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Living in Society

Taking Treatment

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Like many people, I am self-sufficient, reasonably healthy, and don’t like going to the doctor or clinic. I go often enough to catch things before they get bad and mostly take their preventive medical advice. On Tuesday I had the third colon screening of my life and the results were favorable. The practitioners were helpful and congenial. I knew one of them from in real life, although surgical spaces with structured hierarchies and apparel are real life too.

My previous colonoscopy was on Feb. 20, 2015. The visit became a horror show when the physician asked me whether I wanted to add an extra procedure just as I took sedation. This seemed a bit of hucksterism. The treatment plan had been laid out for weeks. While I still had consciousness, I told them no thank you, I came for a colonoscopy, so let’s stick with that.

When I presented for the procedure on Tuesday, there was a protocol whereby I stated my name, date of birth, and why I was there. Then the practitioners repeated “colonoscopy” then they each said “I agree.” Things went much better because of this protocol. In both cases, no polyps or biopsies. On Tuesday, doctor said I was good for ten more years. I thought of the Social Security life expectancy table and said to myself, may I live so long.

Neighbors were involved in both procedures. In the earlier case, the neighbor hooked me up to the saline drip which had the apparatus for administering sedation. The night before, we had a discussion on the telephone about another matter. They had the professionalism to not bring that up while I was getting my IV. The procedure was well done. Tuesday, a different neighbor was called in because there was a shortage of nurses to do all the work. This nurse had been a member of the board of directors of a group I was in. In those days, I did not know they were a nurse. We used the time between tasks to catch up.

The community of practitioners is not very big in Iowa. It seems inevitable there is a relationship between the patient and one or more of the folks in blue scrubs and hair netting. One should be on best behavior… always.

The other thing I would mention about my 2015 procedure is getting a colonoscopy was a communal event. After check in, the morning’s patients were assigned space in a large room with flimsy curtains partitioning off one patient from another. We could hear each other talk and we knew what was going on right next to us. That curtain made for little privacy. In 2025, I had a room of my own as a base where the person accompanying me could wait and I could leave my clothing until needed. I felt the care was more personal in the new setting.

Other than the procedure, Tuesday was a lost day. I used the afternoon to sleep off the sedative. One day in the life in Big Grove. Let’s hope there will be others.

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