03/28/2022 Weekly Editorial Roundup and Dr. Paul Strombom on Colorectal Cancer Awareness
Editorial Roundup and Dr. Paul Strombom on Colorectal Cancer AwarenessThis week on Hudson Valley Uncensored, Brett Freeman has an interview with colon and rectal surgeon Dr. Paul Strombom from Phelps Hospital to talk about Colorectal Cancer Awareness Month. Then, later on in the episode, he also is joined by regulars Tom Walogorsky, editor of North Salem News and The Somers Record, Bob Dumas, editor of Mahopac News, and Brian Marschhauser, editor of Yorktown News and The Katonah Lewisboro Times.First up, Freeman is joined by Dr. Paul Strombom to discuss colorectal cancer and the importance of getting regular screenings. They start out by discussing the increase in colon cancer rates in the under-50s and the simultaneous decrease in the over-65s. Dr. Strombom says that there’s no obvious reason for the increase in younger patients, though diet and environment may be factors, but the decrease in older patients is down to better screening and the ability to remove pre-cancerous polyps during colonoscopies. He then reassures listeners that the colonoscopy process isn’t so bad (though the bowel prep process is a different matter) and that it’s the best way to prevent colon cancer, along with a healthy diet and quitting smoking. Freeman brings up the question of symptoms, and Dr. Strombom points out that many patients have no symptoms, which is why regular screening is so important in order to catch any problems early. He also addresses the higher rate of colon cancer in African Americans and explains that access to regular screening is a factor in this problem. The discussion then moves to what happens after a colonoscopy, Dr. Strombom explaining that polyps are sent to the pathologist to be tested and that the type and number of them will determine the regularity of your repeat colonoscopies, which can be anything from ten years to three months. And finally, they return to screenings, with Dr. Strombom explaining that while colonoscopy is the best type, there are other, less invasive procedures available, and the most important thing is to attend your annual screening of whatever type.Following the interview ,Walogorsky has the big news out of Somers Town that Bill Faulkner is throwing his hat into the ring and running for Congress in the 16th District this fall. He’ll be taking on Jamal Bowman, who’s also going to be primarying Vedat Gashi, and Dumas joins in to say that he just interviewed a very confident Gashi, who took some shots at Bowman’s alignment with the Democratic Party’s views. In response, Freeman brings up the issue of President Biden’s stance on energy independence and says he’d be curious to see whether self-proclaimed “Biden Democrat” Gashi agrees with the President or not. Moving on, Marschhauser reports on some progress in Yorktown’s project to bring sewers to 315 homes, which had been held up by the county’s refusal to release funds for the project unless Yorktown signed up for the affordable housing code it repealed in 2016. After a six-month logjam, the county now seems to have backed off from its demand following the federal government’s recent approval of $1.2 million for the sewer project. Dumas then reports on a controversial change to Mahopac’s town board meetings, Supervisor Carrazi having decided to scrap the new business public comment sessions, causing upset among town members. Finally, Marschhauser and Walogorsky close this section of the episode with a roundup of what’s happening in their areas, including the opening of a new supermarket, a march in support of Ukraine, and the beginning of spring sports season.Episode Highlights:March is Colorectal Cancer Awareness Month, which aims to bring awareness of colon cancer and encourage people to get screened when necessary. Rates of colorectal cancer are increasing among the under-50s but decreasing in people over 65. Dr. Strombom says there’s no official explanation for the increase in younger patients, though diet or environmental exposure may be involved. However, the decrease in older patients is due to better screening and the ability to not only diagnose colon cancer with a colonoscopy but also remove the polyps that can turn into colon cancer in the future. The recommendation now is to start getting colonoscopies at age forty-five instead of fifty, as previously recommended. Dr. Strombom explains that the actual colonoscopy process itself is not too bad—most people get some sedation and just take a thirty-minute nap—but admits the bowel prep is unavoidably unpleasant! A healthy and balanced diet plays a role in decreasing the risk of any medical problems, including colon cancer, while smoking increases your risk. In the end, though, Dr. Strombom states that screening is the best thing that can be done to prevent colon cancer. Some colon cancer patients may see a change in the quality of their bowel movements—possibly they’ve gotten thinner or more frequent—and some people have bleeding. Unfortunately, many patients have no symptoms at all, so it’s important to get screened and catch the cancer early, as these symptoms may indicate a more advanced cancer, which could be more difficult to cure. African Americans have higher incidence rates and death rates from colon cancer, which is likely a multifactorial problem, including environmental factors and access to screening. There are several pushes to increase screening within the African American community to try to prevent these cancers from arising. For those looking to donate money to support colorectal cancer patients, Dr. Strombom recommends the American Cancer Society, which has several great programs, including support for patients going through diagnosis and help with patient transport. When polyps are removed during a colonoscopy, they’re sent to the pathologist for identification as either benign or pre-cancerous. If you have a bunch of non-benign polyps, that potentially changes the frequency of colonoscopies after your first one. Colonoscopies are not a one-and-done treatment; they’re something that continue up to the age of eighty. Following a healthy colonoscopy, most people would usually get their next one in ten years, possibly seven if the quality is unsure. Once you start finding polyps, the frequency increases to every five years, possibly more if there are a lot of polyps. If there are so many polyps they can’t be removed in one treatment, you may have a repeat in three-to-six months with a longer time blocked out for the procedure. When you have a diagnosis of colon cancer, you’ll receive some staging to see how advanced the cancer is, which usually consists of a CAT scan of your chest, abdomen, and pelvis, and then some bloodwork. If the cancer hasn’t spread anywhere else in your body, then the first treatment is surgery, which is potentially curative on its own. Dr. Strombom points out that there are less invasive forms of screening out there for those who are hesitant about getting a colonoscopy and that