Go Back  Bike Forums > Bike Forums > Fifty Plus (50+) > Pills and Ills
Reload this Page >

Recollections of a colonoscopy

Pills and Ills This is a discussion subforum for the health challenges faced by riders 50+. These discussions are in no way to be considered professional medical advice.

Recollections of a colonoscopy

Old 12-13-18, 06:14 PM
  #26  
Cuyuna
Senior Member
 
Join Date: Jul 2017
Posts: 235
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 174 Post(s)
Likes: 0
Liked 1 Time in 1 Post
The AARP magazine is pretty famous for bad medical advice.

Yes, the American Cancer Society now recommends colonoscopy screening begin at age 45. Their rationale is actually pretty good. It can be read on their website. As to flexible sigmoidoscopy.....pretty much moot since it’s really, really hard to find anyone doing it. It used to be an office procedure, soak it in some cidex and go on to the next patient. That’s about the only way that it can pay for itself. You want them to clean that scope real well, don’t you? The cleaning and sterile processing that has been shown to be necessary is really expensive...beyond the financial feasibility of a private office or clinic setting. The reason why there are no more sigmoidoscopies is that the scopes only cost a little less than a colonoscope, they require the same tower and video processor, and they have the same cleaning/sterilization process. It doesn’t make financial sense. AARP’s pathetic yearning for yesteryear is par for the course.

About 66% of colon cancers will show up within reach of a sigmoidoscope, meaning that routine sigmoidoscopy will miss 1/3 of the colon cancers they’re looking for. It is true that colonoscopy doesn’t decrease the mortality from colon cancer compared to sigmoidoscopy alone. That other 1/3 of the patients still get colon cancer, they just don’t die from it. That is apparently a risk that AARP is willing to take on your behalf.

No thanks.

Last edited by Cuyuna; 12-13-18 at 08:35 PM.
Cuyuna is offline  
Old 12-13-18, 07:18 PM
  #27  
curbtender
Senior Member
 
curbtender's Avatar
 
Join Date: Mar 2007
Location: SF Bay Area, East bay
Posts: 5,393

Bikes: Marinoni, Kestral 200 2002 Trek 5200, KHS Flite, Koga Miyata, Schwinn Spitfire 5, Schwinn Speedster, Mondia Special, Univega Alpina, Miyata team Ti, MB3

Mentioned: 24 Post(s)
Tagged: 0 Thread(s)
Quoted: 484 Post(s)
Liked 8 Times in 8 Posts
Played softball on the co-ed hospital team and of course I would get one of my team mates whenever I had the procedure. Made for interesting banter at post game pizza.
​​​​
curbtender is online now  
Old 12-18-18, 10:55 AM
  #28  
unterhausen
Randomhead
 
Join Date: Aug 2008
Location: Happy Valley, Pennsylvania
Posts: 18,123
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 4 Post(s)
Liked 24 Times in 22 Posts
my dad had colon cancer, and it's no joke.

My first colonoscopy was done with valium, but I went to sleep anyway. I like that better than being knocked out, which is what happened the most recent 3. I have to schedule a procedure.

The surgeon that did my last one was alternating between scoping gastro and colon. I asked the nurse if they at least cleaned the scope between procedures. Apparently they don't think this is a good joke. There was a fairly big deal made about lack of cleanliness recently.

My first colonoscopy was done as a demo of a new scope. The salesman was there. I think that might have been the most expensive suit and shoes I have ever seen on a salesman.
unterhausen is offline  
Old 12-19-18, 08:53 AM
  #29  
Cuyuna
Senior Member
 
Join Date: Jul 2017
Posts: 235
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 174 Post(s)
Likes: 0
Liked 1 Time in 1 Post
Valium is virtually never used these days. Some endoscopists still use Versed (along with the opioid Fentanyl). Versed is a sedative in the same class as Valium, but it has a much more pronounced amnesia effect. The general concept is that Fentanyl is given to decrease the pain, and Versed is given so that the patient doesn’t remember the pain. People don’t actually go to sleep, they just don’t remember being awake. The trend toward Propofol, an actual anesthetic, is based on vastly improved patient satisfaction. It also makes the procedure easier, safer, and faster, with less disorientation, quicker recovery, and less hangover.

