Can a patient refuse sedation? - page 2

My G.I. want to use Versed for a long colonoscopy. Even tho my last colonoscopy was painful,i don't think i want to be sedated with weird meds.... Read More

  1. by   3boysmom3
    I've not had a colonoscopy yet, but I become very anxious at the idea of conscious sedation for any procedure- I've had a number of eye surgeries, and of course I wouldn't want to NOT be sedated but I found that Versed causes me to talk incessantly during the procedure and then not remember much of it afterward, except just enough to be really embarrassed. It probably wouldn't be as big an issue as it is for me except that one doctor made a joke about it in the recovery room and since I had no idea what I might have said, and he wouldn't tell me, it just freaks me out. I'd prefer general even with the higher risks. I can't stand not being in control of myself!!!
  2. by   serialmom12
    You can refuse sedation. I did for two colonoscopies. Discuss it with your doctor and if they won't do it w/o sedating you, RUN LIKE HELL AND FIND ANOTHER DOCTOR!!!!!!!!!!!!!! ThIS procedure is NOT painful. Just have the Dr give you either some Fentanyl or Demerol and you'll be fine. The only thing that is slightly uncomfortable is when they go around your transverse colon and pump air into it so the Dr can see better. Just mild cramping, that's all. It's nothing even remotely painful. Avoid Versed at all costs, that drug is dangerous. It left me with PTSD. If you feel you must have some sedation, request Propofol, it works quickly and you come out of this state quickly also, with no permanant side effects.
    Best of luck to you.
  3. by   diane227
    I guess you have the right to refuse. I don't know how the doctor would feel about it. I have had both upper and lower scopes, got con sed each time and it was no big deal at all.
  4. by   serialmom12
    Yes Diane, it's no big deal with a colonoscopy, you don't need sedation for that. An endoscopy you do because you feel like you're being smothered, and you choke which causes you to panic. I hope for your sake that your Dr was compassionate enough to give you Propofol and not VERSED for these procedures.
  5. by   CrohnieToo
    My gastro underwent both the upper and lower scopes w/o sedation herself before she would agree to do mine w/o sedation - and she agrees w/me, the upper scope w/o sedation is the worst because of the gag reflex! Other than the gagging the upper w/o sedation was no problem at all. I didn't have any choking sensations but BOY! those rolling burps were something else!!! I could have played some songs w/those rolling burps! The gagging was definitely unpleasant as I so hate to gag!
  6. by   neveragain
    Thanks CrohnieToo! I have been worrying about having an endo without the Versed (or Propofol) The amnesia doesn't work for me with 9 mls of Versed but it does render me helpless. I just can't go in and have anything done with Versed. I would be totally aware "on red alert" and unable to move or speak while this was going on. I will stop worrying over this now. I just have to find an endo who is comfortable with outlier patients and can do this without turning me into a zombie and subjecting me to long term anxiety from the Versed.
  7. by   CrohnieToo
    Hey, its interesting to watch the monitor. Insist that they turn you so you can see too! And if there is something going on in there it can be quite fascinating to see! I had sudden onset really bad pain as the cause for my first upper endo. It was a yeast infection from a steroid nasal spray. Those psychodelic little fluffs looked too innocent to be causing such misery but boy was the ole esophagus RED w/irritation from them! Fortunately I responded quickly to Diflucan w/o any problems at all!!!
  8. by   scared'o'needles!
    I have to say that i have had many different investigations, flex sig and colonoscopy included and nothing prepared me for the pain that came with them....esp the flex sig which was w/o sedation. I have since been told if you have inflammation you have more chance of being in pain - which I have:-(
    I could not force myself to go thru that again without proper meds. I'm in awe of anyone that can tolerate this procedure w/o anything to dampen the pain.
  9. by   diane227
    I guess people have to decide for themselves what they want to do. I was just commenting that for myself, having had both upper and lower, both were easy with a little sedation. I watched my lower scope on the screen and that was neat but I was totally asleep for the upper endo. No ill effects. I guess I am lucky that I have never had any kind of negative response to any type of sedative medication and my GI doc uses pediatric size scopes.
  10. by   CrohnieToo
    Well, now, there is a difference between having no sedation and having no analgesia! I have nothing for my upper endoscopies but we do use some demerol for the colonoscopy as we tend to have some difficulties w/my transverse colon just before the hepatic flexure that can get uncomfortable. Just enough demerol to take the edge off and keep the discomfort bearable whilst "we" work "our" way past that point. And it can get uncomfortable at the ileocecal valve as well so I'm NOT a masochist! I just don't want to be sedated so that I can't watch the monitor and remember what I saw!!!
  11. by   darne20
    ChronieToo-I couldn't agree with you more. Sedation and analgesia are often used interchangeably, but in fact many people have negative experiences with sedation (especially Versed), but they can have a comfortable procedure with just an analgesic (fentanyl).
  12. by   gary130
    I "refused" actually declined sedation for my colonoscopy last week. It didn;t hurt at all
  13. by   diane227
    A patient cannot be mandated to take any treatment or medication against their will unless:
    1. They are ordered via the courts to do so.
    2. The have a power of attorney decision maker for health care that can make those decisions for them.
    3. If a critical condition exists that, in the opinion of at least two physicians, will result in loss of life or limb if not treated and the patient at the time does not have the mental capacity to make the decision for him/ herself.
    4. If the person is a minor child and is a suspected victim of abuse. In my experience we called CPS (children's protective services) and a judge. The judge mandated that the child be removed from the custody of the parent/ guardian immediately and we proceeded with the emergency procedure required.

    This is a very sticky area depending on the state law where you live, the mental health law for your state and your hospital policy. But as a general rule, if you are an adult, awake, alert, oriented and not under the influence of a mind altering substance you have the right to refuse any or all medical care or procedures even if it will result in harm to you. People have the right to make a stupid decision.