#Endoscopy in medical diagnostics

[shubhragoyal]

Explore the future of fertility with breakthroughs in endoscopy and laparoscopy. Dr. Shubhra Goyal offers insights on advancing reproductive health.

Do Visit: https://www.drshubhragoyal.com/welcome/blogs/the-future-of-fertility:-exploring-breakthroughs-in-endoscopy-and-laparoscopy

[gastroenterologist]

Unlock the secrets of optimal gastrointestinal health with our in-depth guide on "The Role of Endoscopy." Delve into the comprehensive overview to understand how endoscopy plays a pivotal role in diagnosing and treating gastrointestinal issues. Empower yourself with knowledge for a healthier digestive future.

[market-insider]

Gastrointestinal Diagnostics: Navigating Landscape, Market Trends and Analysis

The global gastrointestinal diagnostics market size is expected to reach USD 6.87 billion by 2030, according to a new report by Grand View Research, Inc., expanding at a CAGR of 4.58% from 2022 to 2030. Rising awareness about gastrointestinal disorders and a surge in gastrointestinal disorder testing are the major factors driving the market. Moreover, technological advancements in gastrointestinal infection testing are expected to cater to the market demand. For instance, in May 2022, QIAGEN launched QIAstat-Dx Rise, which is capable of providing results in a span of one hour for multiple diseases.

Gastrointestinal Diagnostics Market Report Highlights

On the basis of test type, the endoscopy segment held the largest share in 2021 owing to rising demand for minimally invasive procedures

Based on technology, the PCR accounted for the second-largest share in 2021 due to the availability of a robust product portfolio and rising product launches

The infection application segment held the largest share in 2021 owing to the higher incidence of GI infections and the surge in awareness

On the basis of test location, the central laboratories segment held the largest share in 2021. The point-of-care segment is anticipated to register the fastest growth rate throughout the forecast period

Asia Pacific is expected to exhibit the fastest growth rate over the forecast period due to the rising investments by market players and increasing research activities in the region

Gain deeper insights on the market and receive your free copy with TOC now @: Gastrointestinal Diagnostics Market Report

The increasing trend of a sedentary lifestyle, lack of exercise, unhealthy eating habits, and a higher prevalence of obesity are anticipated to fuel GI diagnostics market growth. According to the CDC, the prevalence of obesity among people in the U.S. is between 30-40%. States such as Alabama, Alaska, and Arizona have the highest prevalence of obesity in the U.S. Obesity is associated with GI diseases such as gastroesophageal reflux disease, diarrhea, gastric cancer, and others. Hence, it is expected to impetus market growth.

Technological advancements associated with gastrointestinal diagnostics for early diagnosis and efficient testing are expected to augment market growth during the forecast period. For instance, in March 2022, Luminex Corporation obtained a CE mark for its NxTAGxMAP GI Pathogen Panel. This test is a detailed multiplex test that detects nucleic acids from the 16 most clinically relevant viral, parasitic, and bacterial pathogens in stool samples. Moreover, the test is capable of providing results on the same day and can run 96 samples at a time.

Moreover, the presence of organizations involved in increasing awareness regarding gastrointestinal disorders is expected to facilitate market expansion. For instance, organizations such as the Gastrointestinal Society (Canadian Society of Intestinal Research) and the International Foundation for Gastrointestinal Disorders are actively involved in promoting gastrointestinal health and broadening the understanding of GI disorders, thereby augmenting market growth.

Furthermore, various strategic initiatives undertaken by market players to strengthen their product portfolio and expand global footprints are likely to provide lucrative growth opportunities for the market. For instance, in November 2021, The Life Raft Group and Bayer Pharmaceuticals announced a research collaboration for broadening access to genomic testing for GI stromal tumor patients. The aim of this collaboration is to advance precision medicine and improve genetic testing to identify patients in the U.S.