Ffiberoptic scopes have become more complex as surgeons do more and more procedures with them. That complexity entails more joints and moving parts thereby making them harder to clean. The main issues with recent concerns of scope cleaning revolve around duodenoscopes for ERCP rather than standard gastroscopes and colonoscopes. All of these scopes are washed, soaked, and terminally sterilized for each use. It’s an elaborate and expensive process. The mechanical complexity of duodenscopes makes them a more difficult device to mechanically clean.

Medical device sales people have a demanding job. They get paid a lot of money. I've never seen one in an OR or endoscopy suite in street clothes.

Last edited by Cuyuna; 12-23-18 at 08:09 AM.
Cuyuna is offline  
Old 12-22-18, 04:08 PM
  #30  
peterws
Senior Member
 
peterws's Avatar
 
Join Date: Oct 2014
Location: Near Lancaster
Posts: 357

Bikes: Carrera Virtuoso and friend

Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 58 Post(s)
Likes: 0
Liked 3 Times in 3 Posts
I had one some years ago; I was offered a choice of "operatives" but bot knowing who was who, I asked for a "nice gentle female". A foolish choice. I got he local Registrar-ess who was embarking on her holidays immediately afterwards; she was attired in an immaculate red trouser suit and wasn't hanging about.
Thought I detected wry smile on her face as she rammed the device home . . . . .the boot on the other foot; payback time; call it what you will. Women too, can have a sardonic sense of humour no doubt detected by every woman in the place. Well, one actually.
She wasn't able to give the all-clear, so a guy did the same job on another day.
Never felt a thing. And I'm still here . . .
peterws is offline  
Old 12-23-18, 04:45 PM
  #31  
JanMM
rebmeM roineS
 
JanMM's Avatar
 
Join Date: Jan 2006
Location: Metro Indy, IN
Posts: 15,450

Bikes: RANS V3 ti, RANS V-Rex, RANS Screamer

Mentioned: 15 Post(s)
Tagged: 0 Thread(s)
Quoted: 461 Post(s)
Liked 15 Times in 15 Posts
Had a colonoscopy 8-9 years ago. No problems - versed/midazolam. Because it was at the hospital where I have worked for several decades, I knew both the doctor and the RN helping. Which was fine by me. Finished mid-morning. Short bike ride late afternoon. Don't do this at home, kids!
Will probably have one more in another year or two. For those not at high risk, a screening colonoscopy is recommended no more frequently than every ten years. Because there is a bit of a risk of unintentional harm from the procedure. Don't want the risk to outweigh the benefits. More frequently is fine if there is a medical reason.
__________________
RANS V3 Ti, RANS V-Rex, RANS Screamer
JanMM is offline  
Old 12-24-18, 04:05 AM
  #32  
BookFinder 
Lifelong wheel gazer ...
 
BookFinder's Avatar
 
Join Date: Mar 2005
Location: Alabama
Posts: 217

Bikes: 2 good ones, 2 junkers

Mentioned: 2 Post(s)
Tagged: 0 Thread(s)
Quoted: 28 Post(s)
Liked 3 Times in 2 Posts
With the first occurring at age 50, I've now had three colonoscopies. Each time I was talking with the nurse ... then I awakened in recovery. Twice I've had polyps removed, and the test results were negative each time.

My wife still laughs about something from the first one.

The prep and recovery area at the local surgical center (same day type of stuff) has a dozen rooms separated by curtains. As I was gradually awakening from the first one I heard somebody pharrrrrrt! long and loud!

Opening one eye I asked my wife, "who was that?"

At the very moment a nurse flung back the curtain and cheerily exclaimed, "We heard that! You can dress and get ready to go now!"

To the young lady's credit, she had the presence of mind now to use my name and thereby announce to the whole suite of waiting and awakening patients who dun it.

My family of origin has cancer on both sides (paternal and maternal), so my conservative doctor wants me on the five year cycle. The pre-procedure prep is an annoyance, but a small price to pay for the peace of mind.
__________________
'80's era Cannondale Police bike
'97 Giant ATX 840 project bike (gave it to a nephew...)
'01 Giant TCR-1 purebred road bike
'03 Schwinn mongrel MTB

Status quo is the mental bastion of the intellectually lethargic...
BookFinder is offline  
Old 01-22-19, 06:48 AM
  #33  
maddmaxx 
Small Member
 
maddmaxx's Avatar
 
Join Date: Nov 2003
Posts: 7,164

Bikes: Diamondback Clarity II frame homebuilt.

