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Dave Barry: A journey into my colon -- and yours (funny but serious)
Miami Herald ^ | Feb. 22, 2008 | Dave Barry

Posted on 02/24/2008 10:56:07 AM PST by nuconvert

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


TOPICS: Culture/Society; Editorial; Political Humor/Cartoons
KEYWORDS: barry; coloncancer; colonoscopy; davebarry; health; medicine
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To: alnick
re: unfortunate choice of words

Well I thought this was the more interesting choice of words:

"I really don’t want anyone coming near that part of my anatomy"
121 posted on 02/24/2008 4:51:51 PM PST by Enchante (Democrats: we'll send Pelosi and Brezinski to Damascus, that's our foreign policy!!)
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To: nuconvert

Bump/reminder bump for self & family - Thanks! ;-)


122 posted on 02/24/2008 5:08:53 PM PST by Tunehead54 (Nothing funny here. ;-)
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To: TrueKnightGalahad
Re: Well now, for the next time you'll remember to say, "Doc, if I ain't knocked out, there's gonna be some TROUBLE here, ya hear? My friend True here will be doing a CO on you...but he'll be ripping your head off and going in by the front door!"

Well, looking back, no pun intended... True, the difference in us is now ever so clear. I would want a huge settlement with six or seven zeroes while you want to kick ass!

123 posted on 02/24/2008 5:18:00 PM PST by Bender2 ("I've got a twisted sense of humor, and everything amuses me." RAH Beyond this Horizon)
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To: Vision Thing
Re: LOL

That's, I hate to say, was... what Ned heard!

124 posted on 02/24/2008 5:19:28 PM PST by Bender2 ("I've got a twisted sense of humor, and everything amuses me." RAH Beyond this Horizon)
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To: Al

With some HMO’s, and maybe even other health insurance providers, colonoscopies are not really offered, in favor of encouraging consumers to have sigmoidoscopies. This is a procedure similar to the colonoscopy, but it only covers only 75% of the intestinal tract, the reasoning being that, statistically, colon cancer tends to occur in that 75% region. Passing a sigmoidoscopy, however, is akin in my mind to being told that folks are 75% sure you don’t have colon cancer. Not likely any doctor would accept that outcome for him/herself, so only one option remains.

It may be necessary to invent a family history of colon cancer in order to get around the policy of restricting colonoscopies to those who have a “good reason” to get one.

Frankly the desire to get a colonoscopy should speak for itself. It makes little sense that we’re all encouraged to get one, only to be told that we can only get 75% of the deal unless we “qualify.” Wonder why that little Catch 22 isn’t highlighted in the ads?


125 posted on 02/24/2008 5:25:03 PM PST by DPMD (~)
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To: Pining_4_TX

I had one done about 10 or 12 years ago, because of blood in my stool. Truly, it’s not bad, and I’m a big old thang, but I’ve had four kids, so I got over my modesty with medical folks long ago. Please do it, if for no one else, for your grandkids!


126 posted on 02/24/2008 5:34:19 PM PST by SuziQ
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To: nuconvert
When they wheeled me in the room, my Dr. was just finishing up a game of Spider Solitaire on the computer. But he did have the Stones music playing, so it was all cool.
I was 50, they found one polyp which in time would have been a problem. I’m on a three year screening schedule because of that polyp, instead of the usual five year re-screening.
If your MD recommends an office Sigmoidoscopy, don’t waste your time. It only screens the lower third of the colon.
127 posted on 02/24/2008 5:39:43 PM PST by Kickass Conservative (Guns don't kill people, gun free zones kill people)
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To: celtic gal

128 posted on 02/24/2008 6:04:17 PM PST by SuziQ
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To: SuziQ

There isn’t a tube with a colonoscopy. They just put a needle in your arm. If they have you count, it is 100, 99, 98 and the next thing you know, you are awake in recovery. We were actually laughing and then I was gone.


129 posted on 02/24/2008 6:16:35 PM PST by AUsome Joy
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To: DPMD

My brother in law’s cancer was in the acending colon down low..so much for sigmoidoscopies. It is rather like getting a half mammogram.


130 posted on 02/24/2008 6:35:22 PM PST by celtic gal
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To: SuziQ

Teehee


131 posted on 02/24/2008 6:36:42 PM PST by celtic gal
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To: All

Additional information.....Some insurance companies and doctors will try and make more money by having only a Sigmoidoscopy to check the lower forty then giving you a
colonoscopy
.

My doc said it was “uncomfortable”. He LIED! They blow you up by sticking that 17,000 ft. tube up your butt part way and turning on the air compressor set for a 100 psi blow off. SOB smarts. Tell him/her you want the whole nine yards. The Colonoscopy is a piece of cake. I went to sleep listening to the 1812 overture :)

They found polyps and did a biopsy. They were benign. I was instructed to come back in 2 years and get a 2nd one. I just did that and he said “I’ll see you in 5 years! Clean as a whistle! Thank God!

