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April 05, 2009


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Next time you might try Silverton. Dr. Waters did a good job with my colonoscopy. And the Silverton Hospital is closer and easier to get to than Portland.

Congratualtions on your clean bill of health. Based on your blog, I always assumed you were full of shit. I guess I was wrong.

Good Sam in Corvallis would be a good choice, too. Very nice facility with *wonderful* staff, and a pretty drive from Salem, taboot. I'm glad it went well for you.

I stumbled upon this because I'm about to have my second colonoscopy. When I had my first, five years ago, I was a meat-eater, and the prep process was AWFUL. This time, I'm a vegetarian, and it's...well, not exactly delightful, but one heck of a lot easier. That article you linked to gave some great explanation as to why.

Interestingly, about half the places you'll stumble upon say one must avoid cranberry juice during prep; the other half specifically *recommend* cranberry juice. Upon research, it seems that cranberry juice is fine; the problem is that a lot of cranberry juice has red dye in it, which is a problem.

Oh heck yes, Nikki. You should try being a raw foods vegan prior to a colonoscopy sometime. ;) You wouldn't even believe how much of a difference it is, lol.

I am pretty sure Gastroenterology Specialists of Oregon has offices in Tualatin, Oregon City and Newberg.

Michael, they do. I went to the Tualatin clinic, being closest to Salem.

I happen to know that the clinic in Salem you are referring is a great place to have your procedure. The staff is great and the physicians are great. What a shame you feel the need to slander them with half truths. Its people like you that put a bad taste in my mouth. Next time get the facts right before giving wrong information on the internet

Pooper Scooper, what half truths? I simply told about my experience with Salem Gastroenterology Associates. Apparently you've had a different experience.

I didn't put out any false facts. What I said was the truth. Point to any wrong information that I gave before you engage in blanket criticism of my post.

People should shop around for the best colonoscopy provider. If you don't feel comfortable with how a clinic or doctor is treating you, as a patient and a person, this is a sign that you should look elsewhere for treatment.

We're all individuals. A clinic/doctor who appeals to one person might be distasteful to someone else. It's nice that you found the clinic to be a great place. I had a different experience. That's the way life is: full of differences.

Dr. Kao handled mine a couple years ago and I don't remember any problems with the prep. Sunday was somewhat uncomfortable with just the liquid diet and the meds to help "flush", but otherwise, no problems. The best part was on Monday, after waking up, my husband drove me home and I took a nice long nap in the afternoon and then slept all night. For someone who hadn't had a good nights sleep for over two years. I was in heaven.


Kourtney, YOU DON"T NEED TO USE ALL CAPS, because the truth isn't affected by "yelling." No, I don't work for any clinic. I don't work at all, in fact, being pleasantly retired. But thanks for the conspiracy theory.

When you have concerns about anything that has to do with your colonoscopy, including the prep, the GI physician has a duty to answer your concerns BEFORE the exam. If you don't get satisfaction from the office staff, ask the physician to call you personally and if they don't, cancel and go elsewhere. I don't do sedation and scheduling my exam wasn't easy without any but the best GI doc in town personally answered all of my questions and agreed to do an unsedated exam (hard for her but not painful). She even called me at home on the day before the exam to reassure me that it wouldn't be too painful and that I coud get fentanyl (painkiller) if I wanted it...This doc treated me like a king, not a piece of meat. When I thanked her for her kindness, she told me: "that's my job and we need to do whatever it takes to get you screened and to make it as tolerable as possible because we want you to be willing to undergo repeat exams as needed". The exam was easy and I'm having another (unsedated) next year (precancerous polyps).

I stumbled upon this blog looking for another GI office besides Salem. I dealt with them today and found everyone I talked to in that office to be rude, holier than thou people. I wouldn't send a stray dog to them for anything.

This is a really good blog about preparing for a colonoscopy and selecting the right doctor. It is a dreaded experience -- fear of fasting and fear of aesthesia all in one. I am scheduled for one here in South Florida and was hoping to be able to drink Ensure, but looks like not. I for one appreciate your information. Doctors are not the almighty. I want to be able to ask as many questions as I want to and get answers that are not condescending.