In addition, in June 2021, Prometheus Laboratories, Inc. announced an agreement with MultiPlan for accessing specialized gastrointestinal testing. Prometheus offered its breakthrough testing solutions to improve the outcome of GI disorders. This agreement has allowed the testing service of Prometheus to reach the maximum number of customers.

[innonurse]

Using multimodal optical imaging to identify colorectal cancer early

- By InnoNurse Staff -

The PROSCOPE R&D consortium in Europe is using novel fiber-optic technology in conjunction with endoscopic delivery to detect colorectal cancer in its early stages.

Read more at Physics World

///

Other recent news and insights

In a clinical research, e-health decreases patient pain and opioids (Washington State University)

[ms-demeanor]

I've been following what's been going on with Belphie the kitten and his person, Greer Stothers, has just mentioned pet insurance in a tag on a post and I wanted to give an example from my life backing up why pet insurance can be a good idea and why I think it is worthwhile.

Two years ago my sister's dog had bloat while she was on vacation. The kennel he was staying at recognized symptoms and called my sister to clear them to take him to the emergency vet. My sister is very financially secure and this dog is an enormous part of her life, so she said yes with barely a moment of hesitation. That ended up being about twelve thousand dollars of emergency surgery.

Large Bastard and I got pet insurance for Tiny Bastard the same week because we realized that if someone had presented that option to us, we would have had no choice but to have Tiny Bastard put down, and we didn't want to be put in that position.

I did a lot of research about different kinds of pet insurance and different levels of coverage and annual maximums and deductibles and so on and so forth. Tiny Bastard is a senior dog, so this was going to be expensive no matter what options we went with, so I chose a moderately priced plan with a $500 annual deductible, unlimited annual coverage, that pays 80% of the bills incurred annually below the maximum. What that means is that we pay the first $500 of care totally out of pocket, after which point we are reimbursed 80% of any vet bills for care covered by the plan.

The first year we had this plan I was kind of iffy about it. It's a noticeable monthly expense and we didn't even spend the deductible in vet bills the first year. Except that a month before the policy was set to renew, Tiny Bastard got diagnosed with diabetes. We now have monthly insulin costs and syringe costs; there are tests she has to have regularly to monitor her overall condition and we need to do more frequent vet visits to track symptoms.

Suddenly the insulin alone means that the insurance is break-even within six months and the additional visits and tests are something we can afford instead of something we'd have to put on credit.

Our plan (through ManyPets) covers medication, surgery, diagnostics, medical equipment, and euthanasia and cremation. It doesn't cover pre-existing conditions, joint conditions for dogs who were signed up over a certain age, dental care, spay/neuter, vaccinations, or prescription food but honestly all of that makes me just kind of wish we'd signed her up earlier - her knee problems *would* be covered if we'd had her signed up as a puppy, and the monthly cost would have been lower if we'd signed her up then. And there are at least a few emergency vet bills that I wouldn't still be paying off on my credit card. Hell, I've probably paid more in interest on some bruising she got in a fight three years ago than I have for this policy as a whole.

I am glad that Greer is able to take care of Belphie. I am glad that my sister was able to take care of her dog. But I'm also really, really glad that for a relatively low cost, I would be able to take care of Tiny Bastard if she were catastrophically injured, or if she needed emergency surgery. I'm glad that I'm able to take care of her now with her medications and her additional vet visits.

There are a lot of people who say that pet insurance isn't worth it, especially not for young animals. But if your young animal gets very sick, or gets badly injured, or eats a hairband and needs an emergency endoscopy, then it will probably be VERY worth it. It's a risk/reward question. You feel like you're wasting money if you're paying for a policy that you never use, but honestly that just means you're lucky to have a healthy pet.

I'm lucky that Tiny Bastard was relatively healthy before I got the insurance; I'm also lucky that she was insured when she was diagnosed with a chronic illness that will need lifelong care. This enables me to provide care for her that would otherwise be financially unmanageable, and that makes the insurance *extremely worth it* from my perspective.

