Yes — today’s post is C-based! …. bear with me…. it will make sense in a moment! And we’ll discuss them — Chronologically!
Thursday, I posted a comment to a blog called AlignMap that is aimed at medical professionals (OK – so I eavesdropped) and showcases patient Compliance – issues that surround patients following a doctor’s instructions. Issues such as: Do they or don’t they? Will they or won’t they? Can we expect them to? And what if they don’t? etc etc. The website and blog belong to Dr. Allan Showalter, a psychiatrist in clinical practice who has followed and written on the topic for years. The blog I responded to regards a question about whether doctors should Coach elderly persons to comply. Here’s the post and comment.
Dr. Showalter later sent me an email thanking me for a thoughtful comment (as if most of the ones he receives aren’t thoughtful I guess?) and we exchanged a few emails. Among them, I replied that I was having my own Challenges with compliance that day because I was in the process of drinking down that gallon of gawd-awful nulitely stuff one must drink the day before a Colonoscopy. Dr. Showalter then linked me to another post of his regarding a new approach to colonoscopies, where one swallows a Camera in the form of a pill. Gives new meaning to a Kodak moment, doesn’t it?
Compliance is an important topic. I’ve addressed it previously through two of my Every Patient’s Advocate columns… and I will blog about it another day. But today I want to tell you more about the colonoscopy.
It was an awful experience. Anyone who has had one will politely tell you that the preparation the day before is the worst part, but in my experience, that was not true. Granted — I had both a colonoscopy AND endoscopy (upper — esophagus, stomach, etc) because I have GERD and have been taking medication for it for about 8 years. However — to me, the prep, as awful as it was, was the easier experience.
Now, I’m not a whiner in general. I’m a tough old broad who has handled everything from two C-sections and hysterectomy, to a Cancer misdiagnosis, to a hiaital hernia — I’m no medical slouch! But if anyone tells you the colonoscopy part is easy — don’t listen to them!! Both the installation of the IV, and the cramps really hurt! And I was sound asleep by the time they did the endo — so that doesn’t even enter into this. The nausea afterwards, and the dizziness, finally gone when I woke up this morning….?
Don’t get me wrong. I’m glad I did it. I’m even more glad I don’t have to do it again for 10 years. They did find one polyp in my stomach and I’ll know in a week or so if it’s anything to be Concerned with. They tell me it’s not unusual for someone with GERD, so no problems are expected.
And I think that’s the point — it was worth the pain and preparation to have the peace of mind that those parts of the aging-me are healthy (or maybe aren’t?) Having answers is so much better than being left with question marks.
But you know me — I’m into managing your expectations. If you are planning to have a colonoscopy, and people give you that half-smile and say “the prep is so much worse than the actual procedure” — tell them I say “bull-pooky!” And then — decide for yourself. The only good part is the peace of mind you’ll have when it’s over.
One side note — the nurse’s name was Soibhan Reilly. Some good luck on the day before St. Patty’s!
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