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WASHINGTON - President Bush transferred the powers of the presidency to Vice President Dick Cheney for two hours and 15 minutes Saturday morning while under heavy sedation during a colonoscopy at Camp David, the White House said. The colonoscopy ended at 7:29 a.m. and the president awoke at 7:31 a.m., [Ari Fleischer] said. After hitting a ball for his two dogs to chase and having some waffles at his cabin, Laurel Lodge, Bush signed a letter at 9:20 a.m. resuming his powers. Alberto Gonzales, the White House counsel, said Bush did not officially resume the powers of the presidency until 9:24 a.m. That was the time of the completed fax transmission of the letter to Cheney and the speaker of the House and the president pro tem of the Senate, as required by the Constitution

Bush fell asleep within 60 seconds, said Air Force Col. Richard Tubb, the White House physician who led the examination. Although some patients undergoing this treatment choose to have no medication or mild sedation, Tubb said that Bush had asked that he be asleep during the procedure. Tubb said Bush does not have to repeat the procedure for five years. One of the reasons Bush underwent the procedure, [Ari Fleischer] said, was to underscore its importance for people older than 50 who are at risk. Bush turns 56 on July 6. The 25th Amendment was previously invoked on July 13, 1985, when President Ronald Reagan had surgery for colon cancer and transferred his powers to Bush's father, George Bush, who was then vice president. Vice President Bush was acting president for nearly eight hours

The colonoscopy ended at 7:29 a.m. and the president awoke at 7:31 a.m., Mr. [Ari Fleischer] said. After hitting a ball for his two dogs to chase and having some waffles at his cabin, Laurel Lodge, Mr. [Bush] signed a letter at 9:20 a.m. at the breakfast table resuming his powers. Alberto R. Gonzales, the White House counsel, said that Mr. Bush did not officially resume the powers of the presidency until 9:24 a.m. That was the time of the completed fax transmission of the letter to Mr. [Dick Cheney] and the speaker of the House and the president pro tem of the Senate, as required by the Constitution. Although the procedure lasted only 20 minutes, officials said that Mr. Bush decided to wait to resume the powers of the presidency until the effects of the sedation wore off. Dr. [Richard J. Tubb] said that in recent months he had studied scientific reports about the chemical nature of the sedative Mr. Bush was given, propofol, and had talked to experts about at what time a patient would resume full command of mental ability

WASHINGTON.- El Presidente estadounidense George W. Bush transfirio los poderes de la Presidencia al Vicepresidente Dick Cheney mientras se encontraba bajo un fuerte sedante durante una colonoscopia en Campo David, informo la Casa Blanca. Sin embargo, Alberto Gonzalez, asesor de la Casa Blanca, dijo que Bush no reanudo oficialmente sus poderes hasta las 8:24 horas, hora en que termino la transmision por fax de la carta destinada a Cheney, al Presidente de la Camara y al presidente temporal del Senado, como lo requiere la Constitucion

Although the procedure lasted only 20 minutes, officials said that [BUSH] decided to wait to resume the powers of the presidency until the effects of the sedation wore off. [Richard J. Tubb] said that in recent months he had studied scientific reports about the chemical nature of the sedative Bush was given, propofol, and had talked to experts about at what time a patient would resume full command of mental ability. The 25th Amendment was invoked only once before, on July 13, 1985, when President Ronald Reagan had surgery for colon cancer and transferred his powers to Bush's father. Vice President Bush was acting president for nearly eight hours. Bush had two earlier colonoscopies, one in 1998 and the other in 1999, and in each case two benign polyps were found and removed. The aim of yesterday's procedure was to determine whether any additional polyps had formed. Since no polyps were found, Tubb said that Bush did not need another colonoscopy for five years

