recent colonoscopy experience - page 12

by mat/childnurse

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I had my first colonoscopy last Friday. I am 46 and my mother has had two surgeries for colon CA, so I felt pretty good about being so responsible. I went to every website I could find and researched all aspects of the... Read More


  1. 0
    Quote from RN-PA
    No can do-- fret, that is. Ask anyone who knows me and they'll tell you: "Fret" is my middle name! I've always said that when my time comes for a colonoscopy, they'll have to hit me over the head with a large rubber mallet-- and ~THEN~ fire up the Versed and Demerol. :stone
    I used to work at a surgical hospital that also had endoscopy. The endo suite at this particular facility had a CRNA do the sedation for the case and they were able to use diprivan or propofol, the patients did not have to be intubated, they also went to sleep very quickly and the diprivan wears off very quickly, so most people were awake and not even groggy within 10 minutes. I dont know how many facilities use diprivan for colonoscopies or EGD's or really how feasible it is that they use that, but after comparing experiences from patients and seeing it first hand Milk of Anesthesia is the way to go!!!!
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    Lisa Bear RN, I have to tell you, your nickname of Milk of Anesthesia for Diprivan did tickle my funny bone.
  3. 0
    Quote from RN2Bn2006
    I'm sorry, but this is not true in all cases. I've had two colonoscopies, felt them both, had versed/demerol. I Remember the burning of the cauterizing from removing a polyp. I was crying out and begging them to stop, They did NOT stop, they just keep saying "you're doing fine, we're almost done" , etc.

    I am going back in 2 weeks to schedule my 3rd one, but we are going to talk about different route of sedation.

    I am only 35, but due to my medical hx, I have to have a colonoscope done every year.:uhoh21:
    WHY would you go back to the same doc and facility that ignored your pain the first two times? Records can be sent to other facilities. Continuing to allow that doc to work on you when he ignored your pain earlier just reinforces his tendency to commit the same "crimes" over and over again.
  4. 0
    Quote from mat/childnurse
    I had my first colonoscopy last Friday. I am 46 and my mother has had two surgeries for colon CA, so I felt pretty good about being so responsible. I went to every website I could find and researched all aspects of the procedure (patient teaching, videos of colonoscopies, personal experiences, etc.) I also spoke to several people who had gone through the procedure recently including my husband and my OB/GYN. I felt very well informed and more than educated about what would happen, what I would see on the screen, and how it would feel.
    I was given Versed 2 mg and Demerol 50 mg IVP and the doctor waited until I assured him that I was groggy. Everythiing went just as I expected until just after insertion when air was instilled into my colon. I experienced some of the worst pain I have ever felt. The doctor immediately instructed the nurse to give me "25 more" which I assumed meant more Demerol. He continued the exam with me moaning in pain. I felt every mm. of my colon being blown up and navigated. I tried to watch the screen because I was really interested to see my own colon after viewing so many others in my preparation for the procedure. The pain was practically unbearable. Since then, I have had trouble concentrating and sleeping because I keep reliving this scene. I feel so duped and betrayed. All of the instructions and testimonials I read stated that there is little dicomfort and the Versed gives the patient amnesia to any discomfort that may occur. I have lamazed three children and had I known ahead of time, I would have gotten into a breathing pattern and anticipated the pain. I will know better next time. And as a nurse, I will return in 5 years because of my FH.
    I guess what I want from you guys is some validation that indeed this does occur occasionally and that I'm not alone in this experience.
    Thanks for your input. Sorry about the length of this, but I needed to vent!

    In going back and rereading this thread from the beginning, I discover that this first post sounds amazingly (and sadly) similar to my experience as related in my post of June 11, 2005. The more I thought of it, the more infuriated I became, and related the horrid experience to the nurse here at my local clinic. Interestingly, she told me that a couple other of their patients (it's a small rural clinic that refers it's patients to city clinics for procedures) had complained of rude and shabby behavior from the same GI doc who did my colonoscopy. Determined to try to save others from this guy's barbaric treatment I wrote a very strong letter of complaint to all clinics involved expressing my disappointment in the treatment I got from him during my colonoscopy, (being very explicit that the complaint was only about the doc, that the other staff had all been excellent) and recommending that my local clinic no longer refer any of their patients to him. I got a reply from all 3 (clinics involved) that this matter would be investigated and felt better for having espressed myself.
    About a month later during my annual physical, this subject came up and was discussed, and it turns out that the doc (who performed that horrid colonoscopy) has decided to retire.

    I feel like he got off pretty easy, but at least he'll no longer be out there torturing others.

