
Lay Back and Take It. They Don't Even Buy You Dinner First.
As oftentimes opined on this blog of late, turning 50 permanently stains your medical records in the eyes of those tasked with looking after your health. Their eyes bug out of their head when they see that you're 50. They take nothing for granted, which is tough on the ego, and ego's get us into worlds of hurt. In this instance, listening to your ego could kill you.
One of the obligatory moves happens to be undergoing a colonoscopy. Yeah, you turn fifty and you get to be sodomized by 4 feet of fiber optic cable. But they are kind to you. They slip you a rufi first, so if you can get over being pantsless for a couple hours in advance of the big dance, you should be able to get through it just fine. I mean, Ted Kennedy was able to pull off the look in Palm Beach lo those many years ago, so why can't you on a medical gurney?
The recommendation apparently comes with good reason. In mine they found a diverticular spot and removed a couple of polyps. This stuff runs in families and can be impacted by booze, butts, and obesity, a trifecta of vices I have eschewed only recently in my ill spent life. My mother had to have a colonostomy based on a perferated diverticular, and I got to catch that recuperation after my brother and sister had each signed up for one of her two hip replacement recoveries. Would that I had signed up sooner for elder care. I really, really could have avoided having to do pooper scooper duty on my own mother.
The hereditary nature of the disease compelled the doctor's office to tell me to inform my siblings, which I have done. In so doing I learned that my sister, some 10 years older than I, has never had a colonoscopy. She was dutifully scolded, particularly considering she had a very dear friend die of colon cancer about 20 years ago based on it never being diagnosed until it was too late. That woman just felt as though she had a long lasting flu and blew off going to the doctors.
But people really have an issue with the idea of having some gowned and masked roto-rooter guy take an auger to their ass. I get that. Believe me. I had a pre-screen meeting with my feisty, humorous little Asian doctor and informed him I had had the procedure 20 years prior. He was aghast until such time as I indicated I figured it was stress given the consultancy in which I worked was going under while my wife was pregnant with our 3rd kid. (Duh!) Biggest question I had for him was whether or not technology had miniaturized the width of the scope.
That question was a passive aggressive way of me asking if that which he was going to shove up my ass had gotten any smaller in the past 20 years. All he did was look at me and go, "Sorry. But the drugs are better."
Works for me.
So a colonoscopy sucks, but it is a necessary evil like death, taxes, children's recitals, and watching chick flicks with that important person in your life after you have done something incredibly insensitive and cruel.
And it really is not that bad. Yes, the liquids used to, uh, clean you out, can be pretty stressful. But I learned something useful for this second time. The first time I had eaten right at the cut off point. This being my Gordon Gekko era, I was in my pin striped suited glory at the office getting in half a day. I decided to drink the stuff, then hop in the car to get home, and then start editing some research reports while gaily shitting my brains out on the home can.
It did not work that way. I literally had to sprint to the office can at the opposite end of the building where I remained for several hours before sheepishly heading home around 7:30 at night.
Not good.
This time I stopped solid foods the night before the morning I was to start the fast. It is far better, boys and girls, to evacuate your body on your terms rather than on Magnesium Citrate's terms. It was much much easier.
No one looks forward to this, but no one looks forward to colon cancer, either. It really has to be addressed.
Post procedure wasn't that bad. I passed out before the whole thing started, unlike in the first one, where I watched it on videotape in perverse fascination much the way I watched my last knee surgery. I woke up to be told of the diverticular and the polyps now off being biopsied.
I was a little woozie, sure, but it was a "these drugs are kind of fun" kind of woozie. Only real discomfort were some periodic sharp gas like pains that hit every now and again for about 8 hours after the procedure.
So it is not fun, but I've endured far worse pain such as flu cramps. The take away from this post, however, is as follows:
Colon cancer does not manifest itself in most cases before it is too late. It is only through proactive, preventative maintenance that you can address it. If you are over 50, you have no excuse not to do get the procedure done.
More to the point? Stop procrastinating. You need to be sodomized by a 4 foot fiber optic cable. It could save your life.


Salon.com
Comments
It is important, and if you mix that stuff you drink with Margarita Mix it goes down better. (Leave out the Tequila, sorry.)
Good info...and we had ZERO pain afterwards.
Rated!
every thought about hooking up with Katie Couric?
I had my seventh one of those a while back and it was the best one ever: The drugs were so good that I remember nothing!
And also men: Get ya PSA tests!
Some cancers grow so slowly they never bother a person until he dies of some unrelated cause. Others are so fast-growing that, even if detected by screening and treated, will kill the person anyway.
The whoe idea of cancer screening was the hope -- that's all it ever was was a hope -- that there were cancers which were so fast-growing that by the time symptoms appeared, it was too late, BUT, which were sufficiently slow-growing that, if detected earlier, could be cured. There is no evidence that such cancers even exist.
We do know that screening for breast cancer reduces a woman's chances of dying of breast cancer by one in two thousand, but makes no difference in the death rate (in other words, that one in two thousand will die of something else at the same time anyway). Smokers who are screened for lung cancer (talk about re-arranging deck chairs on the Titanic) actually die SOONER than those who are not.
