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Old 02-14-2019, 04:34 PM   #21
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I had a colonoscopy and requested no sedative. 4 nurses tried to talk me out of it. I declined it anyways. Procedure was not a problem. Definitely will do the same next time.
Me too.

And it's always the nurses that try to talk me out of it. For both my colonoscopy and my endoscopies the nurses seemed to think I was crazy while the docs indicated they though it was fine or even kinda of neat.

I enjoyed watching the monitor - the doc explained it as it progressed. And there was very little discomfort.
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Old 02-14-2019, 04:37 PM   #22
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Never had a sedative. Even on the day the doctor found my colon cancer, we were looking at it together on the screen.
That said, later, about the operation... 7 hours and 230 stitches later ... It took that long to get thru the stomach muscles and stitch them back up... Couldn't stand up straight for three months.

Then... the good part. The scare made me retire @53.
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Old 02-14-2019, 04:43 PM   #23
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Ten years ago, during my colonoscopy, I woke up several times. I remember someone telling me to "Breathe!"

I let the docs know this time, and they told me they'd give me a much stronger dose (Versed and Fentanyl). But it seemed to happen again.

Not too painful, but I remember hearing the people in the OR talking. I remember a specific conversation about whether someone should go to the recovery room or some other room.

It wasn't that painful, but I've had dentist visits that hurt less. Perhaps I was hallucinating. It only seemed to take about ten minutes. Maybe I'm someone who tends not to go under all the way?

Threw up on the way home. I never want to have another colonoscopy.

I think there is enough here to write a book about ...
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Old 02-14-2019, 04:57 PM   #24
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I have one scheduled for the end ... of the month.
Serious tip: Buy one of these (you'll thank me in the end):



https://bluebidet.com/
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Old 02-14-2019, 04:58 PM   #25
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I have enjoyed several colonoscopies with different doctors. They all knocked me out completely and said keeping patients awake was not safe because squirming around on the table can lead to the instruments damaging the colon. They would not do a procedure with the patient awake.
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Old 02-14-2019, 04:58 PM   #26
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If I remember correctly, I was given Versed for my cataract surgeries.

First surgery, I came out of it will very little / fuzzy memories of procedure.

Before the second surgery (couple weeks later), nurse said sometimes people are more aware than they were during the first. (She said it more delicately than that.)

While I was on some level sedated (enough that I didn't mind them lancing my eyeball), I heard and later remembered every bit of conversation the doc and nurses had.

"Hey!" I wanted to scream, "stop chit-chatting while you're gouging my eye out!"

PS Thanks for reminding me my colonoscopy is due this summer...
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Old 02-14-2019, 05:20 PM   #27
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Since coming home, I've had two ocular migraines (in the midst of the second now). Could be coincidence--this is my third this month.
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Old 02-14-2019, 05:31 PM   #28
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Was put out. Best 30 minute sleep.
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Old 02-14-2019, 05:39 PM   #29
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Excellent thread. It confirms/supports my past decisions about colonoscopies.
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Old 02-14-2019, 05:42 PM   #30
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A go for the lightest sedation I can. I hate narcotics. I had the fentanyl dose cut in half on my recent one.
After colon cancer surgery and chemo, I get to go in every 3 years for a colonoscopy.
Only 8 more to go by my reckoning.
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Old 02-14-2019, 06:02 PM   #31
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I compare that to my first operation when I was five years old, a tonsillectomy. A pad soaked with ether was forcibly pushed over my nose and mouth, and it smelled so horrible that I screamed and fought as hard as I could until the ether eventually put me under.

Night and day.
Thanks for the reminder, had left and right lateral hernias at age 5. I am having a robotic laparoscopic hernia repair next month. I gag just thinking about ether to this day.
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Old 02-14-2019, 06:10 PM   #32
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It may be less evasive but it's also less effective. When it comes to detecting something as serious cancer I'll opt for more effective.
There is something like 9% of all results are false-positives
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Old 02-14-2019, 07:05 PM   #33
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I woke up once during a colonoscopy and once during surgery to remove a lipoma. Both times, they were using propofol. I was not distressed or in pain either time, but I knew something wasn't quite right, and I think I spoke both times, whereupon they apparently jacked up the dosage to put me back under.

