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armymom1228
11-11-2009, 18:08
Dave Barry is a Pulitzer Prize-winning humor columnist for the Miami Herald.

Colonoscopy Journal:

I called my friend Andy Sable, a gastroenterologist, to make an appointment for a colonoscopy.

A few days later, in his office, Andy showed me a color diagram of the colon, a lengthy organ that appears to go all over the place, at one point passing briefly through Minneapolis.

Then Andy explained the colonoscopy procedure to me in a thorough, reassuring and patient manner.

I nodded thoughtfully, but I didn't really hear anything he said, because my brain was shrieking, 'HE'S GOING TO STICK A TUBE 17,000 FEET UP YOUR BEHIND!'

I left Andy's office with some written instructions, and a prescription for a product called 'MoviPrep,' which comes in a box large enough to hold a microwave oven. I will discuss MoviPrep in detail later; for now suffice it to say that we must never allow it to fall into the hands of America 's enemies.

I spent the next several days productively sitting around being nervous.

Then, on the day before my colonoscopy, I began my preparation. In accordance with my instructions, I didn't eat any solid food that day; all I had was chicken broth, which is basically water, only with less flavor.

Then, in the evening, I took the MoviPrep. You mix two packets of powder together in a one-liter plastic jug, then you fill it with lukewarm water. (For those unfamiliar with the metric system, a liter is about 32 gallons). Then you have to drink the whole jug. This takes about an hour, because MoviPrep tastes - and here I am being kind - like a mixture ofgoat spit and urinal cleanser, with just a hint of lemon..

The instructions for MoviPrep, clearly written by somebody with a great sense of humor, state that after you drink it, 'a loose, watery bowel movement may result.'

This is kind of like saying that after you jump off your roof, you may experience contact with the ground.

MoviPrep is a nuclear laxative. I don't want to be too graphic, here, but, have you ever seen a space-shuttle launch? This is pretty much the MoviPrep experience, with you as the shuttle. There are times when you wish the commode had a seat belt. You spend several hours pretty much confined to the bathroom, spurting violently. You eliminate everything. And then, when you figure you must be totally empty, you have to drink another liter of MoviPrep, at which point, as far as I can tell, your bowels travel into the future and start eliminating food that you have not even eaten yet.

After an action-packed evening, I finally got to sleep.

The next morning my wife drove me to the clinic. I was very nervous. Not only was I worried about the procedure, but I had been experiencing occasional return bouts of MoviPrep spurtage. I was thinking, 'What if I spurt on Andy?' How do you apologize to a friend for something like that? Flowers would not be enough.

At the clinic I had to sign many forms acknowledging that I understood and totally agreed with whatever the heck the forms said. Then they led me to a room full of other colonoscopy people, where I went inside a little curtained space and took off my clothes and put on one of those hospital garments designed by sadist perverts, the kind that, when you put it on, makes you feel even more naked than when you are actually naked..

Then a nurse named Eddie put a little needle in a vein in my left hand. Ordinarily I would have fainted, but Eddie was very good, and I was already lying down. Eddie also told me that some people put vodka in their MoviPrep.

At first I was ticked off that I hadn't thought of this, but then I pondered what would happen if you got yourself too tipsy to make it to the bathroom, so you were staggering around in full Fire Hose Mode. You would have no choice but to burn your house.

When everything was ready, Eddie wheeled me into the procedure room, where Andy was waiting with a nurse and an anesthesiologist. I did not see the 17,000-foot tube, but I knew Andy had it hidden around there somewhere. I was seriously nervous at this point.

Andy had me roll over on my left side, and the anesthesiologist began hooking something up to the needle in my hand.

There was music playing in the room, and I realized that the song was 'Dancing Queen' by ABBA. I remarked to Andy that, of all the songs that could be playing during this particular procedure, 'Dancing Queen' had to be the least appropriate..

'You want me to turn it up?' said Andy, from somewhere behind me.

'Ha ha,' I said. And then it was time, the moment I had been dreading for more than a decade. If you are squeamish, prepare yourself, because I am going to tell you, in explicit detail, exactly what it was like.

I have no idea. Really. I slept through it. One moment, ABBA was yelling 'Dancing Queen, feel the beat of the tambourine,' and the next moment, I was back in the other room, waking up in a very mellow mood.

