The bend-over examination stand

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madabs
Regular Member


Date Joined May 2008
Total Posts : 349
   Posted 2/9/2009 4:51 PM (GMT -6)   
It has taken nine months for the humilation of the bend-over examination stand to wear off enough to be able to write about it and ask if anyone else has suffered the same indignity. 
 
I encountered this device in the office of a colo-rectal surgeon.  This is how it works.
 
You are instructed to kneel on a padded stool located on one end of padded table.
 
You are instructed to pull down your pants as you kneel
 
The attendant then lowers the table to waist/hip height.
 
You are instructed to bend over and lay your chest on table and wait for the doctor, because he'll be right in.
 
Can you picture that?  Gosh, I hope not. 
 
Has anyone else run across these sadistic devices?  Am I just too squeamish, because I am still haunted by the experience.
UC diagnosed 10/05, first symptoms 1983
6mp * asacol 12/daily * rowasa pm * cortifoam am 
 Culturelle Probiotic - prilosec - metamucil capsules
past rx: colozal, lialda, canasa
i can't complain, but sometimes i still do.  lifes been good to me so far.  -joe walsh


Whatsaflaredown
Regular Member


Date Joined Feb 2009
Total Posts : 22
   Posted 2/9/2009 5:04 PM (GMT -6)   
I have had the "drop your pants and let me look at you anus" or rather "let me put my finger or this swab in your anus" more than once and it is ridiculously embarrassing! You aren't alone.

madabs
Regular Member


Date Joined May 2008
Total Posts : 349
   Posted 2/9/2009 5:08 PM (GMT -6)   
OOh Totally awful isn't

I had it looked at lots of time before since I have had surgery twice in that area, but before it was always "roll over on your side". I never before could have imagined though, that was a contraption invented that could make a humiliating experience moreso.
UC diagnosed 10/05, first symptoms 1983
6mp * asacol 12/daily * rowasa pm * cortifoam am 
 Culturelle Probiotic - prilosec - metamucil capsules
past rx: colozal, lialda, canasa
i can't complain, but sometimes i still do.  lifes been good to me so far.  -joe walsh


Whatsaflaredown
Regular Member


Date Joined Feb 2009
Total Posts : 22
   Posted 2/9/2009 5:12 PM (GMT -6)   
Mine was just stand up, bend over on the examination table and drop em. No contraption. I agree, that would be even worse.

emory
Regular Member


Date Joined Aug 2008
Total Posts : 327
   Posted 2/9/2009 5:28 PM (GMT -6)   
Wow, that is horrible! I thought it was bad when Dr. McDreamy walked in to give me a sigmoidoscopy, but your experience sounds much, much worse!
41, female
Dx ulcerative proctitis, 3-5 cm, June 2008. Still flaring? Not sure.
Canasa 1000 mg suppositories and 1 tsp smooth texture Metamucil nightly
25 mg hydrocortisone suppositories (tapering) and 1 Garden of Life Primal Defense Ultra in a.m.
Effexor 37.5, Remeron 30 mg, and Trazodone 75 mg for sleep/anxiety (clonazepam as needed)
2.5 mg methimazole for thyroid
Had some success with acupuncture
Osteopenia and other assorted ailments


tiggertenn
Regular Member


Date Joined Jun 2007
Total Posts : 48
   Posted 2/9/2009 6:52 PM (GMT -6)   
Oh, I hate to admit it, but yes I have experienced this contraption.  I think the absolute worst part is that you feel like they are turning you upside down on your head.  I didn't think my doc would ever stop making me come in for followups, it was awful.  It is amazing the situations you can make it through that you never thought you'd be in in the first place.  I really hate this disease...but then I have to laugh or else I'll cry! yeah
Diagnosed with UC March '07
Colazal 3 pills 3x a day
Prednisone - will never take it again!


FitzyK23
Veteran Member


Date Joined May 2005
Total Posts : 4219
   Posted 2/9/2009 6:56 PM (GMT -6)   
I can't believe you had to do that BEFORE the doctor came in. I could see doing it after he was in but having to wait like that is unreal.
27 Year old married female law student (last year!!). Diagnosed w/ CD 4 years ago, IBS for over 10 years before that, which was probably the CD. I am sort of lactose intollerant too but can handle anything cultured and do well w/ lactose pills and lactaid. For crohns I am currently on Pentasa 4 pills/4x day and hysociamine prn. I also have bad acid reflux and have been on PPI's since age 13. I have been through prilosec, prevacid, and nexium. Currently I am on Protonix in the morning and Zantac at night. I also take a birth control pill to allow some fun in my life.


