Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:00):
The expert, and that expert today from Gastro Health. We'll
get the information out you're going to contact him and
why you need to contact him. It's a pleasure to
speak with doctor Kevin Cronley, who has got a great
background in gastro enterrology. Of course, graduated from my alma mater.
I like to point that out universities, since College of
Medicine also completed Internal Medicine resident residency care case Western
(00:22):
his Gastroenterolsey Fellowship at the Ohigo State University. I give
his list of credentials all day long, but we wouldn't
have time to talk about colon cancer, apparently the third
most common common cancer. Welcome to the Morning Show, doctor Cronnley.
It's a pleasure to have you on today.
Speaker 2 (00:39):
Thanks Brian, thanks for having me today.
Speaker 3 (00:41):
You know, nothing says you know the holidays like talking
about colonoscopies and colon cancer.
Speaker 1 (00:46):
You know, well, that's true, But something tells me on
your list of ways to avoid colon cancer, there's a
bunch of foods that many of us will be consuming
in mass quantities over the holiday times, and that may
be a way that we can avoid even having the
problem of colon cancer.
Speaker 2 (01:03):
Yeah, so so so again, thanks for having me on SRAN.
Speaker 3 (01:06):
This is a it's an important topic and and this.
Speaker 2 (01:10):
You know, raising awareness of this is how we save lives.
Speaker 3 (01:13):
So, you know, colon cancer, it's becoming more common, currently
the third most common cancer in the US, and it's
it's almost one hundred percent preventable by you know, appropriate
doing appropriate screening and raising awareness.
Speaker 2 (01:27):
You know.
Speaker 3 (01:27):
The problem is is we have good screening tests, but
about a third of Americans aren't getting screened.
Speaker 2 (01:33):
And we're even a little bit worse.
Speaker 3 (01:34):
Than that in the Tri State area, only about sixty
three percent of people are getting screened out there.
Speaker 2 (01:40):
So some of you may have heard.
Speaker 3 (01:43):
Or seen in the news and some some you know,
publicity has been about this, some celebrities diagnosed with colon cancer,
but the rates seem to be increasing amongst young people.
Speaker 1 (01:52):
Yes, I've heard, and.
Speaker 3 (01:55):
So that's you know, and we've been seeing this for years,
even before they change some of the screening guidelines. But yeah,
we're not sure why that is. Whether it's you know,
the like you had alluded to, is it the food
we're eating, you know, is it the antibiotics and the
food you know, is it altering the gut, the gut bacteria,
and the gut microbiome.
Speaker 2 (02:16):
We're not sure, but we we're definitely seeing an increase
in this.
Speaker 1 (02:18):
So, well, you get the nail three nails on the
head there with those three things you said, because that's
why I've heard that in connection with younger people getting
colon cancer, all three of those in the gut bacteria
of the food. They're reading the whole high processed food,
most recently seed oils. I think they're pointing to that
to some degree. But the failure to screen, I've been
through this. You know, it's not that big a deal
(02:40):
to get the colon screening. I mean you can, you
can have a stool sample, but also getting the colonoscopy,
you know you're in, you're out, no problem at all.
You don't even know what's going on, and it doesn't
take that long. So what age are we now, Well,
considering you just pointed out younger people are getting diagnosed
with colon cancer, which is frightening in and of itself.
(03:01):
So are they changing the guidelines on when you should
start getting screened?
Speaker 3 (03:07):
Yeah, so this there were some changes in the guidelines
about two to three years ago. So for an average
risk person, meaning you know, no family history of colon cancer.
The average risk we start screening at age forty five
for both men and women. Now, if there's a family
history of colon cancer, we typically will start a little earlier.
(03:28):
Typically we'll start about ten years younger than when the
family member was diagnosed. You know, there's some other conditions,
including inflammatory ball disease, things like that, that we start
screening a little bit earlier. But also you know, if
there's any worrisome symptoms, you know, change in bow habits,
rectal bleeding, weight loss, These are all symptoms that you
(03:50):
need to be cognizant of and bring to the attention
of your doctor if you develop any and get checked out.
Speaker 1 (03:56):
All right, So that is that the entire litany there,
weight loss, rectal bleeding or.
Speaker 3 (04:03):
Breeding, change in bow habits, you're doing anemia on on
labs that your doctor would you know, usually check on
routine blood works.
Speaker 2 (04:11):
So those are the worrisome symptoms.
Speaker 1 (04:13):
Okay, And what types of screening are there? I mean
I I I mentioned the colonoscopy, that's an obvious one,
but you just mentioned that kicks in. But are other
other other easier, non invasive ways because I've seen these
like col of guard type commercials on television.
