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Old 02-27-2011, 10:58 AM   #141
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I chose the pills for my first colonoscopy, which was ten years ago. With these pill you drink a can of ginger ale to make them work "better". I really hate ginger ale.

The pills were pretty new on the market and, unfortunately for me, I was inadvertently prescribed a double dose of them. Even in your wildest dreams you cannot imagine what a double dose will do to a person. Well, without being too graphic, I should have known the first set of pills was more than adequate. Even the doctor commented my....well.... everything was pretty darn clean.

If I had to do it all over again - and it looks like this is the year for it - I'll still choose a single set of pills over the gunky drink. Oh, one more thing, I always make sure I'm first up so I can get in and out of there.
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Old 02-27-2011, 12:39 PM   #142
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When I was 50 years old, my doctor began to give me stool test. He found blood when I was 53, so asked me to do a colonoscopy then.

During the procedure, they found 4 polyps and all were snatched. The result showed that I was normal otherwise. They then put me on a 3 year cycle. I am now 55, so I have one more year to go for another colonoscopy.

I think I am on a higher risk pool, though my family do not have a history for colon cancer. I am kind of nervous to see if my next one will be better or worse.
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Old 02-27-2011, 03:59 PM   #143
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Has this been shared yet? Colonoscopy isn't necessarily the gold standard.
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Old 02-27-2011, 04:40 PM   #144
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Thanks for this reference. The writer of the article doesn't seem 100% clear about the "three" studies mentioned. Only two studies are characterized, and both concluded colonoscopies are effective -- neither studied sigmoidoscopies. Apparently, just trying to make sense of what is said in the article, the tumors found were mostly in a part of the colon in which, theoretically, a sigmoidoscopy might have also found them. To go on to conclude that sigmoidoscopy might be as effective as colonoscopy is really a stretch, it seems to me.
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Old 02-27-2011, 06:02 PM   #145
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My mother had an annual physical with an internist in Pittsburgh every other year which included sigmoidoscopy. Her colon CA was found on the right side, beyond the reach of sigmoidoscopy. She had a colon resection at age 58 and died at age 61 in 1976 after her CA had spread to her liver and her bones.
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Old 02-27-2011, 06:05 PM   #146
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I'm doing this from memory - isn't the biggest drawback of a colonoscopy is it doesn't explore the small bowel?
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Old 02-27-2011, 06:53 PM   #147
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I'm doing this from memory - isn't the biggest drawback of a colonoscopy is it doesn't explore the small bowel?
That is a drawback. But you can't get colon cancer in the small intestine (since the colon is the large intestine). The National Cancer Institute characterizes cancer of the small intestine as a rare disease (Small Intestine Cancer Treatment (PDQ) - National Cancer Institute ).
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Old 02-27-2011, 08:23 PM   #148
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I just wish they would come up with an effective non-invasive way to check the colon!
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Old 02-27-2011, 09:15 PM   #149
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I just wish they would come up with an effective non-invasive way to check the colon!
Well, I guess they're working on it - - there's this. Still requires prep, though, so it doesn't sound much better (and doesn't allow for any biopsies to be taken).
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Old 02-27-2011, 09:26 PM   #150
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Well, I guess they're working on it - - there's this. Still requires prep, though, so it doesn't sound much better (and doesn't allow for any biopsies to be taken).
It's not the prep that causes injury, it's the 4' segmented tube being rammed up your jacksie that I worry about.

I was semi-conscious during my first colonoscopy, and it hurt like heck as he made the U-Turn, my stomach bulging out like a scene from Alien. I bled for 2 days afterwards and was in pain for a week. It took 13 years before I was persuaded to have another.

Virtual colonoscopies sound great once they have perfected them, particularly since no polyps were found on either of my procedures, and there is no family history.
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Old 02-27-2011, 09:43 PM   #151
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Wow, that's awful, Alan. I didn't have any bleeding, though I didn't feel "up to par" for a few days. Maybe that was due to the anesthesia or the lack of sleep, or maybe the surgery itself was just exhausting.
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Old 02-27-2011, 09:58 PM   #152
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Maybe some day there will be a 'Lab' test available for early colon cancer screening.

Colorectal Cancer No Match for Tumor-Sniffing Dog? - Health Blog - CBS News
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Old 02-27-2011, 10:03 PM   #153
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Maybe some day there will be a 'Lab' test available for early colon cancer screening.

Colorectal Cancer No Match for Tumor-Sniffing Dog? - Health Blog - CBS News
Is this a PET scan?
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Old 02-27-2011, 10:04 PM   #154
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Is this a PET scan?
It must be. Maybe it will be more expensive if it is a PET scan rather than a Lab test.
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Old 02-28-2011, 05:01 AM   #155
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I felt great after mine (was probably the endorphins as a result of being glad it's over). Prep was nasty, but I still would rather do that then go to the dentist. Something about the drill (noise, the vibration, the PAIN), I wish they could knock me out for that.
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Old 02-28-2011, 07:26 AM   #156
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Maybe some day there will be a 'Lab' test available for early colon cancer screening.

