I run a clinic in the United States

Chapter 77 Painless gastrointestinal endoscopy

墨菲拿来的清肠泻药，是容积性SUFLAVE（口服溶液用聚乙二醇3350、硫酸钠、氯化钾、硫酸镁和氯化钠）2盒，二甲硅油1瓶（胃肠道消泡用）、以及1000 ml的杯子1个。

If the bowel cleansing is not clean, you may have to drink a third box of laxatives.

Murphy's grandfather couldn't refuse, after all, his health was important.

When the well-behaved granddaughter finished brewing, he took a sip and immediately smacked his mouth. He couldn't help being happy, and shouted: "It's quite delicious, a bit like a lemon-lime flavored sports drink!"

Murphy made a rare curve at the corner of his mouth, encouraging his grandfather to drink it as soon as possible.

But I was afraid that grandpa would choke, so he said, "Within an hour, give it twice."

This laxative is a new product launched by a well-known pharmaceutical company. It tastes better than ordinary compound polyethylene glycol electrolyte powder.

The ordinary one is salty and tastes like sea water.

Of course, this type of sports drink is definitely more expensive.

Murphy felt sorry for his grandfather, so the medicines were prescribed better.

Grandpa Murphy drank more than half of his glass and rested in the rest area with his elderly wife, reading the newspaper.

After half an hour, he "gurgled" again and drank the remaining half of the glass!
Then, after about 10 or [-] minutes, I clearly felt something was going on in my stomach!A strong desire to defecate, a mountain torrent that cannot be controlled by floods, the kind that is about to burst out!
He was startled, stood up quickly, and then hunched over, covering his stomach, and ran to the toilet quickly, fearing that if he was a little slow, he would defecate in his pants and make a fool of himself in public!
Then I will be completely disgraced and the society will be in trouble!

After entering the door, soon, there was a feeling of "crackling, crackling".

"It's cool~"

After a long time, Grandpa Murphy came out, somewhat unfinished, and looked at his well-behaved grandson: "Little Murphy, do you still have that sports drink? I want another pack!"

Murphy: "..." Why are you still addicted to drinking?

In fact, Murphy's bowel movements are not very good when he is normal, and he knows it when his stool is normal.

He usually suffers from constipation, and when he sits on the toilet, he feels uncomfortable all over without taking off his clothes.

But this time, the experience was completely different.

There is no need to take off your clothes. Once you sit on it, it will roll down and pour out like a mudslide. I don't know how comfortable it is!

It’s been so many years since I’ve been so comfortable!If I had known earlier, I would have bought a few packs to drink. It tastes so good and the effect is so good!
Murphy evaluated secretly, and said, "Drink the second pack later."

Grandpa Murphy immediately jumped up and cheered like a child, which made Murphy laugh.

After about half an hour, the second pack of "sports drink" started.

It still smells like lemon lime, which tastes really good, and then simethicone, Grandpa Murphy drank it so that his stomach swelled and he kept running to the toilet. He enjoyed it a few times at first, but then his legs became sore and he was about to collapse. I feel like I have no energy!

In the end, what is pulled out is pineapple juice-like yellow water, indicating that the intestines are ready.

Nancy, the anesthesiologist from the community hospital, came to the door and gave Grandpa Murphy an assessment with information and forms.

Because Murphy wanted to give my grandfather a painless gastroscopy.

Gastrointestinal endoscopy is usually divided into ordinary and painless.

Generally, you need to drink more lidocaine hydrochloride glue. After drinking, the tongue and pharynx will be numb, which acts as surface anesthesia and lubrication.

But if it's painless, you don't need it.

Painless gastrointestinal endoscopy, the whole person is under general anesthesia, "sleep", and there is no feeling at all.

Now that the anesthesia technology is developed, the sequelae are basically very small, and the impact is negligible.

Nancy asked about Grandpa Murphy's physical condition, because not everyone is suitable for painless gastroscopy.

The survey questions included past medical history, surgery history, medication history, allergy history, etc., and an electrocardiogram was done. In the end, it was assessed that there was no contraindication to anesthesia.

After bowel cleansing, food and water are basically prohibited to avoid the risk of reflux and aspiration.

At noon, Murphy bought burgers and cheese and ate with his grandmother in the rest area of ​​the clinic, while Elena, Ava and Zhou Qiao were together.

Zhou Qiao told Murphy that the lunch fee can be reimbursed, because the clinic usually takes care of the meals.But Murphy was embarrassed because her grandmother also ate it.

As for grandpa, he could only watch everyone eat, salivating, but he could only hold back.

Then, seeing that it was almost time, Zhou Qiao led a group of people to the community hospital.

Elena and Ava stayed behind.

Because Zhou Qiao has already exchanged for the master level and has Murphy as his helper, so Elena is not needed for the time being.

Elena: "..."

Ava: "Sister, aren't you angry? Joe has a new love and he doesn't want you anymore!"

"Don't talk nonsense, Joe and I are very innocent." When Elena said this, she didn't even believe it, and she didn't dare to look at Ava.

Ava curled her lips and thought to herself, I wonder who screams so loudly every night, do you think they are deaf?

Sometimes, she really wanted to rush in, but she didn't have the courage.

Anesthesiologist Nancy put Murphy's grandfather on a treatment bed and began anesthesia.

This kind of anesthesia uses an intravenous anesthetic, propofol, which is a short-acting anesthetic, also known as "little milk" because it is rich and milky white and looks like milk!
Before the examination, the patient needs to establish an intravenous infusion channel and inject propofol injection intravenously.

As the anesthetic was pushed in, Grandpa Murphy quickly entered a state of general anesthesia in a matter of seconds. It was painless, consciousness disappeared, and there was a certain degree of muscle relaxation, as if he had entered "dreamland."

The anesthesiologist will adjust the dosage of drugs at any time according to the degree of stimulation of the diagnosis and treatment operation and the change of the patient's vital signs to ensure the depth of anesthesia, and try to ensure that the patient wakes up 3-5 minutes after the operation is over. This requires the anesthesiologist to have rich experience!
Too long or too short is not good.

This kind of anesthesia process has relatively small side effects. It can be said that compared with the anesthesia effects of a painless gastroenteroscopy, long-term drinking has a greater impact on people!

Endoscopy begins.

Zhou Qiao taught it to his apprentice Murphy while operating it.

Perhaps in the impression of many people, gastrointestinal endoscopy is a tube "inserted" into the body for inspection, but it is not!

The gastroscope enters from the mouth, and the colonoscope enters from the anus. There is a light source at the front of the head. During operation, the doctor will inject gas into the gastrointestinal tract through the mirror tube.

The gastrointestinal tract is a hollow organ, which is "deflated" in an empty stomach state, but it can be inflated to expand them, making the field of view larger, which is convenient for doctors to operate and find some lesions.

If you don't do general anesthesia, but do ordinary ones, and the patient is awake, the feeling will be quite strange!
It actually doesn’t hurt at all, it’s just that the tube is passing through the throat. Just thinking about it, I know that some sensitive people will be particularly nauseous and retching, but there is nothing to spit out because it has been emptied before!
But that disgusting feeling is like dying!
Some people have a better tolerance, especially some women, who don't feel it at all, but men, who usually retch.

(End of this chapter)