Another exam
I had an exam under anesthesia this morning. The dr said everything looked fine. He took a biopsy so hopefully the biopsy is negative. Even though everyone was nice at the Surgery Center, I'm glad this is over with. Whew!
Ann
Comments
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Hi Ann!
I'm glad to hear from you! That's good news about your exam and I hope that the biopsy will come back showing that you are squeaky clean! Hopefully, you will not have to wait long for those results, which I hope you'll share with us when the good news comes in!
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Thanks Martha!mp327 said:Hi Ann!
I'm glad to hear from you! That's good news about your exam and I hope that the biopsy will come back showing that you are squeaky clean! Hopefully, you will not have to wait long for those results, which I hope you'll share with us when the good news comes in!
I hope I'm squeaky clean too! Don't know how anything could survive the "frying". I have an appt the 28th. I was the first rear end of the morning he saw. Lol! I'll be sure to share the news.
Ann
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exam
Well, I'm glad your exam went well. The last time I had one under anesthesia (last Nov.) the surgeon said everything looked fine but he also took biopsies (he said mainly to satisfy the oncologists). I hope you find out soon that your biopsy is negative. I know I've been to the surgery center way too much because the nurses actually remember me. I may be going back there soon, depending on what my surgeon says when I see him this coming Monday.
Janet
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Thanks Janetjcruz said:exam
Well, I'm glad your exam went well. The last time I had one under anesthesia (last Nov.) the surgeon said everything looked fine but he also took biopsies (he said mainly to satisfy the oncologists). I hope you find out soon that your biopsy is negative. I know I've been to the surgery center way too much because the nurses actually remember me. I may be going back there soon, depending on what my surgeon says when I see him this coming Monday.
Janet
Thanks! I'm 3 years post treatment and this was my first post treatment biopsy. I was kind of surprised, but I vaguely remember the radiation oncologist (I no longer see him and I'm glad) mentioning the word "biopsy" after treatment. The colorectal dr said he was going to dilate, too, but think it's already snapped back - lol! It hasn't been a week yet so the area is still probably traumatized and will improve with time. I'm willing to bet the next procedure will be a colonoscopy. I had one last year and as Martha has mentioned before - "scoping for dollars". However, it's good that they're keeping a close watch. This was my first experience at a surgery center and I was impressed. It's nice to know that the nurses remember you. Good luck with your Monday appointment! (How many biopsies have you had post treatment?)
Ann
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biopsiesAZANNIE said:Thanks Janet
Thanks! I'm 3 years post treatment and this was my first post treatment biopsy. I was kind of surprised, but I vaguely remember the radiation oncologist (I no longer see him and I'm glad) mentioning the word "biopsy" after treatment. The colorectal dr said he was going to dilate, too, but think it's already snapped back - lol! It hasn't been a week yet so the area is still probably traumatized and will improve with time. I'm willing to bet the next procedure will be a colonoscopy. I had one last year and as Martha has mentioned before - "scoping for dollars". However, it's good that they're keeping a close watch. This was my first experience at a surgery center and I was impressed. It's nice to know that the nurses remember you. Good luck with your Monday appointment! (How many biopsies have you had post treatment?)
Ann
I've had 2 biopsies, both after a PET scan that showed an elevated SUV in the area. Both negative. Both scar tissue and inflammation. I had one last November (about a year post-treatment) and I recovered pretty quickly. I only used the pain meds for a few days and had just a little bleeding.
Nobody has mentioned a colonoscopy in relation to the cancer. I am due to have one on my regular schedule next summer. I have them every 5 years as my oldest brother had (and survived!) colon caner.
I hope you recover easily. And thanks for the good wishes for my next appt.
Janet
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Colonoscopiesjcruz said:biopsies
I've had 2 biopsies, both after a PET scan that showed an elevated SUV in the area. Both negative. Both scar tissue and inflammation. I had one last November (about a year post-treatment) and I recovered pretty quickly. I only used the pain meds for a few days and had just a little bleeding.
Nobody has mentioned a colonoscopy in relation to the cancer. I am due to have one on my regular schedule next summer. I have them every 5 years as my oldest brother had (and survived!) colon caner.
I hope you recover easily. And thanks for the good wishes for my next appt.
