Re: Colonoscopy prep question for Howard

In article <4402fa90$0$69649$bb4e3ad8@xxxxxxxxxxxx>,
"Howard McCollister" <nospam@xxxxxxxxxx> wrote:

"REP" <rep@xxxxxxxxxx> wrote in message
news:yUBMf.35605$Jd.11778@xxxxxxxxxxxxxxxxxxxxxxxxxxxxx
In article <4400517d$0$41514$bb4e3ad8@xxxxxxxxxxxx>,
"Howard McCollister" <nospam@xxxxxxxxxx> wrote:

Most common meds used in intravenous conscious sedation, as for
endoscopy,
would be Versed, plus either Demerol or Fentanyl. If, for whatever reason
those don't work for a particular patient, then Propofol as a continuous
drip, is used. Usually, Propofol requires an anesthetist or
anesthesiologist
since monitoring is quite critical.

Thanks for the information. Sounds as though if one is thought necessary
for me again, 'virtual' colonoscopy may be the way to go (I have a bad
habit of not breathing well under a general) or for me to just start
running the other way.

General anesthesia implies NO breathing. All reflexes are suppressed,
including the drive to breathe and the key job of the anesthetist is to make
certain that the patient is still breathing and addressing that if
necessary.

Well, of course; I didn't want to bore anyone with a long organ-recital
of my problems under general anesthesia so I went for mildly amusing
instead. As I failed, I'll go for the recital say that I have mixed
apnea and asthma and 'buck' (per anesthesiologists) when induced. I am
said to be a pleasant and compliant patient when awake, but a real bitch
when unconscious.

Obviously, the use of
Propofol is kind of a big deal with more risks, more expense, more hassle.

Virtual colonoscopy - promising technique in some circumstances, but it's
not there yet from a sensitivity/specificity standpoint. And it doesn't
relieve the patient of the colon prep.

While the prep is unpleasant, it's *nothing* compared to going through a
colonoscopy without any effective sedation, as I have done three times.
I understand that it's not terrific for polyp detection, but I have
never been subjected to one for that reason. At least now my paradoxical
reaction to Versed is known and it won't be tried again.

Thanks again! I hope it's a very long time before this information comes
in handy.

--
"Did Father shoot him? I will eat Grandfather for dinner."
- Helen Keller, on learning of the death of her grandfather
.

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