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Colonoscopy

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Colonoscopy

Postby jingjai » June 27, 2008, 6:06 pm

I'm not discounting it...
Colon cancer is a very serious issue. A Colonoscopy can detect it early, and it is recommended.
This is a light hearted read about the test:
Dave Barry is a Pulitzer Prize-winning humor columnist for the Miami Herald.

Dave Barry's Colonoscopy Journal:

I called my friend Andy Sable, a gastroenterologist, to make an appointment for a colonoscopy. A few days later, in his office, Andy showed me a color diagram of the colon, a lengthy organ that appears to go all over the place, at one point passing briefly through Minneapolis .

Then Andy explained the colonoscopy procedure to me in a thorough, reassuring and patient manner. I nodded thoughtfully, but I didn't really hear anything he said, because my brain was shrieking, quote, 'HE'S GOING TO STICK A TUBE 17,000 FEET UP YOUR BEHIND!'

I left Andy's office with some written instructions,and a prescription for a product called MoviPrep,which comes in a box large enough to hold a microwave oven. I will discuss MoviPrep in detail later; for now suffice it to say that we must never allow it to fall into the hands of America 's enemies.

I spent the next several days productively sitting around being nervous. Then, on the day before my colonoscopy, I began my preparation. In accordance with my instructions, I didn't eat any solid food that day; all I had was chicken broth, which is basically water, only with less flavor.

Then, in the evening, I took the MoviPrep. You mix two packets of powder together in a one-liter plastic jug, and then you fill it with lukewarm water. (For those unfamiliar with the metric system , a liter is about 32 gallons.) Then you have to drink the whole jug. This takes about an hour, because MoviPrep tastes - and here I am being kind - like a mixture of goat spit and urinal cleanser, with just a hint of lemon.

The instructions for MoviPrep, clearly written by somebody with a great sense of humor, state that after you drink it, 'a loose watery bowel movement may result.'

This is kind of like saying that after you jump off your roof, you may experience contact with the ground.

MoviPrep is a nuclear laxative. I don't want to be too graphic, here, but: Have you ever seen a space-shuttle launch? This is pretty much the MoviPrep experience, with you as the shuttle. There are times when you wish the Commode had a seat belt. You spend several hours pretty much confined to the bathroom, spurting violently. You eliminate everything. And then, when you figure you must be totally empty, you have to drink another liter of MoviPrep, at which point, as far as I can tell, your bowels travel into the future and start eliminating food that you have not even eaten yet.

After an action-packed evening, I finally got to sleep. The next morning my wife drove me to the clinic. I was very nervous. Not only was I worried about the procedure, but I had been experiencing occasional return bouts of MoviPrep spurtage. I was thinking, 'What if I spurt on Andy?' How do you apologize to a friend for something like that? Flowers would not be enough.

At the clinic I had to sign many forms acknowledging that I understood and totally agreed with whatever the heck the forms said. Then they led me to a room full of other colonoscopy people, where I went inside a little curtained space and took off my clothes and put on one of those hospital garments designed by sadist perverts, the kind that, when you put it on, makes you feel even more naked than when you are actually naked.

Then a nurse named Eddie put a little needle in a vein in my left hand. Ordinarily I would have fainted, but Eddie was very good, and I was already lying down. Eddie also told me that some people put vodka in their MoviPrep. At first I was ticked off that I hadn't thought of this, but then I pondered what would happen if you got your self too tipsy to make it to the bathroom, so you were staggering around in full Fire Hose Mode. You would have no choice but to burn your house.

When everything was ready, Eddie wheeled me into the procedure room, where Andy was waiting with a nurse and an anesthesiologist. I did not see the 17,000-foot tube, but I knew Andy had it hidden around there somewhere. I was seriously nervous at this point. Andy had me roll over on my left side, and the anesthesiologist began hooking something up to the needle in my hand. There was music playing in the room, and I realized that the song was 'Dancing Queen' by Abba.

I remarked to Andy that, of all the songs that could be playing during this particular procedure, 'Dancing Queen' has to be the least appropriate.

'You want me to turn it up?' said Andy, from somewhere behind me. 'Ha ha,' I said. And then it was time, the moment I had been dreading for more than a decade. If you are squeamish, prepare yourself, because I am going to tell you, in explicit detail, exactly what it was like.

I have no idea. Really. I slept through it. One moment, Abba was shrieking 'Dancing Queen! Feel the beat from the tambourine' and the next moment, I was back in the other room, waking up in a very mellow mood. Andy was looking down at me and asking me how I felt. I felt excellent. I felt even more excellent when Andy told me that it was all over, and that my colon had passed with flying colors. I have never been prouder of an internal organ.

( I would say 'Cheers', but somehow the expression 'Up Yours' had a more appropriate ring to it.)