Janet
I had a colonoscopy 2 days after first biopsy that was positive for cancer. The colonscopy was fine. Last years colonocopy showed radiation proctitis and diverticulous. My PET scans post treatment have been fine too. Next one is in November and will also have lab work. Haven't had to take any pain meds.
Ann
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So glad for you it's overAZANNIE said:Colonoscopies
I had a colonoscopy 2 days after first biopsy that was positive for cancer. The colonscopy was fine. Last years colonocopy showed radiation proctitis and diverticulous. My PET scans post treatment have been fine too. Next one is in November and will also have lab work. Haven't had to take any pain meds.
Ann
I have been thinking of you and am so glad you have that biopsy behind (heh, heh - woops) you. There is no end to the puns we get on this site is there? That was no pun intended but it just sort of jumped off the page at me after I typed it.
These medical procedures aren't fun, (gosh, that rhymes with pun) but the time we spend wondering how it will be is no fun either.
I think I am getting goofy from thinking about September 8th when I see the Pulmonologist about the growth of that spot on my lung. I am likely facing a biopsy also.
But, life is short, no matter, so lets enjoy our labor day and end of summer time!
Fondly,
Sandy
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Thanks Sandysandysp said:So glad for you it's over
I have been thinking of you and am so glad you have that biopsy behind (heh, heh - woops) you. There is no end to the puns we get on this site is there? That was no pun intended but it just sort of jumped off the page at me after I typed it.
These medical procedures aren't fun, (gosh, that rhymes with pun) but the time we spend wondering how it will be is no fun either.
I think I am getting goofy from thinking about September 8th when I see the Pulmonologist about the growth of that spot on my lung. I am likely facing a biopsy also.
But, life is short, no matter, so lets enjoy our labor day and end of summer time!
Fondly,
Sandy
I nicknamed myself Anal Annie when I was undergoing treatment. Yes, I'm glad the biopsy is behind me - lol! You're definitely right that the medical procedures aren't fun, but it kind of does give us peace of mind.
Looking forward to the end of summer time. Now when I was teaching that was a different story. I'm also looking forward to cooler days!
We should all get awards for waiting and waiting and waiting. Best of luck to you September 8th. Hope you hear good news!
Ann
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When does a colonoscopy take place?AZANNIE said:Thanks qv62
I'm keeping my fingers crossed. I'll be posting the results.
Ann
I'm a little confused about sigmoidoscopy vs colonoscopy. They did a sigmoid when I was diagnosed and the oncologist mentioned a few visits ago that I would have to get a follow-up sigmoid. As long as I'm in the OR under anesthesia, why wouldn't they do a colonoscopy or will that require a third trip to the OR?
[I wish I could ask the oncologiast, but the visits are so rushed that I can't get through my list of questions and her nurse doesn't really seem to know a lot about cancer treatment. (My cardiologist's - actually electrophysiologist's - nurse knows more about cancer treatment than the oncologist's nurse does.) The oncologist's partner has been on maternity leave ever since I'm been under treatment, doubling the load, so it's nearly impossible to get timely appointments, impossible to get her on the telephone, and visits are rushed. Hopefully, her practise is more relaxed when her partner is also working.]
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So confusingOuch_Ouch_Ouch said:When does a colonoscopy take place?
I'm a little confused about sigmoidoscopy vs colonoscopy. They did a sigmoid when I was diagnosed and the oncologist mentioned a few visits ago that I would have to get a follow-up sigmoid. As long as I'm in the OR under anesthesia, why wouldn't they do a colonoscopy or will that require a third trip to the OR?
[I wish I could ask the oncologiast, but the visits are so rushed that I can't get through my list of questions and her nurse doesn't really seem to know a lot about cancer treatment. (My cardiologist's - actually electrophysiologist's - nurse knows more about cancer treatment than the oncologist's nurse does.) The oncologist's partner has been on maternity leave ever since I'm been under treatment, doubling the load, so it's nearly impossible to get timely appointments, impossible to get her on the telephone, and visits are rushed. Hopefully, her practise is more relaxed when her partner is also working.]