Speaker 2 (04:29):
Correct. Correct, So there's so so there's kind of two options.
Speaker 3 (04:33):
Okay, so the standard colonoscopy versus some of like the
stool based screening tests, including coli guard. And you know,
currently all the societies are recommend a colonoscopy as kind
of the first line therapy or the recommended the gold standard.
And the reason for that is is is colonoscopies not
(04:54):
only detect colon cancer, but they also prevent colon cancer.
That's that's the main difference is the stool tests aren't
preventing colon cancer. So when we do colonoscopies, uh, we
we are removing polyps, and polyps are pre cancerous growth.
So if those polyps are left in there, they can
potentially keep growing until they turn into a cancer. So
(05:16):
you know, obviously when you do a stool based test
like cold guard, you're not removing those pre cancerous polyps.
The other you know, a couple of other disadvantages of
colder Obviously the advantage of coliguard is that.
Speaker 2 (05:28):
It is not invasive, right, you can do it in
your home.
Speaker 3 (05:31):
Cold gard has lots of false positives. It misses about
eight percent of cancers, and it misses a lot of
the high risk polyps that would eventually turn into it
to a colon cancer. But the other disadvantage of coligard
is if it's positive, you got to have a colonoscopy anyways, Well, yeah,
and and and a lot of times, and they don't
(05:52):
mention this a lot of times. If you just go
for a screening colonosopy that's covered by your insurance, if
you do a colonoscopy, uh, because of a positive coal guard,
often the patient has to pay one hundred percent of
the out of pocket costs for that.
Speaker 2 (06:04):
So that's a there's economic reasons not to do this
as well.
Speaker 1 (06:08):
You know, well, I would be more worried about a
false negative than a false positive, because you get a
false positive, they're going to go in there with a
colonoscopy and say, no, everything looks good, you got no polyps,
there's no cancer here, and then you can go home
completely satisfied. Otherwise they pull the polyps out. But if
you get a negative, you're going to be thinking, okay,
well then I'm fine, and you may very well have
(06:28):
a reassurance. Yeah, yeah, I get it all day long.
Speaker 2 (06:32):
So so just go ahead.
Speaker 3 (06:34):
You know you mentioned you know the worst part of
a colonoscopy is the bowel prep. You know, we use
a form of IVY sedation, so it's not a painful
or uncomfortable procedure La La Land.
Speaker 2 (06:47):
In and out La La land.
Speaker 3 (06:49):
Patients often describe that as the best part of the
whole procedure.
Speaker 1 (06:51):
Oh yeah, yeah, without question. I liked not being aware
of what's going on. When that's happening, it's like great anyway,
So okay, forty five, No, if your average is forty five,
Now how often afterward? And does that depend upon whether
or not the physician has to remove a polyp or not?
Speaker 2 (07:11):
Yeah, so it all depends on what we find.
Speaker 3 (07:13):
So, you know, if there's no polyps, then typically a
patient can come back in ten years. If we find polyps,
it just it depends on how many polyps, how big
they are.
Speaker 2 (07:23):
We determine when when we need to bring it back.
Speaker 1 (07:26):
Okay, but that's an individualized discussion and treatment protocol. After
the first one is taken care of, fair enough, how
do we get in touch with you, doctor Kevin Cronley
to get our colonoscopy, to get some proper medical care
and take good care of ourselves in the name of
our family and our own personal health.
Speaker 2 (07:44):
Yeah.
Speaker 3 (07:44):
So I'm part of a group called Gastro Health. We
have numerous offices around town, all around town that's convenient
for anybody in the Tri state region, so you can visit.
Speaker 2 (07:54):
Our website is at ohiogi dot com. You can find
us on the web.
Speaker 1 (07:59):
Two.
Speaker 3 (08:00):
Our office number is five to one three seven five
one six six six seven. And we try to make
it as easy and convenient as patients as possible, so
you don't need to see us. And if you just
need a screening kolenoscopy, you don't need to see us
in office beforehand. Our schedulers do a good job of
going through your medical history and getting your scheduled, and
(08:22):
we try to make it as easy as possible.
Speaker 1 (08:24):
So ohiogi dot com five one three seven five one
six six seven seven. Doctor Kevin, Currently, keep up the
great work what you're doing. You're saving lives and again,
one third of Americans not getting the screening that should
be done with this most prevent and it is preventable.
It's absolutely great talking with you. Have a happy holiday season, doctor,
(08:47):
and again keep up the great work. I hope we
get to talk again.