Mentioned: 84 Post(s)
Tagged: 0 Thread(s)
Quoted: 10552 Post(s)
Liked 11 Times in 10 Posts
At 72 I've now had 3 with anesthesia. Polyps in 2 that tested pre-cancerous so I'm on a 3 year schedule. My wife is a 2 time colon cancer survivor with colon resections each time so I'm not complaining about having these checks done. The alternative is not nice.
__________________
We are an empire. Be sure to use it wisely.
maddmaxx is online now  
Old 01-27-19, 04:33 PM
  #34  
Hondo Gravel
Voted For Pedro
 
Join Date: Jan 2018
Location: Hondo,Texas
Posts: 963

Bikes: Motobecane Boris Fatbike, Motobecane Omni Strada Pro,Fantom Pro CX, Fantom X7 MTB, Gravity SS MTB.

Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 470 Post(s)
Liked 49 Times in 41 Posts
Yup next doctor appointment I’m setting up the same thing I just can’t wait Had a hernia operation in 2015 that was plenty of a violation
Hondo Gravel is offline  
Old 02-08-19, 07:53 PM
  #35  
avmech
Senior Member
 
avmech's Avatar
 
Join Date: Apr 2011
Location: Jupiter Florida
Posts: 249
Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 7 Post(s)
Likes: 0
Liked 1 Time in 1 Post
Having it done Monday along with an endoscopy into my stomach. Thinking about asking the doc to take a picture through one scope of the other scope............................
Sunday is the night of a thousand waterfalls, not looking forward to it. Last one was 10 years ago..........
avmech is offline  
Old 02-10-19, 10:36 AM
  #36  
Biker395 
Seat Sniffer
 
Biker395's Avatar
 
Join Date: Sep 2007
Location: SoCal
Posts: 4,596

Bikes: 2008 Scott CR1 Pro; 2006 Schwinn Fastback Pro and 1996 Colnago Decor Super C96; 2003 Univega Alpina 700; 2000 Schwinn Super Sport

Mentioned: 10 Post(s)
Tagged: 0 Thread(s)
Quoted: 431 Post(s)
Liked 26 Times in 11 Posts
Originally Posted by avmech View Post
Thinking about asking the doc to take a picture through one scope of the other scope.............................
__________________
Proud parent of a happy inner child ...
www.photo395.com
Biker395 is offline  
Old 02-24-19, 06:58 PM
  #37  
Mainiac
Senior Member
 
Join Date: Dec 2017
Location: Maine
Posts: 52

Bikes: Fuji Allegro, Miele Mountain Bike, Trek Domane AL 2

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 17 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
I've had one colonoscopy without any drugs at all. That one time will be the only time. When they pump the nitrogen in to open it up, the pressure is really uncomfortable. Five more years until my next one. A ten year schedule is fine with me.
Mainiac is offline  
Old 02-25-19, 10:25 AM
  #38  
Cuyuna
Senior Member
 
Join Date: Jul 2017
Posts: 235
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 174 Post(s)
Likes: 0
Liked 1 Time in 1 Post
Originally Posted by Mainiac View Post
I've had one colonoscopy without any drugs at all. That one time will be the only time. When they pump the nitrogen in to open it up, the pressure is really uncomfortable. Five more years until my next one. A ten year schedule is fine with me.
Most endoscopy centers use Versed and Fentanyl for sedation and insufflate the colon with air (not nitrogen). The more "compassionate" programs (modern) will use propofol for sedation (administered by an anesthetist) and use carbon dioxide to inflate the colon. Carbon dioxide is absorbed from the colon about 100x faster than air (oxygen-nitrogen), and and therefore eliminates the gas pain that is common when air is used. Propofol provides for a safer and vastly more comfortable colonoscopy (no pain, no recollection), and clears the body far more rapidly than Fentanyl/Versed so patients wake up quicker and there's no narcotic hangover. For every patient that can have a colonoscopy without sedation, there are about 30 that can't.
Cuyuna is offline  
Old 02-25-19, 12:40 PM
  #39  
BobbyG
Senior Member
 
BobbyG's Avatar
 
Join Date: Jan 2009
Location: Colorado Springs, CO
Posts: 4,275

Bikes: 2015 Charge Plug, 1997 Nishiki Blazer, 1984 Nishiki International

Mentioned: 32 Post(s)
Tagged: 0 Thread(s)
Quoted: 793 Post(s)
Liked 51 Times in 33 Posts
A young friend of mine had colorectal cancer. They removed 9-inches of bowel. After his follow-up colonoscopy he said he was "clean as a whistle...if you're into that sort of thing."