I did not initially have a colo-rectal doc. The local hospital has two general surgeons and that's it. I decided that I wanted to be followed by a colo-rectal doc and called one and made an appointment and am happy that I did. He's only a half hour away. I have seen him three times post treatment, at two month intervals. I have had an anoscopy at each visit but I think at this last one, he did the sigmoidoscopy because he mentioned air going in there. And it was very uncomfortable. Not painful, just uncomfortable. I've had these procedures done without any anesthesia. Thankfully, I have anti-anxiety medicine and I'm not afraid to use it! I asked about a colonoscopy and he said that since my colonoscopy was normal (it was routine, but the gastroenterologist found the cancer, lucky catch), he would not do another colonoscopy for a year. I was happy to hear that though I don't know if it is the best approach.
Let's hope it is.
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You won't need OROuch_Ouch_Ouch said:When does a colonoscopy take place?
I'm a little confused about sigmoidoscopy vs colonoscopy. They did a sigmoid when I was diagnosed and the oncologist mentioned a few visits ago that I would have to get a follow-up sigmoid. As long as I'm in the OR under anesthesia, why wouldn't they do a colonoscopy or will that require a third trip to the OR?
[I wish I could ask the oncologiast, but the visits are so rushed that I can't get through my list of questions and her nurse doesn't really seem to know a lot about cancer treatment. (My cardiologist's - actually electrophysiologist's - nurse knows more about cancer treatment than the oncologist's nurse does.) The oncologist's partner has been on maternity leave ever since I'm been under treatment, doubling the load, so it's nearly impossible to get timely appointments, impossible to get her on the telephone, and visits are rushed. Hopefully, her practise is more relaxed when her partner is also working.]
The signmoidoscopy is a very quick little test and not to me as uncomfortable as a pap smear. I think all of us could use a bit of anti anxiety medication when going for a procedure we are truly nervous about. It's easier on everyone. Deep breathing, a special prayer I memorized and meditation help me also. If I can't do that, I have learned that sometimes it just pays for me to draw a box in my imagination over and over. It helps unplug my brain which is of very little good to me when I am afraid and just have to go through something.
You are over the worst of it. It all will start to get easier. This is a way of life for me now. I am just glad I am feeling so well three years post last tx.
All the best and good luck,
Sandy
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Procedure questions ---sandysp said:You won't need OR
The signmoidoscopy is a very quick little test and not to me as uncomfortable as a pap smear. I think all of us could use a bit of anti anxiety medication when going for a procedure we are truly nervous about. It's easier on everyone. Deep breathing, a special prayer I memorized and meditation help me also. If I can't do that, I have learned that sometimes it just pays for me to draw a box in my imagination over and over. It helps unplug my brain which is of very little good to me when I am afraid and just have to go through something.
You are over the worst of it. It all will start to get easier. This is a way of life for me now. I am just glad I am feeling so well three years post last tx.
All the best and good luck,
Sandy
I saw the oncologist today and asked why a sigmoid and not a colonoscopy. She said that she "hadn't appreciated the fact that I never had one before" and therefore will reguest that instead. I want to go to the colo-rectal surgeon that saw me initially. After all, he is the only one who has ever laid eyes on that interior tumor. However, the oncologist told me that they rarely do colonoscopies and that a regular gastroenterologist would be better. I just don't understand her reasoning. Is not "colon" where colo-rectal surgeons get their specialty's name from, after all?
[From the American Society of Colon & Rectal Surgeons website, certification means expertise in [emphasis is mine]:
- Anorectal conditions
- Hemorrhoids
- Fissures
- Abscesses
- Fistulas
- Inflammatory bowel disease
- Chronic ulcerative colitis
- Crohn's disease
- Diverticulitis
- Colonic neoplasms
- Cancer
- Polyps
- Familial polyposis
- Endoscopy of the colon and rectum
- Rigid and flexible sigmoidoscopy
- Colonoscopy
- Endoscopic polypectomy
- Intestinal and anorectal physiology for management of
- Anal incontinence
- Constipation
- Diarrhea
- Rectal prolapse]
As for sedation vs anesthesia, the last time I was in way too much pain to be awake. I will have to have atropine via IV as I have rheumatic heart disease, with a resultant sick sinus syndrome and hypervagal tone, along with the biggest skin integrity-violation phobia you ever saw (needles, scalpels, spinters, anything sharp can make me pass out from a vaso-vagal response). The scope itself can instigate a vaso-vagal response as it pokes along. So, I don't know how this will pan out.