Andy was looking down at me and asking me how I felt. I felt excellent. I felt even more excellent when Andy told me that It was all over, and that my colon had passed with flying colors. I have never been prouder of an internal organ.

On the subject of Colonoscopies...

Colonoscopies are no joke, but these comments during the exam were quite humorous..... A physician claimed that the following are actual comments made by his patients (predominately male) while he was performing their colonoscopies:

1. 'Take it easy, Doc. You're boldly going where no man has gone before!'
2. 'Find Amelia Earhart yet?'
3. 'Can you hear me NOW?'
4. 'Are we there yet? Are we there yet? Are we there yet?'
5. 'You know, in Arkansas , we're now legally married.'
6. 'Any sign of the trapped miners, Chief?'
7. 'You put your left hand in, you take your left hand out...'
8. 'Hey! Now I know how a Muppet feels!'
9. 'If your hand doesn't fit, you must quit!'
10. 'Hey Doc, let me know if you find my dignity.'
11. 'You used to be an executive at Enron, didn't you?'
12. 'God, now I know why I am not gay.'

And the best one of all:

13. 'Could you write a note for my wife saying that my head is not up there?'

HowardCohodas
11-11-2009, 18:25
Excellent. My stomach hurts for laughing.

Rogue
11-12-2009, 08:17
Have read this one many times before, but each time it brings a laugh, because it is so true....

akv
11-12-2009, 08:40
very funny, very scary, very funny, very scary... .... .... ...

TrapLine
11-12-2009, 10:32
I guess this is one proceedure I will be happy to be excluded from when national health care is passed.:D

Red Flag 1
11-12-2009, 13:41
FWIW,

The endoscopic procedures I attended, both upper and lower, just slept though it all. Mostly, folks would awaken and ask when we were going to get started. Great outcome in my book!

Now if you want to know the banter between the staff, well..........maybe another time:D.

RF 1

greenberetTFS
11-12-2009, 14:55
FWIW,

The endoscopic procedures I attended, both upper and lower, just slept though it all. Mostly, folks would awaken and ask when we were going to get started. Great outcome in my book!

Now if you want to know the banter between the staff, well..........maybe another time.

RF 1

I was waiting for your reply,I knew you'd take the bait....... And,yes I would've loved to hear what goes on with you guys during performing this procedure......:rolleyes::eek::p

Big Teddy :munchin

kimberly
11-12-2009, 16:38
FWIW,

The endoscopic procedures I attended, both upper and lower, just slept though it all. Mostly, folks would awaken and ask when we were going to get started. Great outcome in my book!

Now if you want to know the banter between the staff, well..........maybe another time:D.

RF 1

This is a forward that has been around a while, and although Dave Barry's rendition is funny and oh-so-true, have you ever had one of those things with absolutely no anesthetic because you had to drive yourself home?

Nothing funny about it.:munchin

Red Flag 1
11-12-2009, 16:50
Never have. Would not suggest it, IMHO.

RF 1

PedOncoDoc
11-13-2009, 05:39
I've gotten some great laughs out of kids who were getting colonoscopies under conscious sedation.

One kid decided tro serenade us with his favorite Wierd Al Yankovic songs - Yoda and Amish Paradise.

A young man asked if we wee going to leave anything in there for him to find later - kind of like a surprise in a cracker jack box.

One particular wiseass started singing Zappa - "Ram it, Ram it, Ram it, Ram it up your poop shoot".

The danger of shap wit during a procedure is that it can get a bit more uncoformatable if the "driver" of the colonoscope starts laughing so hard they they aren't controllingthe scope as well as they could...:eek:

The Reaper
11-13-2009, 13:42
I've gotten some great laughs out of kids who were getting colonoscopies under conscious sedation.

One kid decided tro serenade us with his favorite Wierd Al Yankovic songs - Yoda and Amish Paradise.

"As I walk through the valley where I harvest my grain,
I take a look at my wife, and realize she's very plain...."

TR

ZonieDiver
11-13-2009, 13:49
In my experience, the colonoscopy itself is not nearly as bad as the "prep" for it. I never thought I'd see that Gummy Bear I ate in '89 again! (And didn't really want to see it, either.)