Don’t put it off and paste that link to everyone in your family over 50 OR with a family history of problems in that area.Send them something really important along with that joke about the golfer and the stripper.

Now I have to wipe diet coke off three monitors and two keyboards. Author was hysterical. I was just released from hospital with gall bladder surgery. That sharp pain in my belly wasn’t gas. It was a stone lodged in my bile duct. The sludge backed up into my Pancreas...was most uncomfortable.


132 posted on 02/24/2008 6:49:51 PM PST by halfright (WELCOME BACK SNOWMAN!!!!!!!!!!!!!)
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To: CaptainK

If I understood it correctly, the drugs in the other prep should not be used by people over 60. I think you have to get a prescription for the stuff so they would know which one you are using.


133 posted on 02/24/2008 7:23:12 PM PST by Verginius Rufus
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To: ozzymandus; editor-surveyor

“Yeah, sure. Nobody ever died of colon cancer, did they? Your “advice” is dangerous, and I hope nobody is stupid enough to listen.”

Apparently he’s ignoring the stories of lives saved on this thread.


134 posted on 02/24/2008 7:24:39 PM PST by swmobuffalo ("We didn't seek the approval of Code Pink and MoveOn.org before deciding what to do")
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To: editor-surveyor

Death by mammogram? What are you talking about?


135 posted on 02/24/2008 7:30:17 PM PST by Titan Magroyne ("Shorn, dumb and bleating is no way to go through life, son." Yeah, close enough.)
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To: nuconvert
Colonoscopy - story of my life, at least since age 44 (I'm 66 now).

Had my first in 1985 due to another procedure (barium enema) detecting an unusual lesion in the iliosecal bulb. (Thats where the small and large intestine join).

Interesting morning to say the least. Following the prep, which was just as DB described, arrived early at the teaching hospital, got the IV in left hand, and the silly gown, then the surprise! Went into the procedure room, to be greeted by my gastroenterologist plus about 7 or 8 med school students - mostly female. All were eager to see Don Carlos' nether region.

So onward. The sedative, which was a two syringe cocktail of valium and whatever burned! It didn't really knock me out, just made it so I didn't give a rats arse.

After a few minutes, the head (butt?) guy found the spot in question, and passed the scope student to student so they could all see. He noticed I was only half goofy, so asked if I'd like to see too, and how could I pass up a chance like that? After I had a good peek, a small cheer went up along with some comments that it could have been a medical first (snicker) and it was all over.

End result of the procedure was a diagnosis of a pre-cancerous lesion, and follow up colon resection surgery. Without doubt, had I played chicken and not had the colonoscopy, nobody here would have ever heard of Don Carlos. I have an ugly scar across the tummy which killed any chances for a career modeling jockey briefs or speedo bathing trunks, but 23 years on am still here to say "git er done"!

Best advice you'll ever get!

136 posted on 02/24/2008 7:31:38 PM PST by Don Carlos (No 8 Do.)
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To: Bender2

But...speaking as a professional now...you ain’t getting a six or seven-figure settlement outta that (and not a five, four, three, two, or even one-figure settlement) so kicking a$$ is the most soul-satisfying solution. Reminds me of the old joke: As the dentist poised over his patient, hypo of Novocaine in hand, the patient reached over and gently cupped his dentist’s testicles, saying, “Now, we’re NOT going to hurt each other, are we, Doc?”


137 posted on 02/24/2008 7:42:41 PM PST by TrueKnightGalahad (When you're racing...it's life. Anything that happens before or after is just waiting.)
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To: Verginius Rufus

prep really a snap now...4 dulcolax at 2pm of appointment eve, chased with plenty of water, a 3 oz bottle of Phosoda I was to mix with my favorite adult beverage at 6pm. Lift off was at 9pm...Hershey squirts for about 45 minutes. Was showered and in bed at 10pm. Awoke at 7 am and had the residual waste all drowned and was at Dr Kucers at 8 am appointment.


138 posted on 02/24/2008 7:43:34 PM PST by halfright (WELCOME BACK SNOWMAN!!!!!!!!!!!!!)
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To: NonValueAdded
The procedure is nothing ... the prep is horrendous ...

Even the prep was OK for me. My doc told me: "clear liquids only". So I drank Vodka tonics in between the prep liquids. I still spent most of the evening on the toilet with the "explosive" stuff, but I sure felt good in my head going through it. :)

139 posted on 02/24/2008 7:44:20 PM PST by LiberConservative
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To: pt17

I had it done in December because I had some blood when I had a BM, so I was worried.

Like Dave said, I don’t remember a thing, I woke up after the procedure, feeling “Comfortably Numb.” But the Movi-Prep, was god-awful.

Fortunately the bleeding I had was due to an internal hemorrhoid, and everything else was clean as a whistle. So in the end (pardon the pun), I was glad I did it.


140 posted on 02/24/2008 7:51:47 PM PST by dfwgator (11+7+15=3 Heismans)
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