A 69-year-old family physician describes his unsedated colonoscopy and gives a pain map at each anatomic landmark of the colon.

Mike Neskovic has practiced family and geriatric medicine for 33 years. He took the Hippocratic Oath in 1977 and has run 31 Los Angeles marathons. For his first colonoscopy in his sixties, he asked his colleague for zero medication. No Versed. No Demerol. No Propofol.

What he describes is the kind of first-person pain account we almost never get from this procedure, because conscious sedation and propofol erase the memory of what the patient felt. Splenic flexure 10 out of 10. Transverse colon 6 or 7. Hepatic flexure 10 out of 10 again. Each peak lasting roughly 30 seconds.

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