As for colon cancer, according to the book Should I Be Tested For Cancer by H. Gilbert Welch, M.D., there's no evidence that screening for it saves lives, because nobody has done the studies.
Ask your doctor if there are any clinical trials that show that people who are screened for colon cancer live longer than those who do not. And if there aren't any, why would you submit to the procedure?
See my posts "Is screening for cancer a giant con job?" and "Is screening for cancer a giant con job? Part 2."
Hey, you are 45 2/3 Time for a butt scoping! Who's your friend? he's 72! He needs one too.. 1/2 price!
I think doctors should buy mode videogames so they can get over all the fun of joystick controlling a viewpoint on a screen without it including my butt in any way.
Mamoore: Whatever it takes.
OE: This guy was in and out in about 15 minutes, including the Polyps. Gatorade is an interesting adder. I was sucking on diet soda wondering why I was so faint before I figured out to switch to sugared ones to get some energy.
Lady: Your day will come, kid, your day will come.
Imom: Katie used to do something for me, she's getting a tad too plastic looking. Aging pixie's have a hard time, I guess. Mary Martin who played Peter Pan never pulled it off. Katie seems to be headed on the Nancy Pelosi track of taut skinned fakery ....
Zuma: Yeah, I was surprised at its ease.
Squirrel: I remember the corner turn from 20 years ago as well. Nurse put her hand on the spot while the guy was backing up and ramming ahead. I dreaded that this time around and was out cold whenever it hit, if it hit. Fear not, by big nutted friend. It's not that bad anymore.
Lolly/Kathy: Thanks.
Moses: I know. The whole point is to try to show how it is not that bad.
Patrick: I am not sure the efficacy there. There's limited awareness to it, given how silent it can be. I am also aware of the differing rates of advancement. Some of that has to do with the person's metabolism. The healthier and more active you are, the faster, typically, cancer will advance, as it is based on cell regeneration, among other things. But what useful point is there to deterring people from screening for such things? I have a friend who blew off what he thought was a pimple and now has stage three melanoma that could have been caught earlier. People hate having their sphincters violated. It is hard enough to get people to consider this procedure. I certainly hope your admonition does not deter someone from going for a screening that might be useful. It really is not that onerous.
Old New: Typical older generation response. Where's the line about walking up hill in the snow barefoot? :) and body part could be flying off you in the rear view mirror? Hair plugs when you have the top down? :)
MAWB: Yeah, that fact I had some polyps doesn't even make me flinch. We all got them. So see if I am in the single digit percentage that has cancerous ones. Not going to lose sleep over it, that is for sure.
Rated
The transient discomfort of a colonoscopy is hardly the point. The point is that a diagnosis of cancer can ruin your life. If can make you permanently uninsurable and unemployable. Treatment for cancer can bankrupt you, even kill you. That's a hell of a price to pay if the cancer is one of those that are so slow-growing they'll never bother you.
And if I have a cancer that is so fast-growing it will kill me even if it is detected and treated early, I'd just as soon not know about it for as long as possible.
Why don't you ask your doctor if he knows of any clinical trials that show that being screened for colon cancer lessens one's chances of dying prematurely? I'd really be curious to hear what he has to say.
Peece!
dj
If you had embedded the colonoscopy video, or at least link to see it on YourTube..... you would have gotten an EP. .
Cartouche/Mr. Mustard: Glad I could be of use. Seeing my friend wrestling with an ailment exacerbated by not being vigilant kind of rattles. Once every 5 years seems to work for me. But, see below as well.
Gypsy: Uh, no. Can’t say as I have done that.
Patrick:
(I want to use paragraphs for this one, it was a through provoking reply.)
I had not considered the economic angle of institutionalizing predictive prescreens from the economic standpoint. It would seem to me like somewhat of a push would be the desired answer as to impact. By this I mean the predictive qualities for pre-emption allow for cheaper procedures. Lives last longer, and, when the end does come, fewer extraordinary measures apply.
I say this based on what could just be folk lore (You seem more knowledgeable, correct me if I am wrong, here – or anywhere for that matter, but you get it.). Said folk lore talks about how we have about 80% of our entire medical expenses allocated typically in the last 6 months of our life. Seems exorbitant to me, but there is also clear indications of the amount done at the end, too.
So if we live longer and healthier, we maybe go out with more DNRs and all the rest, cutting down end of life desperation, per se. You start staring down the barrel of high likelihood death mid 50s, you are fighting it like a bastard, most likely. You catch that, be careful, and go down swinging later in life, and you might just be more accepting and therefore less financially demanding on the system.
You sure some actuaries aren’t running the numbers that way?
Our doctor here in Philly has invented and patented a new prep consisting of pills instead of the disgusting Mag Citrate. Granted, quite a few pills, but still, anything's better than drinking the Dead Sea.
As for the procedure, it's a cakewalk, bless the makers of Propofol. I ask the docs to take me down slow so I can enjoy the ride. Best legal high all year. Well, wait, in the OR for rotator cuff surgery I said Hey, I'm from the 60's, give me a good, slow ride before I'm asleep.
I'd kiss you for this but you probably taste all salty.
