when they were diagnosed, or age forty five, whichever
age is earlier. So if someone was diagnosed at age

(05:12):
forty two, you would need to start screening at age
thirty two.

Speaker 2 (05:15):
My immediate family didn't have colon cancer. My mother did
have breast cancer, my grandmother. I was shocked to be
diagnosed with colon cancer. I had no symptoms, went in
for a routine screening and fortunately for me, they found
it at an early stage. It did require surgery, a
resection of my intestine, and I was very, very fortunate.

(05:36):
A colonoscopy, which I was a little bit squeamish about.
I'm not going to lie foolish now when I look
back on that saved my life. The surgical team were exceptional,
and the whole process of a colonoscopy, it's so straight forward, Emily.
It's the prep I think is the worst, and that's
not that bad. You're just glugging some liquid beforehand, you
don't eat for a while, and then once you go

(05:57):
in for the procedure, you know your part's over. It's
up to everybody else and you go in, you put
under for what fifteen minutes the procedure, and then you
wake up rally around rather fast. You know, you're not
all groggy. Can't go to work that day, so you
need to plan on having somebody take you there and
drive you back. But other than that, it's over and
done with them for most people. If you don't have

(06:19):
any polyps, you don't have to go back for ten years. Yeah.

Speaker 1 (06:24):
Yeah, to your point, I think a big hold up
for people is embarrassment and squeamishness. As you mentioned doing
the kolonoscopy prapit. It can be done in the comfort
of your home, so you're there for that part, and
then once you get to the endoscopy lab it's very comfortable.
I like to reframe it and say, you get a
day off of work and you get to take a

(06:45):
life saving nap.

Speaker 2 (06:47):
Oh, what a great way of mending out it.

Speaker 1 (06:49):
Then how can you say no to that?

Speaker 2 (06:51):
I know, you know, I know that's remarkable. And by
the way, the SURCHU call teams are always so great
when you go in. I mean they're all chatty and
the next thing is you know, you're in full comfort.
It's like ten nine eight boom, you're out, Yes, and
then you're waking up and it's all over. Yes. Yes,
And it's just such a relief.

Speaker 1 (07:07):
Yes. And it's not surgery. A lot of people feel
you know, nervous about quote going under. It's just a
moderate sedation. It's just like taking a nap. It's more
so to make you just feel comfortable and at ease.
So it's a comfortable procedure for you. And we can
surveillance things, you know, to the highest degree, so it's
very safe. In fact, some people go without sedation, and

(07:30):
that is an option, but it's just to bring home
the point that it's just for comfortability.

Speaker 2 (07:34):
So let's talk about polyps that can be a heads
up for maybe turning cancerous at a later point, and
that's why you really need to go in for this screen.

Speaker 1 (07:44):
So typically polyps don't grow, they grow very slow, and
the potential for cancer in a pre cancerous polyp is
you know, about ten years or more. And that's why
the recommendation is every ten years if you have quote
a clean qualonoscopies. So after your colonoscopy, we look at
the size of polyps, the amount of pollups, the type

(08:06):
of polyps and those go off to the lab and
then you and your provider can decide on the interval
of how frequently you need to have your kolonoscopy completed
to make sure that you're safe based on what was found,
but typically ten years if you don't have any other
risk factors or previously found concerning polyps.

Speaker 2 (08:25):
My surgeon at the time, I do remember he said
to me, doctor Carnum, do you have any siblings And
I said, yes, a brother and sister, and he said,
you need to inform them immediately, so they go for screenings.
And in the UK they still don't have anual, you know,
screenings at fifty they do for you know, for women.
For mimmographies are much better at that now, but colonoscopies
are not automatic like they are here. So my brother

(08:48):
and sister did go in and they were absolutely fine.
But I'm so grateful for that because had I remained
in the UK, I often wonder, Gosh, I wonder what
the consequences would have been for me had I stayed
in broadcasting there, compared to the health opportunities that were
provided to me through working for iHeartMedia and in America.
So it was life changing. And enormously reassuring for me

(09:11):
knowing that you know, my brother and sister will also say,
tell me about these home kits. How do you know?
They say low risk? Well, really, how do you know
if you are low risk? I know you say family history.
Would you advise somebody to have one of those if
they're not going to go in for a full blown screening?
Something is better than nothing.

Speaker 1 (09:28):
Yes, So there are like risk stratification tools online that
you can kind of plug in your age, your family history,
those things. If you have concern, like I said, I
would visit with the primary care physician because they will
be able to dictate, you know, whether you should do
a full colonoscopy. The thing with the home based tests

(09:49):
is that if it comes back positive, you need a colonoscopy. Anyways,
the gold standard is a kalnoscopy, But in the end,
the best test is the one that you'll actually do.
So if a kronoscopy isn't something that you can achieve,
doing the stool based test is a great way to
start to at least start screening at least every year. Diet.