Colorectal Cancer No Match for Tumor-Sniffing Dog? - Health Blog - CBS News
Maybe this is why dogs sniff each others butts. You don't often hear of a dog with colon cancer.
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Old 03-01-2011, 11:20 PM   #157
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Well, much to my surprise, Tripler wasn't as bad as it's cracked up to be. (I reserve the right to withdraw this statement if they later turn out to have been hiding saving all the scary staff stumblebums for the actual procedure.) I was last there over three years ago, and since then they've added a parking garage and a $3 valet service. (If you've ever had to try to park at Tripler without these conveniences, then you're probably already smiling with envy.) I had the consult today with a physician's assistant and a nurse. Both treated me well, and it's actually a bit embarrassing to keep getting addressed by your rank. Apparently some retirees have never quite gotten over it and feel they deserve that form of address even without having to stand weekend duty or midwatches.

I've been assured that after my final noon meal (no veggies, seeds, nuts, popcorn, or apple skins) I'm getting Ducolax for 2 PM dessert, followed by a 5 PM 128-ounce Colyte chaser. Tripler hands out an assortment of flavoring packages, and I'm speculating that if I mixed them all together then the result would be nothing that I'd ever accidentally taste again. Otherwise I'll use the lime. (I don't drink lime-flavored beverages so I won't miss them.) They say it's better to chug the whole gallon the afternoon before but people complain about the volume, so some people end up doing three quarts in the afternoon and the next quart at 4 AM. I can't imagine having that sort of afternoon/evening and then having to get up at 4 AM for an encore, so I think I'll get competitive about chugging the gallon during the afternoon.

An interesting twist is the 20 ml of simethicone that's added to the Colyte. We used to use simethicone all the time with our daughter's baby formula to cut down on the gassy eruptions, and that's what it's used for here. They also claim that it helps the scope slide through a little easier. For some reason they don't seem to favor other synthetic lubricants?

Thanks to everyone's advice I managed to avoid the usual rookie mistakes and I knew enough to ask for an early appointment. I'm leading the batting order by starting at 7:30 AM on a Tue in April. This actually means that I'll be leaving the house around 6 AM to slog through rush-hour traffic and get my patient ID bracelet before they plug in the IV and start the process. But after 16 hours of prep, I suppose it'll be a nice break to be sitting on a seat with rush hour nothing happening around me.

The main event will feature both versed and fentanyl. They're mildly concerned because I've never been anesthetized before (other than with alcohol applied internally) and they don't know how I'll react. So they're probably going to get all cautious and underestimate the dosage while I'll be telling them to crank it up to 11. I don't feel obligated to supervise this particular procedure or its safety standards.

While the staff was checking my vital signs they asked the question "When you learn new information do you prefer to do so by reading, by watching a video, or by going through a demonstration?" I told them that I hesitated to choose a demonstration in a colonoscopy clinic and that I'd prefer to read about it. Right answer. Then they asked some screening questions, among them "Are you ever afraid of hurting yourself or others?" I assured her that I spar taekwondo and thus had gotten over that fear long ago. Wrong answer.

I don't want to associate the Air Force with a bunch of colonoscopy jokes, but geez these guys are begging for it. The "U.S. Air Force Medical Service" has produced a DVD called "Your Guide to Colonoscopy & Sigmoidoscopy". I'm almost afraid to tear open the shrinkwrap because this sucker might be worth a mint on eBay. But if I don't open it then I'll never be able to post it here on the forum.

So thanks for all the help and suggestions (even from you, REWahoo!), and this is probably going to go far better than I'm expecting.

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I just wish they would come up with an effective non-invasive way to check the colon!
It was explained to me that the colonoscopy is the only way to remove the inevitable polyps. Apparently they're found frequently enough that the medical labor is wasted on virtual exams because the majority of them require follow-up colonoscopies to remove the polyps.

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I felt great after mine (was probably the endorphins as a result of being glad it's over). Prep was nasty, but I still would rather do that then go to the dentist. Something about the drill (noise, the vibration, the PAIN), I wish they could knock me out for that.
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Lemme just say that a local anesthetic is fine for a vasectomy until they start in with the blood-vessel cauterizer. Something about a burning smell and wisps of smoke rising from that vicinity of your anatomy is bound to be upsetting, no matter how good your intentions were when you first signed up for the experience...
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Old 03-02-2011, 06:50 AM   #158
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I don't want to associate the Air Force with a bunch of colonoscopy jokes, but geez these guys are begging for it. The "U.S. Air Force Medical Service" has produced a DVD called "Your Guide to Colonoscopy & Sigmoidoscopy". I'm almost afraid to tear open the shrinkwrap because this sucker might be worth a mint on eBay. But if I don't open it then I'll never be able to post it here on the forum.
It should come as no surprise this video was produced by the military, and specifically by the USAF. No way would any civilian actor want to "star" in this little gem. If having a role in porn films is bad for an actor's resume, imagine what this could do to a career.

Oh, and based on my somewhat dated experience, any number of senior officers would have been tailor made for the lead.
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Old 04-09-2011, 10:44 AM   #159
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Nords,

Did you let everyone know how your 'procedure' went in another thread? I was just re-visiting this thread as I am overdue a colonoscopy and have finally mustered the courage to make an appointment.

I got to the end to find no follow up from the OP!!

Thanks to the ER community for sharing their experiences on this important topic.
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Old 04-09-2011, 11:10 AM   #160
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Oh man, I WISH my doctors would let me use the pills. I have to have a colonoscopy EVERY YEAR.
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