quote:

Originally posted by TBH:
No shit!

I'm not sure you grasp the purpose of the colonoscopy prep.

quote:

Originally posted by ZSMICHAEL:
It is your GI doc. They make tasteless preps such as gatorade and miralax.

I have a question: my wife's doc gave her a prescription for the prep. She's on Medicare. They gave her a coupon for it. The pharmacy called and said it's not covered by her insurance unless she gets authorization from the doctor. We figure the prescription was authorization enough. So she called the doc's office and they said they don't give out any authorizations. She offered to give out another prescription for a cheaper prep but she has to come by for the new directions.

Can you explain this? Why would they not give out authorizations? Will this cut into the doc's commissions? I know, they're not suppose to get any incentive for prescribing particular drugs.

I had the Clenpiq for my first colonoscopy earlier this year. Followed the directions exactly the evening before the procedure and had to cancel the appointment the next morning as not a thing happened… until an hour after my scheduled procedure. A week later they had me do a three day cleanse which worked as expected, and had my colon blasted twice in a week. The only positive was being put on the 10 year plan. Like others, their idea of cranberry tasted more like snot. I just chugged them all four times.

quote:

Originally posted by fischtown7:

quote:

Originally posted by walker77:

quote:

Originally posted by ZSMICHAEL:
It is your GI doc. They make tasteless preps such as gatorade and miralax.

You're kidding.....

What an asshole

He does sort of specialize in that field

You gotta be shittin' me!

quote:

Can you explain this? Why would they not give out authorizations? Will this cut into the doc's commissions? I know, they're not suppose to get any incentive for prescribing particular drugs

^^^^^^^^^^^^^^^^^
Yes. It is a cost savings scam by the insurer. The average doctor's office gets over ONE HUNDRED requests for authorizations per week. The choice is to charge for the authorizations or refuse to do them which of course pisses off the patient. The prep by the way is a low cost item compared to PET scans and MRIs.

Physicians have asked for help on the authorization scam from Congress but have had no luck thus far. You could help by sending an email to your Senator or Congressman.

Oh BTW doctors do not earn commissions from drugs they prescribe.

quote:

Originally posted by dking271:
I had the Clenpiq for my first colonoscopy earlier this year. Followed the directions exactly the evening before the procedure and had to cancel the appointment the next morning as not a thing happened… until an hour after my scheduled procedure. A week later they had me do a three day cleanse which worked as expected, and had my colon blasted twice in a week. The only positive was being put on the 10 year plan. Like others, their idea of cranberry tasted more like snot. I just chugged them all four times.

Did you or Doctor give you a detailed plan/schedule like mine did?

Prep actually started about five days before even taking the preparation, they had me stop eating certain foods in order and by the time I got to drinking that foul crap from the bottle, I had basically only been eating Jell-O and broth.

They had me stop all fruits and veg first

Then certain meats and nuts

Then pretty much everything

So by the time I drank that stuff, I was already 3/4 empty.

I did my first one about 8 years ago so get to look forward to one in a few years.

I am glad to read of the improvements to the prep.

When I did mine you had to mix what they gave you with your Gatorade of choice. I was drinking quite a lot of Gatorade at the time and thought I would be smart and use my favorite flavor of Gatorade.

Boy was that ever a mistake. After the prep was done I could no longer stand the flavor I had used. Quite a lot to my stock pile went to waste.

quote:

Originally posted by ZSMICHAEL:

Oh BTW doctors do not earn commissions from drugs they prescribe.

Ha ha ha! You've obviously never been sitting the lobby when the drug salesman comes in, hands a big plastic bag of drug samples to the receptionist, and a small paper bag to the head of the practice. The big grin on the doctor's face told me exactly what he expected to find in the little bag. To his credit, the salesman looked mildly embarrassed, and left quickly.

Those are samples to be given to indigent patients. You think there are dollar bills in the colon prep?
Talk about clueless.

quote:

Originally posted by ZSMICHAEL:
Those are samples to be given to indigent patients. You think there are dollar bills in the colon prep?
Talk about clueless.

t is illegal for a physician to receive remuneration for referring a patient for a service that will be paid in whole or in part by a federal health care program or for prescribing or recommending the purchase of a drug that will be paid in whole or in part by a federal health care program.
^^^^^^^^^^^
Medicare is a federal program and I believe the request was for the Colon prep to be paid by Medicare.