The expert, and that expert today from Gastro Health. We'll
get the information out you're going to contact him and
why you need to contact him. It's a pleasure to
speak with doctor Kevin Cronley, who has got a great
background in gastro enterrology. Of course, graduated from my alma mater.
I like to point that out universities, since College of
Medicine also completed Internal Medicine resident residency care case Western
(00:22):
his Gastroenterolsey Fellowship at the Ohigo State University. I give
his list of credentials all day long, but we wouldn't
have time to talk about colon cancer, apparently the third
most common common cancer. Welcome to the Morning Show, doctor Cronnley.
It's a pleasure to have you on today.
Speaker 2 (00:39):
Thanks Brian, thanks for having me today.
Speaker 3 (00:41):
You know, nothing says you know the holidays like talking
about colonoscopies and colon cancer.
Speaker 1 (00:46):
You know, well, that's true, But something tells me on
your list of ways to avoid colon cancer, there's a
bunch of foods that many of us will be consuming
in mass quantities over the holiday times, and that may
be a way that we can avoid even having the
problem of colon cancer.
Speaker 2 (01:03):
Yeah, so so so again, thanks for having me on SRAN.
Speaker 3 (01:06):
This is a it's an important topic and and this.
Speaker 2 (01:10):
You know, raising awareness of this is how we save lives.
Speaker 3 (01:13):
So, you know, colon cancer, it's becoming more common, currently
the third most common cancer in the US, and it's
it's almost one hundred percent preventable by you know, appropriate
doing appropriate screening and raising awareness.
Speaker 2 (01:27):
You know.
Speaker 3 (01:27):
The problem is is we have good screening tests, but
about a third of Americans aren't getting screened.
Speaker 2 (01:33):
And we're even a little bit worse.
Speaker 3 (01:34):
Than that in the Tri State area, only about sixty
three percent of people are getting screened out there.
Speaker 2 (01:40):
So some of you may have heard.
Speaker 3 (01:43):
Or seen in the news and some some you know,
publicity has been about this, some celebrities diagnosed with colon cancer,
but the rates seem to be increasing amongst young people.
Speaker 1 (01:52):
Yes, I've heard, and.
Speaker 3 (01:55):
So that's you know, and we've been seeing this for years,
even before they change some of the screening guidelines. But yeah,
we're not sure why that is. Whether it's you know,
the like you had alluded to, is it the food
we're eating, you know, is it the antibiotics and the
food you know, is it altering the gut, the gut bacteria,
and the gut microbiome.
Speaker 2 (02:16):
We're not sure, but we we're definitely seeing an increase
in this.
Speaker 1 (02:18):
So, well, you get the nail three nails on the
head there with those three things you said, because that's
why I've heard that in connection with younger people getting
colon cancer, all three of those in the gut bacteria
of the food. They're reading the whole high processed food,
most recently seed oils. I think they're pointing to that
to some degree. But the failure to screen, I've been
through this. You know, it's not that big a deal
(02:40):
to get the colon screening. I mean you can, you
can have a stool sample, but also getting the colonoscopy,
you know you're in, you're out, no problem at all.
You don't even know what's going on, and it doesn't
take that long. So what age are we now, Well,
considering you just pointed out younger people are getting diagnosed
with colon cancer, which is frightening in and of itself.
(03:01):
So are they changing the guidelines on when you should
start getting screened?
Speaker 3 (03:07):
Yeah, so this there were some changes in the guidelines
about two to three years ago. So for an average
risk person, meaning you know, no family history of colon cancer.
The average risk we start screening at age forty five
for both men and women. Now, if there's a family
history of colon cancer, we typically will start a little earlier.
(03:28):
Typically we'll start about ten years younger than when the
family member was diagnosed. You know, there's some other conditions,
including inflammatory ball disease, things like that, that we start
screening a little bit earlier. But also you know, if
there's any worrisome symptoms, you know, change in bow habits,
rectal bleeding, weight loss, These are all symptoms that you
(03:50):
need to be cognizant of and bring to the attention
of your doctor if you develop any and get checked out.
Speaker 1 (03:56):
All right, So that is that the entire litany there,
weight loss, rectal bleeding or.
Speaker 3 (04:03):
Breeding, change in bow habits, you're doing anemia on on
labs that your doctor would you know, usually check on
routine blood works.
Speaker 2 (04:11):
So those are the worrisome symptoms.
Speaker 1 (04:13):
Okay, And what types of screening are there? I mean
I I I mentioned the colonoscopy, that's an obvious one,
but you just mentioned that kicks in. But are other
other other easier, non invasive ways because I've seen these
like col of guard type commercials on television.
