Re: My reason for the poll

[Guest guest]

>

> First, let me thanks those of you have responded to my poll.

> My reason for posting the poll involves something that, in my

opinion, may prove to increase the risk to patients undergoing

colonoscopies.

>

> In my area, there is increasing interest for doctors to do

colonoscopies in their offices...

Penny -

If I were asked to have a colonoscopy done in an office setting - I

would want to know the type of sedation I would receive. Depending on

the medication given, it is important to have immediate access to

resuscitation equipment, anesthesia, etc. Also, most people spend at

least 30 minutes in recovery with RN monitoring. Does the office

setting provide these safeguards?

Joanne

(, Ca)

[Guest guest]

PR Weller wrote:

> In my area, there is increasing interest for doctors to do colonoscopies

> in their offices because some feel that they " are losing money each

> time " they do a colonoscopy in the local surgicenters. Apparently, the

> HMO reimbursement rate causes this " loss. "

Well, I certainly wouldn't agree to having it done in a doctor's

office!!! In the first place, my veins have gotten to the point that

it'sd nearly impossible to start an IV on me; they have to run a PICC

line instead, which requires a hospital setting (so far as I'm concerned

anyway!). Also, I tend to have anesthesia problems and usually take a

minimum of 5-6 hours to regain consciousness after any procedure. I

tend to stop breathing (which is not regarded kindly by most doctors! LOL!!)

Nope ... definitely a hospital setting for me for ANY procedure.

Regards,

Carolyn B. in SC

[Guest guest]

Oh,

jeez Carolyn. I am betting they would not LET you have it done at the doc’s

office. Noah was on the line when he had his last one done at the

outpatient hospital…they wanted to send him in town to the

hospital. But I guess they have a “questionnaire” that they

rundown and he (or I) had several wrong answers with the clotting issues, and

the asthma. Ultimately, he had it done at the outpatient hospital.

NOT in Children’s downtown proper.

I think you deserve to be well taken care

of in the big beauteous hospital though. 5-6 hours…how long has

that been going on? I wonder if that is liver-related. Has it

continued to get longer as time has gone on?

Miss chatting and good to see you posting,

Also, I tend to have anesthesia problems and usually take a

minimum of 5-6 hours to regain consciousness after any procedure. I

tend to stop breathing (which is not regarded kindly by most doctors! LOL!!)

Nope ... definitely a hospital setting for me for ANY procedure.

Regards,

Carolyn B. in SC

[Guest guest]

Oh,

jeez Carolyn. I am betting they would not LET you have it done at the doc’s

office. Noah was on the line when he had his last one done at the

outpatient hospital…they wanted to send him in town to the

hospital. But I guess they have a “questionnaire” that they

rundown and he (or I) had several wrong answers with the clotting issues, and

the asthma. Ultimately, he had it done at the outpatient hospital.

NOT in Children’s downtown proper.

I think you deserve to be well taken care

of in the big beauteous hospital though. 5-6 hours…how long has

that been going on? I wonder if that is liver-related. Has it

continued to get longer as time has gone on?

Miss chatting and good to see you posting,

Also, I tend to have anesthesia problems and usually take a

minimum of 5-6 hours to regain consciousness after any procedure. I

tend to stop breathing (which is not regarded kindly by most doctors! LOL!!)

Nope ... definitely a hospital setting for me for ANY procedure.

Regards,

Carolyn B. in SC

[Guest guest]

wrote:

>

> I think you deserve to be well taken care of in the big beauteous

> hospital though. 5-6 hours…how long has that been going on? I wonder

> if that is liver-related. Has it continued to get longer as time has

> gone on?

Hi ,

Actually, though it IS connected to the liver, it's not connected to my

PSC. You see the human body makes tons of different enzymes, each with

specific tasks in the functioning of the body. One of the enzymes

manufactured in the liver is called pseudocholinesterase and its only

known function is to metabolize anesthesia. Well -- lucky me -- I have

a genetic quirk which left me totally deficient in this enzyme. This

means that my body is totally incapable of handling anesthesia or

sedatives. (They found this out the hard way when they took out my gall

bladder.) So, it takes me forever to wake up from even a small dose of

sedative. In fact, anything which makes the average person slightly

drowsy will knock me out cold -- antihistamines, cold remedies, etc.

