Thank you for your prompt reply. My local primary care provider put in an order for my colonoscopy, and I can do it locally. But I realize my situation is not standard. I do not want someone to just blindly do something without considering needs, benefits and risks.
One of the challenges of good medical management is that of multiple issues. One sees specialists and they typically do not look beyond their own field. So, I check everything.
A good example is my osteoporosis drug. I have been taking Prolia for 7 years. The institute that did my last bone density test suggested I consider changing to another drug at this point. I knew my cancer treatments could impact my bones and I thought that should be considered. I got an excellent consult at Mayo, and Doctor recommended I stay on Prolia for another 5 years (total 12 years!) because of its bone tumor protection properties. I was very happy to learn that!!!! It was an important piece of information to the overall success of extending my quality-of-life objectives.
When I was put on antibiotics, I brought up my history of C-Diff. Specialist asked me if there was some other medication, I might take to protect against such a development. So I want to have that info ready.
It is of great value that now all tests are posted online. Clearly, processes need to be developed to manage the complicated patient. There are common issues that one dept could communicate to another dept on how to handle when encountering such side effects. This could avoid unnecessary complications.