Category Archives: colonoscopy

Cleveland Clinic – a cautionary tale

Today, Monday, was the date for my colonoscopy so I’d had nothing to eat since Saturday night, I was out of bed before 5 a.m. this morning to take the pills and mix the laxative drinks which, I have to say, worked extremely well. So far, so good, but then we arrived at Cleveland Clinic where my wife has had treatment and I’ve seen one of the doctors. Both of those visits were billed as out-patient. Today, we arrived and registered, and then my wife just happened to say to the man who was handling our registration, “I booked this directly with the gastroenterology clinic so I don’t understand why we are having to register here, in the hospital. This will be billed as an out-patient procedure in the clinic and not as a hospital won’t it?” It turned out that no, despite calling the gastroenterology clinic’s direct number, we had, effectively been transferred by that department from a doctor’s practice to the hospital’s practice – although it would have been the same doctor carrying out the procedure – (at a difference in cost to us of around $800) without anyone telling us that this was happening.

It seems that, yes, Cleveland Clinic does indeed provide the excellence it claims, and which both candidates in the recent presidential election praised, but, it also appears that it is not uncommon for patients to be sent for tests by their physician (clinic outpatient) to what appears to be another department within the clinic but is, in fact, the hospital facility which, at least in our case, costs the patient significantly more. It also appears that patients are often ignorant of the fact that by walking down the corridor for the test, within an organisation which trumpets its comprehensive integration of facilities, they are actually changing from one system to another.

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Filed under Cancer, Cleveland Clinic, colonoscopy

So I REALLY need a colonoscopy?

I saw my oncologist, Dr Taché, on Friday, it’s the first time I’ve seen him since my scan gave me the all clear. He wants me to have a colonoscopy. I’d thought that my last scan revealing no cancer in my body after six months of chemotherapy would have meant there was no need for a colonoscopy, but, no, it seems I still ought to have one: I will leave you to imagine the sense of delight I experienced on being given this information!

Dr Taché also thought he detected a “click” from my heart and so he wants me to see a cardiologist to get a specialists opinion. Now, I don’t know about you, but, until Friday I’d never heard of a “heart click”. There’s not an awful lot about it on the web but it seems that the “click” is the sound of the heart’s valves as they open and close. So, far as I know this “click” has never been detected before and so, presumably, it’s a relatively new development post-dating the chemotherapy and therefore, I presume, possibly being a response to the poisons pumped into my body during the six months of treatment. Am I concerned? No, not especially, as, from what I could discover, this is by no means an unusual thing, and, as I’ve experienced no cardio discomfort when exercising or going about my daily business, I doubt it is anything significant at the present time. To the extent that I am concerned it is that I’m now getting to an age where the body functions nowhere near so well as it used to do (if I’m honest I hit that age a while ago!), so my concern is that this “click” may be the harbinger of more medical problems. Hopefully the cardiologists advice will be to lose weight and exercise steadily.

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Filed under Cancer, cardiology, chemo, chemotherapy, colonoscopy, Dr Jason Tache, heart click