Wait, I was suppose to wait till I was fifty for that to happen? Oh now you tell me!!
;) Good article!
It's important that we all understand this because people ignorantly speak about govt "rationing healthcare" -- as if healthcare isn't already rationed. It needs to be said out loud -- as Oregon has tried to do -- and as Britain does by default -- that some healthcare should be rationed.
Let me give you and example from real life. In this case, the doctor performed a quintuple by-pass on a 78 year-old patient. Let's leave aside the fact that general anesthesia for a 78 yr-old patient could be enough to kill them or is likely to render them goofy for the rest of their life. In this case, the woman never left the hospital and died there six months later. Wanna guess what that cost?
My point is that our "any and all measures" (as long as the patient has good insurance) healthcare system is great at prolonging death and enriching doctors and hospital chains, but does it makes any sense?
Yeah, I know, I'm a cold-hearted bastard.
Jim: Yeah. It is much easier than it was 20 years ago, and you figure I have to be a bigger wimp about stuff now than back then, so it must be way, WAY easier by my reckoning.
PJ: Uh, no video.
Sally: I have rehydrated. Trust me on this one.
Tink: Well, if you like it, go for it.
Tom: Ok Tom, read these next few words really, really slowly as you are not likely to see them come forth from my fingers very often with respect to matters political, but I happen to be in complete agreement with you on those points. This should be a perfect time for a bipartisan look at this. The nation wants, and the nation is leery of deficits and more budget mess. So if the business case can be presented in real terms, then it could fly. That would allow the republicans to run the damn numbers on it for buy in.
But neither side wants to go first.
But yeah, I agree with your sentiments.
As for my own adventure, I went through all the vile prep, including mixing my jug of "Go Lightly" with frozen limeade concentrate, which, the doctor's instructions assured me, would taste "like a non-alcoholic margarita," a statement that's about as accurate as the name "Go Lightly." I spent most of the night vomiting and otherwise emptying out my GI tract, then staggered into the clinic the next morning...only to discover there'd been a scheduling mix-up and I was a day early!
You have been Monkey Picked by the High Council of Monkeys. We find your face very relaxing and manly but your topic about having things pushed up your butt by a medical professional interest us greatly!
Did you have to pay for this procedure or was it giving freely? We hope if it did cost, it wasn't very much as we think something like should be free, especially if the doctor posts the video of the examine on his website.
We expect great things from you. Do not let us down as many before have who got us interested with their butt stories and then flopped miserably at the end!
Rated for the use of an anal probe in a medical situation. Live long.
Walkaway: Everyone has an age that hits them. 35 hit me. 40 I could have given two shits about, and 50 was just lost in the depressing fog of moving out of my house, so I guess I had found something that answered the question of “It could be worse” to get one out of the funk of passing an age milestone.
Cindy: I paid’em my 15 office visit co-pay and was off to the races. But it might explain why it had three pictures they gave me to take home. One showed the opening of the appendix, which was proof to the insurance company they penetrated me to the end. The other was a polyp picture and the last a picture of the diverticular. Perhaps these were all there to pre-empt that which you discussed.
Laurel: Yeah. I was talking with a friend the other night about how one close friend is battling melanoma and another just had a heart valve repaired in a 9 hour surgical procedure development in the last 15 years. Man, this is what we have to look forward? I am looking down this road, and I do not want to travel it! Somebody fucking hold me!
Angry Monkey: Interesting take. I fear you may wind up disappointed. I don’t let just any automated device crawl in my ass, you know. It has to have very good drugs and a very good reason. Note each is necessary.
Show me the data.
Karin: Yeah, that was kind of the plan.
Steve: Yeah. Why scare people? Make'em laugh. It is NOT that big a deal.
James: Just as long as someone does not say "Take me too your leader" to whatever crawls out of your behind, then you ought to be just fine should the aliens attack.
Thanks for the info; as I'm turning 50 in 6 months, I'm sure my friendly neighborhood body-mechanic will want me to come in for the 50,000-mile exhaust-system check. I plan to ask for the good drugs--maybe some E, so I'll want to dance with the radiologist.
It would be nice to have some rufies, though.
Djohn: Yeah. Laugh now. Payback's a bitch. The Obama healthcare plan is going to do away with comfort-only anesthesia for registered republicans under a little known clause of the Patriotic Act. You will also be expected to come out of the surgery and parachute jump into Darfur or Tibet to hand out food baskets, so you need to watch your ass .... literally AND figuratively. :)
Mary: Half drugged up, with a black hose hanging from your nethers and still talking about American Idol. Why does this not surprise?
Cathy: Fun times had by all, no?
Floyd: They should stop having surprise parties for 50 year olds and just hand them a piece of chewing gum so your ears can pop, as the slippery slide escalates, it seems....
She Lied: Not sure what to say to that one.
I was 52 years, 11 months and 15 days when I had the big whack attack.
http://www.miamiherald.com/living/columnists/dave-barry/story/427603.html
Looking through these comments, I'm troubled by the number of "his and her" colonoscopies. Nearly as romantic as checking each other for ticks, if you ask me.
Rated for the rufies, Gwool!