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Old 08-15-2014, 10:38 AM   #41
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Are you allowed to drive after a procedure with anesthesia?
Colonoscopies are generally done with either sedation (e.g. Versed) or anesthesia (e.g. Propofol). The effects of Versed take quite a while to wear off, and you are usually told not to drive for 24 hours. Propofol wears off more quickly.

Versed can be adminstered by registered nurses, whereas Propofol requires an qualified anesthetist. Perhaps this is the reason for some of the higher costs reported above?

As well as its calming effect, Versed also inhibits memory, so even if technically you're awake during the procedure, you probably won't remember anything. That would include any discomfort (aka pain!) you felt.

Propofol, on the other hand really does knock you out, so you definitely won't feel anything.
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Old 08-15-2014, 04:52 PM   #42
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I would never have a colonoscopy test because you can go to the drug store and get a FIT [ fecal immunochemical test] test which is about $5 and give you nearly the same information and if worried get a ultrasound.
Andy Rooney of 60 minuets was killed by that test and he was in good health but the doctors convinced him to take the test.
Andy Rooney was 92 years old when he died. I guess a 92 year old might get a colonoscopy, but, I imagine it would be a rare occurrence. And, if no polyps were found and he didn't die, do you think the docs would have recommended he undergo the procedure again in seven years? Anyhow, how did the colonoscopy actually kill him? I couldn't find any information on this, but then, again, others have found my research skills to be lacking.
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Old 08-15-2014, 05:04 PM   #43
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I'd looked up Andy Rooney's death, too, and found only that he died from complications of "a minor surgical procedure". DH is 76 and has been told not to bother getting colonoscopies anymore due to his age, but a former work colleague of his was getting them every 6 months or so when he was in his late 70s because apparently he developed polyps that fast. I think they've stopped those now; he's in his early 80s and too frail to go through it all. I'd be really surprised if Andy Rooney had one although my 95-year old grandfather had to fight off surgeons who wanted to operate on him for colon cancer. I guess as long as Medicare is paying...
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Old 08-15-2014, 05:36 PM   #44
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I believe Andy Rooney's death was announced by one source at the time as being due to an appendectomy. A simple "In by 9:00/out by 5:00" procedure for most people but at age 92 everything is risky.
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Old 08-16-2014, 11:38 AM   #45
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Finally found the NIH article on key metric for judging success when getting a colonoscopy.
Colonoscopy Withdrawal Times and Adenoma Detection Rates
When asking potential providers in my area for their withdrawal rate data, I got a lot of "uhs". Only my GI specialist had.
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Old 08-16-2014, 03:43 PM   #46
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Finally found the NIH article on key metric for judging success when getting a colonoscopy.
Colonoscopy Withdrawal Times and Adenoma Detection Rates
When asking potential providers in my area for their withdrawal rate data, I got a lot of "uhs". Only my GI specialist had.
Nwsteve

That was a very interesting article. Thanks for posting it nwsteve.
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Old 08-16-2014, 05:52 PM   #47
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Are you allowed to drive after a procedure with anesthesia? I hadn't thought of that.
I remember once walking out of the hospital after anesthesia and having to look down - I couldn't remember putting on my pants and wasn't sure I was wearing any!

That put me on notice. I felt fine, everything working well, but if I was that mentally unaware I certainly had no business driving a car. DW drove and I spent the rest of the day home.
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Old 08-16-2014, 09:17 PM   #48
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I remember once walking out of the hospital after anesthesia and having to look down - I couldn't remember putting on my pants and wasn't sure I was wearing any!

That put me on notice. I felt fine, everything working well, but if I was that mentally unaware I certainly had no business driving a car. DW drove and I spent the rest of the day home.

When I had my only anesthesia concerning a knee scope, I remember thinking right before the injection, that I'm am going to fight it and see how long I can stay awake. I then asked the nurse or attendant when the procedure would begin and she told me it was already completed. I guess I wasn't very good at fighting it off! When leaving I wasn't mentally unaware in anyways, though I felt like crap for several hours.


