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Drugs

PostHeaderIcon Drugs

Propofol sedation colonoscopyHave you ever ‘done’ ‘Penquin Milk’ also known as ‘White Out’, which, like the typo removal stuff is white and takes you ‘out’ fast?

I’m talking about C12H18O.

It’s better known as Propofol, and it’s amazing stuff.

“… This was the most unpleasant part of the day”, said she after she inserted the needle in my vein.

I was skeptical.

I still had a rather vague, yet distinct memory of the last time I got brutally invaded .. and it was far more ‘unpleasant’ than a simple needle being stuck in my arm.

And the prospect of someone potentially (and, as it turned out, in reality!) snipping and burning stuff from deep inside my body only fuelled my skepticism.

Soon I was wheeled into an operating room of sorts, nurses covered me with a warm blanket, the anesthesiologist came running in and asked me to ‘jump’ on my side and did his thing out of my sight.

“The doctor will be here soon” a nurse told me. Here we go, I thought, another long wait (last time I underwent this procedure I had been laying like this for 45 minutes, waiting for a doctor who got stuck in traffic). But no, not this time, almost immediately after that a nurse tapped me on the arm. “Doctor is here”, I expected her to say.

But no, instead, she said “You’re all done and fine. You’re in the recovery room now. Do you want some water?”

It was pretty amazing! I have had no sense of falling asleep. Maybe getting close to dozing off, and for a split second it was a bit disorientating to realize a full hour had gone by without my having had the sense of falling asleep.

A full hour. Gone. And unaccounted for.

But I swear, I don’t want it back. They can keep it. Along with the three polyps they snipped and burned off.


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5 Responses to “Drugs”

  • Paul says:

    A few things I forgot to mention:

    1. Any idea how Propofol works? No? No worries. Nobody does. Isn’t that scary? They may have a few ideas, but no solid evidence. It just works.

    2. During the pre-op, the anesthesiologist came by to introduce himself. “What are we going to do today?”, he asked. This puzzled me a bit. I really really would have hoped they would have known what to do with me. So I hesitated a bit. Which gave my wife time to interject “write us a big check?”. Now it was the anesthesiologist’s turn to be a bit puzzled. (And of course he knew full well what was going to happen, he was just making sure all parties involved agreed on it)

    3. The nurse who came to get me for my trip to the OR, once again explained what was expected of me after I woke up. And that sentence really cracked up my wife: “This is the only place where people will actually ask you to pass gas, and when you do, we all get really excited about it”.

    4. Just a tip for if you ever have to undergo this procedure (and you will, when you turn fifty!):
    The day before the procedure you will have to do a ‘bowl prep’, there are three methods a) dinking vast amounts of a horrible liquid, b) taking 20+ pills with LOTS of water, c) Use a smell – and odorless powder that you dissolve in half a gallon of your favorite (non-red) Gatorade and drink that. Obviously: go with the powder! (Miralax)

    5. Another tip. Insist on sedation! Consciously suffering through the ordeal is not pleasant. Some gastroenterologists use what is called conscious sedation. Although you are not fully awake you are conscious! The main thing it does is mess with your memory! So while the procedure may be unpleasant, you simply won’t remember much of it. They use Versed for this (dentists use it as well). I’d really advice to go with a general anasthetic like Propofol instead. The only ‘negative’ here is that Versed can be administered by a registered nurse, as where Propofol requires the services of an anesthesiologist, so it’s probably more expensive.

  • Leo W says:

    ha die Paul,

    lekker dat het weer achter de rug is. Ik mag volgend jaar weer….

    Overigens ga ik niet mee met je wat betreft tip 5. Heb het nu 3 keer achter de rug en vond de voorbereiding het ergste. Ik kreeg hier alleen de vieze drankjes 🙁

    Over de ‘schadenfreude‘ die je in een commentaar bij het vorige artikel noemt kan ik je vertellen dat dat ook bij dieren voorkomt. Met name honden scheppen behagen in de achteruitgang van andere honden….

  • Paul says:

    Ha die Leo,

    Volgend jaar alweer? Bofkont! Wat tip #5 betreft: die prep deed me niks. Geeft wel een lekker opgeruimd gevoel. En Gatorade vind ik wel lekker: had bosbessen-smaak, zo’n fel blauw drankje: Heb nu voor de eerste keer helder blauw water gepoept. Je moet volgend jaar dan ook maar om Miralax vragen! (Of die pillen).
    Eigenlijk ging mijn tip #4 (niet #5) over de prep. Waar was je’t niet mee eens in tip #5? Dat je maar ‘t beste voor algehele anesthesie kan kiezen? Wat hebben ze bij jou gebruikt? Ik vond die propofol wel prima: ik hoef er niet echt ‘bij’ te zijn als ze die tuinslang naar binnen werken en daar dan mee aan ‘t knippen en branden slaan 😉

  • Leo W says:

    Paulus, Tot op heden alles volledig bewust meegemaakt, dus zonder enige vorm van verdoving. De eerste keer wel de infuus laten zetten voor als het tegenviel. Reuze interessant als je meekijkt op de monitor, je voelt er geen barst van. Alleen als ze wat lucht in je blazen om de bocht te kunnen nemen of anderszins wat ruimte willen maken. Toen ze me waarschuwden heb ik ze verteld dat zij een witte jas aan had en aan de verkeerde kant van de slang stond….

    Ook bij het branden en knippen voel je absoluut niets. Gewoon een rookwolkje, gevolgd door een actie met een vlindernetje om de oogst op te halen.

    Ik verheug me er al weer op 🙁 zal zeker vragen of ze die poeder ook hebben. Mag dat ook met bier gemixed worden?

  • Paul says:

    Leo, als ik ‘t echt zou willen zien, vraag ik wel om een DVD-tje. Misschien moesten we dit voortaan samen doen: Ik doe de prep, en jij ‘slikt’ die slang!
    Toevallig had ik ‘t maandag nog met mijn huisdokter over die verdoving. En hij vermeldde nog, schuddend van afgrijzen, dat ze dat ‘vroeger’ zonder verdoving deden … Jij zou hier dus een hele held zijn!

    Of ‘t poeder met bier gemixed mag worden? Maar natuurlijk! Twee liter bier wegwerken in twee uur is voor ons Pro’s een peuleschil. Een beetje weinig zelfs.

    En ik heb al lang afgeleerd om grapjes met mijn dokter te maken. Elke keer als ik dacht grappig te zijn, greep ze een paar latex handschoenen en was ‘t van “laten we die prostaat nog maar eens checken …” .. en daar was ze dan vervolgens HEEL grondig in!

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