Speaker 2 (10:10):
We really really have to focus on this. We can't
take it lightly at all. You're right. Process foods are
not great. It's really staying hydrated and doing sensible things.
Just adding fiber to your diet, put some vegetables in there.
If you don't like it, make it into a soup.
You never know what you're eating if it's cauliflower or broccoli.
Sure it all tastes nice if you wizit up. Take

(10:32):
charge of our own lives and do sensible things, don't
you think?

Speaker 1 (10:35):
Yes, So much of our health is something that we
have control over and that is comforting. And so things
like increasing your fiber hydration, things like exercising thirty minutes
a day of weeding alcohol, tobacco, and then the processed
meats and red meats are directly linked with colorrectal cancer.

Speaker 2 (10:56):
So you're working in the thick of this medical field.
You see the patients coming in, all ages, all walks
of life, and none of us know going in if
we're going to get the call back or not. What's
it like working in that department?

Speaker 1 (11:11):
It is so rewarding being able to see that we
are preventing cancer. It's the colonoscopy is unique with a
mimography or other cancer related tests, it can detect cancer
right but it can't always prevent cancer. Colonoscopy can detect
and prevent cancer. So it is so neat and rewarding

(11:33):
to be able to literally save lives with this easy
procedure and catch things early. And it also is devastating
and hard when we find a young patient or an
asymptomatic patient, meaning someone that didn't have symptoms or no.
But that's why it's important to stay on top of
the screening because in the one hundred and fifty thousand
people that were diagnosed with colon cancer, sixty percent of

(11:56):
those people were eligible for colonoscopies and didn't get them.

Speaker 2 (12:00):
And most of the insurance plans correct me if I'm wrong,
I know on my plan, and I'm just a typical worker.
In America, they're preventative, and so if you're going in
for your first screening, it's a preventative measure like a mimmography.
So often there's no outer pocket expenses so long as
you work in network.

Speaker 1 (12:22):
Yes, so that's something you can work through with your
insurance company and with your provider. But to your point,
absolutely it should not be a barrier to someone to
get this done because it is preventative care. It's preventative
health and we're all on the same team with this
insurance provider's patients. Let's prevent illness and sickness and cancer, Emily.

Speaker 2 (12:42):
The treatments have progressed dramatically too in the field of
treating colon cancer, haven't they.

Speaker 1 (12:49):
Oh? Yes, with pre cancerous polyps, we have advanced and
osk by techniques that, depending on what it looks like,
may not even require surgery. We also have amazing colorectal
teammate that we work with that if you do need surgery,
we work very closely together. Luckily, with early screening kolonoscopy,

(13:11):
hopefully we can avoid that altogether. But outcomes are very
good when detected early ninety percent curable.

Speaker 2 (13:17):
They're are remarkable outcomes. It's not a death sentence. Yes,
any other advice that you would like to share right
now with our listeners.

Speaker 1 (13:26):
If you've hesitated before, I'm your answer here now. I've
seen people with cancer that could have avoided it, and
I always say doing a colon prep is easier than
having colon cancer. And again, going back to taking a
day off work and getting a thirty minute life saving
nap is something that everyone should be motivated to do

(13:46):
not only for yourself, but for your family. My husband
really begged and pleaded with his dad to get his
kolonoscopy because he said, answers for you are answers for me,
and so it's something we can do to help our
whole thing family be healthy too.

Speaker 2 (14:02):
I love that you have that conversation within your family.
And women too. They take on the responsibility of caring
for everybody else, their family, their friends, everyone, and they
don't make the time themselves to have this life saving screening.
It's so critical.

Speaker 1 (14:18):
Absolutely, I think we're becoming more aware, aware and placing
more importance on self care for all people. But yes,
I'm a busy mother and you know, taking time out
of my day, especially to prepare for a procedure or
have something even on the calendar. It's something that we
need to make a priority. And again, being there for

(14:40):
your family, you wouldn't You would not want to leave
your family too soon due to a cancer that could
have been prevented.

Speaker 2 (14:47):
Thank you ever so much, Emily. I'm Abbi Bonel with iHeartRadio.
My thanks again to Emily van coman nurse practitioner with
Intermountain Health, our sponsor the Utah Department of Health and
Human Services and KUTV News. Don't forget to schedule your
colon cancer screening at Intermountain Health dot org. Just go

(15:08):
to the colon cancer Screening page and set up your
screening there. Thanks for listening. Until next time, I'm Abby Bonnell.
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