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A Twisted Colon Can Become a Surgical Emergency in Hours___Sigmoid volvulus happens when the sigmoid colon twists around itself_ blocking the bowel ...

15,461 Aufrufe • vor 1 Monat •via X (Twitter)

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I am sorry but Dr Pal Manickam, the Gastroenterologist from California, is becoming not just a health misinformation menace, but also a subtle "hate-monger" with his divisive attitude towards dietary choices in India, also known as Bharat, a Union of States and marriage of [dietary] cultures and traditions. Claims: 1. Eating red meat (beef and pork) causes colon cancer 2. Nitrosamines (from nitrites/nitrates) in red meat causes colon cancer 3. Cancer screening in USA above age of 50, but not in India 4. Kerala has maximum number of colon cancers in India 5. Kerala has maximum number of colon cancers because Malayalees eat a lot of beef. A lot. Response: 1. Eating red meat does not cause colon cancer Higher red meat consumption was shown to have a correlation with increased risk for colon cancer, but the evidence for independent association was weak and remains weak Eating red meat does not increase risk of colon cancer. Excessive consumption of red meat/ processed meat (excessive not yet fully defined across populations) was confusingly correlated with increased risk of colon cancer 2. Studies have only looked at nitrites and nitrates [and hence nitrosamine formation] causing stomach cancer and not colon cancer. The International Agency for Research on Cancer (IARC) also focussed on nitrosamines and stomach cancer, but the potential role for dietary nitrate/nitrite in colon cancer is not conclusively proven. Meat-based diets (specifically processed meat, not fresh meat) have a well described higher risk for cancer, but it is not readily attributable to nitrite consistently in all studies. Most studies are on ground and well water and not meat. And the strongest study to show cancer link and nitrite consumption is in mice, not humans The biggest source of nitrate exposure is dietary consumption of certain types of vegetables that are naturally high in nitrate. This is a clear case of investigator bias, looking at any possible way to force the data into a specific conclusion (like Dr. Pal is doing in the video). The IARC maintains the tone of its conclusion, but only to reiterate its validity in a theoretical state, while acknowledging that the epidemiology does to support these conclusions. Nitrites are just one reason processed meats may contribute to bowel cancer, and their relative importance is uncertain. Other factors that may contribute include iron; PAHs (polycyclic aromatic hydrocarbons) which are formed in smoked meats; and HCAs (heterocyclic amines), which are created when meat is cooked over an open flame – and which also are tumour-promoting. So its not just red meat, but the cooking method signficantly affecting health outcomes. 3. India does not have a national level screening protocol because the proportion of colon cancer among all cancers in India is only 3% which would lead to wastage of medical resources on a low-incidence cancer detection protocol. But in the USA, colon cancer is the second most common cause of cancer death. Overall, the lifetime risk of developing colorectal cancer is about 1 in 23 for men and 1 in 26 for women - which is much much higher compared to India and that is why they have screening protocols in place - not because they eat more red meat than Indians. 4. Kerala has the highest crude incidence rate of all cancers followed by Mizoram. Not colon cancer. All cancers. Highest colon cancer rates and burden of colon cancer are observed in Goa and Orissa, not Kerala. & While the discussion on beef and colon cancer is ongoing in the video, a segment of the clip shows a news item "concerning increasing cases of colon cancer in Kerala" - this is that news piece - - and read what it says: it talks about only younger age group and colon cancer. "Experts opine that underlying factors leading to the rise in cases, especially at this age, could be lifestyle, environment and genetic factors" - they do not mention beef at all. The report also says: "Though we have no authentic records to show the statistics of rising cases, we have been observing a trend here. Our changing lifestyle is most likely to blame for the rise in colorectal cancer cases amongst younger people, though hereditary reasons are also a major cause." - again, no mention of beef eating. 5. Lakshwadeep is India's biggest meat eater followed by north-east states such as Arunachal Pradesh, Mizoram, Nagaland and Manipur followed by Kerala. MEAT EATING. Not beef eating. Specifically looking at the largest beef consuming state - it is Meghalaya, where more than 80% of the population consumes this meat, not Kerala. Kerala is the largest beef consuming state in the context of male population only. [ 6. Oh by the way, about pork and colon cancer --> the risk was not increased consuming high amounts of pork: and there is only one study showing colon cancer risk in women in Japan, not India and that too who consumed pork >/= 3 times/week compared to </=1 time: Add-on: The risk for colon cancer is not red meat alone (with weak evidence), but more importantly (with stronger evidence), alcohol use, smoking, family history of cancer, presence of inflammatory bowel disease, obesity and polyps or adenoma of colon. These have been very conviniently ignored by the Gastroenterologist from California. Summary - red meat causing colon cancer is not convincingly proven. Increased intake of processed red meat more than higher intake of unprocessed red meat is weakly linked from evidence point of view to colon cancer risk. Nitrosamine in red meat as cancer causing in humans is not proven. Kerala does not have the largest burden of colon cancer in India, nor it is the largest consumer of beef. There is no realistic evidence that eating pork increases risk of colon cancer. These are actual facts. And I am not even a Gastroenterologist from California. I am a Hepatologist. From India.

