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"Dave Barry: A journey into my colon -- and yours"
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"Dave Barry: A journey into my colon -- and yours"
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Posted by Dennis D Broadbooks on 6/2/08 4:19pm
Msg #249736

"Dave Barry: A journey into my colon -- and yours"

This probably belongs in "Leisure" but its message is both funny & serious at the same time. Dave Barry is a Pulitzer prize winning columnist whose humor is legendary in my book. The link to the original article is http://www.miamiherald.com/dave_barry/story/427603.html. BTW, I'm 57 & ashamed like Dave to say I've not had a colonoscopy yet. This may have prompted me to move in that direction more than anything any doctor could have said.

"OK. You turned 50. You know you're supposed to get a colonoscopy. But you haven't. Here are your reasons:

1. You've been busy.

2. You don't have a history of cancer in your family.

3. You haven't noticed any problems.

4. You don't want a doctor to stick a tube 17,000 feet up your butt.

Let's examine these reasons one at a time. No, wait, let's not. Because you and I both know that the only real reason is No. 4. This is natural. The idea of having another human, even a medical human, becoming deeply involved in what is technically known as your ''behindular zone'' gives you the creeping willies.

I know this because I am like you, except worse. I yield to nobody in the field of being a pathetic weenie medical coward. I become faint and nauseous during even very minor medical procedures, such as making an appointment by phone. It's much worse when I come into physical contact with the medical profession. More than one doctor's office has a dent in the floor caused by my forehead striking it seconds after I got a shot.

In 1997, when I turned 50, everybody told me I should get a colonoscopy. I agreed that I definitely should, but not right away. By following this policy, I reached age 55 without having had a colonoscopy. Then I did something so pathetic and embarrassing that I am frankly ashamed to tell you about it.

What happened was, a giant 40-foot replica of a human colon came to Miami Beach. Really. It's an educational exhibit called the Colossal Colon, and it was on a nationwide tour to promote awareness of colo-rectal cancer. The idea is, you crawl through the Colossal Colon, and you encounter various educational items in there, such as polyps, cancer and hemorrhoids the size of regulation volleyballs, and you go, ''Whoa, I better find out if I contain any of these things,'' and you get a colonoscopy.

If you are as a professional humor writer, and there is a giant colon within a 200-mile radius, you are legally obligated to go see it. So I went to Miami Beach and crawled through the Colossal Colon. I wrote a column about it, making tasteless colon jokes. But I also urged everyone to get a colonoscopy. I even, when I emerged from the Colossal Colon, signed a pledge stating that I would get one.

But I didn't get one. I was a fraud, a hypocrite, a liar. I was practically a member of Congress.

Five more years passed. I turned 60, and I still hadn't gotten a colonoscopy. Then, a couple of weeks ago, I got an e-mail from my brother Sam, who is 10 years younger than I am, but more mature. The email was addressed to me and my middle brother, Phil. It said:

``Dear Brothers,

``I went in for a routine colonoscopy and got the dreaded diagnosis: cancer. We're told it's early and that there is a good prognosis that they can get it all out, so, fingers crossed, knock on wood, and all that. And of course they told me to tell my siblings to get screened. I imagine you both have.''

Um. Well.

First I called Sam. He was hopeful, but scared. We talked for a while, and when we hung up, I called my friend Andy Sable, a gastroenterologist, to make an appointment for a colonoscopy. A few days later, in his office, Andy showed me a color diagram of the colon, a lengthy organ that appears to go all over the place, at one point passing briefly through Minneapolis. Then Andy explained the colonoscopy procedure to me in a thorough, reassuring and patient manner. I nodded thoughtfully, but I didn't really hear anything he said, because my brain was shrieking, quote, ``HE'S GOING TO STICK A TUBE 17,000 FEET UP YOUR BUTT!''

I left Andy's office with some written instructions, and a prescription for a product called ''MoviPrep,'' which comes in a box large enough to hold a microwave oven. I will discuss MoviPrep in detail later; for now suffice it to say that we must never allow it to fall into the hands of America's enemies.

I spent the next several days productively sitting around being nervous. Then, on the day before my colonoscopy, I began my preparation. In accordance with my instructions, I didn't eat any solid food that day; all I had was chicken broth, which is basically water, only with less flavor. Then, in the evening, I took the MoviPrep. You mix two packets of powder together in a one-liter plastic jug, then you fill it with lukewarm water. (For those unfamiliar with the metric system, a liter is about 32 gallons.) Then you have to drink the whole jug. This takes about an hour, because MoviPrep tastes -- and here I am being kind -- like a mixture of goat spit and urinal cleanser, with just a hint of lemon.

The instructions for MoviPrep, clearly written by somebody with a great sense of humor, state that after you drink it, ''a loose watery bowel movement may result.'' This is kind of like saying that after you jump off your roof, you may experience contact with the ground.