And Belphie is a good example of why it's a good idea to get coverage even for very young pets. Greer is recommending it because this kitten has required a tremendous amount of care during a period in his life when it's generally taken for granted that a cat will be healthy. (And Greer is not stupid for forgoing pet insurance - pet insurance is still a relatively new concept and there are lots of people who are leery of it for a number of good reasons)

So I'd say that if you've got a pet or are getting a pet it is very worthwhile to find a pet insurance plan that fits in your budget. There are a variety of plans out there and some are very inexpensive. Check coverage levels (you can even get some with wellness plans that include dental care and vaccinations) and see if there's something that works for you.

I personally don't think I'm ever going to own another pet without having pet insurance. It's ridiculous how much easier it is for me to say yes to diagnostic tests or different treatments than it was before because I know I'm going to be able to fit Tiny Bastard's care into our budget.

[a-totally-reasonable-username]

Reading hospital discharge notes is always so fascinating :/

My newest one is from an endoscopy and the summarizing notes are all like "everything is okay! You have stomach issues bc you take too many pain meds! But everything is looking totally normal!"

But knowing what the medical mumbo jumbo in the diagnostics part means paints a very different picture... "That is inflamed and also this part and yeah basically everything is inflamed and your connective tissue is hardened and also the parts making up the lining of your stomach are stuck together and this part is also inflamed"

[asexualcorvidae]

There's something to be said about the public performance of discussing concepts like "how one's year went" and "plans for the next year" publically, but there's something nice about sharing these thoughts with the world - even if they are mostly melancholy this year.

This year has been... mixed, to say the least. On a personal level, I don't have much to comment on. I had a paid month off of work in May, which I spent traveling to a few places to see people I haven't seen in a long time (as well as visit family). This time off was really nice. Really, really nice. I wish this wasn't a once-in-a-blue-moon thing. I found such regularity in being around other people.

Beyond the personal, work has been much improved. A very long & tedious project finally finished. (Mostly. It has been over half a year and I am still helping to clean things up. I don't mind it, though; it can be interesting work at times, and when it isn't, it helps to pass the time.) Now that this monster of a project is done, work has mostly been steady & consistent - which is a boon considering Everything Else Going On.

Oh, the medical stuff. It started slowly this year, with a diagnostic colonoscopy + endoscopy revealing nothing regarding my energy levels, and has since spiraled into 5 months of endless appointments and tedious "following-up-on-people-who-should-have-done-things-independently". My PCP sucks (2 months to go until I get a new one) and treated me like shit. I got off of continuous iron supplementation, finally, after over 5 years. I tapered down my SSRIs. (I could not come off them completely, because apparently Lexapro enhances the affects of Adderall, and changing my Adderall dose during the ongoing DEA-manufactured "shortage" is, in my opinion, a non-starter.) I was diagnosed with obstructive sleep apnea & have been working to adjust to sleeping with a CPAP machine, which is still an ongoing process. I finally got into physical therapy, struggled immensely with it, and was then referred to aquatic physical therapy, which has gone really well - perhaps the only medical thing that really has gone well this year. I'm still seeing eating disorder specialists, even if I haven't made much headway there. (There's too much going on.) I still have many problems, and many which I believe to still be undiagnosed & untreated. I'm better than I was 2 years ago, but I don't think I'm better than I was last year.

I do think I've improved with keeping up with chores. I've hammered down quite a few to keep up with on a weekly basis. (Laundry, dishwasher, trash, recycling, mail, and groceries.) It is... mixed at times, but I do what I am able to. I overhauled a lot of what was in my bathroom this year too. I replaced my shower curtains. I finally had maintenance replace my shower head, after owning the thing for over 2 years. I got new bath mats. I cleaned out much of the old medicines & supplies. (The supplies are still waiting to be donated. That's for another day.)