TheLiverDoc™

1,923,707 Aufrufe • vor 2 Jahren

"A Colonoscopy Is Far Too Dangerous, I Recommend Against Them." Dr John McDougall, MD "7 Out Of Every 100 People Suffer Serious Major Complications." "1 In A 1,000 Have A Colon Perforation & Half Of These People Will Die. "Colonoscopies Are Harming More Lives Than It Saves." ✳️Written Post Contains... 1⃣ Research data, 2⃣ Colonoscopy complication rates 3⃣ Alternative screening methods to colonoscopy 1⃣ The U.S. is the outlier of the world who uses colonoscopy as 1st line colon-cancer screening modality. There are about 15 million colonoscopies done in the U.S. every year. In 2001, Medicare agreed to pay for colonoscopy as a screening tool & that’s when the US made Colonoscopy as 1st line diagnostic. It is for money & profit, not health. Europe, Canada, Australia & parts of S America do not use Colonoscopy as a preventive screening. In those countries, the predominant colon-cancer screening is the stool test, or the newer version of that called FIT. The absolute risk of developing colon cancer for people following the Standard American Diet is 2.5%. Risk of cancer rate drops to almost 0% when a low carb/low sugar diet is followed. Yet, colonoscopy complication risk is 7%. One of the most serious hazards, often leading to death, is perforation of the colon, which occurs in about 1 per 1,000 procedures. It takes 1,250 people screened with colonoscopy to diagnose 1 cancer. This is almost an even exchange: for 1 cancer diagnosis & potential life saved, 1 life is lost from a complication, like perforation. 3 Highly regarded institutions warn colonoscopy does not reduce mortality... The Journal of the American Medical Association Internal Medicine boldly stated, “…there is no randomized clinical trial (RCT) (or other high-quality evidence) showing that colonoscopy reduces CRC (colorectal cancer) mortality. In fact, the only tests shown to reduce CRC mortality in RCTs are periodic FOBT (fecal tests). The lack of benefits, & substantial costs & harms, has caused the Canadian Task Force on Preventive Care to tell the citizens of Canada: “We recommend not using colonoscopy as a screening test for colorectal cancer.” The New England Journal of Medicine published the NordIC trial, the largest randomized study published on the possible benefits from colonoscopy 10 years after screening..."The risk of death from any cause was 11.03% in those who had colonoscopy & 11.04% in those who did not have a colonoscopy." Unfortunately, these undeniable findings that screening using colonoscopy will not reduce your risk of dying will have little influence on medical doctors & facilities performing this highly profitable procedure, which brings in $4Billion profit each year. 2⃣ Colonoscopy Complication Rates: GI Microbiome: The harsh prep of toxic polyethylene glycol (PEG) to clean out the entire digestive tract ahead of a Colonoscopy kills 99% of beneficial good bacteria. Resulting is months of digestive issues as the digestive tract attempts to recolonize. Cardiac Event: 1 in 100 will suffer an Arrhythmia or Myocardial infarction. Bleeding: 1 in 2,000 will suffer bleeding needing inpatient intervention. Bowel Perforation: 1 in 1,000 requiring emergency surgical repair with risk of fatality. Spleen Injury: 1 in 6,000 from colorectal endoscopy tool injures the Splenocolic Ligament, emergency surgery & possible fatality. Infection: 1 in 1,000 will suffer bacterial infection which can develop into Sepsis. 3⃣ Non Invasive alternative testing is superior to Colonoscopy, used in most other countries around the world: Virtual Colonoscopy: used for colon cancer screening & to detect polyps or other growths in the colon. Camera Pill: used for colon capsule endoscopy (CCE) to examine the colon. The M2-PK: (tumor M2-pyruvate kinase) test is a non-invasive screening test that can detect colorectal cancer & polyps early. FOBT: Fecal Occult Blood Test is a non-invasive stool test to detect blood, cancer & polyps. FIT-DNA: Fecal Immunochemical Test detects altered DNA in serum blood tests & in stool. 👇Cardiac Events Post Colonoscopy👇 👇Other Countries Use Non Invasive Colon Tests👇 👇Post Colonoscopy Infections👇 Speakers: Chris Wark & Dr John McDougall, MD

Valerie Anne Smith

712,565 Aufrufe • vor 10 Monaten