As with many cancers, early detection, increasing your chance of survival:
http://www.webmd.com/colorectal-cancer/default.htm
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Postby laphanphon » June 27, 2008, 7:36 pm

i believe the only hospital that offers it is udon hosp (gov't) over by NPJ. the other may offer, but simply take you there, AEK Udon for one.

had i done in states, easy, slightly uncomfortable for some, here, no meds, unless you insist. didn't need any in states, except for last turn, then they put me out. actually pretty cool experience, if you can watch video during test. amazing how clean things look when flushed out. your welcome for that sharing moment. had it set up twice this year to do, once their machine crapped out, the other i cancelled. 2000-3000 baht range. AEK Udon offered for 5000, but i had their promotion in hand, 3500, hmm. friend had it done via AEK udon, 2800, and they took him over to udon hosp, long day, no advantage via AEK.

for those thinking about it. will update before year out, need to have done, since my brother, now 'in the family', oh well, better safe than sorry.
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Postby aznyron » June 27, 2008, 8:20 pm

all I can say is thank you for that report
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Postby Tilokarat » June 27, 2008, 9:38 pm

I had a colonoscopy done last week.

Friends, acquaintances and the doctor had given me all of the horror stories so I was prepared for the worst.

And the worst was supposed to be the liquid laxative that I was had to drink (3 litres between 6 and 11 on night before, and one more litre three hours before the colonoscopy, which translated into 5:45 a.m. as the operation was at 8:45 a.m.)

The stuff did not taste as bad as I had been warned.

Perhaps this is because my taste buds have been deadened somewhat since I have lost much of my sense of smell owing to a bus accident in London, England 13 years ago (the driver took off before I got out of the bus and I was in a coma for 7 hours. The worst part of tht experience was that my wife kept asking me about some girl Jennifer. Apparently, I had mentioned her name a few times prior to waking).

Anyway I finished taking the 8 laxative pills and drinking the concoction within 2 and a half hours.

It was vanilla-flavoured and did not taste that bad to me but again that might be because of a weakened ability to distinguish flavours or maybe I just like that taste.

I was advised to drink some ginger ale after having a glass of the laxative, and did that so maybe this helped.

Actually, the worst concoction I ever drank was in a farming village outside Chiang Mai about twenty-five years ago. That stuff tasted like a combination of coal dust and mud.

I spent about two hours stairing at the floor in the bathroom, but then fell asleep about 9:15 that night and woke about at 5:30 the next morning, and drank the rest of the laxative.

I was given demerol and felt nothing but boredom during the colonoscopy. Two polyps were found and removed. I was told to return for another colonoscopy in three years time.

After sitting in recovery for 30 minutes I left and had a fry up (scrambled eggs, bacon, sauages, and so on). By this time I had stomach cramps, which lasted about 90 minutes.

Thereafter I had a built up of gas for about 45 minutes, which was relieved by making a sound equivalent to manylarge cannon exploding simultaneously on a First World War battlefield.

So it was not too bad. But this is only my experience, and it has been much worse for some of my neighbours.

One last point, the colonoscopy was free.
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Postby BKKSTAN » June 28, 2008, 7:13 am

There did you have it done Tilokarat?
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Postby laphanphon » June 28, 2008, 8:05 am

The stuff did not taste as bad as I had been warned

taste wasn't as bad as thought, but the stuff they gave me was kind of thicker than water. recover was quite funny, about 5 people lined on gurnies, all farting for about an hour, as they pump air into you to expand for ease of camera movement and use. takes a while to expell. then of course you can alway have a contest, longest, loudest, oh what fun.
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Postby Tilokarat » June 28, 2008, 8:33 am

Over and done with in Toronto...until the next one. I have been invited back in three years time.

The stuff I drank was not thick at all and easy to down. I filled up a glass and did not put it down until it was finished. I would then drink a bit of ginger ale, wait about 5-10 minutes and have another glass.

One of my co-workers had the farting problem, which started as soon as he got on an elevator (lift), and followed him home like a dark cloud on the subway and bus. Fortunately, I only got a bit of that. The doctor explained that I followed his instructions to breathe heavily so that they did not have to pump much gas into me, or the system was unclogged !

But I did have mild stomach cramps for awhile; however, that did not stop me eating or walking.

One neighbour had a really rough time in that he had the runs for three days after the colonoscopy.

Anyway, it does not seem to be much fun getting old. The doctors like to poke around the carcass looking for something they recognise and can confirm that we really are up the creek without a paddle.
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Postby westerby » June 28, 2008, 4:35 pm

The cash strapped British National Health Service have a policy of performing a colonoscopy followed by an endoscopy on their patients. Unfortunately, they often use the same scope for both ends. :shock:
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Postby mortiboy » June 29, 2008, 5:20 pm

Know the feeling! :(



built up of gas for about 45 minutes, which was relieved by making a sound equivalent to manylarge cannon exploding simultaneously on a First World War battlefield.
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Postby rickfarang » June 29, 2008, 11:53 pm

Because of the sedative used during the procedure, my most vivid memory is of the "outgassing" process. Aside from the feeling of slight embarrassment, it seemed quite fun.

