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Old 05-24-2006, 05:06 PM   #1
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Questions about Endoscopies

I have a few questions about the endoscopy procedure. Has anyone ever requested that they get one even if their doctor didn't suggest it, just to put their mind at ease? I want to request one, irregardless of what the doctor says but I don't know if he will approve it. Also is it done at the doctor's office or with a specialist or hospital? And do you have to be put under, because I would prefer not to be?

Sorry for all the questions, but I figured this would be the best place to get my answers. Thanks everyone!

 
Old 05-24-2006, 05:44 PM   #2
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Re: Questions about Endoscopies

As far as your doctor.. is this your PCP or a GI specialist? Any GI specialists who thinks you MAY need one will probably go ahead.. my insurance doesn't require referrals for specialists.. so I just went straight to a GI... I had an EGD endoscopy.. and I did it without sedation... the sedation though is usually demerol... so you aren't completely out.. but not really there either... as far as going without sedation.. it's not too bad if you can just concentrate on breathing and drooling... it's a tad uncomfortable.. but not painful... the most uncomfortable thing was when they blow air into your stomach to inflate it... you then belch the air out in a gag... I have a horrible gag reflex and did just fine.. all the nurses and my doctor were quite amazed I did it without sedation...

 
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Old 05-25-2006, 08:52 AM   #3
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Re: Questions about Endoscopies

I sort of pushed for an EGD/endoscopy, but not outright ask for it. That was my 1st time, in fact; never seen this GE before the other month (nor ANY GE). He signed me up for lots of tests, even though I was new to this whole thing. (But then, my insurance is Blue Cross, and there's never any worry about whether things can be done or not.) He knew, though we'd never met before, that I was very upset about this sudden occurrence and wanted answers more than guesswork (which we're still actually doing).

I would definitely go for the full anesthesia. If I had known that's what I would get (a co-worker told me his latest was full, but most stories I'd heard were "lightly sedated" including official literature), I wouldn't have been in such an anxious mess before the EGD. I hate vomiting, and hate messing around that gag reflex. Too many people have written that they had some difficulty (not alot) getting past it. I was so worried about the procedure itself! Then it turned out they just knocked me out! OK, that's cool!

 
Old 05-25-2006, 09:46 AM   #4
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Re: Questions about Endoscopies

I know I also have a horrible gag reflex. I can't even use those things that clean your tongue. I am also worried about the procedure itself, it sounds gross. I have one friend who said they just sprayed her throat and another who said she was knocked out. I want to push for the test to get some answers but I am scared to death of it. It sounds horrible. I hate being knocked out though. I hate that you have to sign papers that acknowledge the fact that you could die. I am hoping for a conscious sedation kind of thing.

Tomorrow I am going to my regular doctor, I haven't gone to a specialist yet. I am going to see what my doctor says about my new symptoms and then go from there. My insurance doesn't require referrals so I don't need his okay to go to a GI. I just don't want to demand a procedure that I don't really need, especially when it sounds so uncomfortable. But I don't want to have something more serious wrong with me and not be diagnosed properly. I hate being sick!

Thanks for your replies guys

 
Old 05-25-2006, 10:11 AM   #5
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Re: Questions about Endoscopies

I'm telling you.. I gag when brushing my teeth... and I did it without sedation.. it's not bad.. no pain, just mild discomfort, as far as the gag reflex, they just tell you to swallow and in it goes...that's the hardest part... if you do go with sedation.. there is an anethesist during the procedure that all he/she does is monitor you...

 
Old 05-25-2006, 05:20 PM   #6
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Re: Questions about Endoscopies

I have mine in a couple of weeks and I'm already anxious. I can't swallow something like that and pain medication makes me nauseous apart from these symptoms. I almost throw up just when being sedated for surgery. Eve_8 - what did you mean that you have to sign papers that you could die. Is that what it said on your medical consent forms?

 
Old 05-25-2006, 07:54 PM   #7
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Re: Questions about Endoscopies

Eve,
I've had 2 endoscopies done. One with light sedation, where I remember the procedure, and one completely under. Neither were bad - thinking about the test is WAY worse than the actual test. You're only sedated for a very short time - about 10 minutes - then they bring you right back. Really, really, not a bad test. And I too have a bad gag reflex - I also gag while brushing my teeth!

 
Old 05-25-2006, 08:00 PM   #8
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Re: Questions about Endoscopies

Hi tappe, I did not begin the process for getting an endoscopy yet. I was actually referring to the papers for my gallbladder surgery. Sorry if I scared you. For my gallbladder surgery, I had to sign consent papers that said that I could die as a result of going under general anesthesia. I did not like signing those papers. I don't know how it is for an endoscopy. A lot of people say that they are only semi out or fully conscious. I guess it depends on the doctor. I would prefer not to be put out completely, because of the added risks. Do you know if you are going to be sedated?

I know how you feel, I didn't even request an endoscopy yet and I am anxious just thinking about it. My friend Christine said she was fully conscious when she had hers and she was just fine. Try not to worry.