Unfortunately the cancer had spread and after a valiant 5-year battle, he lost.

I miss him.

F**k cancer.
BobbyG is offline  
Old 02-26-19, 02:30 PM
  #40  
DiabloScott
It's MY mountain
 
DiabloScott's Avatar
 
Join Date: Sep 2006
Location: Mt.Diablo
Posts: 8,576

Bikes: Klein, Merckx, Trek

Mentioned: 57 Post(s)
Tagged: 0 Thread(s)
Quoted: 2155 Post(s)
Liked 17 Times in 9 Posts
Originally Posted by Cuyuna View Post
Most endoscopy centers use Versed and Fentanyl for sedation and insufflate the colon with air (not nitrogen). The more "compassionate" programs (modern) will use propofol for sedation (administered by an anesthetist) and use carbon dioxide to inflate the colon. Carbon dioxide is absorbed from the colon about 100x faster than air (oxygen-nitrogen), and and therefore eliminates the gas pain that is common when air is used. Propofol provides for a safer and vastly more comfortable colonoscopy (no pain, no recollection), and clears the body far more rapidly than Fentanyl/Versed so patients wake up quicker and there's no narcotic hangover. For every patient that can have a colonoscopy without sedation, there are about 30 that can't.
Yeah I had Propofol, I remember asking the anesthesiologist "When am I going to start feeling sleepy?", and that's the last thing I remember before his waking me up afterwards. It's kind of creepy to know that I might have been conscious and awake during the procedure, but just don't remember it. I don't know what kind of gas they used, but I didn't have much distress afterwards.

And I considered the preparation to be a challenge - I wanted mine to be the cleanest colon they'd ever scoped. Totally not that bad.
DiabloScott is offline  
Old 02-26-19, 04:06 PM
  #41  
Cuyuna
Senior Member
 
Join Date: Jul 2017
Posts: 235
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 174 Post(s)
Likes: 0
Liked 1 Time in 1 Post
Originally Posted by DiabloScott View Post
Yeah I had Propofol, I remember asking the anesthesiologist "When am I going to start feeling sleepy?", and that's the last thing I remember before his waking me up afterwards. It's kind of creepy to know that I might have been conscious and awake during the procedure, but just don't remember it. I don't know what kind of gas they used, but I didn't have much distress afterwards.

And I considered the preparation to be a challenge - I wanted mine to be the cleanest colon they'd ever scoped. Totally not that bad.
Propofol is esssentially general anesthesia. The patient is completely asleep..doesn’t speak, isn’t aware. Intravenous Conscious Sedation, using Versed/Fentanyl (most common anesthesia for endoscopy), however, is much less predictable and the patients are sedated. They may remain awake, may try to speak, may have pain and thrash about. Versed is a pretty powerful amnesiac, so most of the time they don’t remember any of the pain or the weird stuff that they say. Most people get a baseline injection, and may not get any more if they’re not having pain. Those are the patients that say that they remember watching the procedure. They are a minority. Most patients have enough pain that they get additional Versed and Fentanyl. If they get enough, they’re the ones that babble, thrash about, and feel fogged up and/or nauseated for the next 24 hours. Propofol is vastly better tolerated, and makes the procedure safer and more comfortable.
Cuyuna is offline  
Old 02-26-19, 04:25 PM
  #42  
Biker395 
Seat Sniffer
 
Biker395's Avatar
 
Join Date: Sep 2007
Location: SoCal
Posts: 4,596

Bikes: 2008 Scott CR1 Pro; 2006 Schwinn Fastback Pro and 1996 Colnago Decor Super C96; 2003 Univega Alpina 700; 2000 Schwinn Super Sport

Mentioned: 10 Post(s)
Tagged: 0 Thread(s)
Quoted: 431 Post(s)
Liked 26 Times in 11 Posts
Originally Posted by BobbyG View Post
A young friend of mine had colorectal cancer. They removed 9-inches of bowel. After his follow-up colonoscopy he said he was "clean as a whistle...if you're into that sort of thing."

Unfortunately the cancer had spread and after a valiant 5-year battle, he lost.