Habu-MFFI 175
11-14-2009, 13:31
Had one last year....don't really want another. All the while the doctor is shouting....see ya in another 2 years. Now that's frightening to know that they expect you to do this every 2 years. Wheres the cam corder that you swallow....:D

I woke up in the middle of mine and talked to the doctor. Had a retired Navy Corpsman there and we talked for a while...not sure what about. Did turn and see the TV where all the action was at...asked the doc since I'm getting older to put some extra crack grease back there when he was done...it leaked sometimes...:p:D

<*)))))>{

HowardCohodas
11-14-2009, 13:59
Wheres the cam corder that you swallow....:D


Wireless capsule endoscopy (WCE) is a relatively new and under utilized technology. It is under utilized due to limited insurance coverage for the test. Many people have heard about the so-called "camera pill" but do not know when it can or should be done, or how it works. Many mistakenly believe that it might be a substitute for colonoscopy, a flexible lighted tube with a camera on the tip used to examine the large intestine. Colonoscopy is recommended to screen for colon cancer and the precursor of colon cancer, colon polyps, as well as a diagnostic exam for evaluation of intestinal bleeding, diarrhea or lower abdominal pain. WCE is not yet technically feasible for examination of the lower or large intestine known as the colon. Given Imaging was the first to develop this technology.

...

If the camera pill gets stuck, surgery may be required to remove it from the body. However, if this occurs, it is usually because a condition exists in the small intestine for which surgery is the treatment of choice.



Chances - 1:200 - YMMV

GratefulCitizen
11-14-2009, 15:44
"As I walk through the valley where I harvest my grain,
I take a look at my wife, and realize she's very plain...."

TR

Mr. Ivey (Coolio - "Gangster Paradise" ) came to the club I was working at many years ago.
When the patrons became aware of his presence, the DJ played Weird Al's "Amish Paradise".

Coolio was not amused.

It was priceless to see.
(Guess who gave the CD to the DJ :D )

PedOncoDoc
11-14-2009, 17:48
Capsue endoscopy (the "camera pill") is good at looking at the small itnestines but not so much for the large intestines or the esophagus where we can reach with typce endoscopy procedures - it also does not allow for the biopsy/removal of suspicious polyps. The low complication rate of colonosopy makes this the screening of choice IMHO. I'm not scheduled to have screening procedures done for several years, but I've had a colonoscopy in the past and the memory is hazy, but not too traumatic.

ZonieDiver
11-15-2009, 01:59
When I had my colonoscopy done, the only problem was with "infiltration" from the IV. I ended up in "Urgent Care" over the following weekend, and the young doc there referred me to the older doc - who told me when he had his done that he had insisted on a local anesthetic. He told me that while you are under, they don't just "bend" the "hose" but that they bend you every which way to accomodate it - and that in this moving and bending, my IV'ed hand probably hit the rail on the bed - jarring it.

I wonder if they'll let ME, plain old civilian patient, insist on "local" NEXT time?

PS - You know that you are OLD when this is the kind of stuff you are posting!

incarcerated
11-15-2009, 02:44
Uh, Dave Barry wouldn't happen to have a cystoscopy journal, by any chance?

Red Flag 1
11-15-2009, 08:13
When I had my colonoscopy done, the only problem was with "infiltration" from the IV. I ended up in "Urgent Care" over the following weekend, and the young doc there referred me to the older doc - who told me when he had his done that he had insisted on a local anesthetic. He told me that while you are under, they don't just "bend" the "hose" but that they bend you every which way to accomodate it - and that in this moving and bending, my IV'ed hand probably hit the rail on the bed - jarring it.

I wonder if they'll let ME, plain old civilian patient, insist on "local" NEXT time?

PS - You know that you are OLD when this is the kind of stuff you are posting!

Position changes can facilitate a colonoscopy; some do it, and some do not . I do not do the endoscopies, my experience is limited to anesthesia for the endoscopies. That having been said, the difficult part of the procedure is tolerating the bowel distention from air inflated into the colon. The air helps the endoscope pass, and it does provide a better diagnostic look at the colon, nod to PedOncoDoc. Colon distention generates a very uncomfortable cramping event, I'm not sure that a "local" will help.

Some of the docs I have worked with have asked me to stand-by during a non-sedated colonoscopy, and then used less air to inflate the colon. They do work, but folks are uncomfortable. If the discomfort becomes intolerable, it is nap time. Despite all, we really do not want folks to hurt if it can be helped. Diprivan, Versed, and Fentanyl work nicely, IMHO.