Speaker 2 (04:29):
Correct. Correct, So there's so so there's kind of two options.
Speaker 3 (04:33):
Okay, so the standard colonoscopy versus some of like the
stool based screening tests, including coli guard. And you know,
currently all the societies are recommend a colonoscopy as kind
of the first line therapy or the recommended the gold standard.
And the reason for that is is is colonoscopies not
(04:54):
only detect colon cancer, but they also prevent colon cancer.
That's that's the main difference is the stool tests aren't
preventing colon cancer. So when we do colonoscopies, uh, we
we are removing polyps, and polyps are pre cancerous growth.
So if those polyps are left in there, they can
potentially keep growing until they turn into a cancer. So
(05:16):
you know, obviously when you do a stool based test
like cold guard, you're not removing those pre cancerous polyps.
The other you know, a couple of other disadvantages of
colder Obviously the advantage of coliguard is that.
Speaker 2 (05:28):
It is not invasive, right, you can do it in
your home.
Speaker 3 (05:31):
Cold gard has lots of false positives. It misses about
eight percent of cancers, and it misses a lot of
the high risk polyps that would eventually turn into it
to a colon cancer. But the other disadvantage of coligard
is if it's positive, you got to have a colonoscopy anyways, Well, yeah,
and and and a lot of times, and they don't
(05:52):
mention this a lot of times. If you just go
for a screening colonosopy that's covered by your insurance, if
you do a colonoscopy, uh, because of a positive coal guard,
often the patient has to pay one hundred percent of
the out of pocket costs for that.
Speaker 2 (06:04):
So that's a there's economic reasons not to do this
as well.
Speaker 1 (06:08):
You know, well, I would be more worried about a
false negative than a false positive, because you get a
false positive, they're going to go in there with a
colonoscopy and say, no, everything looks good, you got no polyps,
there's no cancer here, and then you can go home
completely satisfied. Otherwise they pull the polyps out. But if
you get a negative, you're going to be thinking, okay,
well then I'm fine, and you may very well have
(06:28):
a reassurance. Yeah, yeah, I get it all day long.
Speaker 2 (06:32):
So so just go ahead.
Speaker 3 (06:34):
You know you mentioned you know the worst part of
a colonoscopy is the bowel prep. You know, we use
a form of IVY sedation, so it's not a painful
or uncomfortable procedure La La Land.
Speaker 2 (06:47):
In and out La La land.
Speaker 3 (06:49):
Patients often describe that as the best part of the
whole procedure.
Speaker 1 (06:51):
Oh yeah, yeah, without question. I liked not being aware
of what's going on. When that's happening, it's like great anyway,
So okay, forty five, No, if your average is forty five,
Now how often afterward? And does that depend upon whether
or not the physician has to remove a polyp or not?
Speaker 2 (07:11):
Yeah, so it all depends on what we find.
Speaker 3 (07:13):
So, you know, if there's no polyps, then typically a
patient can come back in ten years. If we find polyps,
it just it depends on how many polyps, how big
they are.
Speaker 2 (07:23):
We determine when when we need to bring it back.
Speaker 1 (07:26):
Okay, but that's an individualized discussion and treatment protocol. After
the first one is taken care of, fair enough, how
do we get in touch with you, doctor Kevin Cronley
to get our colonoscopy, to get some proper medical care
and take good care of ourselves in the name of
our family and our own personal health.
Speaker 2 (07:44):
Yeah.
Speaker 3 (07:44):
So I'm part of a group called Gastro Health. We
have numerous offices around town, all around town that's convenient
for anybody in the Tri state region, so you can visit.
Speaker 2 (07:54):
Our website is at ohiogi dot com. You can find
us on the web.
Speaker 1 (07:59):
Two.
Speaker 3 (08:00):
Our office number is five to one three seven five
one six six six seven. And we try to make
it as easy and convenient as patients as possible, so
you don't need to see us. And if you just
need a screening kolenoscopy, you don't need to see us
in office beforehand. Our schedulers do a good job of
going through your medical history and getting your scheduled, and
(08:22):
we try to make it as easy as possible.
Speaker 1 (08:24):
So ohiogi dot com five one three seven five one
six six seven seven. Doctor Kevin, Currently, keep up the
great work what you're doing. You're saving lives and again,
one third of Americans not getting the screening that should
be done with this most prevent and it is preventable.
It's absolutely great talking with you. Have a happy holiday season, doctor,
(08:47):
and again keep up the great work. I hope we
get to talk again.
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