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  •  Sedation (6+ / 0-)

    Good luck to you and your brother with the endoscopy and colonoscopy. I've had both over the past few months.

    Everybody will have different needs when it comes to sedation for these procedures, however, FWIW here's my opinion.

    The hardest part for me was the prep prior to the colonoscopy. I told them that I wanted the minimal amount of sedation and fully awake during the whole procedure. I was looking at the monitor and talking to the doctor when he came upon a polyp and I'm not sure which one of of noticed it first. Anyway it was easy peasy and I'd do it again except the next time I'd elect to do it w/o any sedation whatsoever because it wasn't a big deal.

    On the other hand, when my GP decided that I needed an upper endoscopy I elected to have Propofol in fact I insisted on it although the docs involved had other ideas. Anyway, I'm very happy that I went with Propofol. I was only under during the actual procedure and don't remember a thing and that's what I wanted and I don't think that would have been the case had I accepted Fentanyl and Versed.

    Apparently Propofol is associated with higher risks and I'm fully aware of that but at my age I'm ready to go and that's what I told the doctors.

    So good luck to you. I hope that tomorrow will go smoothly for both of you.

    My invisible imaginary friend is the "true" creator

    by Mr Robert on Sun Mar 02, 2014 at 04:46:46 PM PST

    [ Parent ]

    •  details of experience & basis of choice well worth (3+ / 0-)

      understanding in those situations.

      so much of the time the patient isn't really well informed in advance about what the options are and what benefits and risks are associated with each of them.

      the fact that you were allowed/helped to watch the monitor sounds like you have very smart medical care.  "smart" meaning they are intelligent enough to know that patients are more than full partners in their own health.  

      that's what i hope everyone will have, 'tho until the shortage of doctors is solved (i was surprised to discover that it is yet another matter for federal legislation) the existing supply may not be able to provide us with that.  

      my own Dr (a D.O., not MD, I have had it with MDs in this particular HMO) is very cooperative, but there is no initiative on his part as far as providing education or advance information - the HMO runs an extremely tightly scheduled 'ship" and doctors, NPs, PAs, etc, just are not allowed any time for reading or keeping track of which patients with which illnesses could use what new information that they otherwise might not know about.

      almost humorously, one of the big physician associations has recently made a statement that doctors are the key to the ongoing education of their patients. but it is only one of so many.

      •  I've never fully trusted doctors (3+ / 0-)

        so I research each and every recommendation.

        I'm a type 1 diabetic--have been since I was twenty years old--and my doctor never fails to complement me for my good control and treats me as an equal in every way.

        And, yes, he's a D.O.

        Over the years I've been looked after by some of the finest doctors around.

        When I was diagnosed with type 1 diabetes I was treated by the M.D. who invented the Insulin Pump. That was back in the late 1960s and the Insulin Pump was the size of a large backpack. BTW, his name was Arnold H. Kadish and he was one great doctor.

        Since then I've seen a number of Internists and frankly I'm happier with my current D.O. than any of them.

        My invisible imaginary friend is the "true" creator

        by Mr Robert on Sun Mar 02, 2014 at 05:52:09 PM PST

        [ Parent ]

        •  the first D.O. i met explained that MDs work from (2+ / 0-)
          Recommended by:
          postmodernista, Mr Robert

          the allopathic principle of sort of attacking ailments as enemy invaders the killing of which may involve some 'collateral damage' to the body of the patient, compared to the osteopathic view that ill health means the body is not getting everyhting it needs in order to operate well, including that all the body's internal structures need to be in good alignment with each other and relative to gravity (posture) or something along those lines.

          what interested me most was that doctors of osteopathy seemed to be more holistic, they seemed to take a much larger view of all the factors in a patient's life that could figure in illhealth and in musculoskeletal mess-ups, like nutrition, familial stress, repetitive motion & other job impacts, air quality, and so on.  so i figured over all they are both the 'underdog' of the whole healthcare practitioner thing so they are more flexible and open=minded, and they recognize more how important public health issues are.  i'm so loaded with allergies, on-jog injuries, drug/chemical hypersensitivy after-effects of over-exposures, and the impacts of my parents having a conscienceless sociopath son/me having a consciencelss sociopath sibling that i can't be fooling  around with doctors who  thing everything is either a question of carpentry to repair body structure or germs to be killed.

          of course, i exaggerate how MD philosophic outlook comes across to me to make the point ... but not all that much.

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