The anesthesiologist told my husband " Don't ever let anyone give her

anesthesia again!! "

The first time I had a scope procedure done, my husband took a book with

him, to read while I was in recovery. When the nurse saw it was " Moby

Dick " , she laughed and said " Well you certainly won't be needing

anything that long! " To which he replied, " Ah, but you don't know my

wife! " 8 hours later, they conceded that he had been right.

I've yet to ever have a single dr. believe me about wake-up time, until

after they've seen it happen for themselves. Then most of them will

apologize, shaking their heads in disbelief. LOL!! When will drs.

start listening to their patients??!!

Regards,

Carolyn B. in SC

[Guest guest]

wrote:

>

> I think you deserve to be well taken care of in the big beauteous

> hospital though. 5-6 hours…how long has that been going on? I wonder

> if that is liver-related. Has it continued to get longer as time has

> gone on?

Hi ,

Actually, though it IS connected to the liver, it's not connected to my

PSC. You see the human body makes tons of different enzymes, each with

specific tasks in the functioning of the body. One of the enzymes

manufactured in the liver is called pseudocholinesterase and its only

known function is to metabolize anesthesia. Well -- lucky me -- I have

a genetic quirk which left me totally deficient in this enzyme. This

means that my body is totally incapable of handling anesthesia or

sedatives. (They found this out the hard way when they took out my gall

bladder.) So, it takes me forever to wake up from even a small dose of

sedative. In fact, anything which makes the average person slightly

drowsy will knock me out cold -- antihistamines, cold remedies, etc.

The anesthesiologist told my husband " Don't ever let anyone give her

anesthesia again!! "

The first time I had a scope procedure done, my husband took a book with

him, to read while I was in recovery. When the nurse saw it was " Moby

Dick " , she laughed and said " Well you certainly won't be needing

anything that long! " To which he replied, " Ah, but you don't know my

wife! " 8 hours later, they conceded that he had been right.

I've yet to ever have a single dr. believe me about wake-up time, until

after they've seen it happen for themselves. Then most of them will

apologize, shaking their heads in disbelief. LOL!! When will drs.

start listening to their patients??!!

Regards,

Carolyn B. in SC

[Guest guest]

wrote:

>

> I think you deserve to be well taken care of in the big beauteous

> hospital though. 5-6 hours…how long has that been going on? I wonder

> if that is liver-related. Has it continued to get longer as time has

> gone on?

Hi ,

Actually, though it IS connected to the liver, it's not connected to my

PSC. You see the human body makes tons of different enzymes, each with

specific tasks in the functioning of the body. One of the enzymes

manufactured in the liver is called pseudocholinesterase and its only

known function is to metabolize anesthesia. Well -- lucky me -- I have

a genetic quirk which left me totally deficient in this enzyme. This

means that my body is totally incapable of handling anesthesia or

sedatives. (They found this out the hard way when they took out my gall

bladder.) So, it takes me forever to wake up from even a small dose of

sedative. In fact, anything which makes the average person slightly

drowsy will knock me out cold -- antihistamines, cold remedies, etc.

The anesthesiologist told my husband " Don't ever let anyone give her

anesthesia again!! "

The first time I had a scope procedure done, my husband took a book with

him, to read while I was in recovery. When the nurse saw it was " Moby

Dick " , she laughed and said " Well you certainly won't be needing

anything that long! " To which he replied, " Ah, but you don't know my

wife! " 8 hours later, they conceded that he had been right.

I've yet to ever have a single dr. believe me about wake-up time, until

after they've seen it happen for themselves. Then most of them will

apologize, shaking their heads in disbelief. LOL!! When will drs.

start listening to their patients??!!