When I was previously sigmoided and diagnosed, my heart rate in the OR was a steady 38. For some reason, the anesthesiologist didn't want to give me atropine and snarkily said that they should be installing a pacemaker instead of doing a rectal scoping. He and the colo-rectal surgeon argued about it for a while, but eventually the anest. went along with him and then put me under. It wasn't even the anest. that examined me in the pre-op area, so seemed not to have a grasp of my history.
And there I was, suuronded by an OR team twiddling their thumbs, my butt sticking up in the air, literally freezing my tail off, wondering if this was going to happen or not!
Adventures in medicine...
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HmmmOuch_Ouch_Ouch said:Procedure questions ---
I saw the oncologist today and asked why a sigmoid and not a colonoscopy. She said that she "hadn't appreciated the fact that I never had one before" and therefore will reguest that instead. I want to go to the colo-rectal surgeon that saw me initially. After all, he is the only one who has ever laid eyes on that interior tumor. However, the oncologist told me that they rarely do colonoscopies and that a regular gastroenterologist would be better. I just don't understand her reasoning. Is not "colon" where colo-rectal surgeons get their specialty's name from, after all?
[From the American Society of Colon & Rectal Surgeons website, certification means expertise in [emphasis is mine]:
- Anorectal conditions
- Hemorrhoids
- Fissures
- Abscesses
- Fistulas
- Inflammatory bowel disease
- Chronic ulcerative colitis
- Crohn's disease
- Diverticulitis
- Colonic neoplasms
- Cancer
- Polyps
- Familial polyposis
- Endoscopy of the colon and rectum
- Rigid and flexible sigmoidoscopy
- Colonoscopy
- Endoscopic polypectomy
- Intestinal and anorectal physiology for management of
- Anal incontinence
- Constipation
- Diarrhea
- Rectal prolapse]
As for sedation vs anesthesia, the last time I was in way too much pain to be awake. I will have to have atropine via IV as I have rheumatic heart disease, with a resultant sick sinus syndrome and hypervagal tone, along with the biggest skin integrity-violation phobia you ever saw (needles, scalpels, spinters, anything sharp can make me pass out from a vaso-vagal response). The scope itself can instigate a vaso-vagal response as it pokes along. So, I don't know how this will pan out.
When I was previously sigmoided and diagnosed, my heart rate in the OR was a steady 38. For some reason, the anesthesiologist didn't want to give me atropine and snarkily said that they should be installing a pacemaker instead of doing a rectal scoping. He and the colo-rectal surgeon argued about it for a while, but eventually the anest. went along with him and then put me under. It wasn't even the anest. that examined me in the pre-op area, so seemed not to have a grasp of my history.
And there I was, suuronded by an OR team twiddling their thumbs, my butt sticking up in the air, literally freezing my tail off, wondering if this was going to happen or not!
Adventures in medicine...
My colorectal dr is the one who has done my colonoscopies. Any time I've had sedation, the anesth has always seen me before the procedure and asked if I had questions. A medical history is taken. I was given two drugs this last time- one of which was the Michael Jackson drug. Must have been unnerving listening to the drs express their opinions with each other while you were waiting for the procedure.
Yes, medicine is quite an adventure...
Ann
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ColonoscopiesOuch_Ouch_Ouch said:Procedure questions ---
I saw the oncologist today and asked why a sigmoid and not a colonoscopy. She said that she "hadn't appreciated the fact that I never had one before" and therefore will reguest that instead. I want to go to the colo-rectal surgeon that saw me initially. After all, he is the only one who has ever laid eyes on that interior tumor. However, the oncologist told me that they rarely do colonoscopies and that a regular gastroenterologist would be better. I just don't understand her reasoning. Is not "colon" where colo-rectal surgeons get their specialty's name from, after all?
