Re: Dr. McCollister:


"Mark & Steven Bornfeld" <bornfeldmung@xxxxxxxxxxxxxxx> wrote in message
news:3xtGj.3632$Ew5.2718@xxxxxxxxxxx
Peter wrote:

Totally agree with Howard. I had fleets phospho soda once and it totally
tore me up (bleeding and raw) and there was no way I could do it all over
again the next morning like suggested. My last gastro told me it was
banned from the market but it sounds like some docs still use it. I
asked for saline solution for my last colonoscopy from a surgeon, and it
was much milder and I didn't get raw (if you can stand drinking all that
salt water without vomiting. The colyte or half-lytley is also better
than the phospho soda. I'd say the saline solution is the least damaging
for me (but I go forty times to the water closet and it wipes me out no
matter what I use). Don't like colonoscopy preps :-) . I would never
take phospho soda again.

Pete


Don't know where you're posting from, but in Brooklyn phospho soda is OTC.
Sorry you had a bad experience--my brother has had 2 colonoscopies, one
with Go lytely and once with phosphosoda, and he found the latter much
less unpleasant. Perhaps the Half lytely is easier to take. As far as
efficacy, my gastroenterologist couldn't resist sitting me down afterwards
and showing me his "beautiful" pictures of my bowel. I'm no expert, but
it looked pretty clean to me.
I don't think anyone LIKES colonoscopy preps, but mine was certainly no
worse than I expected. Wouldn't want to discourage anyone having it done.
I'll probably ask my doc about the narrow band imaging scopes Howard spoke
of.
The article in the NYT (I assume the original paper in JAMA as well) said
that the findings of carcinoma apparently arising in flat or depressed
lesions put into further question the usefulness of the so-called "virtual
colonoscopies"--but frankly they really didn't sound like a good idea to
me in the first place.



I agree about virtual colonscopy. Even our radiologists no longer think it's
a good idea except in rare circumstances.

As to preps, our switch to Miralax/gatorade has been interesting. Generally,
I think most patients that have had both it and Fleets prefer the Gatorade.
However, I have no worries about using Fleets PhosphoSoda in patients that
prefer it, as long as they are not in the well-publicized risk category for
phosphate-induced renal failure.

CoLyte and GoLytely are full 1-gallon preps. Half-Lytely and the
cheaper/more popular Gatorade/Miralax preps are two quarts. From an
endoscopist's standpoint, I'm fine with either. I think the Gatorade/Miralax
prep is a little more effective.

HMc




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