My finance is going to go through the prep this weekend. I came upon your article and read it to try and provide him with a non negative prep experience. My question for the day before the prep or 2 days before the procedure is about allowing chicken noodle soup but without vegetables. His instructions from the Harbin Clinic allow well cooked tender vegetables including carrots, celery and green beans, so why the chicken noodle soup minus the veggies?
My e-mail is kiatapps@yahoo.com. If you could respond on this by Saturday, 12-17-2011, I would be grateful. Thank you. Sincerely, Karen L. Freeman.

Hello. I'm glad I fell upon this information.The reason is I have nothing but
trouble with Salem Gsatro. I told them I had a cloting factor. Well, as soon I the Cholo. was off and then the nures called and they where going to the Endo scope Instead, I'm a vegetarian and in Dec. Of last year, I stared getting week and and very tired. I got this Dr., who stated she would take me. I was in there for a vistit. I have Thyroid problem. I was natural Thyroid hormone and The Dr stronghly that armour was not good to because had pocine in that it would cause all kind for me. She did ask any guestions about how I was feeling. well I decided I would go to a specialist and that did not well. I was labeled.March comes and my Physical,cont.

Hello continue from the other post. The Dr. me point blank, I did not have any Iron in my blood, know, If I did not have Iron in my body, I would be dead or in the hospital. she is I believe is a good Dr. so refered me to Salem Gastro. and thats where more started. I would accept the Endoscope. you see have been bledding inside some where. So they sent me to a blood Dr. and cancer Dr. she ran test. and still haven"t any thing done. so Friday I nee to find another Dr. Because, I do not want to die.

all i can say is "they suck" although the doctor seemed ok ....his staff is really a buch of bitchy nasty people. there is no professionlism. my insurance requires i go here . I have barretts syndrome ...pre cancerous. when i called insurance i got very good news . When i called back to ask how much ...they required a deposit and she stated we will set you up with payments ...how about a bill first ...also there using demerol...not good ...this has beem black boxed by fda and salem hospital cont

continues ....so there using demerol which salem hospital black boxed themselves 2 years ago .and here they are using it ..black box ...its not ok to use ...when i asked for other things ..i was told to go to portland ...they refuse to learn new ways ...they are a monoply in salem ..i have decided that i am going to take my chances without endoscopy that risk it with these unethical ,ignorant ,out of touch people ...ps they fought my insurance company company contrac 3 months and took 4 months to get referral done by THEM

Very helpful information and a good point about finding physicians who treat you like a person. I had the same experience this evening when I asked my health care providers if I could take 1 liter, instead of 2, of the saline laxative because I'm a small vegetarian female. Of course they said "no... Just because its protocol".

Thanks for sharing your experience. We need to get better at advocating for our best and personalized care and not be treated by general guidelines :)

I've run into their attitude as well. Dr. Em typically comes to our scheduled appointments 45 min-1 hour late. This started after I asked him if we could try actual tests before going down the path of ANOTHER endoscopy regiment.
They have a policy of no second opinions, and you only allowed to change doctors once. Their attitude lacks any empathy with the individuals they service and what they may be suffering.

I had a colonoscopy w/ salem gastro. .also very unsatisfied w/ answers and lack of thoroughness. After finding 27!! Polyps at 45 years old dr em found no reason to take a biopsy! What the heck?

so I hear they can discover colon cancer in blood tests now. Why do dr send you for these? Prob for the same reason hmo's decide which services are ok.... $. And yes Salem does need another place for these procedures. Cause SGO needs to revisit there office staff and their ephemera, since they don't really have an answering service just a message machine. Saving money on the patient side for the benefit of the corporate side.