[From the American Society of Colon & Rectal Surgeons website, certification means expertise in [emphasis is mine]:
- Anorectal conditions
- Hemorrhoids
- Fissures
- Abscesses
- Fistulas
- Inflammatory bowel disease
- Chronic ulcerative colitis
- Crohn's disease
- Diverticulitis
- Colonic neoplasms
- Cancer
- Polyps
- Familial polyposis
- Endoscopy of the colon and rectum
- Rigid and flexible sigmoidoscopy
- Colonoscopy
- Endoscopic polypectomy
- Intestinal and anorectal physiology for management of
- Anal incontinence
- Constipation
- Diarrhea
- Rectal prolapse]
As for sedation vs anesthesia, the last time I was in way too much pain to be awake. I will have to have atropine via IV as I have rheumatic heart disease, with a resultant sick sinus syndrome and hypervagal tone, along with the biggest skin integrity-violation phobia you ever saw (needles, scalpels, spinters, anything sharp can make me pass out from a vaso-vagal response). The scope itself can instigate a vaso-vagal response as it pokes along. So, I don't know how this will pan out.
When I was previously sigmoided and diagnosed, my heart rate in the OR was a steady 38. For some reason, the anesthesiologist didn't want to give me atropine and snarkily said that they should be installing a pacemaker instead of doing a rectal scoping. He and the colo-rectal surgeon argued about it for a while, but eventually the anest. went along with him and then put me under. It wasn't even the anest. that examined me in the pre-op area, so seemed not to have a grasp of my history.
And there I was, suuronded by an OR team twiddling their thumbs, my butt sticking up in the air, literally freezing my tail off, wondering if this was going to happen or not!
Adventures in medicine...
My colorectal surgeon is the only doctor who has done a colonoscopy on me. It makes sense to me to have a CR doctor do this procedure, especially when one has a history of anal cancer, which I think would be out of the scope (no pun intended) of the specialty of a gastro doc. However, my husband had his first and only colonoscopy a few years ago and his was done by a gastro. As for anesthesia, I believe (but not 100% sure) that each time, I've received Propofol. Before I am wheeled into the scope room, the anesthesiologist has always come in and asked me some questions, including how well I've come out of the anesthesia on previous scopes. The last time I had a scope (October 2013), he asked me that question and after I told him that it can take me awhile to come out of it, he reduced the amount ordered. It helped, as I actually remember my CR doc coming in and talking to me after the scope was done.
As for the above list, I do not see anal cancer listed specifically. I guess it would come under either "anorectal conditions" or "cancer," which takes in a lot.
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Procedure differences....Ouch_Ouch_Ouch said:Procedure questions ---
I saw the oncologist today and asked why a sigmoid and not a colonoscopy. She said that she "hadn't appreciated the fact that I never had one before" and therefore will reguest that instead. I want to go to the colo-rectal surgeon that saw me initially. After all, he is the only one who has ever laid eyes on that interior tumor. However, the oncologist told me that they rarely do colonoscopies and that a regular gastroenterologist would be better. I just don't understand her reasoning. Is not "colon" where colo-rectal surgeons get their specialty's name from, after all?
[From the American Society of Colon & Rectal Surgeons website, certification means expertise in [emphasis is mine]:
- Anorectal conditions
- Hemorrhoids
- Fissures
- Abscesses
- Fistulas
- Inflammatory bowel disease
- Chronic ulcerative colitis
- Crohn's disease
- Diverticulitis
- Colonic neoplasms
- Cancer
- Polyps
- Familial polyposis
- Endoscopy of the colon and rectum
- Rigid and flexible sigmoidoscopy
- Colonoscopy
- Endoscopic polypectomy
- Intestinal and anorectal physiology for management of
- Anal incontinence
- Constipation
- Diarrhea
- Rectal prolapse]
As for sedation vs anesthesia, the last time I was in way too much pain to be awake. I will have to have atropine via IV as I have rheumatic heart disease, with a resultant sick sinus syndrome and hypervagal tone, along with the biggest skin integrity-violation phobia you ever saw (needles, scalpels, spinters, anything sharp can make me pass out from a vaso-vagal response). The scope itself can instigate a vaso-vagal response as it pokes along. So, I don't know how this will pan out.
