I'm in my late 40's so need to be thinking about having this done for the first time. But the part that concerns me is the sedation.
I've never undergone sedation before. Never had any kind of procedure before except having some wisdom teeth out, and that was local.
I read that here in the States, doctors tend to go overboard with sedation on colonoscopies, and that in other parts of the world they do it under partial sedation or sometimes none at all.
Partial sedation would appeal to me more than full sedation, mostly because I don't have relatives in the area (I'm single with no kids, and closest family lives across the country) that could help drive me home or watch over me afterwards. I think you're supposed to have somebody certify that they'll watch over you for 24 hours after, or something like that.
Anybody here had one done with only partial sedation?
I had one this morning with no sedation whatsoever. It was actually a few years past due, mainly because I couldn't find a doctor willing to do it without sedation. But I'm also enrolled in the V.A. health system, and when I mentioned it to the V.A. doc he said that the V.A. allows it; so I had it done at the Albany, New York V.A. hospital this morning.
Frankly, having just had the procedure, I'm convinced that that civilian hospitals force the sedation just to pad the bill. I'm not saying that patients shouldn't get the sedation if that's what they want, but rather that civilian hospitals force the sedation upon those who would rather not have it more because they like billing the insurance company ~$900.00 for the $18.00 worth of Propofol that they use than because they're concerned about the patient's well-being. The procedure simply isn't all that bad.
I showed up at about 8:30 a.m. They immediately took me in and the lead nurse asked a few questions, did a quick physical, and hooked me up to a bazillion monitors, while the other nurse started an I.V. The lead nurse explained more than I ever wanted to know about my colon and the procedure. She was also primarily responsible for my comfort during the procedure. She monitored all the gadgets as well as my facial expressions and so forth.
Both nurses also knew just where to push and prod to assist the doctor (also female) in maneuvering the colonoscope around the bends, and they explained the things that were going on while I watched the monitor. Once the doctor reached the end of the colon, she started backing out and gradually hosing down the inside of my colon (to get the bile out of the way) and inspecting, explaining everything she was doing, and talking about things like the importance of fiber and so forth.
That discussion, by the way, triggered a conversation with the lead nurse about bread recipes. Both of us like to bake, and we were having a nice discussion about the merits of various flours and yeasts and other sundry baking topics, pausing from time to time to talk about what was going on on the monitor.
As for the pain, for most of the procedure there really wasn't any. It was more pressure and bloating as if needing a bowel movement. There was pain at only two points, when rounding the splenic and hepatic flexures, and it wasn't very bad. It was like having a case of gas. But each turn lasted only about 30 seconds. The nurses pushed on my abdomen to assist the colonoscope around the bends, and then it would go back to just pressure.
I am 100 percent convinced that I made the right choice by declining the sedation. I didn't need a driver, I got to watch and remember the procedure, I was able to discuss digestive health with the doctor, and I got some new bread recipe ideas from the lead nurse.
Most importantly, I also avoided being reduced to being a drooling fool for the rest of the day, which was my main objection to the sedation. I don't like being sedated. I don't like feeling stoned. I would make a terrible junkie. After I had my gall bladder out, I took exactly one dose of the Vicodin the surgeon prescribed, and promptly decided that I preferred the pain to the Vicodin. I never took the rest of the pills.
I'm not going to give any advice to others about this because it's not my place to say how much pain is too much for someone else to deal with. I will say that for me, the pain at the two curves was maybe a 3 or 4 on a scale of 1 to 10 and lasted only about 30 seconds around each bend. The rest of the procedure was merely uncomfortable, not painful.
The other thing to consider is how bashful you are. If the mere idea of lying there in a gown with your bare ass sticking out and nurses pushing and prodding at your abdomen makes you uneasy, then maybe sedation is for you. For me, it didn't make any difference. I figure they've seen better asses than mine.
Rich
EDIT: By the way, no polyps were found, and the doctor told me she'd see me again in ten years.