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Medical Forum / General / Dentistry / June 2005Usefulness of Vizilite?
As I've pretty much come to expect from my DMO office, the latest "add on" they offered during an annual exam was Vizilite oral cancer screening for $65 (not covered of course). Anyone have any feelings about the usefulness of this? What I was told is that if a cancer develops to the point of being visible, it's a stage 3 or 4 which means it's already become dangerous and potentially lethal and that the Vizilite detects growths before this point. Thanks. DMO!!!!!! I have a great parody that someone wrote to the local journal many years ago saved away. It describes the new GM CMO (Car Maintenance Organization). Great reading. I can forward it to your email if you want a laugh. I suspect there may be copywrite problems if I cut and paste the whole thing here. You are usually better off forgetting the DMO and paying for all dental work out of pocket. It may even be cheaper.  Signature~+--~+--~+--~+--~+-- Stephen [What's a Temporary?], D.D.S. Michigan, USA .................................................... This posting is intended for informational or conversational purposes only. Always seek the opinion of a licensed dental professional before acting on the advice or opinion expressed here. Only a dentist who has examined you in person can diagnose your problems and make decisions which will affect your health. ...................... > As I've pretty much come to expect from my DMO office, the latest "add on" > they offered during an annual exam was Vizilite oral cancer screening for [quoted text clipped - 6 lines] > > Thanks. >DMO!!!!!! > [quoted text clipped - 6 lines] >You are usually better off forgetting the DMO and paying for all dental work >out of pocket. It may even be cheaper. Send it on, bro. BTW that's copy-right -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com > As I've pretty much come to expect from my DMO office, the latest "add on" > they offered during an annual exam was Vizilite oral cancer screening for [quoted text clipped - 4 lines] > > Thanks. Nonsense. Caught early, oral cancer is very treatable. You only have to look--something many dentists and physicians fail to do. If there is something suspicious, a biopsy should be done. The screening test to do in mildly questionable areas is called the Oral CDx--called a "brush biopsy". IMO, it doesn't really qualify as a true biopsy, but it seems to be useful. The vast majority of oral cancer victims are heavy smokers and heavy drinkers. Charging $65 for a cancer check when it should be included in every oral exam is IMO unconscionable. Steve SignatureCut the nonsense to reply You forgot smokeless tobacco. One guy with a bad looking snuff lesion never got oral cancer, but it did develop in his throat (I couldn't see down there). Killed him too. Nice guy in his 50's. Fawks > The vast majority of oral cancer victims are heavy smokers and heavy > drinkers. Charging $65 for a cancer check when it should be included in > every oral exam is IMO unconscionable. > > Steve > You forgot smokeless tobacco. One guy with a bad looking snuff lesion > never got oral cancer, but it did develop in his throat (I couldn't see > down there). Killed him too. Nice guy in his 50's. > > Fawks Thanks--you're right of course. We don't have too much of that in NY however, so I haven't seen it. Steve >> The vast majority of oral cancer victims are heavy smokers and >> heavy drinkers. Charging $65 for a cancer check when it should be >> included in every oral exam is IMO unconscionable. >> >> Steve SignatureCut the nonsense to reply >> You forgot smokeless tobacco. One guy with a bad looking snuff lesion >> never got oral cancer, but it did develop in his throat (I couldn't see [quoted text clipped - 6 lines] > > Steve It is rampant around these parts. My son just finished his freshman year at college playing baseball and 50-75% of the PLAYERS had a 'dip' during every game. He thanked me for being a dentist (it relieved the peer pressure when he used me as an excuse for not partaking). Fawks > It [smokeless chaw]is rampant around these parts. My son just finished > his freshman year at college playing baseball and 50-75% of the PLAYERS [quoted text clipped - 4 lines] > > Fawks If you could get your IntraOral camera far enough down to the back of the throat as I just described, and snap a pic of a lesion or two, and then post them in your office, and then volunteer to examine the ball team, you might get a few more to stop chewing while they're still young. Just an Idea SP SignatureFinally: take out the TRASHH > You forgot smokeless tobacco. One guy with a bad looking snuff lesion > never got oral cancer, but it did develop in his throat (I couldn't see [quoted text clipped - 7 lines] > > > > Steve Actually you _can_ see down the throat quite a ways: Ask the patient to stick out the tongue and attempt to say "eeeeeee" in a high voice. gently insert the mirror into the oro-pharynx and look quickly. You should see right down to the vocal chords. Once they stop singing, the oro-pharynx closes real quick and they will gag, so be quick. If they can't control their tongue, grab it in a 2X2 gauze and gently pull it out. If I had an I/O camera. I'd be doing this with that and snapping a quick picture; or have it record in movie mode as some cameras can do. This is not something you want to do with every patient every time, but a chewin' tobacco or heavy smoker will probably see the usefullness. SP SignatureFinally: take out the TRASHH |
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