• medgremlin@midwest.social
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    5 days ago

    I just finished my surgery rotation for medical school and I saw so many colonoscopies. I have seen the inside of dozens of people’s colons and this is a pretty good explanation for what’s going on. I could also tell which patients ate a lot of fruit or seeds because there would still be some residual seeds in there after the clean-out prep.

    Pro tip: if you are going in for a colonoscopy, ask for the pill form of the prep. Most insurances cover it, it works better, and you don’t have to drink the gallon of disgusting fluid.

    Also! Colonoscopies are very important! They are the single best tool for detecting and preventing colon cancer. During the scope, if they find any polyps, they get removed and sent for evaluation to see if they are cancerous, pre-cancerous, or benign, and the polyps are basically the seeds of colon cancer. It is recommended to get your first colonoscopy at age 45, unless you have a family history of colon cancer, in which case you would get your first one 10 years younger than the age the family member was diagnosed, or age 45, whichever is younger.

    There are the home tests like the cologuard, but that has a 45% false positive rate, and they’re only good for 3 years while a colonoscopy is good for 10 years(*) if it comes back normal, so the cologuard ends up being more expensive in the long run. It also only detects the later, more advanced polyps that are more likely to be closer to being cancer, and if it comes back positive, you have to get a colonoscopy anyways. A lot of the false positives come from the fact that it tests for DNA associated with cancer mutations and for microscopic blood in the stool, and they don’t tell you if it’s positive because of the DNA or the blood, and you can have microscopic amounts of blood in your stool for tons of reasons.

    TL;DR: Colonoscopies are very important, and MUCH better than the home test. Talk to your primary care provider about when you should start screening, and if you’re over 45, go get scheduled for one now. Colon cancer is a horrible disease, and it’s actually quite preventable and easy to catch in the early stages, if you get your colonoscopies on the recommended schedule.

    *Addendum: If your colonoscopy detects certain kinds of polyps, or more than a certain number of polyps, you might be on a shorter interval for surveillance scopes to make sure they catch anything before it becomes cancer, and that interval can be anywhere from 3 to 7 years depending on what they found. Also, if you have a family history of colon or rectal cancer, you’ll be on a 5 year schedule because you’re higher risk.

  • bluewing@lemm.ee
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    6 days ago

    God bless nurses explaining things in simple term a child can understand.

  • PieMePlenty@lemmy.world
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    6 days ago

    I once held a shit in for a week. Literally 7 days. I was in the hospital and forbidden from using the toilet and using the portable bag toilet in the room with 6 others was not gonna happen so I held it in. Nurses gave me laxatives because they were concerned but I beat them too.

    After finally being allowed on the toilet, I basically filled the bowl to the top and clogged the toilet. Yes, it hurt. I now know why and I’m never doing it again.

    • JackbyDev@programming.dev
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      6 days ago

      My friend poops once a week. He claims he told his doctor and they said it’s “on the edge of normal.” It freaks me out though. I’d feel so bloated all the time.

    • fallingcats@discuss.tchncs.de
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      6 days ago

      That’s because it isn’t. As was just explained, the shape is pretty much set before the “extrusion die” sphincter comes into play.

      • sweetpotato@lemmy.ml
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        6 days ago

        What are you talking about? The asshole works as a die. Extrusion is about deforming the object, it doesn’t have to change its general “shape”. If there is plastic deformation, which there is as stated(unless you hold it in unhealthily long), then it counts. You extrude a cylinder with a big cross section to one with a smaller cross section.

  • BurningRiver@beehaw.org
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    6 days ago

    the bowel is wider than your asshole

    imagining a nurse using the word “asshole” to explain it to a regular person is just hilarious to me.

    • Dharma Curious (he/him)@slrpnk.net
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      6 days ago

      My mom had to get a colostomy last year after her bowel ruptured, and she spent a month in ICU recovering from sepsis. The nurse there, when she was finally awake, tried explaining everything to her, but she had some pretty severe ICU delirium, and just couldn’t comprehend everything she was saying, especially when she was using medical terms.

      Eventually, the nurse said, “girl, basically, you don’t need your bootyhole no more. That’s now just for your husband and lonely weekends”

      At which point she fully understood, and I died inside.

  • spirinolas@lemmy.world
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    6 days ago

    Somebody should write a small book about this. You could put it in the bathroom and read it while taking a shit.

    • desktop_user@lemmy.blahaj.zone
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      6 days ago

      good, it beats the incompetent assholes that just tell you not to do things when you ask them how to do them just because they are harmful.

    • Wanderer@lemm.ee
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      6 days ago

      Thank god for that.

      Imagine if LLM were made in Oxford in the 1950’s.

      It be trained on the fucking Iliad and Shakespeare.

      • yogurtwrong@lemmy.world
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        6 days ago

        Thankfully it’s being trained on some real intellectual discourse like your rectum getting stretched out by rock hard shit instead of that garbage

    • N0body@lemmy.dbzer0.com
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      7 days ago

      “AI,” what should I do about being constipated?

      Painfully stretch your rectum to gaping in order to accommodate your constipation.

        • ✺roguetrick✺@lemmy.world
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          6 days ago

          As a CNA? Your RNs were lazy. They shouldn’t allow CNAs to do digital disimpaction. In some places even RNs aren’t allowed to do it, only providers.

          • southsamurai@sh.itjust.works
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            5 days ago

            Eh, they were definitely lazy lol.

            It wasn’t unusual though. I don’t think I ever saw an RN do one.

            One nursing home had us doing foleys, and I’ve started IVs and other stuff that was absolutely not supposed to be done by CNAs.