Peety
Veteran Member


Date Joined Mar 2008
Total Posts : 2838
   Posted 2/9/2009 6:58 PM (GMT -6)   
That's crazy! I won't even let my doc do that kind of exam, with the fingers. Why should I? It will just cause irritation, we know what's going on in there. She also doesn't do the blood culture of the stool, because, well, duh. Remember, all that stuff is YOUR choice, not theirs.
49 year old female attorney, diagnosed UC/pancolitis 1985, no surgery but much suffering.
Asacol/5ASA 6x400 mg maintenance for 20+ years; use prednisone & Rowasa for flares. 
August 2008 sought care of naturopathic doctor. Food sensitivity test showed wheat/gluten, other intolerances; started diet without gluten, soy, dairy, tomato etc. Replete$$ probiotic powder, then Forte, now a stronger one (50 billion). Doing much better, but still having some bad days. 


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 4534
   Posted 2/9/2009 7:06 PM (GMT -6)   
If you are put into a position that makes you feel humiliated, speak up about it! At the very least, change doctors & write the offender a straightforward (+ insulting, if deserved) note of complaint. These clinical exams are being handsomely paid for by us or our insurers-- so we have every right to stand up for our personal dignity as in any other consumer transaction. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])

bbc
Veteran Member


Date Joined Mar 2008
Total Posts : 1580
   Posted 2/9/2009 7:08 PM (GMT -6)   
Been on that darn contraption 3 times this month alone for my fissure... eyes
Moderate Pancolitis
Dx'd 05/2007
8 Pentasa per day (4/2)
Corti Foam p.m. 3X per week and canasa every other day
Natural anti fungal, anti inflammation supplements and Probiotics.
Bowel Soother and IntestiNew, Fish Oil, Calcium, Multi Vitamin and Melatonin
Eliminated Fructose and Corn Syrup
Reduced sugar in my diet by at least 70%
Reduced wheat products by 70% 
Could never tolerate artificial sweetners
I excersice daily (unless like now : (  I've lost too much weight)
Did I happen to mention I HATE this disease!!!
 
*Recent Changes In Blue*


ediekristen
Veteran Member


Date Joined Apr 2007
Total Posts : 1366
   Posted 2/9/2009 7:28 PM (GMT -6)   
Oh man, I would die. I've never had to experience that luckily, but I have had numerous "Okay, pull your pants down and roll on your side so I can prod you with a gloved/lubed finger" moments. Totally traumatizing for a 14 year old girl, that's for sure. Though not much worse than the gyno appointments when they're poking around down there and making small talk with you at the same time.

I'm so glad, my new doctor hasn't done a single rectal exam in his office, the only times he's peeked up there I was completely sedated, which makes it a lot more bearable! Sorry you had to deal with such humiliation.
Female, 23, Ulcerative colitis (pancolitis) since 1999; GERD; gastritis; osteopenia in femur head & lumbar spine from long term prednisone use...

Current Meds:
Lexapro 10mg
First Remicade infusion 2/5/09


RyanF
Regular Member


Date Joined Jan 2006
Total Posts : 358
   Posted 2/9/2009 7:36 PM (GMT -6)   
I would get up and tell them THEY can wait. We have UC yah know...what if one has a sudden urgency, which is common among UC sufferers, and you're in that thing.


You have ONLY to blame yourself, Doctor, if your walls get poop on them.
Ryan


Meds:

Began Humira on 10 Jan 2009

Second injection: two pens on 24 Jan 2009

Third injection: two pens on 07 Feb 2009


basa0806
Veteran Member


Date Joined Feb 2005
Total Posts : 2103
   Posted 2/9/2009 7:41 PM (GMT -6)   
That's horrible! My GI has only seen my butt once (outside of a c-scope) and that's all I'll allow! And it was twice as awkward cuz he's a male so a nurse had to be in there with us. I mean I totally understand why but still...a w k w a r d!
Sam
20 year old college student diagnosed with ulcerative colitis at 16
Remission since January/April 2006
400mg Asacol 2x, 10mg Elavil, 75mg Effexor XR for GAD

"If you don't like something change it. If you can't change it, change your attitude"
Maya Angelou


Scarlet504
Regular Member


Date Joined Oct 2008
Total Posts : 192
   Posted 2/9/2009 8:08 PM (GMT -6)   
What is that thing you are talking about? Seriously, I have never heard of such thing! confused
Scarlett, 38 yo., TX
Pancolitis since 3/1997
Meds
6 x Asacol a day
75 50 mg 6-MP
Align (probiotic)
Flintstones Complete Vitamins


bbc
Veteran Member


Date Joined Mar 2008
Total Posts : 1580
   Posted 2/9/2009 9:38 PM (GMT -6)   
It's normally in the office of a Colorectal Surgeon/Proctologist...(AssMan)
Moderate Pancolitis
Dx'd 05/2007
8 Pentasa per day (4/2)
Corti Foam p.m. 3X per week and canasa every other day
Natural anti fungal, anti inflammation supplements and Probiotics.
Bowel Soother and IntestiNew, Fish Oil, Calcium, Multi Vitamin and Melatonin
Eliminated Fructose and Corn Syrup
Reduced sugar in my diet by at least 70%
Reduced wheat products by 70% 
Could never tolerate artificial sweetners
I excersice daily (unless like now : (  I've lost too much weight)
Did I happen to mention I HATE this disease!!!
 
