PRACTICAL ENGLISH FOR ENDOSCOPISTS 2018-11-8 국제진료센터 김지운 EGD Good morning (afternoon), Mr./Ms. Smith! Tell me your name and your date of birth. Are you ready for the procedure? Are you nervous? Don’t worry, it will be fine. Procedure doesn’t hurt. It’s just feels uncomfortable. (Am I gonna be awake?) You will be drowsy. You might gag, but I will talk you through it. The most difficult part is when the camera passes the throat. You will feel very full and feel like you can’t breath. But don’t worry. You CAN breath. In through the nose, out through the mouth. Let’s get you positioned. Lay on your left side with knees pulled up to the chest. We will hook you up to the monitors, then give you medicine. Throat numbing spray tastes nasty. Here comes the medicine. You cannot talk with the mouthpiece in. It helps if you let the spit fall off to the side. You will gag more if you try to swallow. Close your eyes and think of happy thoughts. You will feel sleepy soon. (Insertion and gagging) This is the hard part. Concentrate on your breathing. Try not to gag. Now we are in. Keep breathing ? in through the nose, out through the mouth. You are doing very well. (Entering pylorus) You will feel pressure in the stomach. Going deep. Things look fine. Now we are back in the stomach. Taking a really good look. You are doing excellent. Concentrate on your breathing. Now I’m blowing air into the stomach. Try not to burp. (Burp) Let’s try again. I need to blow air into the stomach so I can get a really good look. Hold your burp. Good job! Let me take some air out. We are almost done. Let me take a few biopsies. Concentrate on your breathing. Coming out, looking at the esophagus. Great job, Mr./Ms. Smith! Everything went well. You’ll go to the recovery room. I will come and talk you when you wake up more. PRACTICAL ENGLISH FOR ENDOSCOPISTS COLONOSCOPY Good morning (afternoon), Mr./Ms. Smith! Are you ready for the procedure? How did the preparation go? People say that’s the worst part of getting a colonoscopy. Did you drink all of that nasty stuff? What time was the last drop? Great job! We will take a really good look. Tell me your name and date of birth. Let’s get you positioned. Let’s have you lay down on your left side, facing the wall. Let’s pull up your knees to the chest. We will hook you up to the monitors, then give you medicine. (Is it gonna hurt? Am I gonna feel it?) You might sleep through the whole thing or wake up during the painful part. Only temporary. I will talk you through it. Don’t worry. Here comes the medicine. Close your eyes and think of happy thoughts. You will feel sleepy soon. We will give you more medicine as we go along. Relax. (Sedated) Let’s put some jelly first. I’m checking with my finger. (Let’s check your prostate.) OK. Here comes the camera. Take some deep breath in and out. (Rectosigmoid junction) Here comes the twisty part. You’ll feel some pressure. (Sigmoid) (If patient is wide awake or says hurts) Let’s give you more medicine. You’ll feel some more pressure. (Descending about to turn splenic flexure) You might feel some pain now. Take a deep breath. In and out. (Ow that hurts!) It’s only temporary. It will get better soon. Doing very well. (Ow that hurts!) We are almost there. Good job! (Transverse about to turn hepatic flexure) This is the last push. Take a deep breath. (In cecum) Great Job! Let’s take a good look. TROUBLE (Ascending, difficult to get into cecum). Let’s take a deep breath in…then hold it, hold it, hold it! (Cannot get into cecum) I’m having a little trouble getting into the last part. I’m gonna have a nurse push on your stomach. Relax your stomach and let the nurse push. Try not to push against it. Try to relax. OK, here it comes. (In cecum) Great job! Let’s take a good look. …………………………………………………………………………………………………………………………………. (Cannot get into cecum) Whew!…this is a tough one. Let’s have you turn and lay on your back. We will help you. Keep your knees up. (Cross your legs.) Great job! Let’s take a deep breath in…then hold it, hold it, hold it! (In cecum) Great job! Let’s take a good look. …………………………………………………………………………………………………………………………………….. (Cannot get into cecum) OK. Nurse will push on your stomach. Try to relax and let the nurse push. OK, here it comes. (In cecum) Great job! Let’s take a good look. (Finished right sided exam, in transverse) Let’s have you turn back on your left side. Slowly. Good job! WITHDRAWAL You are doing very well. I’m taking a very good look. You may feel some pressure here and there. If you feel like passing gas, go ahead. I’m putting air in to take a good look. No shame. It’s not going to smell. We are all used to it. (If passing gas too much) Let’s try to hold the gas. I need to look carefully. Great job! (Rectum, before retroflexion) This is the last part. You will feel some pressure in your rectum. Great job, Mr./Ms. Smith! Let me take some air out. Everything went well. You’ll go to the recovery room. I will come and talk you when you wake up more. POLYPECTOMY (Biopsy, if patient awake) I found a tiny/small polyp, taking it out. It’s not gonna hurt. (Snare) I’m gonna take a polyp out. We are putting a cold gel pad on your leg/butt. It’s not gonna hurt. (Is it big? Is it serious? How big is it? On and on) It’s a good size polyp. Let me take this out. Let me concentrate. Don’t move. Good job! (How many polyps did you take out?) ___ polyps. Everything went well. You’ll go to the recovery room. I will come and talk you when you wake up more.