Vascular Surgeon Gets a Colonoscopy

I wanted to post my review of Salem gastro- here, because they have no mechanism for reviews to be posted in a way that they cannot be changed. Meaning that if you dig through their difficult to navigate website you will find a questionnaire that you have to print out and then write on, fold up and send in the mail. Obviously by doing this they do not have to post it if they don’t like it.
Now that I got that out of the way I am a Vascular Surgeon here in Salem and this is the third colonoscopy that I have had at Salem gastro-. (Setp 10th) I will go back for a fourth, fifth and sixth time, God willing but I had a mostly pleasant experience.
First the good stuff. When I went back to the pre-procedure room it was a joyous occasion as I saw at least a half a dozen people with whom I worked closely during 25 years of vascular surgery. It was fun pleasant and friendly and they were very efficient and good at what they did. Dr. Ponec is great, the procedure went off flawlessly and I was able to play golf that afternoon. I mention this because in contrast to the first two times I was so sedated that I was unable to do anything for the rest of the day and was still groggy the next morning. They had changed their method such that they used nurse anesthetist, which increases the cost of overall care but the experience was far better.
Now the unpleasant stuff. I arrived at my appointment approximate 10 minutes early. My wife had dropped me off so that she could go for a run and then come back and pick me up. The first bit of unpleasantness was the young woman that checked me in. I will not mention her name but if Salem gastro- sees this and want to do something about they will know who it was. So I walk up to the counter and the young lady says to me- “Are you Rick?” Yes. “Come over here and sit with me.” Now, understand that I’m nervous, even though I’m a physician and had this done before. So I attempted some humor and retorted. “How can I come sit over there with you because you’re over there and there’s a counter between us.” Well she looked at me like I was some kind of a pervert; she turned her head to the right and looked at the lady sitting next to her and made some funny face like who is this pervert and then from that moment on it went downhill. I became nervous and somewhat angry. She acted like a robot. She asked me who was with me. I said my wife and she said where is she? “Out for a run I said. She implied that they might have to postpone the procedure because the doctors want someone in the waiting room; so that really made me nervous. There was no way that I was to postpone this after that horrible bowel prep. So I asked how was I supposed to know that somebody needed to be in the waiting room? She says well they told you that in the telephone conversation. I said what telephone conversation and she says well it says right here that they called you two days. I said that was a computer-generated message to remind me of my schedule I didn’t listen to the whole thing why should I? and why wasn’t that information presented to me ahead of time.
So now are our little meeting is quickly going further downhill; she pulls out an iPad and there are all kinds of disclaimers and this and that three pages and she wants me to sign; so we finally finished that horrible experience and I went back to the pre-procedure room. I have already told you what a great experience that was. One glitch. They took my reading glasses away and then asked me to sign the consent which I signed but of course I couldn’t read. It would’ve been nice to have all of that information that was necessary for me to read sent to me in advance.

• Make sure that the very first person that the patient sees is friendly, less uptight and more real than the one that dealt with me.
• Anything that is important enough to have me sign as a patient should have been sent to me in the mail or made it clear that there is a website to go to, with an attached link; this could be done by a personal email. I’d like to read it ahead of time if it’s that important. It is not fair to the patient to even expect that they’re going to pay attention to reading this, sitting there nervous waiting for their procedure to be performed. This especially goes with the consent and any disclaimers that you want me to read ahead of time.
• If you want to have someone in the waiting room while a patient is undergoing a procedure, you need to find a way to make sure that they understand that. A computerized phone call two days before is not the way to do it. In this case I was well aware of my appointment and I just thought that the computerized message was to remind me of that; I deleted the voicemail without even listening to it for that reason.
• Because you obviously sent out the instructions for the bowel prep ahead of time you must feel it is the most important thing. It may be to the gastroenterologist, but it is not the most important thing to the patient.
• And while I am on the subject I was not happy having to spend $100 on the new bowel prep that you guys are using. The previous two bowel preps that I had were very inexpensive using magnesium citrate etc. so why the heck did you change? I would say that the new bowel prep is not very cost-effective!
• What would really be nice and it would seem like less of a factory, is to have an actual informed consent with the physician ahead of time during which time all of these important things can be reviewed with the patient, the patient can then take the stuff home and read It. That is certainly what we do in my clinic before any procedure.
• Utilize a local reviewing website like world local so that both positive and negative reviews are posted.

Impossible to send email.

Follow up on the above post. I wanted SG to know my thoughts, but their website will not allow any emails to go through.

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