getting annual screening done is the most important thing. However, he does say that colonoscopy is the best type of screening they have because they can remove polyps right there and then.On today’s episode are three editors from the Halston Media team—Tom Walogorsky, editor of North Salem News and The Somers Record; Brian Marschhauser, editor of Yorktown News and The Katonah Lewisboro Times; and Bob Dumas, editor of Mahopac News. Walogorsky starts off with the big news out of Somers that Bill Faulkner has announced he’ll be throwing his hat in the ring and running for Congress in the 16th District this fall. He’s got the Republican and Conservative endorsements and will be looking to take on Jamal Bowman, the Democratic incumbent who’s also going to be primarying Vedat Gashi. Dumas jumps in on this story to report that he just interviewed Gashi, who was very confident that the district’s in his favor and took some shots against Bowman, suggesting his views aren’t aligned with the Democratic Party. Freeman also brings up Jen Psaki’s response to criticism of President Biden’s stance on energy independence and says that he’d be curious to hear more about what Faulkner and Gashi have to say on this issue and whether Gashi, who described himself as a “Biden Democrat,” agrees with the President’s approach. Marschhauser reports that, in 2021, Yorktown was looking to move forward on a project to bring sewers to 315 homes and approached the county to access a ten million dollar fund set aside for this project. However, the county would only release those funds if Yorktown adopts the affordable housing code it repealed in 2016. A six-month stalemate ensued, but it looks like the county has now backed off, and Yorktown will be getting that ten million fund. Marschhauser says that the federal government’s recent approval of $1.2 million for the sewer project has been cited as breaking the logjam. He quotes County Executive George Latimer as stating that protecting safe drinking water through the sewer project is too important to be used as leverage. Mahopac News’ front-page story this week was on a change to town board meetings. Previously, there would be two public comment sessions, one for agenda items and one for new business, at which people could come up to the podium and talk. Dumas reports that Town Supervisor Michael Cazzari has now decided to scrap the new business sessions, which has provoked complaints, including by former Town Councilman Mike Borelli. Marschhauser gives a quick update on news from his area, including Bedford welcoming a new branch of DeCicco & Sons on March 25, the Silver Jubilee celebration for Support Connection—a non-profit supporting those affected by breast and ovarian cancer—in Yorktown on April 1, and the beginning of spring sports season. Walogorsky tells us about a March for Peace for Ukraine happening in North Salem on Sunday, March 27. He also mentions that he’s excited about sports season, with the Tigers opening up lacrosse season on March 26. Quotes:“This is our month to encourage people to get out and do their screenings as necessary, and just bring a little bit awareness to colon cancer, and make sure people are getting the right care.”“One of the good things about colon cancer screening is that not only can you diagnose colon cancer by getting a colonoscopy, but you can actually improve it by removing the polyps that are the little growths that can turn into a colon cancer in the future.”“I think the thing that most people probably dread or fear the most is the bowel prep itself, which is a little unpleasant. You’re drinking a bunch of liquids to make you go to the bathroom, and just most of the day on the toilet can be unpleasant. There’s not really any way around it, unfortunately, because we do have your colon as cleaned out as possible so that we can see these little growths and take them out and prevent them from turning into something more concerning.”“A lot of patients won’t have any symptoms at all. And that’s why we want to catch these early because if you are having symptoms, it may mean some more advanced cancer. It may be more difficult to cure.”“If you have a bunch of polyps that are the kind that we worry about, that potentially changes the frequency of colonoscopies after your first one. The point is colonoscopy’s not a one-and-done, and you’re free for the rest of your life. It’s something that we continue to do, really up until the age of eighty.”“When you have a diagnosis of colon cancer, we do some staging, meaning we check to see how advanced the colon cancer is. And that usually consists of a CAT scan of your chest, abdomen, and pelvis, and then some blood work. And if it hasn’t shown, spread anywhere else in your body, then the first treatment really is surgery, and that’s potentially curative on its own.”“There are several other types of screening out there, especially for people who are hesitant about getting a colonoscopy. I’d still say the colonoscopy is the best that we have because we can remove the polyps that we find at the time. But in the end, it’s important to just get annual screening.” “He took some shots at Bowman, doesn’t think his views are aligned to the Democratic Party. He cited his vote against Biden’s infrastructure bill, his vote against relief to the Ukraine, his constant use of the defund the police movement, which Vedat says he does not support.”“He called himself a centrist Democrat, kind of like a Biden Democrat.”“It’s interesting that Vedat Gashi said he’s a centrist Democrat, like Joe Biden, because I do feel like Joe Biden has kind of gone to the left. I mean, he spent much of his career, I think, in the center, but kind of gone left as a president. So I’m curious what that means.”“More than a decade ago, the New York City DEP set aside ten million for this project. The county controls the allocation of this fund. So now herein lies the disputes, you know, the town said, 'Okay, we want that ten million bucks to, you know, bring sewers to Yorktown.' And the county said, 'Well, great, adopt that affordable housing code, and we can talk.'”“I don’t think they were necessarily aware of that business being tied up over this affordable housing fee when they approved the money. I think it was just they saw this as an infrastructure project. And they were putting money toward it. I don’t think they’re necessarily taking sides in the affordable housing debate.”“I guess Supervisor Cazzari’s position is that people can contact him and the town board members directly, you know, via email or phone calls. And so it doesn’t need to be raised at a meeting.”“Under Schmidt’s administration, these things could spiral out of control, and there was some circus-like atmosphere. And Cazzari is trying to control that. But, you know, some people aren’t happy with this particular approach.”“It’s spring sports season. You know, I love spring sports. I love being outside, getting the fresh air, and, you know, attending some lacrosse games or whatnot.”Links:Halston Media Group website