My husband (39M) had a positive FIT test and unexplained low ferritin and very likely has at least some polyps, adenomas, something going on.
Any experiences with St. George Regional Hospital for colonoscopies? Or anywhere really good for colonoscopies in St. George (where they are good at finding adenomas)?
underwater/water-aided is a newer colonoscopy method that's easier to do unsedated and also seems to result in a higher adenoma detection rate (you can get more problem areas found and treated)
anyone know where it's offered, especially in the SW US (LA, Vegas, Phoenix, St. George Utah, or even Denver)?
update: I guess any gastro doc could do it this way if they wanted, but does anyone know doctors or clinics that have experience in this method?
My husband needs a colonoscopy to follow up on positive FIT test and some risks for colon cancer/polyps, but he's under 45 and we won't get it covered as a preventive screening.
Considering both CDIN, because they have great reviews and board-certified doctors and claim to be contracted with our high-deductible insurance, but also wondering about ColonoscopyAssist, which gives you an upfront and all-inclusive cash price (including pathology on polyps). Any experiences with either?
My husband needs what will likely be coded as a diagnostic colonoscopy (39M, following up on positive home FIT test plus low ferritin and history of alcoholism in the past, which can increase risk of colon cancer). He wants to do it without sedation for many reasons but that might also keep the cost down (no anesthesiologist?).
Pros/cons of going to a recommended clinic in our area that says they're contracted with our insurance vs. ColonoscopyAssist or calling clinics to request a cash price? We have high-deductible insurance but the contracted rates on stuff we've had before have typically been reasonable.
Does it matter that much the skill of the person doing the colonoscopy is or it more a matter of just getting it done/checked and not being surprised by the bill?
My husband (39M) needs a screening colonoscopy to follow up on a positive home FIT test plus a history of alcoholism in the past that can increase colon cancer risk.
I was able to get him booked for two weeks from now for a colonoscopy consult at one of the better/more recommended centers in our city (Vegas). They said he didn't need a PCP referral (he doesn't have a PCP right now) and could self-refer for the consult. They ran his insurance and said they are contracted with it.
Just wondering if I need to do anything else to check on insurance coverage/pricing or whether self-referring will be ok when it comes to coverage? We have high-deductible Blue Cross insurance.
He does have a positive FIT test (that's the reason for getting the colonoscopy at all, that plus unexplained low ferritin). So would that mean the colonoscopy itself should be covered at no cost as a screening colonoscopy?
"Starting May 31, 2022, insurance plans and issuers must provide no-cost coverage for follow-up colonoscopies." However he is under 45 so not the typical age for screening to start. He does have some risk factors for colon cancer that might require earlier screening, however (mostly that he used to be extremely alcoholic).
This is for my husband
I saw another post about low ferritin and high transferrin saturation that led me to a Chris Masterjohn video titled "High iron saturation but low ferritin?" where around 10:00 in the video he says that he generally considers labs like these (saturation >55% and low ferritin) an early stage iron overload?
update: he had a positive fecal occult blood (home FIT test) to check for GI bleeding potentially causing the low ferritin, so between likely iron deficiency anemia, positive FIT test, and alcoholism history (can raise risks of colon cancer) he's gotta get screening colonosopy to test for colon cancer now.
My husband has been on TRT for 4 years and has low ferritin.
However, his serum iron and transferrin saturation are high, suggesting excess iron in blood.
Has anyone else on TRT had low ferritin but high serum iron and % saturation (some people are saying the body will sometimes try to release more iron when the ferritin stores are low)?
He has a history of alcoholism in the past and a likely episode of liver disease in the past, so I don't want to be too flippant about writing off excess iron, since it can also be a symptom of liver disease. Also there is apparently a type of hemochromatosis (h63d) that can cause this pattern and apparently you're supposed to get evaluated for hemochromatosis if transferrin % saturation is above 45% (his is well above that at 58%).