I was scheduled for an 11am scope…an hour and some minutes later I was wheeled in.

The previous patient did not prep at all! Just came in and shit all over. I couldn’t do that line of work be it…doctor, nurse or janitor. Just can’t do it.

quote:

The previous patient did not prep at all! Just came in and shit all over. I couldn’t do that line of work be it…doctor, nurse or janitor. Just can’t do it.

^^^^^^^^^^^^^
Take comfort in the fact that he will need a repeat colonscopy due to insufficient bowel prep.

Due to bad diverticulitis, I have had way too many of these. "The Purge" has gotten better over the years. First were a prescription where you had to drink a gallon of prep stuff 10 oz every 15 minutes, living hell. next 2 were Halflyely, IIRC this was only 1/2 gallon, definitely didn't agree with me. Wound up puking my guts up with one of them.
Latest ones have been Miralax and Ducolax. Not as bad as the prescription preps.

I got this recommendation from a nurse. Use Lemon Lime flavoring. Its less vile than other options

I have another year before the dulcolax/miralax/Gatorade dance. Being on a mostly ketovore diet, not much makes it to me colon. A good 2 day fast will probably do the trick without the cholera type toilet visits. I'm also looking into conscious sedation as I have to bug someone to spend half a morning babysitting me.

^^^^^^^^^^^
If you sign a release may let you take a cab home.

It doesn't need to be as bad as what many of you are describing. I've had four colonoscopies (every 5 years for me, due to my dad having colon cancer) and the prep has gotten progressively less obnoxious.

My first one, I had to take two rounds of pills, the afternoon before and morning of. I seriously disliked two rounds of extended diarrhea - and the effects of the pills didn't completely stop until the procedure was over. I kept having to go, which was a timing issue to get from home to the hospital.

The second time, I had to drink a gallon jug of something, which fizzed like volcanically energized seltzer water. The taste wasn't bad, but I wondered if I would burst from the "carbonation." On the plus side, there was only one round of it, and I was done by that evening.

The last two times, I've done a combo of Dulcolax, Miralax, and Magnesium Citrate. It's not delicious, but it's not bad either. I mix the Miralax with Gatorade.

Drinking some tea right afterwards helps get any unpleasant taste out of your mouth.

I've never been instructed - or needed - to alter my diet until the morning before the procedure.

No solid food after midnight, do the prep the next afternoon, have the procedure the following morning, and feast and pass gas the rest of the day.

quote:

Originally posted by ZSMICHAEL:
^^^^^^^^^^^
If you sign a release may let you take a cab home.

Rotor-Uber.

quote:

Originally posted by walker77:
This stuff is disgusting! We have put man on the moon. Why can't we make this stuff taste any better?

Mix it with some powder drink mix like Gatoraide.

Don't think about it.. Just drink it.

quote:

Did you or Doctor give you a detailed plan/schedule like mine did?

Prep actually started about five days before even taking the preparation, they had me stop eating certain foods in order and by the time I got to drinking that foul crap from the bottle, I had basically only been eating Jell-O and broth.

They had me stop all fruits and veg first

Then certain meats and nuts

Then pretty much everything

So by the time I drank that stuff, I was already 3/4 empty.

Yep, I was on a similar plan 5 days out. They said they see what happened to me about 6 times a year.

quote:

Originally posted by PASig:

quote:

Originally posted by dking271:
I had the Clenpiq for my first colonoscopy earlier this year. Followed the directions exactly the evening before the procedure and had to cancel the appointment the next morning as not a thing happened… until an hour after my scheduled procedure. A week later they had me do a three day cleanse which worked as expected, and had my colon blasted twice in a week. The only positive was being put on the 10 year plan. Like others, their idea of cranberry tasted more like snot. I just chugged them all four times.

Did you or Doctor give you a detailed plan/schedule like mine did?

Prep actually started about five days before even taking the preparation, they had me stop eating certain foods in order and by the time I got to drinking that foul crap from the bottle, I had basically only been eating Jell-O and broth.

They had me stop all fruits and veg first

Then certain meats and nuts

Then pretty much everything

So by the time I drank that stuff, I was already 3/4 empty.

Same plan for me too.

I screwed up though. I forgot they said stop ibprofen 5 days prior. I have a screwed up back and I take four, three times a day. I did this up until Tuesday morning when my wife reminded me. I panicked and called the Dr. He said it would be fine if I stop then and start drinking a ton of water.