Should I be concerned that my cortisol level readings at 8 am is less than 11 nmol/l (not mcg/dl)?

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What are the lessons that could be learnt from working at the COVID-19 quarantine zones?

I think the most important lesson that we can pick up from here is that the disease is really contagious. It’s no joke. Our government is scared, I mean many governments are scared, and there is a reason for them to be scared. I think the contagiousness of the disease is something that is more apparent when you are actually there, when you are seeing sick patients. I think that is something that has brought it home.

Besides endoscopy & colonoscopy, are there any other safer or less invasive procedures for an elderly person with existing medical conditions?

First of all, I would like to emphasize that routine gastroscopy and colonoscopy are really minimally invasive with a very low risk even for elderly with pre-existing medical conditions provided those conditions are stable. Besides being able to inspect the inner lining of the digestive tract directly, endoscopy allows your specialist to obtain tissue samples and remove small polyps at the same time. This not only increases the accuracy of the diagnosis but also allows treatment to be done at the same setting with minimal risk to you.

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Dr Wai Leong Quan

Gastroenterologist

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