Tempus Fugit Iterum or Time Flies When You’re Having Fun, Part 2

Who would have thought there was so much information to share about colonoscopies? And who thought it would actually be interesting? Not me. But acting like a grown up and taking care of my health is both informative (We all know I research everything. It seems to be a compulsion.) and interesting. One site brings me to another.

colonoscopySince last week, I’ve gotten a few questions about the topic. One is how often should this be done? As we learned last week, most people – those without any risk factors – start at the age of 50. I started a bit later than that and had normal results, so was told I wouldn’t need one for another ten years. Yay!

That’s when things changed: sometime during the second decade after the first colonoscopy. This was almost five years ago.  The change was that several colon polyps were removed this time; some because they were bleeding, some because they were the larger kind that could become cancerous (adenoma).

Apparently, bleeding colon polyps are troublesome because they can be the source of your fatigue if you already have low levels of iron as most CKDers do. At least, that’s what my former nephrologist said. Although they were bleeding, removing them did not stop the fatigue.  Maybe it was the sleep apnea…or maybe it was just plain being a Chronic Kidney Disease patient.Bleeding

Now, about that adenoma. AboutHealth at http://coloncancer.about.com/od/glossary/g/Adenoma.htm defines an adenoma in the following way.

An adenoma is a pre-cancerous (benign) growth that may occur in the colon. Adenomas arise from or resemble glands and can lead to colon cancer. This means that if left untreated, some adenomas eventually will develop into colon cancer. If an adenoma becomes cancerous, it is called an adenocarcinoma. Fortunately, adenomas typically are easy to find and to remove before they become cancerous, during routine colon cancer screening tests, such as adenomaa colonoscopy or a flexible sigmoidoscopy.

The American Cancer Society at http://www.cancer.org/cancer/news/specialcoverage/7thingstoknow has an easily understood, easy to read explanation of the whole process of colonoscopy and explains more than I have here.

While it sounds like an awful procedure, more often than not, you’re anesthetized first, both to make sure you don’t move (which might cause a perforation) and for your own comfort.

You are a medically comprised patient.  I’ll repeat that – you are a medically comprised patient.  As such, you need to be treated differently as far as anesthesia. Two things are very clear about anesthesia for us.

  1. The dosage of the anesthesia may have to be modified and
  2. You must let your doctor know on your first visit that you have Chronic Kidney Disease.

I was both disgusted and fascinated by the photos my gastroenterologist sent me after the procedure.  I saw the colon polyps.  I saw the inside of my colon. I simultaneously wanted to get as far away from those revolting pictures as I could AND examine them carefully to see just what was going on inside me.

I keep using the term colon polyp, but haven’t explained it yet. MedicineNet at http://www.medicinenet.com/colon_polyps/article.htm#what_are_colon_polyps will help us out here.

Colon polyps are growths that occur on the inner lining of the large intestine (colon) and usually protrude into the colon. Polyps form when the genetic material within the cells lining the colon changes and becomes abnormal (mutates). Normally, the immature cells lining the colon are programmed to divide (multiply), mature, and then die in a very consistent and timely fashion. However, the genetic changes that occur in the lining cells prevents (sic) the cells from maturing, and the cells do not die. This leads to an accumulation of immature, genetically abnormal cells, which eventually results in the formation of polyps. The mutations may occur as a sporadic event after birth or they may be present from before birth.

I’ve got to be honest. I don’t care how I got mine. I.simply.want.them.gone. It’s come home to me lately that I am closer to 70 than 60. It’s also come home to me lately that I love my life and want to keep it as long as I can.IMG_2867

Last week, I touched on the prep having to be tailored for your CKD, too. Here’s a warning from The National Kidney Foundation at https://www.kidney.org/atoz/content/oralsodium

Patients with chronic kidney disease (CKD) who use bowel cleansing products should be aware of a recent warning issued by the FDA for a type of sudden loss of kidney function or acute kidney injury, as well as, blood mineral disturbances. Phosphate crystal deposition in the kidneys causes the loss of kidney function, which can lead to kidney failure. The medical term for this condition is acute phosphate nephropathy.

The warning relates to the use of bowel cleansing agents, called sodium phosphate (OSP) products as laxatives or in preparation for colonoscopy. OSPs are available both with and without a prescription and are taken by mouth. These products can cause phosphate nephropathy.

On the other hand, The National Institutes of Health at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3678056/  has suggestions, although the parentheses are mine.Miralax

For early chronic kidney disease, PEG (4 L polyethylene glycol) or SPMC (2 L sodium picosulphate plus magnesium citrate) are acceptable. Cases with late chronic kidney disease without dialysis should be prescribed with PEG or PEGA (2 L PEG plus ascorbic acid). SPMC have a risk of hypermagnesemia in patients with kidney disease without dialysis.

Obviously, that’s something to discuss with your nephrologist. By the way, one polyethylene glycol product is Miralax, an over the counter medication. The picture above does not indicate an endorsement of the product.

What is itHere I am in NYC, not spending all that much time thinking about CKD except for the sleep, diet, exercise, and lack of stress (nothing else, though) and having a grand old time with my daughter. In other words, I haven’t paid any attention to the GiveAway for What Is It and How Did I Get It? Early Stage Chronic Kidney Disease. That’s the book Geo was reading in last week’s blog. Do let me know if you’re one of the winners so we can celebrate you.