That's about all I have for a reflection on the previous year. I don't fully remember what my resolve was for this year - if I had to hazard a guess, I wanted to keep a focus on medical things (which I definitely did, for better or for worse) and maintain some structure with chores (which is much improved over the past year - I am, at the very least, basically never backlogged on anything I consider to be in a maintenance state).

As for next year... the medical focus is self-explanatory (and necessary). I actually might even join a gym??? (It's really terrible that there's no way to access a warm water pool without paying for it in some capacity. Medical care is gate kept by money! Unsurprising.) I'll keep tweaking my CPAP settings in pursuit of better sleep. I would, eventually, like to get off of Lexapro entirely. A new PCP will hopefully mean a new set of eyes on all of my symptoms. And, energy permitting, I'd like to get back into cooking - which I think will help my eating disorder a bit. (I'm not sure if I will be able to do it without the support of a meal kit service. I'd like to be able to do that, but I'm really not sure where I stand there.)

Beyond the medical, I want work to remain mostly stable. I'll keep advocating to be paid more, but I'm not expecting much. At this point, the health insurance is so worthwhile that I'm not particularly interested in moving jobs (or moving period). And in my personal life, I want to keep working to make my apartment somewhere I am happy to be in - somewhere I am proud to have decorated and am proud to maintain.

That's about it. I hope 2024 is a better year. (At the very least, I hope it is okay.)

[soniez]

Choosing the Right Gastrointestinal Tract Drug – Factors to Consider

The gastrointestinal (GI) tract is a complex system responsible for digestion and absorption of nutrients.  Given its critical function, disorders affecting the GI tract can significantly impact overall health and quality of life.  Selecting the right medication to treat these conditions is essential for effective management and recovery.  Centurion HealthCare, a leading gastrointestinal tract drugs supplier in India, offers a range of high-quality medications designed to address various GI disorders.  In this article, we will explore the factors to consider when choosing the right gastrointestinal tract drug, and why Centurion HealthCare stands out in the best pharmaceutical industry in India.

Understanding Gastrointestinal Tract Disorders

GI tract disorders encompass a wide range of conditions affecting different parts of the digestive system, including the esophagus, stomach, intestines, liver, pancreas, and gallbladder.  Common GI disorders include:

Gastroesophageal Reflux Disease (GERD)

Peptic Ulcer Disease

Irritable Bowel Syndrome (IBS)

Inflammatory Bowel Disease (IBD)

Hepatitis

Pancreatitis

Each condition requires specific treatment strategies and medications to manage symptoms, promote healing, and prevent complications.

Factors to Consider When Choosing a Gastrointestinal Tract Drug

Choosing the right drug for treating GI disorders involves multiple factors, including the specific condition, the patient’s medical history, and potential side effects.  Here are key considerations:

1.   Accurate Diagnosis

An accurate diagnosis is the first step in selecting the appropriate medication.  Physicians use various diagnostic tools such as endoscopy, colonoscopy, imaging studies, and laboratory tests to identify the specific GI disorder.  Understanding the underlying cause and severity of the condition is crucial for effective treatment.

2.   Mechanism of Action

Different gastrointestinal tract drugs work through various mechanisms to achieve therapeutic effects.  Understanding how a drug works helps in selecting the most suitable option.  Common mechanisms include:

Antacids:  Neutralize stomach acid, providing quick relief from heartburn and indigestion.

Proton Pump Inhibitors (PPIs):  Reduce the production of stomach acid, effective in treating GERD and peptic ulcers.

H2 Receptor Antagonists:  Decrease acid production by blocking histamine receptors in the stomach lining.

Prokinetics:  Enhance gut motility, useful in conditions like gastroparesis.

Antispasmodics:  Relieve intestinal cramps and spasms, often used in IBS treatment.

Anti-inflammatory Drugs:  Reduce inflammation in the GI tract, essential for managing IBD.

3.   Efficacy and Safety

The efficacy and safety profile of a drug are critical factors in the decision-making process.  Clinical trials and real-world studies provide valuable information on a drug’s effectiveness and potential side effects.  Physicians must weigh the benefits against the risks to ensure the chosen medication offers the best possible outcome for the patient.