Regards,

Carolyn B. in SC

[Guest guest]

> To this point, no one who has responded to the poll has said that

their colonoscopy was done in their doctor's office. I think that's a

good sign.

I'll respond to the poll later but I just wanted to say that I had two

colonoscopies in an office-based procedure suite in Bethesda, MD in

1994 and 1995. They used Versed and something else, maybe Fentanyl?

and had a nurse-anesthetist for the procedure. I recovered well, left

when the grogginess wore off. I was not allowed to drive, and stayed

at home the remainder of the day, back to work next day. The first was

comfortable, the second less so, but tolerable.

They were WAY better than the first, done in a hospital GI suite with

a physician whom I have come to believe was a sadistic S*B. Apparently

Versed has been in use since the late 80's but I got demerol + valium

for that first one- Had an ERCP that way too. An RN recently told me

that valium is so slow to act that the procedure would be done before

it worked.

Currently I have them in a hospital setting, the last two weeks ago. I

had a polypectomy for the first time with that one and wound up in

the ER next day with abdominal pain and fever. Since I had gone home

in the meantime, it didn't really matter where I had it. This was due

to inflammation from the cautery, and my GI tells me it wasn't a real

perforation or I would have been sicker. This serosal burn is an

uncommon problem from polypectomy. I've never had a problem from a biopsy.

What happened to you, Penny?

[Guest guest]

> To this point, no one who has responded to the poll has said that

their colonoscopy was done in their doctor's office. I think that's a

good sign.

I'll respond to the poll later but I just wanted to say that I had two

colonoscopies in an office-based procedure suite in Bethesda, MD in

1994 and 1995. They used Versed and something else, maybe Fentanyl?

and had a nurse-anesthetist for the procedure. I recovered well, left

when the grogginess wore off. I was not allowed to drive, and stayed

at home the remainder of the day, back to work next day. The first was

comfortable, the second less so, but tolerable.

They were WAY better than the first, done in a hospital GI suite with

a physician whom I have come to believe was a sadistic S*B. Apparently

Versed has been in use since the late 80's but I got demerol + valium

for that first one- Had an ERCP that way too. An RN recently told me

that valium is so slow to act that the procedure would be done before

it worked.

Currently I have them in a hospital setting, the last two weeks ago. I

had a polypectomy for the first time with that one and wound up in

the ER next day with abdominal pain and fever. Since I had gone home

in the meantime, it didn't really matter where I had it. This was due

to inflammation from the cautery, and my GI tells me it wasn't a real

perforation or I would have been sicker. This serosal burn is an

uncommon problem from polypectomy. I've never had a problem from a biopsy.

What happened to you, Penny?

[Guest guest]

> To this point, no one who has responded to the poll has said that

their colonoscopy was done in their doctor's office. I think that's a

good sign.

I'll respond to the poll later but I just wanted to say that I had two

colonoscopies in an office-based procedure suite in Bethesda, MD in

1994 and 1995. They used Versed and something else, maybe Fentanyl?

and had a nurse-anesthetist for the procedure. I recovered well, left

when the grogginess wore off. I was not allowed to drive, and stayed

at home the remainder of the day, back to work next day. The first was

comfortable, the second less so, but tolerable.

They were WAY better than the first, done in a hospital GI suite with

a physician whom I have come to believe was a sadistic S*B. Apparently

Versed has been in use since the late 80's but I got demerol + valium

for that first one- Had an ERCP that way too. An RN recently told me

that valium is so slow to act that the procedure would be done before

it worked.

Currently I have them in a hospital setting, the last two weeks ago. I

had a polypectomy for the first time with that one and wound up in

the ER next day with abdominal pain and fever. Since I had gone home

in the meantime, it didn't really matter where I had it. This was due

to inflammation from the cautery, and my GI tells me it wasn't a real

perforation or I would have been sicker. This serosal burn is an

uncommon problem from polypectomy. I've never had a problem from a biopsy.

What happened to you, Penny?