A Tale of Two Colonoscopies (and Ryan Reynolds' Butt)

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We cannot allow COVID to dominate our medical decision-making, with vaccines and antivirals readily available. We do a disservice to our patients by focusing on one risk of one course of action and making decisions solely based on that measurement.

"Vaccination against SARS-CoV-2 has uncoupled symptomatic infection and poor outcomes.... The major potential risk to date has been of inadequate vaccination responses, which have been largely overcome by adjusted primary vaccine schedules, boosters and availability of antivirals. We, therefore, predict that the disruption from the pandemic for individuals with IBD will largely now be no different to the general population.

In 2022, the group closed reporting to their database. They stated,"We found that corticosteroids are associated with more severe COVID-19 outcomes, while biologic medications are not." GurdasaniAlso important with considering an action's risk is that it must be compared against the risks of not taking the action and the risks of doing something else. Patients with IBD have increased risk for colon cancer, so it's especially important that they get screened.

"I desperately need an EGD & colonoscopy thanks to my autoimmune disease, but b/c of my autoimmune disease & everyone's poor COVID practices I can't safely get the care I need," tweeted one follower.

 

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