Hey...it was a boring morning otherwise!
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Postby bigphil30uk » June 29, 2008, 11:54 pm

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CANCER SCARE!

Postby jingjai » February 15, 2009, 11:53 am

I've had a hell of a scary week. After my appendectomy last month, my guts still didn't feel right. So I went to AEK on Tuesday for a gastroscopy (camera tube down my esophagus) and a barium enema (a tube up your you know where).

The gastroscopy showed I had Helicobacter pylori (quite common in Third World Countries) and is fairly easily treated with medication. http://en.wikipedia.org/wiki/H._pylori
...At least half the world's population are infected by the bacterium, making it the most widespread infection in the world.[56] Actual infection rates vary from nation to nation; the Third World has much higher infection rates than the West (Western Europe, North America, Australasia), where rates are estimated to be around 25%...


The barium enema showed a narrowing in my colon. The radiology diagnosis/report said: "Malignancy highly suspicious. Biopsy recommended." The guy I saw at AEK said he could do a colonoscopy. He also started talking about the worse case scenario if it was malignant, that he could cut out the bad parts and try to splice the good parts of my colon together. If he couldn't, he started talking about a colostomy bag, not a pleasant thought to think about spending the rest of my life sh1tting in a bag attached to my mid-section. Naturally I freaked out and started thinking the worst.

I went home and called a friend and got the name of his gastro guy at Bunrungrad and made an appointment to see him on Thursday. I showed him the reports and he scheduled a colonoscopy for Friday morning. The preparation for it was far worse than the actual procedure.

After I woke up, they took me to his office for the results. When I walked in he was reading the report with a serious look on his face. Then he looked up, smiled, and said: "It's not cancer." Whew! What a load off my back. He said he removed a few polyps that he said were causing the narrowing, and he sent them to pathology. So, it's still not a 100% until he gets the pathology report back on Monday, but I think since he has done so many of these, that he wouldn't say: "It's not cancer", if there were any serious doubts or questions in his mind.

While we were there we stayed at the BH Residence. It's run like a hotel. It was so easy. They have a sky bridge that connects to the hospital. Studios run 1900 baht per night and one bedroom units go for 2700 baht per night. They were full in the studios, so I took the one bedroom. A little pricey, but drastic times call for drastic measures, or something like that.
The difference in professionalism between AEK and Bumrungrad is like night and day. For example, the bellman at BH Residence, who carried our luggage to our room, spoke better English than the entire staff at AEK, with the exception of Kanchana in the Int'l Dept.
I don't want to rag on AEK much, but, it's like the "Peter Principle" at work there. They just purchased this Endoscopy equipment and opened an Endoscopy Center (and I use that term loosely), however... They really have no specialist on staff doing the different scopy procedures.

We got home yesterday, it felt good to be home. I celebrated by opening up one of my "special reserve" bottles of Single Malt Scotch Whiskey.

The message I'm giving to everyone, is if you have never had a colonoscopy and are over 50, get one. It is recommended that people over 50 get one every five years.
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Re: Colonoscopy

Postby arjay » February 15, 2009, 12:09 pm

Jingjai, Phew, that musy be a weight off your mind. Don't envy you in the slightest.

I've had two colonoscopies, - one about 15 years ago in the UK, and one in Udon General Hospital, - the expert works from there, about 3 years ago. The whole thing can be very worrying, but a relief when you get a clear outcome.

Have a drink on me. :guiness: :D
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Re: Colonoscopy

Postby laphanphon » February 15, 2009, 1:33 pm

The message I'm giving to everyone, is if you have never had a colonoscopy and are over 50, get one. It is recommended that people over 50 get one every five years.


excellent advise, i'm due for one myself. udon hosp does them, 3000 baht range, been doing them for years, dr nippon or something like that, there internal surgery doc, fills in at paolo when there's is off duty.

jingjai....what was BH charge for scoping, as i need to be there for skin cancer screening, which if anyone curious, used to be 1000 baht, for full body examine. also a reassuring, non invasive check up, basically just look over you with magnifying specs for any abnormalties.

all these screenings are too cheap here, so, get over the invasive ones, better than a diagnosis.
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Re: Colonoscopy

Postby Marmite The Dog » February 15, 2009, 2:13 pm

I had a 'funny' stomach and went to Bumrungrad to get it checked out. I spoke to their head of gastro, but he was very poor in diagnosing my problem. At one point he booked me in for a colonoscopy (at 10,000 THB), but I managed to diagnose the problem myself (intolerance to starchy foods) before the date arrived, so that was money saved.

I'm 39 now, but jingjai's advice for the over 50s is very sound and I'm glad to hear all is well for him.
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