Where do you live? Why do you have to go all the way to Palms to have a scope?
Unless you live in Fla why not have a scope done where you are and send the results to Palms to interpret it?
That is what I did from here in Paris...I couldn't fly out every time so I 'taught' my radiologist what I needed according to Dr C's instructions and we sort of got creative...in the end, we dripped the Opac into the stoma a few drops at a time to visualize the stoma and valve (I have an elbow divot)...then slowly filled the pouch...once the pouch was filled he took pictures of me on my side, back, the other side, standing and sitting in order to get a clear picture of how my pouch/stoma reacted in each pose...Then he took pictures of it as he emptied it (fine, I was mortified the 1st time...now it is just habit)...
We then sent the whole thing via email out to Dr C in Toronto...he was able to read it in real time and give me a diagnosis immediately.
Saved everyone a lot of time and money.
Once I got the diagnosis from him we were able to program my surgeries in detail before getting started and we avoided some major openings.