I had my every 5th year Colonoscopy Exam. My sister-in-law was my driver. They did a wonderful job but I could not understand as to why I have to tell the colonoscopy specialist doctor to remove my outer hemorrhoids. When I asked if they removed them, her reply was you did not ask me to remove them. I do believe that is not the patient's job to tell you how to do your job. Then, she continue to say that Dr. Abbo in Royal Oak, MI told her not to remove them; take it up with her. ?????? What? Wow?!?!?!?! give this 5 our out of 10.