Painless gastrointestinal endoscopy with twists and turns

Origin: Years ago, my friend invited me to have a physical examination, but I failed to make it. In March, I was prepared to pay attention to my medical health for a while. "If a worker wants to do a good job, he must sharpen his tools first." He took out the Boussining Lecture Notes on General Medicine and listened to the Boussining Lecture Notes on Scientific Physical Examination, and made it clear that the main task in March was physical examination. With theoretical guidance, do this, choose Zhongshan Hospital and make an appointment for registration.

On March 9th, I went to see a doctor in the Department of Gastroenterology, and asked the doctor to do painless gastroscopy together. The doctor replied that I can only do one project at a time when I take medical insurance. The knowledge about gastrointestinal endoscopy is almost zero, because the stomach is in front of the intestine in gastrointestinal endoscopy, and because I am afraid of pain, I made an appointment for a painless gastroscope first. For the first time, I know that painless gastrointestinal endoscopy needs anesthesia, and I have to make an appointment with my relatives and friends. I admire myself too!

Then according to the procedure, I hung up the anesthesiology department for anesthesia evaluation. I was told that my nose is blocked and I can't do gastroscopy at this stage. I had to go to the endoscopy center to make a new appointment after catching a cold. On the way to the gastroscope center, I learned that gastrointestinal endoscopy can also be hung in the endoscopy department. You can make an appointment at any time after you get over your cold, usually the next day.

On March 24th, I finished my first painless gastroscope. The preparation is very simple. No food and water in the morning, go to the endoscopy center at 8: 00, and put the precautions of gastrointestinal endoscopy on the wall.

-With an open mind, I participated in a scientific research project in the hospital, drew N tubes of blood with scientific research numbers for the first time, and signed an informed consent form.

-Communicate with the surrounding patients and find that the hanging endoscopy department can do painless gastrointestinal endoscopy at the same time. Pay the fee on the day of registration, and a shot of anesthetic at your own expense is enough the next day. The self-funded part of the cost is similar to the self-funded part of painless gastroscopy and painless enteroscopy. (Write it down in a notebook. I'm too late this time. Friends who want to be next can recommend trying this method. )

-communicate with the doctor briefly before anesthesia, and make it clear that you need to ask the doctor to help you check Helicobacter pylori at the same time (the doctor can do it, but ask the doctor himself).

-The examination ended successfully, and Helicobacter pylori was negative. The stomach is normal and there are no polyps. Superficial gastritis

What is superficial gastritis in Zhihu? Fortunately, many people have mild gastritis. Pay attention to diet and rest. There are four reasons: irregular diet, Helicobacter pylori infection, drug influence and psychological factors. None of them match. Look carefully again, you have to eat soft and rotten food to nourish your stomach. Usually eat fat-reducing meals and rarely drink porridge and noodles. The problem is that these porridge and noodles have high sugar content and are easy to cause other health problems. Let me see how to balance them.

March 3 1, registered in the Department of Gastroenterology again. After reading the gastroscope report, the doctor told me that there was nothing wrong with my stomach. The appointment for colonoscopy is scheduled for April 6.

I had lunch with a friend that day, and my friend's gastrointestinal mirror was hung in the endoscopic center, so I needed an expert number. I always think that it is enough to make an appointment for an examination with a regular number. The regular number hanging on the gastroscope is quite good. A friend said that because of constipation all the year round, he was worried about intestinal polyps and finding a general practitioner in case he just graduated. So I also wavered, thinking about my constipation all the year round in the past few years. Is it better to find an expert?

After returning home, the good doctor searched the experts introduced by friends online, which was really awesome. Proficient in business and in the prime of life. Entangled, I opened the health cloud before going to bed, and suddenly found that the experts had an ordinary expert number to look at the next day. Considering that 50 yuan is not expensive, I hung up quickly.

On April 2, he registered as an endoscopist and rushed to the hospital early in the morning. The expert is not here. His students were very patient and asked the experts if they would do colonoscopy themselves. He tactfully replied that in most cases, the Commissioner will do it himself, sometimes as a team member, and the Commissioner will be on the scene. For complex problems, he will personally get started or give advice. At 9 o'clock, the expert finally came. After reading the gastroscope report, there was no problem in the answer. You can review it every two years. The colonoscopy time was arranged, and I was told that I could only follow the arranged time and could not adjust it. I was sent away for two minutes. I can't help but suspect that this is only the first rehearsal. Do you really need to find an expert?

April 20th, after a long wait, finally ushered in the colonoscopy day. Start a low-fiber diet three days in advance, start a liquid diet 1 day in advance, and start taking laxatives1hour in advance. After tossing for more than three hours, I finally cleaned up my intestines and took the time to sleep.

Early in the morning, I went to Zhongshan Hospital hungry. When I was waiting in line to sign in, I suddenly found the dietary advice before colonoscopy posted on the hospital wall. I ate it before doing gastroscopy. I forgot to find it before colonoscopy because I didn't arrange it in time. On the importance of timely recording and sorting. And the details are quite different from the suggestions I found on Zhihu. At the same time, the recommended use of laxatives is different from the requirements on hospital posting and colonoscopy application, so it is not easy to master it according to your own situation!

-I talked to other patients while waiting in line, and found that experts basically didn't do it themselves. The aunt next door was very unhappy because the expert didn't do it for her personally, so she chatted for a long time outside the endoscope room. Sharing experience, the deputy chief physician is also an expert, but he can do it himself.

-Enter the examination room and wait in line on the operating table. I saw the examining doctor before anesthesia, and I have psychological expectation that experts may not do it in person. Seeing a young and middle-aged doctor, I comforted myself that I was not a doctor who had just graduated and slept peacefully. The examination ended smoothly, there were no intestinal polyps, everything was normal, and there was no need to worry about the occurrence of intestinal malignant diseases for five years. Happy!

At this point, the journey of painless gastrointestinal endoscopy, which lasted nearly 40 days, finally ended. Although the process is long, but fortunately the result is not bad, you can release it first within two years.

1. Just make an appointment and hang the ordinary number: there is really no need to make an appointment with a big expert, and ordinary case experts will not make a move. It is not good to be dismissed for 2 minutes as a patient, and it is not efficient enough from the perspective of the use of medical resources. Just hang the ordinary number. If you really care about the experts doing it themselves, hang the expert number of the deputy chief physician!

2. Hanging the endoscope center can be done together with the gastrointestinal endoscope, which saves time and can also reduce anesthesia from the perspective of reducing unnecessary medical harm. Gastroscope can do helicobacter pylori examination at the same time, and colonoscopy can do anal examination at the same time, but both of them need to communicate with the doctor actively and make clear requirements before doing it themselves.

3. In the process, we should communicate more, record more and summarize more, especially as an ordinary patient who is not in the medical system, we should do more homework and constantly improve our treatment efficiency and quality.

Conclusion: This time, in order to carry out medical and health management, a number of pre-screening were carried out, among which colonoscopy is the most complicated process. From the pre-food preparation to the intestinal preparation before the examination, and then to the need for the company of relatives and friends after the completion, a lot of time and energy were spent debating whether to hang the expert number, which is worth writing a short article to summarize and commemorate!