 
Old 05-25-2006, 08:07 PM   #9
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Re: Questions about Endoscopies

Hi BrendaB, Thanks for your reassurance, it does make me feel better How come they partially sedated you the first time and then put you fully out the second time? If you don't mind my asking.

Last edited by Eve_8; 05-25-2006 at 08:10 PM. Reason: correction

 
Old 05-26-2006, 05:48 AM   #10
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Re: Questions about Endoscopies

Quote:
Originally Posted by Eve_8
Hi BrendaB, Thanks for your reassurance, it does make me feel better How come they partially sedated you the first time and then put you fully out the second time? If you don't mind my asking.


I'm betting they're phasing in the full sedation over time.

My mother had this done about 5 years ago - no sedation whatsoever (horrible for her); no numbing stuff, nothing.

More recent info typically describes endo's as "lightly sedated" so you'd be aware yet unable to do much.

But it seems many now are saying they've been knocked out. I was the other month. 1 of my co-workers who's been fighting this for years most recently was, whereas earlier he had semi-conscious sedation.

It seems to be the trend to have more anesthesia. Thank God, IMHO!

 
Old 05-26-2006, 05:55 AM   #11
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Re: Questions about Endoscopies

Quote:
Originally Posted by Eve_8
Hi tappe, I did not begin the process for getting an endoscopy yet. I was actually referring to the papers for my gallbladder surgery. Sorry if I scared you. For my gallbladder surgery, I had to sign consent papers that said that I could die as a result of going under general anesthesia. I did not like signing those papers. I don't know how it is for an endoscopy. A lot of people say that they are only semi out or fully conscious. I guess it depends on the doctor. I would prefer not to be put out completely, because of the added risks. Do you know if you are going to be sedated?

I know how you feel, I didn't even request an endoscopy yet and I am anxious just thinking about it. My friend Christine said she was fully conscious when she had hers and she was just fine. Try not to worry.


Don't worry about it. Get the full if possible (of course, you may not have a choice - I'm sure it depends on doctor/hospital). They give you only enough to put you out for all of 15 min.


Those "death" things are in EVERY consent form. It's always a remote possibility; nothing's perfect and even the "imperfections" may be because of unknown conditions the person had.

Back in college I developed a painful thing in my foot and went to see the college hospital a few times. 1 of the 1st times was to get a blood test. Beforehand they told me to take and sign this paper. 1st time I ever actually read these things in my life.

It said that I understood I could DIE. I about passed out just from that in the lobby chair! I was so scared, moreso than the blood needle itself, which I hate.

This for getting a BLOOD TEST.

They do it every time, mostly because of blood-sucking lawyers and the people they prod to suck dry doctors over every accident, regardless of real cause.


Don't let this all scare you.

 
Old 05-26-2006, 06:19 AM   #12
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Re: Questions about Endoscopies

I've had two - my GI doctor ordered both of them due to on going GERD symptoms. I had one in 2001 and another in 2005. They are a breeze. The first one I was so nervouse about - but, after that...I actually looked forward to the second one. Reason...I was never so relaxed ! ! ! The sedation they give you is just enough to put you into a twilight sleep where you don't remember or feel a thing - but are still awake - within minutes you are in the recovery area and up and out the door. It is a breeze - no worries ! ! ! You will wonder why you worried after it is over with. Good Luck.

 
Old 05-28-2006, 01:13 PM   #13
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Re: Questions about Endoscopies

Thanks for your responses everyone. My doctor referred me to a GI. I go on Tuesday. My doctor says that it sounds like I will need an endoscopy. I asked him about it and he said that he had one and he was under conscious sedation and that is what I would get as well. He said what you said jj9500. That it was the most peaceful feeling when he woke up. I am starting to be less nervous about the procedure and now more nervous about the results. I am such a worrier.

Does anyone know if this is considered an outpatient procedure or are you admitted? I ask because my insurance has a horrible copay of 500 dollars if you are actually admitted into the hospital.

 
Old 05-28-2006, 01:52 PM   #14
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Re: Questions about Endoscopies

I'm having mine at a University Hospital but it's considered an outpatient procedure. I'm a worrier also, I even checked out the hospital to see where I will need to check in on the day of my procedure. Mine is a referral from Primary Care through the GI Specialist and I just pay a $10 copay.

 
Old 05-28-2006, 02:06 PM   #15
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Re: Questions about Endoscopies

Thanks for the info taape. If it is an outpatient procedure I should only have to pay $20. I sometimes wonder if being a worrier is making things worse. I have a hard time trying to relax, with all of the stuff I am reading.

I recently read that drugs like Aciphex and Nexium are not meant to be taken for longer than 8 weeks, because they can change your cells and cause them to mutate into cancer. I forget where I read it and how reliable the source wask, but I wish that I hadn't read that. I wrote down my questions for the GI so I can remember to ask him about that.

Good luck with your procedure!

 
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