Colonoscopy - Add On

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I went in for a routine screening colonoscopy. No big deal I have had a couple of them before. This time when I woke up, my butt really hurt. The doctor informed me that while he was at it, he banded a hemorrhoid. We had not discussed this before hand, I didn't give any consent to any additional procedures. It was a bit painful but after a day or two it was okay. Is that kind of thing normal ? I guess I could have told him I didn't ask for it and had him remove it but the damage was done. Just hoping on my next one he doesn't decide I need butt implants or something.

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14 Replies

  • Posted

    He did you a favor. It's an innocent procedure always recommended for internal hemorrhoids. He put a rubber band over your (potential bleeding hemorrhoids), which will shrink in few days and fall off. No worries. You should have done it long ago. There is no permanent implants in your ass.

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  • Posted

    Yep.....a favor done. I've had the banding thing... 8 yrs later they came back....pain in the you know what!.

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  • Posted

    Strange that you had pain if he banded the hemorroids while you were under. I had that procedure performed with a local anaesthetic and had no pain afterwards.

    The bands fall off in a few days as you noted and it's good to hear that you have no more pain.

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  • Posted

    If I had a colonoscopy and woke up to be told by the doctor he saw some hemorrhoids and I would have to return to have them banded because he wanted to tell me first before banding them, I would probably form with my hands a band around the doctor's neck! Your doc did the right thing.

    I've had many banded. Sometimes they hurt for a day or so.

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  • Posted

    Hi Ben:

    It's a double edged sword. On one side there may have been some latitude written into that facilities informed consent form which allowed him to do what he did without first asking you about it . On the other side you have a doc who saw something while doing the scope & decided rather than put you through another procedure took care of what he saw & notified you afterwards.

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  • Posted

    You're lucky he did it for the reasons mentioned above. I had the old fashioned HEMORRHOIDECTOMY SURGERY and now I suffer with anal stenosis - "what a pain in the ass."

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  • Posted

    It probably depends on how your medical release with worded -- the one you signed for the colonoscopy. I think he is covered. They removed polyps when they did mine so I think the release probably covers such procedures. Take along your magnifying glass the next time and read it before your sign it.

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    • Posted

      Or do as a friend of mine does and ask for the consent form (also called release form) to be sent to you a couple of days BEFORE the procedure so you can read it without pressure from staff to sign and move on with the procedure.

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    • Posted

      Barney:

      You are correct. Getting ALL the forms beforehand gives you the chance without pressure to look them over & check off any parts you don't agree with & even check with a lawyer if you don't understand something.

      A lot of places thought don't give you the forms ahead of time because they don't want to have to answer a lot of questions. They like it sign & go.

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    • Posted

      Yes they do.

      They hope you sign and don't read.

      If I don't get papers before my admittance I ensure I arrive in PLENTY of time beforehand to read carefully all that I am compelled to sign.

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  • Posted

    Guys,

    stop writing nonsense advice. The consent forms are written by experienced medical lawyers and are specific for each procedure. Not giving consent for apart will mean doctor's refusal to perform the procedure. Colonoscopy consent includes doctor's right for biopsy and putting rubber bands or using microwaves for removing polyps and other features. Internal hemorrhoids are a part of the intestine and are covered by the patient's consent agreement. It was a blessing for this patient who doesn't understand then benefit of this innocent surgical procedure and caused a stupid discussion.

    Of course, you should read the consent form throughly because it will give you information about most serious complications and failures of the procedure. Then you can decide what is acceptable for you. But changing the wording of consent form? I doubt that's possible. A complex issue of doctor's insurance against malpractice is involved, lawyers, who wrote the form, etc... Stop fantasizing about the topic you have little knowledge.

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    • Posted

      For those of us that have been in the system & know what can happen this isn't nonsense advice. There are a LOT of things in those consent forms that some people may not agree with. That is why its advisable to get the forms early & go over them.

      Patients have the right to cross out any item on the consent form they don't agree with. Then its up to the doc to decide to talk it over with you & come to a compromise or reject it.

      By doing the forms before hand, you & the doctor can have everything worked out before you go in or you find out ahead of time its not acceptable & you have the choice then of giving in or going elsewhere.

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  • Posted

    A screening colonoscopy is a covered preventative procedure (Insurance covers it 100%). Hemorrhoid banding isn't preventative so with the high deductible plans you could end up getting an unexpected bill for $500 bucks or more. In my case it turned out to be okay, my question was just how common is it for the doctor to just do it without even discussing it with the patient. I never said I complained about it, never said it was I was angry about it, simply wanted to know if it was standard operating procedure.

    You know what is stupid, to keep reading all the replies if you think its a stupid discussion.

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    • Posted

      BenThere,

      You area 100% right. Reading all this nonsense is stupid. I agree and regret. The situation you describe is nonsensical, and you are confusing and scarring other members of this forum, which is not related to colonoscopies at all. I do it only to prevent less knowledgeable people from committing stupid actions in Docs's office and hurting themselves.

      The Doc can't charge for the surgical procedure that you haven't gave your consent. Once it's covered it's covered. Preventive colonoscopy includes the removal of polyps and lesions that were discovered during such "preventive"service. It's not covered if it's emergency service or the doc is part of the out of network organization.

      Our insurance systems is known for crazy charges but your example is out of whack.

      I promise never comment again on this subject.

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