Hospital Colonoscopy Facility Fees 55% Higher Than Surgical Centers

Researchers at the Johns Hopkins Bloomberg School of Public Health found that U.S. hospitals charge facility fees for colonoscopy procedures that are on average approximately 55 percent higher than fees billed by smaller clinics known as ambulatory surgical centers (ASC’s). Blue Cross Blue Shield data suggests the cost of a diagnostic colonoscopy increased 6.1% at

Cancer Risk Lower When Docs Are Better at Adenoma Detection

A retrospective study of three large health systems found that the risk for colorectal cancer following a colonoscopy was lower when the colonoscopy was conducted by a physician with higher adenoma detection rates (ADR’s). Adenomas are the usual precursor type polyps that can lead to colon cancer. At the Endoscopy Center of the North Shore,

De-Escalation of PPI Therapy

The American Gastroenterological Association has released a new Clinical Practice Update providing best practice advice on how to approach de-prescribing proton pump inhibitors (PPI) in ambulatory patients. See the AGA website information here.

The Microbiome in Cancer

We understand that the microbiome has emerged as an important consideration in clinical science, and this includes extension into the important world of oncology. The role of the microbiome in cancer is not just limited to causation and cancer risk. We now known that the microbiome modifies immune responses to tumors. It influences the clinical

Anonymous Physician Reviews

Should we ignore anonymous physician reviews? Are they a fair form of free speech? Or are they subject to bias and potentially libelous? See my article on KevinMD.com. Comment here or on the website!

Do pets promote your microbiome?

As a new pet owner (meet Jaxon!) I immediately noticed how much “overlap” there is with dog life and my life. Licks, kisses, and paws on you that have been…God knows where. And while I wouldn’t trade it for the world, the infectious-conscious doctor in me wonders if this is a good thing or bad