*Recent Changes In Blue*


JingleBell
Regular Member


Date Joined Oct 2008
Total Posts : 80
   Posted 2/9/2009 9:54 PM (GMT -6)   
When I was 26 I had surgery to repair a fistula that was right around my anus and experienced this table with a surgeon. Much to my despair it was a teaching hospital so there was more than just the surgeon in the room. I have suffered through a lot of humiliation with this disease but none of my experiences were as humiliating as this one. I know exactly how you feel.
 


madabs
Regular Member


Date Joined May 2008
Total Posts : 349
   Posted 2/10/2009 8:07 AM (GMT -6)   
You all are so funny and supportive.  It is amazing what patients are expected to put up with.  Luckily, it doesn't seem like too many have had the dubious pleasure of the contraption.
 
Like JingleBell, I encountered the bend-over device in the office of the surgeon who operated on my fistula.  I complained about it, but they had heard it all before I think because no one reacted to my horror. 
 
Actually it is funny now in a perverse way. Especially when I add in the part about getting up gracefully from the kneeling position with my pants down and blood....nevermind.  Too bad I can't tell the tale at dinner parties. It might be good for a laugh.  smilewinkgrin
UC diagnosed 10/05, first symptoms 1983
6mp * asacol 12/daily * rowasa pm * cortifoam am 
 Culturelle Probiotic - prilosec - metamucil capsules
past rx: colozal, lialda, canasa
i can't complain, but sometimes i still do.  lifes been good to me so far.  -joe walsh


Mitzo
Veteran Member


Date Joined Dec 2007
Total Posts : 536
   Posted 2/12/2009 9:33 PM (GMT -6)   
Never had to use that, but have had a rectal exam with several residents observing and ongoing discussion of what it looked like, including the strength of the sphincter etc. An all-time low... done without even asking permission.
23 years of UC which started after quitting smoking. In and out of flares which are usually triggered by antibiotics. Latest issue is endless diarrhea without blood or mucous.
  • Psyllium powder   
  • Cortenema


potty girl
Veteran Member


Date Joined Dec 2006
Total Posts : 835
   Posted 2/12/2009 10:04 PM (GMT -6)   
The first time I went to my GI doctor, the nurse comes in and says ok just take off your pants and underware and then sit there on the table till the doctor gets in here, and she starts to leave, so I said hey wait a minute, where is the paper gown, she says oh no one ever uses them they just sit there bare till he comes in, I am like I am not everyone and for what this office call is costing me I want the paper gown. A paper gown isnt the best but at least it made me more comfortible and wasnt setting there butt naked when he opened the door for anyone in the hall to see. She wasnt happy but I got the gown. I have to agree with old hat speak up. you pay them and there is always another one you can see.
Rona

synthroid .088 mg, lowpressor 50 mg x 2, cozaar 25mg x2, imdur 30 mg
nitroquick, proventol, plavix 75 mg, protonix 40 mg x 2, asacal 400mg x 9
carafate 1 gm x 4, zyrtec 10 mg, rhinocort aqua nose spray, fish oil,
potassium.


Old Hat
Veteran Member


Date Joined Feb 2007
Total Posts : 4534
   Posted 2/12/2009 10:32 PM (GMT -6)   
"No one ever uses them." What a nerve!!!!!!!!!!!!!! I swear, some of those assistants are total perverts who get pleasure out of humiliating patients. / Old Hat (nearly 30 yrs with left-sided UC ... [etc.])

subdued
Veteran Member


Date Joined Dec 2008
Total Posts : 3231
   Posted 2/12/2009 11:52 PM (GMT -6)   
I've never had the bend-over examination. My GI tries to make his patients feel as comfortable as possible.
Joy - 47 yrs and counting
Diagnosed w/ UC Dec 06 (also have IBS)
Currently in remission

Lexapro (for stress)
Probiotics and Vitamins (a whole bunch of them)
Anti-inflammatory foods: turmeric, seaweed, garlic...
Avoid: anything with high-fructose corn syrup, foods high in fructose, artificial sweeteners
Previous treatments: Fecal transplantation (worked), Prednisone (stopped working), Colazal (stopped working), Asacol (stopped working)