Oh, and don’t forget about that book’s twin younger siblings.IMG_1398

Until next week,

Keep living your life!

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The Coffee Blog

Last week’s blog discussed different kinds of drinks.  I mentioned that coffee is my favorite.  Since I’m still recovering from the second cataract surgery and we all know how good it feels to be self-indulgent when you’re recovering, this week’s blog is all about coffee.  I won’t be repeating what I included in last week’s blog, but there is quite a bit of medical information about coffee available.  Let me just pour myself a cup and I’ll tell you….

We’re smiling because we’ve just had COFFEE.

Really? Drinking Coffee Lowers Colon Cancer Risk

Over the years, most studies of the subject have been either small or plagued by methodological flaws. But recently a team of researchers at the National Cancer Institute followed half a million Americans over 15 years. The researchers looked in detail at their diets, habits and health, and found that people who drank four or more cups of coffee a day — regular or decaf — had a 15 percent lower risk of colon cancer compared with coffee abstainers. While the researchers could not prove cause and effect, they did find that the link was dose-responsive: Greater coffee consumption was correlated with a lower colon cancer risk. The effect held even after they adjusted their findings for factors like exercise, family history of cancer, body weight, and alcohol and cigarette use.

The address for this article is: http://well.blogs.nytimes.com/2012/07/02/really-drinking-coffee-lowers-colon-cancer-risk/?partner=rss&emc=rss

And to answer your question about what colon cancer has to do with chronic kidney disease, you have to remember you are medically compromised already. Cancer is a disease caused by inflammation, just as chronic kidney disease  is.  By the way, it’s said that alkaline foods are a better way of eating should  cancer rear its ugly head in your life.

But that’s not all  drinking coffee can do for you:

Coffee Drinking Linked to Lower Death Risk

Older adults who drank coffee—caffeinated or decaffeinated—had a lower risk of death overall than others who did not, according a study by researchers from the National Cancer Institute and AARP. Coffee drinkers were less likely to die from heart disease, respiratory disease, stroke, injuries and accidents, diabetes, and infections.

You can find this information at http://blog.rwjf.org/publichealth/2012/05/17/public-health-news-roundup-may-17-2/

I am an older (thank you for that ‘er’) adult. I absolutely love coffee. I also have chronic kidney disease which may lead me down the primrose path to diabetes.  Perhaps I can prevent that?  Too bad I’m restricted to two cups a day.

This one can get a bit technical so I’ve copied the most easily understood part of it:

Coffee consumption inversely associated with risk of most common form of skin cancer

PHILADELPHIA — Increasing the number of cups of caffeinated coffee you drink could lower your risk of developing the most common form of skin cancer, basal cell carcinoma, according to a study published in Cancer Research, a journal of the American Association for Cancer Research.

“Our data indicate that the more caffeinated coffee you consume, the lower your risk of developing basal cell carcinoma,” said Jiali Han, Ph.D., associate professor at Brigham and Women’s Hospital, Harvard Medical School in Boston and Harvard School of Public Health.

You can find the whole article at http://www.eurekalert.org/pub_releases/2012-07/aafc-cci062612.php

So coffee – formerly universally maligned by the medical community – now can help prevent colon and skin cancer and prolong your life.  I’m liking this very much, but we’re not done, folks.  I’m grinding (love being punny) the sources out right now.

 I am in heaven!  Look what I found at http://www.everydayhealth.com/diet-nutrition/0310/9-healthy-reasons-to-drink-coffee.aspx?xid=tw_weightloss_20120123_coffee (You’ll probably understand my over the top joy if you remember I’ve had both a root canal and a crown replacement so the dentist could reach the cavity underneath the crown  this summer.  Both were so expensive that, even with insurance, I’ll be paying them off well into the new year.)

9 Healthy Reasons to Indulge Your Coffee Cravings

 Coffee gets a bad rap, but study after study shows your java habit is actually good for you. From a lower stroke risk to fewer cavities, here are the best reasons to enjoy a cup or two.

“Coffee is incredibly rich in antioxidants, which are responsible for many of its health benefits,” says Joy Bauer, RD, nutrition and health expert for Everyday Health and The Today Show. Its caffeine content may also play a protective role in some health conditions, but many of coffee’s health perks hold up whether you go for decaf or regular.

According to this article, coffee can help avoid diabetes, skin cancer, stress, cavities, Parkinson’s disease, breast cancer, heart disease, and head and neck cancers.

Parkinson’s disease runs in the family, too.  That’s another reason I’m so happy to have found this article.

One of the most romantic acts my sweet Bear performs is bringing me a cup of coffee to wake me up each day.  Sharing that time as we drink our coffee in bed cements the connection between us.  Could be I’m mixing up coffee and love, but there does seem to be some kind of interaction there.

My neighbor Amy – one of the busiest people I know – makes time to come over for a cup of coffee whenever she can.  She gets an hour’s break from her three kids and household duties or gets to de-stress from her work day and I get the pleasure of her company and hearing what’s going on in her life.

There’s more to coffee than caffeine.

An aside: talk about over problem solving – I just happened to notice that I can link websites from wordpress, too.  I seem to be doing a lot of that over stuff as I get older!

Until next week,

Keep living your life!