I miss him.

F**k cancer.
My SO had it. She had a 50-50 chance of recurrence ... and although it is possible to cure some Stage IV patients, it's quite unlikely. She's 10+ years out so she's probably OK. But I met a lot of people in support groups who did not make it.

CRC is very curable when caught early, and following proper screening procedures goes a long way to doing that.
__________________
Proud parent of a happy inner child ...
www.photo395.com
Biker395 is offline  
Old 02-27-19, 12:37 AM
  #43  
Cuyuna
Senior Member
 
Join Date: Jul 2017
Posts: 235
Mentioned: 1 Post(s)
Tagged: 0 Thread(s)
Quoted: 174 Post(s)
Likes: 0
Liked 1 Time in 1 Post
Originally Posted by Biker395 View Post
My SO had it. She had a 50-50 chance of recurrence ... and although it is possible to cure some Stage IV patients, it's quite unlikely. She's 10+ years out so she's probably OK. But I met a lot of people in support groups who did not make it.

CRC is very curable when caught early, and following proper screening procedures goes a long way to doing that.
The best way to prevent dying from CRC is to remove pre-cancerous polyps at colonoscopy before they become cancer.


.

Last edited by Cuyuna; 02-27-19 at 02:32 AM.
Cuyuna is offline  
Old 02-27-19, 09:05 AM
  #44  
Biker395 
Seat Sniffer
 
Biker395's Avatar
 
Join Date: Sep 2007
Location: SoCal
Posts: 4,596

Bikes: 2008 Scott CR1 Pro; 2006 Schwinn Fastback Pro and 1996 Colnago Decor Super C96; 2003 Univega Alpina 700; 2000 Schwinn Super Sport

Mentioned: 10 Post(s)
Tagged: 0 Thread(s)
Quoted: 431 Post(s)
Liked 26 Times in 11 Posts
Originally Posted by Cuyuna View Post

The best way to prevent dying from CRC is to remove pre-cancerous polyps at colonoscopy before they become cancer.
.
Yep ... she was high risk Stage II ... the tumor had gene alleles that were associated with bad outcomes. Scary stuff.
__________________
Proud parent of a happy inner child ...
www.photo395.com
Biker395 is offline  
Old 02-27-19, 04:23 PM
  #45  
Lemond1985
Sophomore Member
 
Lemond1985's Avatar
 
Join Date: Jan 2019
Posts: 1,272
Mentioned: 10 Post(s)
Tagged: 0 Thread(s)
Quoted: 689 Post(s)
Liked 81 Times in 64 Posts
Originally Posted by DiabloScott View Post
Yeah I had Propofol, I remember asking the anesthesiologist "When am I going to start feeling sleepy?", and that's the last thing I remember before his waking me up afterwards. It's kind of creepy to know that I might have been conscious and awake during the procedure, but just don't remember it. I don't know what kind of gas they used, but I didn't have much distress afterwards.

And I considered the preparation to be a challenge - I wanted mine to be the cleanest colon they'd ever scoped. Totally not that bad.
Well, hopefully when you woke up, the doc was not smoking a cigarette, smiling lazily, blowing smoke rings, and playing Yanni (or Barry White) music in the background.

Lemond1985 is offline  
Old 02-28-19, 01:44 PM
  #46  
rck
Senior Member
 
rck's Avatar
 
Join Date: Aug 2005
Location: monroe (sw) wi
Posts: 1,327

Bikes: cannondale 400st, dean el diente, specialized hybrid

Mentioned: 0 Post(s)
Tagged: 0 Thread(s)
Quoted: 16 Post(s)
Likes: 0
Liked 0 Times in 0 Posts
I had my colonoscopy about 3 years ago. No memory of it, however, the "scoper" knows me, the "scopee". I was snowed quite well , thank you. I was also sick for a couple of days after, a low tolerance for drugs of that nature. One tiny polyp removed, not even enough to send for pathology. When I called for the results, the R.N., who I also know, said "good for 5 years". My response, 5 years! It took me 65 years to grow what little I had, in 5 years the backside you see will be mine moving away at speed. That being said I will have my internist do the FIT in a couple of years and see what it show.
rck is offline  

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off


Thread Tools
Search this Thread

Contact Us - Archive - Advertising - Cookie Policy - Privacy Statement - Terms of Service

Copyright © 2018 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.