The worst thing I ever had was a cystoscopy with no anesthesia at all. Holy crap, that hurt!
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Old 02-14-2019, 07:24 PM   #34
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My spouse and I both had colonoscopies this week. Just part of doing all those tests that they recommend for us "older" folks. I told the staff before they took me in that the last one I had done years ago, it left me throwing up on the way home. They said they would fix that with a little something 'special' in the anesthesia. Yup, did the trick. One of us had it done on Monday, one today. We told the nurses that it was our Valentine presents to each other. The prep, although better than years ago, is still far from pleasant. But the procedure itself was quick, gave us a really sound nap, and each of us walked out of the hospital with no big side effect.....except for being a little hungry and thirsty.
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Old 02-14-2019, 07:25 PM   #35
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Originally Posted by TromboneAl View Post
Ten years ago, during my colonoscopy, I woke up several times. I remember someone telling me to "Breathe!"

I let the docs know this time, and they told me they'd give me a much stronger dose (Versed and Fentanyl). But it seemed to happen again.

Not too painful, but I remember hearing the people in the OR talking. I remember a specific conversation about whether someone should go to the recovery room or some other room.

It wasn't that painful, but I've had dentist visits that hurt less. Perhaps I was hallucinating. It only seemed to take about ten minutes. Maybe I'm someone who tends not to go under all the way?

Threw up on the way home. I never want to have another colonoscopy.
Would you happen to be a natural red head? People with red hair are known to be resistant to anesthesia for some reason.
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Old 02-14-2019, 07:26 PM   #36
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Get a doc who uses Propofol. Stuff works wonders.
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Old 02-14-2019, 07:36 PM   #37
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Thanks for the reminder, had left and right lateral hernias at age 5. I am having a robotic laparoscopic hernia repair next month. I gag just thinking about ether to this day.
I just had the robotic laparoscopic hernia repair last month. There was decent amount of pain the first day, then some pain for a week.
I was cleared to play pickleball/sports after 2 weeks. Just no heavy lifting for 4-6 weeks. After 4 weeks, just a touch of soreness and fine after playing sports.
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Old 02-14-2019, 08:04 PM   #38
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3 colonoscopies with minimal sedation while watching the procedure on the screen. The 4th one last November was to remove a very large polyp that a few years ago required a colectomy. It was a lengthy colonoscopy that took over 3 hours with minimal sedation also. While it wasn't a painful procedure it was very discomforting especially in the last hour or so.

It was well worth at the end because it saved my colon. Now I have to go back again for another one in April.
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Old 02-14-2019, 09:51 PM   #39
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There is something like 9% of all results are false-positives
What I've read is 13% false positives. But much more concerning to me is that Cologuard detects only 42% of precancerous polyps. That's when I want them out, not after they've progressed to a cancerous state. I've had cancer and don't care for any more of it.
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Old 02-14-2019, 10:11 PM   #40
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From Trombone Al’s description, it sounds like they start the sedation, then his breathing obstructs and he stops breathing, then they stop the sedation and try to arouse him enough to relieve the obstruction and get him breathing. Then he starts breathing and moving around, they try to deepen the sedation so that he’ll stop moving around, he obstructs his breathing again, and the cycle continues. His recollection of someone calling to him to “breathe!” sounds like the scenario. Some people are like that, and it isn’t easy to do sedation on them. Many times, it’s undiagnosed obstructive sleep apnea, but only a sleep study would clarify whether that is the case.

At my GI doctor’s facility, most colonoscopies are performed with sedation provided by a sedation nurse. An anesthesiologist is requested when there are sedation concerns like moderate-to-severe obstructive sleep apnea, severe COPD, need for deep sedation due to excessive patient movement, etc. If there are airways issues during sedation of these at-risk individuals, an anesthesiologist is qualified to handle the airway issues.
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