            • ✺roguetrick✺@lemmy.world
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              5 days ago

              Nuts. It’s something that really needs an order (standing or otherwise) in their charts nowadays because it’s considered invasive with a risk of vasovagal response which can lead to a code(for those with fragile cardiac status) and many RNs aren’t even trained to do it safely (but let’s be real, if you’re not sticking your hand up there you’re not going to cause a bowel perf). No shortage of lazy RNs in LTC though.

              • southsamurai@sh.itjust.works
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                5 days ago

                Amen to that. To be kinda fair, most ltc staff develop a sense of “fuck it” and either get lazy or quit entirely. It grinds people down, so the field ends up relying on new hires that are burnt out from other areas, which just completes the cycle

    • FearfulSalad@ttrpg.network
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      7 days ago

      The poop knife is irrelevant until and unless one plans to flush, which this question did not ask.

      Also, why do you assume the nurse is a lady?

        • underwire212@lemm.ee
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          7 days ago

          They were simply asking a question? Why do you assume the nurse is a lady? Tbh I probably would’ve also assumed they were female, but by asking the question, you’re forced to think about the assumptions you make. Which may not be accurate.

          You’re literally getting offended over someone asking a question lmao. And of course you’re the one saying everyone else is getting offended. Do you literally just not understand what irony is? Or are you literally incapable of looking inward for 2 seconds, and realizing that perhaps you make assumptions about people and situations that may be incorrect?

          • StopJoiningWars@discuss.online
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            7 days ago

            I don’t assume they’re a lady at all, in fact I don’t give a shit about their gender? Same as the person who was originally corrected.

            Unlike you lot, who are incredibly arrogant in thinking that caring about a random individual who will supposedly like being “defended” or even needed that in the first place. That arrogance is so self-serving it’s nauseating.

            • underwire212@lemm.ee
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              6 days ago

              I was speaking in generalizations, not about your specific assumptions.

              We all make assumptions about others that are sometimes incorrect. Myself included.

              In fact, you’re currently crafting up straw men to attack right this very second. And those straw men are based on incorrect assumptions about what I (or “we”, whoever this mysterious “we” is that you reference) think.

              For example, you reference that I am “caring about a random individual who will supposedly like being “defended” “. You are putting quite a few words into my mouth. All I’ve ever done was point out your getting offended by someone asking a question.

              I don’t see the harm in pointing out those assumptions. Those who challenge our assumptions make us better people. It helps us grow and learn to disassociate from social media brain rot that gets us pissed off at each other for no reason.

              You see someone talking about “gender” and, I assume (although I could certainly be incorrect in my assumption!) that you immediately craft an individual in your mind who has all these other views that you despise. I admittedly do this too. I think we all do to a certain extent.

              If someone tells me their stance on abortion for example, I subconsciously craft this individual in my mind and create assumptions about what that other person thinks based on zero rational evidence. I’m trying to get better at realizing when I do this, but in order to get better, my assumptions sometimes need to be pointed out for me.

              Wouldn’t you want others to point this out to you?

          • StopJoiningWars@discuss.online
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            7 days ago

            The whole getting offended on someone’s behalf who isn’t even part of the conversation, and when the “offense” wasn’t meant as such is inflammatory bullshit. And you all know it.

            • ilost7489@lemmy.ca
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              7 days ago

              I guess you could argue whether it was important to bring it up here, but you didn’t say that in your original comment. Your original comment was extending the idea that gender doesn’t matter to assert that proper pronouns aren’t needed in discussions. These are two separate (although sort of joined) ideas

              “Gender doesn’t matter” means that people should be able to do whatever regardless of their gender. They shouldn’t face discrimination if they’re male, female, trans, etc. It does not mean gender is not important in conversation as it certainly is to show that you respect someone. People won’t get mad if you use “they” to refer to them (or, if they do, they’re just an ass) but many people do get mad if you assume “he” or “she” because they’ll take it as a sign that you disrespect them or think they’re lesser because of their gender.

              Also, the tone of your first comments makes you sound like, for lack of a better word, an asshole. Don’t be surprised when people down vote when you go after someone like that

              • underwire212@lemm.ee
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                7 days ago

                You can’t reason with them. They seem incapable of basic critical thinking and reasoning.

              • StopJoiningWars@discuss.online
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                7 days ago

                Your first definition of gender not mattering is exactly right, and if the person doesn’t show up to correct the use of pronouns then who cares.

                There is no “honour” to defend for a random unknown individual. It’s just for self validation or so that people who do such things feel like they belong to the “tribe” or whatever. Tribalism is the stupidest reason to use pronouns.

                • ilost7489@lemmy.ca
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                  6 days ago

                  Did you even read my comment? I was saying that you said nothing about that second point in your original comment and that’s why people are going after you. Asking if pointing out people misgendering by accident is necessary is one question. Stating that pronouns don’t matter in an agressive matter is another

              • StopJoiningWars@discuss.online
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                7 days ago

                Not on someone’s behalf, but at someone who is defending a person they don’t even know needs defending. Like, what the fuck do you think you gain by “correcting” pronouns for a John Smith?

                It’s all about the personal gain, none of it is altruistic. It’s egocentric mania.

              • StopJoiningWars@discuss.online
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                7 days ago

                “Literally” not, I’m arguing for people to stop giving a shit about gender, especially about people who aren’t and won’t be a part of the discussion. It’s asinine and vapid self-serving slop to “defend” someone who for all you know is a huge bigot? Like come on, you don’t even know the person, why white-knight…

                • StopJoiningWars@discuss.online
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                  7 days ago

                  You do understand that the person being defended isn’t in the picture, doesn’t know or care about it, and therefore that this is just selfish white-knighting, right?