PSA
Regular Member


Date Joined Jan 2009
Total Posts : 498
   Posted 2/13/2009 12:38 AM (GMT -6)   
I feel sorry for all of you who have undergone or felt that agonising moment. But for me, with 20 years of UC and so many surgeries, it has become a ritual. There is a saying "When the r... is inevitable it is better to enjoy". At times I feel most of the doctors may not know me by name or face, but definitely they would recognize me from my base. All of them have had the sadistic pleasure of finguring down there. I could never help. I still remember those colonscopy bings which I used to have. In some hospitals it used to be big open halls with everybody with pants down and lots of students/research analyist/senior surgeons making new discoveries. At one of the institutes I had lost of my mobile just before I was to go for colonoscopy and I told this to the doctor who was to conduct the test. Can you believe, what he told me, please take care of your pants, because, here people even steal your pants and we have to give them newspapers to cover them till they get someone with a change. After my surgery they wanted to check the pouch and I remember there were lots of them just fingering and checking the pouch and then another one comes and says "me too me too" as if it was an exhibition or film premiere going on. Can't help. I have even lost count as to how many times I have dropped my pants. I still remember another center where the patient's waiting room was just opposite the Colonscopy Room and the door used to open right facing the patients. The candidate used to be taken in and told to drop down everything and  then it was free for all because everybody would just enter the hall without even a knock and it was most humiliating experience as one had to face this till the doctor came in and was through with the test. Can't help. I don't even remember how many times I have objected to it. But no one listens. Has anyone gone through the agony of having the polyps removed. They use that tool which is like a fishing hook and try to fish inside the bottom. In one such fishing session the hook was not working properly and the doctors were going on and on inside my ocean to catch the polyps. What a shame. They can't even have proper instruments despite charge through the roof.

45 years Male
Diagnosed UC October 1989
Had two stage J Pouch Surgery Nov 2005 March 2006
Complications after surgery - Incisional Hernia and Ano Fistulas
on Combiflam, Multivitamins and restricted diet.
Tried Sallaki/Turmeric/Homoepathy/Allopathy/Chinese/Unani/Ayuvedic/Yoga before going for surgery


Christine1946
Veteran Member


Date Joined Aug 2008
Total Posts : 5473
   Posted 2/13/2009 9:42 AM (GMT -6)   
     Brought back memories.....Thirty two years ago when I was pregnant with my youngest daughter I was suffering with...what I thought..was a hemorrhoid.  No bleeding but terrible discomfort.  I went to a proctologist (now deceased).  He told me to remove my slacks and underwear and lean over this board.  He then proceeded to CUT out a blood clot..or so he said.  No anesthesia mind you.  I thought I was going to sail through his roof and I am pretty good at coping with pain.  He informed me that I had some pretty bad internal hemorroids and that after I had my child I would need an operation.  Needless to say when I left that office I thought to myself..."I'm never returning to you pal."  I never did need that operation.  I didn't develop UC until 1998 and that was in 1977.
62 yr old granny. South Jersey
Diagnosed with ulcerative proctitis in 1998 in hospital
Hospitalized (2nd time) in May 2008
Update 11/03/08...finally in remission!!  Hope I don't jinx myself.  Off the prednisone since 11/01/08...now see if I can stay off for longer than two weeks.  Other meds: 6MP (75 mgm), colazal (6 per day), Benicar and Toprol (high blood pressure meds), Probiotic (2 per day), fish oil capsule and multi-vitamin and calcium with vitamin D.


pb4
Elite Member


Date Joined Feb 2004
Total Posts : 17880
   Posted 2/13/2009 2:12 PM (GMT -6)   
I've had the exact procdure that you describe madabs...there really is no dignity when it comes to this DD in any aspect, it's just as embarassing to crap your pants or to be running with a frantic look on your face in public to the nearest toilet hoping that when at the mall the security guard doesn't try to apprehend you because they think you've just stolen something from a store (that hasn't happend to me but I could definitely see that scenerio happening to any IBDer)...no dignity with this disease.


:)
My bum is broken....there's a big crack down the middle of it! LOL :)


Mamas Boys
Veteran Member


Date Joined Oct 2005
Total Posts : 1460
   Posted 2/13/2009 2:15 PM (GMT -6)   
Oh yeah!  Been there for sure!  I was diagnosed that way!  The worst was that my hubby came with me to the doctor and was in the room with me while this was happening!  He couldn't stop laughing.  He thought it was the funniest thing!  (In hindsight I can see it from his perspective now - but then it wasn't so funny.)  Don't worry - I had my revenge when he got a hemmie & had to go through the same thing.  He didn't think it was so funny when it was him in that nasty contraption! :)

KTM

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