Why Should I Get A Colonoscopy?
                                                               By Jeffrey Schratz, MD, FACS

There is a growing amount of pressure on patients to proceed with screening colonoscopies, including pressure from
family members, loved ones, friends, physicians, and even the popular

So, why all the hype?

Well, first of all, let’s describe the procedure.  A colonoscopy is a procedure where a tube with a camera is inserted
through the rectum and advanced through the entire large intestine (approximately four to five feet).

The large intestine is also referred to as the colon.  But don’t worry, you will be sedated for the procedure so it is
essentially painless.

In order for the large intestine to be well visualized, the patient takes a “bowel prep” the night before or morning of the
procedure.  This usually consists of 32 to 64 ounces of fluid that cleanses the large intestine.  

The potential value of having this procedure performed is several fold but the greatest value of the screening
colonoscopy is the finding and removal of colon polyps.  Colon polyps are abnormal growths in the lining of the large
intestine, that if left in place, can turn to colon cancer.  
Articles featured in Local Publications
                                                                           My First Colonoscopy
                                                               By Scott Patterson, Bee Employee

As a 58-year-old male I knew I was playing with fire by constantly putting off my first colonoscopy.  I should have had
one at 50. I knew that colon cancer is one of the most treatable cancers if detected early, but I just never got around to
scheduling the procedure.  

But when I heard that Great Lakes Surgical in Lockport offered appointments on Saturdays, I decided to finally give
myself some peace of mind —  and I didn’t even have to take time off from work.

It sounds funny, but it was actually a great experience.  Everyone from the receptionist to my doctor, Jeffrey Schratz,
was friendly and professional.  

I had heard nasty stories about the “prep” the day before, but I found that was much ado about nothing. I mixed the
solution with Gatorade and could only taste the Gatorade.

I had no waiting time on Saturday and was in and out in under two hours.  I wasn’t even groggy when I left the office.
Thankfully, I am symptom-free, and they don’t need to see me for re-testing for 10 years. I can’t put a price on the
peace of mind this gave me.  

If you or a loved one has been putting this off, especially if there is a history of cancer in your family, I urge you to
spend two hours on a Saturday at Great Lakes Surgical.  
                                                  Why are My Legs Swollen and Hurt So Much?
                                                                By Robert W. Hodge, MD, FACS

Chronic venous insufficiency affects millions of people in the United States.  Most people have never heard of it and do
not seek treatment.  Our veins are the blood vessels that bring blood back to the heart.  Our heart pumps blood out
through the arteries and comes back to the heart through the veins.  

Venous blood returning to the heart from the legs has to fight gravity all day long.  The veins do not feel the pumping
pressure of the heart.  Blood is kept moving in one direction in the veins by a series of one-way valves in the veins.  
If these valves become faulty, blood can flow backwards and pool in the legs which can lead to swelling.  Swelling can
lead to aching, throbbing, restless and warm legs.  

Diagnosis of chronic vein trouble is generally done during an examination.  An ultrasound, or venous Doppler, of the
legs is the test of choice to show abnormal veins.  

Patients with symptoms and abnormal veins can also qualify for what is called a vein closure procedure which is a more
permanent solution to the problem.  For an appointment, call 716-434-6141
                                               Great Lakes Surgical Associates New Services
                                                                 By Jamie Zglinicki, AG-NP, BC

In addition to the many services provided at Great Lakes Surgical, we are now offering cosmetic procedures which
include Sclerotherapy, Botox, and Dermal fillers.

Sclerotherapy is a procedure that is used to treat spider veins. Sclerotherapy involves injections of a sclerosing agent
into the affected spider veins to collapse the vein so that the vein fades from view. Treatments usually last 20-30
minutes with minimal discomfort, and you can resume your regular activities.

Botox cosmetic is an FDA approved prescription medication since 2002, and is indicated for the temporary improvement
of moderate to severe frown lines and crow’s feet. These lines appear because of repetitive muscle contractions and
eye squinting over the years.  It is an injection that targets the underlying cause and improves the look of the crow’s
feet and frown lines between the eyebrows.

Dermal Fillers- Collagen is a natural component of our skin which supports skin structure. During the ageing process,
this structure weakens, and wrinkles develop. Wrinkles or depressions in the skin can be brought back up to the level of
the skin with injectable fillers. It includes a modified hyaluronic acid derived from a naturally occurring sugar found in the
body which can minimize these lines and scars. Areas treated include the nasolabial folds, lip structures, smile and
marionette lines.
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