Help: need a good gastroenterologist for positive cologuard

Anonymous
I swear I see Cologuard advertisements frequently (some animated ad), and have to wonder who is using/prescribing this product. Is it for people who will not get a colonoscopy?
Anonymous
Dr Truc Trihn. Her offices are blah, making an appointment can be unnecessarily difficult but she’s great. I’ve had colon cancer and keep going back to her. Many colonoscopies.
Anonymous
Anonymous wrote:I swear I see Cologuard advertisements frequently (some animated ad), and have to wonder who is using/prescribing this product. Is it for people who will not get a colonoscopy?

Should only be used in the RARE circumstance
Anonymous
Anonymous wrote:I swear I see Cologuard advertisements frequently (some animated ad), and have to wonder who is using/prescribing this product. Is it for people who will not get a colonoscopy?


health plans. It costs a few hundred rather than about 10K for the colonoscopy.
Anonymous
Anonymous wrote:Dr Martin Prosky.

3301 Woodburn Rd # 107, Annandale, VA 22003
Hours:
Open ⋅ Closes 5 PM
Phone: (703) 876-0437


His office kind of sucks, but HE is great. Two of my other docs go to him. I tend to trust docs other docs use. Once you're a patient and on the portal etc, it's much easier to get through to the office.


Disagree. Had to fire this guy.
Anonymous
Anonymous wrote:I swear I see Cologuard advertisements frequently (some animated ad), and have to wonder who is using/prescribing this product. Is it for people who will not get a colonoscopy?


It’s massively easier and cheaper than colonoscopy, involves taking no time off work, and despite the people slamming it in this thread it is pretty accurate for younger people. The false positive rate increases with age.
Anonymous
Most of the world does not do colonoscopy for screening. It’s a US thing and it costs a fortune.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:cologuard is notoriously inaccurate so much so some doctors are no longer writing for the test and there are outstanding lawsuits. A family member tested positive had a colonoscopy and it was fine. Her insurance then tried to say she had to pay for the entire colonoscopy because she used cologuard as a preventive test and can only have one preventive test covered not two. Apparently this is a huge $$$$$ scam.


My physician said that while initially Cologuard was inaccurate, it has improved significantly.


It doesn't matter. I'm 50 and most of my friends have had their first colonoscopies recently. Everyone had polyps removed. Cologuard doesn't do that. Why wouldn't you want somehting that could potentailly turn into cancer taken out before it turns into something worse. Just them them everyone!


Because my doctor suggests beginning screening at 40 and a colonoscopy is not covered.
Anonymous
Tell insurance about family history. Tell colonoscopy place so they code it right.
Anonymous
Anonymous wrote:Most of the world does not do colonoscopy for screening. It’s a US thing and it costs a fortune.


Cancer costs more.
Anonymous
Dr Rupa Shah at Inova did mine. It was just an age-related screening so I didn’t really interact with her much outside of the day of my colonoscopy, but I found her very helpful and thorough.
Anonymous
Anonymous wrote:
Anonymous wrote:Dr Martin Prosky.

3301 Woodburn Rd # 107, Annandale, VA 22003
Hours:
Open ⋅ Closes 5 PM
Phone: (703) 876-0437


His office kind of sucks, but HE is great. Two of my other docs go to him. I tend to trust docs other docs use. Once you're a patient and on the portal etc, it's much easier to get through to the office.


Disagree. Had to fire this guy.



What happened?
Anonymous
Really just get the test done. It is very routine. If they find something concerning then search for your expert
Anonymous
If your GI retired, I am guessing you have had a colonoscopy before? If so, how long ago? Cologuard is a fine screening test. It doesn’t have a high false positive rate as people are describing. It is positive if you have microscopic blood in your stool or DNA from polyps or colon cancer and blood in stool from hemorrhoids is quite common, as are polyps. A Cologuard is not an appropriate test for you because you have a family history of colon cancer. If you have ever had a polyp, you should never do a Cologuard. Just get a colonoscopy.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Dr Martin Prosky.

3301 Woodburn Rd # 107, Annandale, VA 22003
Hours:
Open ⋅ Closes 5 PM
Phone: (703) 876-0437


His office kind of sucks, but HE is great. Two of my other docs go to him. I tend to trust docs other docs use. Once you're a patient and on the portal etc, it's much easier to get through to the office.


Disagree. Had to fire this guy.



What happened?


A series of things. His demeanor is that of a doctor with good bedside manner but he was uninformative. I was dxed with a rare disease via endoscopy. He asked me to come to his office in follow-up. I drove there, he gave me the dx, told me to go to an allergist and take a couple of drugs. That's it. I did that but b/c he didn't explain multiple nuances (can't eat or drink 30 min before or after drug) I got a pill stuck in my esophagus which had to be ER-removed. Went to that doctor for follow-up. He did a detailed physical (Prosky didn't touch me). Opened a text book, explained what was going on. Opened treatment guidelines on his computer and, in detail, explained HOW to use the drugs so they worked. That's when I realized Protsky sucked like a pickled prostate.
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