Chris Stanley

I’m a Midwest Family Physician that enjoys seeing patients of all ages and learning more about whatever makes me a more capable doctor.

[Chris Stanley @StanleyMed]

@bradmall32 Hi, my son is a fan and would like to send you a fan letter. Is there an address or email address you can send to me?

[Chris Stanley @StanleyMed]

@tedcruz Nothing on the laptop. Nothing in evidence despite a republican appointed judge. What culpability?

[Chris Stanley @StanleyMed]

@JimHansonDC @icreatelife @elonmusk Could it be that Twitter is just a dying platform?

[Chris Stanley @StanleyMed]

@RNCResearch Stumble?

[Chris Stanley @StanleyMed]

@MaryFernando_ I haven’t had a positive Covid test among my patients in weeks and am vaccinated with two boosters which I generally trust to avoid most infections and spread. I’ll mask up for a coughing patient but otherwise it stays on the desk. I encourage my patients to get vaxed

[Chris Stanley @StanleyMed]

@SlavaUkraini380 @BOOnanceCoin @elonmusk @officejjsmart @MelnykAndrij He has more real world assets than you or I can imagine.

[Chris Stanley @StanleyMed]

@MikeSimons2 @POTUS Maybe just hope that society can progress past having to enroll in the military to pay for school.

[Chris Stanley @StanleyMed]

@TolgaGidenerMD @Dr_Oubre Need that anion gap though

[Chris Stanley @StanleyMed]

@SlavaUkraini380 @BOOnanceCoin @elonmusk @officejjsmart @MelnykAndrij He’s already unimaginably rich

[Chris Stanley @StanleyMed]

@DouglasAdlerMD Love it, wouldn’t want to scope without it at this point

[Chris Stanley @StanleyMed]

@waitbutwhy Kale

[Chris Stanley @StanleyMed]

@ollie_pickering @AllonKahn @mrnigeldsouza @ellebelle18 Do they not already come for an annual wellness visit? Genuine question, I'm not sure how things are done in the UK

[Chris Stanley @StanleyMed]

@mrnigeldsouza From a population level it is easier to just mail FITs to everyone but I'm not convinced that is the best outcome for patients if we are not also offering colonoscopy which is still the gold standard

[Chris Stanley @StanleyMed]

@mrnigeldsouza I've seen many limitations with the study starting with the title but also the polyp detection rate of the practitioners and the patient participation rate in colonoscopy. When I recommend a scope I don't do it in a letter, I do it face to face.

[Chris Stanley @StanleyMed]

@ollie_pickering @AllonKahn @mrnigeldsouza @ellebelle18 Why would this require a specialist? Any GP can discuss colon cancer screening options, risks and benefits, and can order a FIT or Cologuard test.

[Chris Stanley @StanleyMed]

@drjorde @smc429 @POTUS Lol “new” try 40 years old

[Chris Stanley @StanleyMed]

@GI_Pearls @tberzin @ckjellmo @ebtapper Okay, sure, all of those scores indicate an inadequate prep and scope should be repeated within a year. As a practitioner though I am going to look sideways a lot more at a patient with rectal bleeding with a recent scope and a BPPS score of 5 than a score of 9

[Chris Stanley @StanleyMed]

@tberzin @GI_Pearls @ckjellmo @ebtapper But how do you define adequate? The score gives you criteria to determine if you really were adequate. You’re probably basically doing it in your head anyway when you dictate “adequate” so might as well say it out loud instead of making everyone wonder what you meant

[Chris Stanley @StanleyMed]

@GI_Pearls @ckjellmo @ebtapper My bowel preps are usually 3-3-3 and I don’t say 3-3-3 I say “Boston Bowel prep of 9”. If it’s not a nine I indicate which area was suboptimal. As long as you can clear the wall with irrigation, there’s no reason not to give a section a 3