When I was previously sigmoided and diagnosed, my heart rate in the OR was a steady 38. For some reason, the anesthesiologist didn't want to give me atropine and snarkily said that they should be installing a pacemaker instead of doing a rectal scoping. He and the colo-rectal surgeon argued about it for a while, but eventually the anest. went along with him and then put me under. It wasn't even the anest. that examined me in the pre-op area, so seemed not to have a grasp of my history.
And there I was, suuronded by an OR team twiddling their thumbs, my butt sticking up in the air, literally freezing my tail off, wondering if this was going to happen or not!
Adventures in medicine...
Once again it seems we have differences in follow-up procedures. I had a general surgeon do my biopsy, and ostomy surgery for anal cancer. (He later treated my breast cancer as well) About a year post treatment a gastro doc did my colonoscopy along with a separate scope of the anus. (I have a loop ostomy and although not in use still have my anus and rectum so require two separate looks). All came back good and was not scheduled for another colonoscopy for 5 yrs but saw a colo-rectal doctor for an anoscopy at approximately 2yrs post. Nothing more was scheduled along those lines but when having my last pelvic exam I questioned the need for another anascope and my gyn (who is a gyno-oncologist) did not think it was necessary. I have a CT scan in Dec so will probably just schedule a scope at the same time myself. I have never requested an exam or test that my doctors refused but have found the need to be pro-active and take the initiative occasionally. I trust them completely and feel I am closely watched, so anything I request is just for that added peace of mind.
Wouldn't it be nice if dx, treatment, and recovery follow-up could be "cookie-cutter" simple so we could all know we were being treated the same? But, since although we all share this horrific experience, we are still all different in our healing I guess its also good to asume our docs are treating our individual needs....I hope!
Be well.
katheryn
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I've decided...eihtak said:Procedure differences....
Once again it seems we have differences in follow-up procedures. I had a general surgeon do my biopsy, and ostomy surgery for anal cancer. (He later treated my breast cancer as well) About a year post treatment a gastro doc did my colonoscopy along with a separate scope of the anus. (I have a loop ostomy and although not in use still have my anus and rectum so require two separate looks). All came back good and was not scheduled for another colonoscopy for 5 yrs but saw a colo-rectal doctor for an anoscopy at approximately 2yrs post. Nothing more was scheduled along those lines but when having my last pelvic exam I questioned the need for another anascope and my gyn (who is a gyno-oncologist) did not think it was necessary. I have a CT scan in Dec so will probably just schedule a scope at the same time myself. I have never requested an exam or test that my doctors refused but have found the need to be pro-active and take the initiative occasionally. I trust them completely and feel I am closely watched, so anything I request is just for that added peace of mind.
Wouldn't it be nice if dx, treatment, and recovery follow-up could be "cookie-cutter" simple so we could all know we were being treated the same? But, since although we all share this horrific experience, we are still all different in our healing I guess its also good to asume our docs are treating our individual needs....I hope!
Be well.
katheryn
I'll call the colo-rectal surgeon's office and if he still takes my insurance, I'll ask to speak to his surgical-arrangements nurse and ask how frequently he does colonoscopy. If all sounds well, I'll schedule it for the end of October.
Meanwhile, I just read where insurance companies will cover "anesthesia", but not an anesthesiologist for colonoscopy. Those companies presume that the CR surgeon or gastroenterologist will wrangle the meds AND the procedure. Have any of you had a similar experience? What do anest. charge, on average?
By the way, this CR surgeon's site has a clear, concise article on anal cancer, as well as many other articles (including the one about anesthesiology and insurance companies): "Anal Cancer - Squamous Cell Carcinoma: A Curable Disease" - http://lacolon.com/patient-education/anal-cancer-squamous-cell-carcinoma-newsletter
ADDENDUM: mp327 - I, too, was examined in the pre-op area by an anesthesiologist, but when I got to the OR, a completely different person showed up. Since I was originally scheduled for a hemorrhoidectory and sphinter resection for a large anal fissure, I was in an actual operating room, not an endoscopy room. There was even a huge sterile table covered with very scary-looking steel instruments! (I was in too mucn discomfort during the intial exam at the surgeon's for him to do a thorough digital rectal exam [DRE], forget an anoscope. He diagnosed me as best he could until I was under anesthesia and the true nature of my condition presented itself.)
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