[Darryl Kile] was found dead in his hotel room in Chicago last Saturday, shortly before the Cardinals were to play the Cubs. Preliminary findings from an autopsy performed last Sunday showed nearly complete blockage of two of the three main coronary arteries that nourished Kile's heart. The severity of the findings suggests that the blockage could have led to a fatal heart rhythm. Kile's father died after a stroke at age 44. Strokes often result from a buildup of plaque in the blood vessels of the brain. Blockage in cerebral arteries can lead to death of brain cells, just as blockage in coronary arteries can lead to death of heart tissue - - a heart attack. 2 PICS; 1. St. Louis Cardinals players watched a video tribute to Darryl Kile during a memorial service prior to Tuesday's game against the Milwaukee Brewers. 2. The initials DK for Darryl Kile and his uniform number, 57, were displayed on the video board. (C- 6); Credit: 1. Tom Gannam / Associated Press 2. James A. Finley / Associated Press

Although the procedure lasted only 20 minutes, officials said that [Bush] decided to wait to resume the powers of the presidency until the effects of the sedation wore off. [Richard J. Tubb] said that in recent months he had studied scientific reports about the chemical nature of the sedative Bush was given, propofol, and had talked to experts about at what time a patient would resume full command of mental ability. Bush had two earlier colonoscopies, one in 1998 and the other in 1999, and in each case two benign polyps were found and removed. The aim of Saturday's procedure was to determine whether any additional polyps had formed. Since no polyps were found, Tubb said that Bush did not need another colonoscopy for five years. RICK BOWMER/ASSOCIATED PRESS WHITE HOUSE physician Richard J. Tubb discusses President Bush's colonoscopy. Bush gave Vice President [Dick Cheney] presidential authority for two hours, 15 minutes Saturday

After Mr. [Bush]'s first physical examination as president, in August 2001, Dr. Richard Tubb, the White House physician, said he would recommend a colonoscopy as part of this year's physical exam. Mr. Bush said yesterday that he had experienced no symptoms that would lead to a colon examination. Dr. Tubb said Dr. James Butler, a gastroenterologist at the Bethesda Naval Medical Center, would perform Mr. Bush's colonoscopy. Dr. Butler will insert a flexible tube with a tiny camera attached through the anus and push it the entire length of the colon, examining the inside surface of the bowel as he moves the instrument along the entire colon. Cleaning the bowel before a colonoscopy is essential to allow a doctor to see and perform it safely. Often, patients consider the preparation the most difficult part of a colonoscopy. Many patients drink a gallon of polyethelene glycol electrolyte solution over about two hours the night before a procedure. Mr. Bush, Dr. Tubb said, will swallow Fleets Phosphosoda mixed with ginger ale

In this country, laparoscopy has been used far less often for colon cancer and has been controversial in part because of the lack of rigorous studies showing its benefits. Some earlier reports suggested shorter hospital stays, but other studies found as many as 21 percent of the colon cancers recurring in the scars from laparoscopy. Also, laparoscopic surgery requires practice and skill that only a small number of colon cancer surgeons have acquired. The Spanish study is the first to directly compare cancer recurrence and survival in laparoscopy and standard colon cancer surgery in a randomized controlled trial. In it, the participants agreed to leave the choice of operation to the statistical equivalent of flipping a coin. The surgical team, led by Dr. Antonio M. Lacy, was skilled in laparoscopy and performed both types of operations at the University of Barcelona. Laparoscopic surgery leaves smaller incisions than standard operations, leading to their description as pinhole and keyhole surgery. But the laparoscopic incisions are larger than pinholes: for a colon cancer operation, a surgeon makes four or five incisions about one-quarter to one-half inch in length through which the camera and instruments are inserted into the abdomen

[Darryl Kile] was found dead in his hotel room in Chicago on Saturday, shortly before the Cardinals were to play the Cubs. Preliminary findings from an autopsy performed Sunday showed nearly complete blockage of two of the three main coronary arteries that nourished Kile's heart. The severity of the findings suggests that the blockage could have led to a fatal heart rhythm. The blockage results from deposits of fatty substances in the arteries. It usually takes years for this plaque to block the arteries feeding the heart and other organs. A heart attack or fatal heart rhythm can develop when a blood clot forms in the blocked area of the artery or when a plaque buildup breaks. Doctors do not know what causes a heart attack to occur suddenly when it takes years for the underlying damage to develop