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Old 08-17-2014, 05:16 AM   #49
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FDA approves first DNA-based test for colon cancer

FDA approves Exact Sciences' DNA test to help screen for colon cancer tumors

Quote:
WASHINGTON (AP) -- The Food and Drug Administration on Monday approved the first screening test for colon cancer that uses patients' DNA to help spot potentially deadly tumors and growths.
http://www.boston.com/business/news/...FDI/story.html
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Old 08-17-2014, 05:24 AM   #50
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FDA approves Exact Sciences' DNA test to help screen for colon cancer tumors
The actual Press Release can be found here for those wishing a printed copy:

FDA approves first non-invasive DNA screening test for colorectal cancer
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Old 08-17-2014, 07:00 AM   #51
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Are you allowed to drive after a procedure with anesthesia? I hadn't thought of that.


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They say no driving for 24 hours. My point was I felt like I could drive 1 hr after propofol, but I did not and followed the orders.
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Old 08-17-2014, 08:29 AM   #52
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They say no driving for 24 hours. My point was I felt like I could drive 1 hr after propofol, but I did not and followed the orders.
Propofol may be what I had for my dental implant. Great stuff- worked instantly, never felt a thing. I thought I was OK when I woke up; I even remember a conversation with the oral surgeon. DH drove me to my regular dentist who needed to cap off the tooth that had held up the other end of my bridge and I remember almost nothing of the drive and very little of my conversation with the dentist. So, I THOUGHT I was alert but it was just as well I wasn't behind the wheel!
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Old 08-17-2014, 08:36 AM   #53
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...I remember almost nothing of the drive and very little of my conversation with the dentist. ...
I'm no expert, but when I had propofol, there were no memory issues at all. I still recall the conversation with the nurse the moment I came around. With Versed, on the other hand, DW says I asked the same question ("did you talk to the doctor") four times on the drive home.
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Old 08-17-2014, 08:53 AM   #54
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I'm no expert, but when I had propofol, there were no memory issues at all. I still recall the conversation with the nurse the moment I came around. With Versed, on the other hand, DW says I asked the same question ("did you talk to the doctor") four times on the drive home.
+1

I've had both (versed for a colonoscopy, propofol for an endoscopy) and I definitely prefer propofol. I'm having a 'twofer' next week and expect to recover from the procedures like the last propofol experience - immediately awake with zero grogginess.

But I don't plan to drive that day...
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Old 08-17-2014, 09:38 AM   #55
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I've had both meds also. I had asked to ensure none of my meds would interfere with Versed. No problem I'm told as I gave the girl the list. Two more people at the Drs. office said the same thing. As the nurse is reading my meds before putting the Versed in the IV, she tells the DR., this won't work. I had an endoscopy, wide awake gagging, and choking through the entire process(hats off to those that do this awake). Yes I remember the procedure. When my Dr. was reviewing the test he said they mentioned, an anesthesiologist with propofal would be needed if my meds were the same. Geeze why didn't I think of that.

Check with your DRs. office, hopefully they will catch meds that make Versed not the right choice. I'll insist on propofal next time.
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Old 08-17-2014, 11:38 AM   #56
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Andy Rooney of 60 minuets was killed by that test and he was in good health but the doctors convinced him to take the test.
WHOA! I had not heard that.
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Old 08-17-2014, 03:06 PM   #57
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I remember once walking out of the hospital after anesthesia and having to look down - I couldn't remember putting on my pants and wasn't sure I was wearing any!

That put me on notice. I felt fine, everything working well, but if I was that mentally unaware I certainly had no business driving a car. DW drove and I spent the rest of the day home.
so? Were you wearing pants?
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Old 08-17-2014, 03:51 PM   #58
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so? Were you wearing pants?
Inquiring minds want to know?

Yes, I was. I'm sure DW would have said something. At least I hope so.
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Old 08-17-2014, 03:59 PM   #59
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With Versed, on the other hand, DW says I asked the same question ("did you talk to the doctor") four times on the drive home.
DW had surgery with that several years ago and I found it hilarious in the recovery room while she was coming out of it. We had the same conversation about four or five times in a row during a five minute span, and I was practically rolling on the floor laughing each time she started it up again. She couldn't figure out what was so funny at the time, but it was really a hoot!
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Old 08-17-2014, 04:50 PM   #60
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........... She couldn't figure out what was so funny at the time, but it was really a hoot!
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