We do seem to be getting off "Comedy Zone" path here. I guess we could do Michael Jackson and Diprivan jokes:D.

My $.02.

RF 1

The Reaper
11-15-2009, 10:23
Position changes can facilitate a colonoscopy; some do it, and some do not . I do not do the endoscopies, my experience is limited to anesthesia for the endoscopies. That having been said, the difficult part of the procedure is tolerating the bowel distention from air inflated into the colon. The air helps the endoscope pass, and it does provide a better diagnostic look at the colon, nod to PedOncoDoc. Colon distention generates a very uncomfortable cramping event, I'm not sure that a "local" will help.

Some of the docs I have worked with have asked me to stand-by during a non-sedated colonoscopy, and then used less air to inflate the colon. They do work, but folks are uncomfortable. If the discomfort becomes intolerable, it is nap time. Despite all, we really do not want folks to hurt if it can be helped. Diprivan, Versed, and Fentanyl work nicely, IMHO.

We do seem to be getting off "Comedy Zone" path here. I guess we could do Michael Jackson and Diprivan jokes:D.

My $.02.

RF 1

Hey, that Fentanyl is a nice ride.

Seems to be an amnesiac as well. Probably for the best.:D

TR

Red Flag 1
11-15-2009, 16:35
TR,

Fentanyl is a potent narcotic, about 80-100 times as potent as Morphine. There are other Fentanyl children out there with even a greater potency. Narcotics occupy pain receptors, with the side effect of......well who gives a s#&*: however, memory loss is a function of other agents.

Valium, Versed, Ativan and other Benzos are the memory blockers. They occupy the GABA receptors in the brain. With the GABA receptors busy with Benzos, the brain is unable to deal with "new inputs", as far as we know. Large quantities of ETOH, beer, wine, whiskey, etc., etc.., can also do the same.

Before the days of Diprivan, SodiumThioPenthothal (STP) was the anesthesia induction agent of choice. STP is a barbituate that takes folks from wide awake to WELL asleep in a circulation time. The other noted effect of STP was that it also provided retrograde amnesia. Folks that had STP, seldom remembered going to the OR.

In terms of my choice for my colonoscopy, Versed so I don't remember, Fentanyl to block catacholamine, and pain response, then some Diprivan to get me to sleep; IMMHO.

My $.02.

RF 1

ps: perhaps some of this thread should go to the "medical " side of the house.

j

ZonieDiver
11-15-2009, 17:26
While being prepped for mine, I was told that Versed would be in the mix, and to expect "weird" dreams. Hell, I have those nightly... but she was right!

Habu-MFFI 175
11-15-2009, 18:01
Oh yea..almost forgot about all the gas pains for the next 2 days or so. Even after that my stomach muscles were sore from the cramping.:(:boohoo

Ah such great things we relive and yep our age is showing.:D

<*)))))>{

The Reaper
11-15-2009, 19:17
I watched my Dad die of colon cancer.

We found out later he had been exhibiting symptoms for a long time before he dehydrated and had to be carried to the hospital. By then, it had metasticized to his liver, among other places, making it Stage 4.

He was only 68 years old, and was one of the toughest guys I knew. They cut out the tumor, and put him on chemo. He lasted 14 months.

Trust me, the inconvenience of a colonoscopy is nothing compared to the alternative.

TR

ZonieDiver
11-15-2009, 19:31
I'll echo TR's statement. Coupled with a good doc who is "proactive" and with whom you have great commo - I think you are in good shape. (I think I am!) And besides, mine is a female with relatively small fingers, which makes the annual not so bad. Kinda like a "date"! !:D

HowardCohodas
11-15-2009, 19:35
We found out later he had been exhibiting symptoms for a long time before he dehydrated and had to be carried to the hospital.

Humor section or not, I think there are valuable lessons here.

Lots of people, men especially, who are used to being tough and have a high threshold for pain find it easy to shrug off symptoms as just "signs of getting older." There is nothing like a surgeon's knife to provide a whole new perspective due to this LCE (Life Changing Event).

It's hard to break habits of a lifetime and to suppress an element of self image for which you may have much pride.

Man up and get a colonoscopy, especially if you or your family have a history of polyps or colon cancer.