MoviPrep is a nuclear laxative. I don't want to be too graphic, here, but: Have you ever seen a space shuttle launch? This is pretty much the MoviPrep experience, with you as the shuttle. There are times when you wish the commode had a seat belt. You spend several hours pretty much confined to the bathroom, spurting violently. You eliminate everything. And then, when you figure you must be totally empty, you have to drink another liter of MoviPrep, at which point, as far as I can tell, your bowels travel into the future and start eliminating food that you have not even eaten yet.

After an action-packed evening, I finally got to sleep. The next morning my wife drove me to the clinic. I was very nervous. Not only was I worried about the procedure, but I had been experiencing occasional return bouts of MoviPrep spurtage. I was thinking, ''What if I spurt on Andy?'' How do you apologize to a friend for something like that? Flowers would not be enough.

At the clinic I had to sign many forms acknowledging that I understood and totally agreed with whatever the hell the forms said. Then they led me to a room full of other colonoscopy people, where I went inside a little curtained space and took off my clothes and put on one of those hospital garments designed by sadist perverts, the kind that, when you put it on, makes you feel even more naked than when you are actually naked.

Then a nurse named Eddie put a little needle in a vein in my left hand. Ordinarily I would have fainted, but Eddie was very good, and I was already lying down. Eddie also told me that some people put vodka in their MoviPrep. At first I was ticked off that I hadn't thought of this, but then I pondered what would happen if you got yourself too tipsy to make it to the bathroom, so you were staggering around in full Fire Hose Mode. You would have no choice but to burn your house.

When everything was ready, Eddie wheeled me into the procedure room, where Andy was waiting with a nurse and an anesthesiologist. I did not see the 17,000-foot tube, but I knew Andy had it hidden around there somewhere. I was seriously nervous at this point. Andy had me roll over on my left side, and the anesthesiologist began hooking something up to the needle in my hand. There was music playing in the room, and I realized that the song was Dancing Queen by Abba. I remarked to Andy that, of all the songs that could be playing during this particular procedure, Dancing Queen has to be the least appropriate.

''You want me to turn it up?'' said Andy, from somewhere behind me.

''Ha ha,'' I said.

And then it was time, the moment I had been dreading for more than a decade. If you are squeamish, prepare yourself, because I am going to tell you, in explicit detail, exactly what it was like.

I have no idea. Really. I slept through it. One moment, Abba was shrieking ``Dancing Queen! Feel the beat from the tambourine . . .''

. . . and the next moment, I was back in the other room, waking up in a very mellow mood. Andy was looking down at me and asking me how I felt. I felt excellent. I felt even more excellent when Andy told me that it was all over, and that my colon had passed with flying colors. I have never been prouder of an internal organ.

But my point is this: In addition to being a pathetic medical weenie, I was a complete moron. For more than a decade I avoided getting a procedure that was, essentially, nothing. There was no pain and, except for the MoviPrep, no discomfort. I was risking my life for nothing.

If my brother Sam had been as stupid as I was -- if, when he turned 50, he had ignored all the medical advice and avoided getting screened -- he still would have had cancer. He just wouldn't have known. And by the time he did know -- by the time he felt symptoms -- his situation would have been much, much more serious. But because he was a grown-up, the doctors caught the cancer early, and they operated and took it out. Sam is now recovering and eating what he describes as ''really, really boring food.'' His prognosis is good, and everybody is optimistic, fingers crossed, knock on wood, and all that.

Which brings us to you, Mr. or Mrs. or Miss or Ms. Over-50-And-Hasn't-Had-a-Colonoscopy. Here's the deal: You either have colo-rectal cancer, or you don't. If you do, a colonoscopy will enable doctors to find it and do something about it. And if you don't have cancer, believe me, it's very reassuring to know you don't. There is no sane reason for you not to have it done.

I am so eager for you to do this that I am going to induce you with an Exclusive Limited Time Offer. If you, after reading this, get a colonoscopy, let me know by sending a self-addressed stamped envelope to Dave Barry Colonoscopy Inducement, The Miami Herald, 1 Herald Plaza, Miami, FL 33132. I will send you back a certificate, signed by me and suitable for framing if you don't mind framing a cheesy certificate, stating that you are a grown-up who got a colonoscopy. Accompanying this certificate will be a square of limited-edition custom-printed toilet paper with an image of Miss Paris Hilton on it. You may frame this also, or use it in whatever other way you deem fit.

But even if you don't want this inducement, please get a colonoscopy. If I can do it, you can do it. Don't put it off. Just do it.

Be sure to stress that you want the non-Abba version."

Reply by Tess on 6/2/08 5:56pm
Msg #249752

Been there, done that!

After having symptoms, had one done at age 35, saved my life! I now have one done every three years to remove the polyps before they turn cancerous. I recommend everyone have one done NOW to make sure there are no polyps. Since I had cancer at 35, my two daughters fist ones are recommended to be at age 25.

Reply by davidK/CA on 6/2/08 6:32pm
Msg #249754

Re: Been there, done that!