    One moral of the story: If you have what seems like a legitimate complaint, document it. You never can tell, it just might add to the stack and tip the scales toward affirmative action!
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    Quote from bbarbie1
    WHY would you go back to the same doc and facility that ignored your pain the first two times? Records can be sent to other facilities. Continuing to allow that doc to work on you when he ignored your pain earlier just reinforces his tendency to commit the same "crimes" over and over again.
    Well the 1st time was unexpected, so we discussed plan for heavier meds next time - but because my BP dropped 2nd time (during procedure) they could not give me anymore. To be honest, what exactly are they supposed to do? The procedure has to be done, what happens if they stop in the middle of it? They could not increase my pain meds due to bp -- I've already had the prep - and I SURE ain't going do to that again any time soon, so It was just a matter of trying to comfort me until it was over. Fast forward to last month........... I had my 3rd scope, and after talking with (same) doc, we decided on propofol (sp?) and it worked out wonderfully! I was out like a light, only slightly became aware once during procedure, and it was just like for 2 seconds, and I was back out. Woke up with no groggy hang-over. So to me - this is the ONLY way to go. I do not know why demerol/versed works for some and not for others. All I know is I have found the way that works for me, and I'm sticking to it.
    I feel like we should have done the propofol the 2nd time, and would have saved myself a bad experience.
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    Quote from RN2Bn2006
    Well the 1st time was unexpected, so we discussed plan for heavier meds next time - but because my BP dropped 2nd time (during procedure) they could not give me anymore. To be honest, what exactly are they supposed to do? The procedure has to be done, what happens if they stop in the middle of it? They could not increase my pain meds due to bp -- I've already had the prep - and I SURE ain't going do to that again any time soon, so It was just a matter of trying to comfort me until it was over. Fast forward to last month........... I had my 3rd scope, and after talking with (same) doc, we decided on propofol (sp?) and it worked out wonderfully! I was out like a light, only slightly became aware once during procedure, and it was just like for 2 seconds, and I was back out. Woke up with no groggy hang-over. So to me - this is the ONLY way to go. I do not know why demerol/versed works for some and not for others. All I know is I have found the way that works for me, and I'm sticking to it.
    I feel like we should have done the propofol the 2nd time, and would have saved myself a bad experience.


    Sounds like a major P.I.A. anyway you do it to me
  7. 0
    Quote from theplugger
    .... Determined to try to save others from this guy's barbaric treatment I wrote a very strong letter of complaint to all clinics involved expressing my disappointment in the treatment I got from him during my colonoscopy, (being very explicit that the complaint was only about the doc, that the other staff had all been excellent) and recommending that my local clinic no longer refer any of their patients to him. I got a reply from all 3 (clinics involved) that this matter would be investigated and felt better for having espressed myself.
    About a month later during my annual physical, this subject came up and was discussed, and it turns out that the doc (who performed that horrid colonoscopy) has decided to retire.

    I feel like he got off pretty easy, but at least he'll no longer be out there torturing others.

    One moral of the story: If you have what seems like a legitimate complaint, document it. You never can tell, it just might add to the stack and tip the scales toward affirmative action!
    AMEN, Plugger!!!! More patients should take such action when they receive rude, abusive or incompetent treatment!! And on the other hand, it doesn't hurt to also send a note of thanks when someone goes above and beyond for you or gives you especially good care and treatment. I've done both and will continue to do so.
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    I'm going to make a suggestion to those who really want or wanted to watch their colonoscopy on the monitor but didn't, couldn't or don't dare for fear of the pain they might encounter. Request permission ahead of time to video tape the monitor during the scope. Our hospital's outpatient Endoscopy department head has granted me permission to do so with my gastro's agreement. Some of the larger hospitals, especially the larger teaching hospitals actually have the capacity to make a video with their own equipment and will give you a copy if you provide a blank tape. Hearing of this is where I got the idea to ask my hospital's Endo department's permission. As it is I have an excellent and very skilled and considerate gastro and I have my scopes w/just Demerol and occasionally a little phenergan if the vagus nerve gets in a twit so I am able to watch the monitor and remember what I saw but we still video tape the monitor during my scopes at my request. I supply the video cam and tape, they provide a tech to do the taping.
  9. 0
    Quote from teeituptom
    Sounds like a major P.I.A. anyway you do it to me
    LITERALLY!:chuckle
  10. 0
    Quote from RN2Bn2006
    Well the 1st time was unexpected, so we discussed plan for heavier meds next time - but because my BP dropped 2nd time (during procedure) they could not give me anymore. To be honest, what exactly are they supposed to do? The procedure has to be done, what happens if they stop in the middle of it? They could not increase my pain meds due to bp -- I've already had the prep - and I SURE ain't going do to that again any time soon, so It was just a matter of trying to comfort me until it was over. Fast forward to last month........... I had my 3rd scope, and after talking with (same) doc, we decided on propofol (sp?) and it worked out wonderfully! I was out like a light, only slightly became aware once during procedure, and it was just like for 2 seconds, and I was back out. Woke up with no groggy hang-over. So to me - this is the ONLY way to go. I do not know why demerol/versed works for some and not for others. All I know is I have found the way that works for me, and I'm sticking to it.
    I feel like we should have done the propofol the 2nd time, and would have saved myself a bad experience.
    I guess it's a matter of whether he just kept pushing and hurting, or if you agreed to let him (for the 2nd C). Were you in any shape, with some meds, to agree to let him proceed, or to even process the information? He could have sent you for a virtual that same day--mine offered to do that if things got to painful. "Trying to comfort" you, my God, what an awful way to go through this procedure. At least I'm glad the last one was better.


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