- Jan 22, 2017
Anyone try the Cologuard colon screening kit yet?
Seriously -thank you for asking this question! (and to all who shared their experiences) I need to get mine and I keep putting it off, Not looking forward to the prep as I have my share of stomach issues already
Even though I have some slight issues from the endoscopy with stomach problems either from the procedure or that they removed some polyps in stomach and esophagus. Also removed some during the colonoscopy. No pain just bloating and at times feel like vomiting, I would read the post by @H20shed65 as it is as detailed and inclusive as you will get Good ole colonoscopy. I don't remember the prep being as uncomfortable as it was. But the procedure was a breeze, and recovery took no time 30min later I was getting a cab.
For me and the the procedures, the bark was worse than the bite. But the opposite for the prep which I will save for another post when this clears up. Not stressing due to the polyps and relieved that it is over and I can find out what is going on when all the results are in. For now just get past the bloating and if I do "expel the contents of my stomach" more than once will contact DR ASAP.
rais4 take my advise and just do it as the amount of fear I had was overwhelming for the procedures, but old fears die hard. Just read the link to Sheds post I put in this post above. You will be glad you finally did it.
Side note on the prep, Scott tissue has more than the advertised 1000 sheets. Thinking of getting stock in the company as a reminder or get a roll bronzed with a date on it.
Glad it was useful.
I think you'll find the most up to date GI physicians have largely agreed; and studies demonstrate that the most effective and safest combination of meds for Colonoscopy are as follows:
1) Introduce Midazolam ( Versed First )
2) Next introduce a narcotic. Fentanyl is the medication of choice. Demerol was once used , but it's largely lost favor for many reasons, all valid.
3) Finally introduce Propofol to induce anesthesia.
Remember, Versed is a benzo, so it neither offers any Anesthetic Effect, or pain management; It just relaxes you. And when used on a patient with a history of recent or current Benzo use, is even less effective.
Fentanyl is a synthetic Opiate which provides excellent pain relief. Unlike Demerol ( rarely used much anymore ), Fentanyl does not leave around the toxic metabolites frequently seen with Demerol. This lessons the chance of nausea, vomiting and possible aspiration post procedure.
Finally, propofol, a true Anesthetic is generally infused throughout the procedure. An Anesthetic provides no calming " Benzo like calming effects, nor does it offer pain relief. It is simply a drug to induce sensory deprivation which ensures you will sedated throughout the procedure as well as have no memory of the actual process.
Some physicians try to get by using just higher doses of Versed and Fentanyl because this is faster and cheaper for them since the presence of an Anesthesiologist or Nurse Anesthetist is usually not required. That may benefit the doctor, but likely not you.
One last note of caution. Depending on your health insurance , insurers are required to provide Routine Colonoscopy Screenings at no charge. Be mindful that , if required by your insurer, , you verify that the GI Doc, Anesthesiologist , Facility costs are ALL In NETWORK! That is something most folks overlook until they get a $1,300.00 Charge because the Facility was NOT " In Network" or a " Preferred Provider". DO NOT EXPECT THE PHYSICIANS OFFICE TO VERIFY THIS- That falls to you.
Finally, it sounds as though this procedure will be Billed as Diagnostic- Not Screening. That MAY be appropriate, but many GI doctors have learned to tell their coders who bill for a Diagnostic Procedure and not a Routine Screening. That may be legit, but the difference could end up being a $65.00 Co-Pay for the whole procedure if billed as a Screening. If they bill it as Diagnostic, it could easily result in you receiving many expensive copays due once your insurer has paid up. And I'm talking $700+ dollars---JUST for the Physician fee. Anesthesiology and/or facility charges could easily another $2,000K to your price.
Contact your GI doctor and ask for the Office Manager or billing department and let them know that unless they find a lot of issues, you expect them to code your procedure as Screening. They may legitimately have to code and charge for Diagnostic, just be sure to ask prior and pin them down on what -- -EXACTLY--- defines how they code and submit this to your insurer.
Otherwise, I expect you'll be just fine. A little knowledge and knowing what to ask can often save you Thousand of dollars!! You'll be fine and no doubt posting horror stories of the prep here for weeks!!!
Good Luck; but you wont need it.