A colonoscopy saved my life by finding cancer early enough to treat it successfully. And it's true, there are drugs like Versed that completely remove any memories of your meeting up close that 17,000 foot tool.

Save your own life! Do it!

Reply by Calnotary on 6/2/08 7:10pm
Msg #249756

Re: Been there, done that!

On March 2008 my wife's uncle died of colon cancer. On May 2008 my uncle died of colon cancer he was 78, my wife's uncle was 55. My uncle's son had polyps removed when he was 38. I am only 42 and I am thinking of do it anytime soon.

Reply by Michelle/AL on 6/2/08 8:12pm
Msg #249762

Coco, the Colossal Colon, came to Alabama

I met Coco last year and he's pretty impressive. I took my nephew and we both climbed inside (yep, it's big enough for grown ups). It was fun and educational for both of us. It's good to hear that doctors are now sedating patients for this procedure. Unfortunately, when I had mine ten to fifteen years ago, I was told to take deep breaths and relax. To this day, I believe that I must have been part of some sick experiment. Next time, I'll drink the vodka along with the prep mix and ask for a double-dose of IV sedatives. Thanks for the laugh, Dennis.

Reply by JanetK_CA on 6/2/08 9:36pm
Msg #249768

Warning: don't read first post while eating or drinking...

...especially when you get to the part when he describes the night-before-prep! And especially if you've had one done and know from personal experience what he is talking about! I nearly choked twice while reading it from bursting into laughter... Smile

Seriously, I believe there are now easier methods for the "pre-cleansing" that don't involve nearly drowning yourself by drinking a gallon of water in a relatively short space in time. If not available, you may be able to at least request the flavored kind that doesn't taste bad. Then be sure to not make any plans for your prep night and stay within a hop, skip and a jump (a short one...) from your bathroom!

One other thing, for those of you approaching 50, or past due... There is another procedure called a sigmoidoscopy (or something close to that) that your insurance co may recommend. It involves examination of a smaller portion of the colon and is less expensive because for that one they don't usually use anesthetic. (Or so I've been told.) It's also less comprehensive with a potential risk of missing something. I'm all for the "knock me out" version!!



Reply by BarbaraL_CA on 6/2/08 11:10pm
Msg #249777

I'm a Poster Child for Colonoscopies now...

Saved my life too! Prep not what it used to be... you can now take pills and that's it prior to the procedure. My results showed no polyps but a "mushy tumor" at the opening of the appendix where it attaches to the colon. Had an appendectomy last Sept. which showed it to to be malignant. 90% of the time it is benign - not mine. Cut 8" of my colon for biopsy tests. All came back clean - no cancer anymore! Thank you Lord!

DON'T WAIT, just do it!

Reply by Gary Boehm on 6/3/08 9:45am
Msg #249823

There is a 5th reason...

Lol Dave is so naive! There is a 5th reason most people don't get this test done, and it means they never will: NO INSURANCE!

I do not work for the government or big business. I am not a mother with children under 18, and I am not Mexican. All these groups get free health care. I am a hard-working American male who happens to work for a small company and is self-employed otherwise just to try to make ends meet (or at least look at each other from across the gap) or do without.

At the rates private insurance is these days I cannot afford to pay for it month after month and I CERTAINLY cannot afford to pay the ungodly hospital bill myself to have the test done. So, no, I won't be having the test done.

And suppose a can of Miracle (without the Whip) drops out of the sky and bonks me on the head. After coming to, I open the can and it says "Congratulations! You get a free Colonoscopy Test". So I get it done. IF the test did find something, I couldn't afford a treatment of any kind anyway. And not only that, IF by a second miracle I did get insurance coverage some day after that they would say "Oh that's a pre-existing condition - we won't cover any treatment for that".

So if you are a typical American working for a small company you won't get a colonoscopy test done, but not because you don't WANT to.

And national health insurance? Am I to expect a THIRD miracle to happen here lol? I was discussing this with my sister (who works for a huge grocery chain). She said, "Oh look at all those other countries where people have to wait six months for an appointment!". I stopped her in her tracks when I replied, "But isn't that better than... NEVER?"

And the rich politicians with their totally empty promises that say, "Oh everybody will just pay so much a month and then everybody will HAVE it". HELLO! Talk about out of touch with reality - at least for the rest of us. They don't even NOTICE the price of gas and food. And home heating will at LEAST double this winter if not more.

And my sister with the free health insurance? She dated a guy for a year who was about 56. He occasionally had a few chest pains but like me, couldn't do anything about it anyway. He called her from his cell phone one morning on the way home from picking up some bread and eggs. Got home, sat down, had a massive heart attack and was gone before his body hit the floor. Such is the state of health care in this country. The best doctors and hospitals in the world?, but only available to the wealthy or the well employed. The rest of us too bad, sol.

So Dave, all comedy aside, there is a very real, 5th reason why the rest of is won't be having a 17,000 foot tube stuck up our butts!




 
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