That's all i did the whole morning, just standing back and observing patients being scoped. Upper and lower, the whole package. Was caught dreaming when Dr R decided to ask me, 'how many scopes do you know?' Ahem, OGDS and the colono. 'Samore?' By then i was totally stunned, then blurted out bronchoscope and laparoscope. He said those two were not counted, then went on...
1. Oesophagoscpe
2. Gastroscope
3. Duodenoscope
4. Pancreatico-duodenoscope
5. Colonoscope
6. Sigmoidoscope
7. Proctoscope
Wow, it never crossed my mind that actually SO MANY scopes EXISTED when you name them one by one like that. To sum up, u can basically scope the whole GI tract. Ain't that intresting?
An unbearable pain sensation rushed through my body when i was observing my 1st colono of the day. It was just uncontrolable, as i stared at the thickness of the scope that went in the 'lower end', i just cound't bear it. Luckily the patient was sedated and partially conscious at that time, otherwise, i could imagine her yelling her lungs out. I guess all these emotions are due to the '1st hand experience' i had before, not once, but twice of each of the scopes. I'll never forget the 1st time i went through my colono, it was the most, unbearable, pain that i have ever experience... (since i decided not to be sedated, i should put it as 'memang saya sendiri yang cari pasal') The 1st few cases were rather dissapointing, but as time went on i managed to catch a glimpse of 2 cases of oesophageal ca, 1 diverticulosis, the usual gastritis and duodenitis, and most importantly, 1 hiatal hernia. (i finally got to see how a hiatal hernia looked like, as im known to have 1 myself, but did not seize the chance to get a good look as i was too busy retching at that time)
Afternoon rounds were rather short today, as most cases in the ward were the same as yesterdays. Did not really learn anything at all, but at least i managed to polish up my clerking skills as i managed to get a focused history from 2 patients. After i have clerked and then when i flipped through the case notes only i realized that i've missed out plenty important related questions. It has yet to stike the lazy bug of mine that i have been habouring since the begining of last week. How dissapointing.
@tummy growling, waiting to go get a yummy meal before bedtime... 2027, 26062007
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