Letter: Can you have a colonoscopy without sedation?

So what about me? Why did I choose to get sedation? Surely I could have toughed-out the pain of the procedure, right? I truthfully think I would have been fine without sedation. However there is one thing that I've learned from being a physician who does procedures for a living: Sometimes there are unintended bad consequences of going against the standard of care.

An unusual case of duodenal perforation

Case: A 79-year-old man with a distant history of pulmonary embolism (PE) was admitted to the hospital with several days of vague right-sided lower abdominal pain.  There was no history of gastrointestinal bleeding, and the pain did not worsen with eating.  On physical exam, there was moderate right lower quadrant abdominal tenderness without rebound or  … Read more