4.   Patient-Specific Factors

Each patient is unique, and various individual factors can influence drug selection.  These include:

Age:  Certain drugs may be more suitable for children, adults, or the elderly.

Medical History:  Pre-existing conditions, such as kidney or liver disease, can affect drug metabolism and tolerance.

Allergies:  Patients with known drug allergies must avoid medications that could trigger adverse reactions.

Concurrent Medications:  Drug interactions can impact efficacy and safety, requiring careful consideration of all medications the patient is currently taking.

5.   Route of Administration

The route of administration can affect the drug’s efficacy and patient compliance.  Common routes for GI drugs include:

Oral:  Tablets, capsules, and liquids are convenient for most patients.

Intravenous:  Used in severe cases or when oral administration is not feasible.

Topical:  Suppositories and enemas are used for localized treatment in the lower GI tract.

6.   Cost and Availability

Cost can be a significant factor, especially for long-term treatments.  Generic versions of drugs often offer the same efficacy as brand-name medications at a lower cost.  Availability of the drug in the local market is also crucial to ensure uninterrupted treatment.

Centurion HealthCare:  Leading the Way in GI Tract Drug Supply

Centurion HealthCare has established itself as a premier gastrointestinal tract drugs supplier in India, renowned for its commitment to quality, innovation, and patient care.  Here’s why Centurion HealthCare is a trusted name in the best pharmaceutical industry in India:

1.   Comprehensive Product Range

Centurion HealthCare offers a wide range of gastrointestinal tract drugs, catering to various GI disorders.  Their product portfolio includes antacids, PPIs, H2 receptor antagonists, prokinetics, antispasmodics, and anti-inflammatory medications, ensuring comprehensive treatment options for healthcare providers.

2.   Quality Assurance

Quality is at the heart of Centurion HealthCare’s operations.  The company adheres to stringent quality control measures, from raw material sourcing to final product testing, ensuring that every medication meets international standards for safety and efficacy.

3.   Research and Development

Centurion HealthCare invests heavily in research and development to stay at the forefront of pharmaceutical innovation.  Their R&D team continuously works on developing new formulations and improving existing products to address emerging healthcare needs.

4.   Patient-Centric Approach

Understanding that each patient is unique, Centurion HealthCare adopts a patient-centric approach in drug development and supply.  Their medications are designed to provide maximum therapeutic benefit with minimal side effects, enhancing patient outcomes and quality of life.

5.   Global Reach

As a leading gastrointestinal tract drugs supplier, Centurion HealthCare has a robust distribution network that ensures their products are available not only across India but also in international markets.  Their commitment to excellence has earned them a reputation as a reliable partner for healthcare providers worldwide.

6.   Affordability

Centurion HealthCare is dedicated to making high-quality medications accessible to all.  Their cost-effective solutions, including generic versions of popular GI drugs, help reduce the financial burden on patients while maintaining high standards of care.

Conclusion

Choosing the right gastrointestinal tract drug involves careful consideration of various factors, including accurate diagnosis, mechanism of action, efficacy, safety, patient-specific factors, route of administration, and cost.  Centurion HealthCare, as a leading gastrointestinal tract drugs supplier in India, excels in providing high-quality, effective medications that cater to the diverse needs of patients with GI disorders.

With a commitment to quality, innovation, and patient-centric care, Centurion HealthCare stands out in the best pharmaceutical industry in India.  Their comprehensive product range, stringent quality assurance, advanced R&D, global reach, and affordability make them a trusted partner for healthcare providers seeking reliable solutions for GI tract disorders.

By choosing Centurion HealthCare, you can be confident in the quality and efficacy of the medications you are prescribing or consuming, ensuring the best possible outcomes for gastrointestinal health.

[nelioe]

I have a feeling doctors in my area are just not great. For many reasons. One that just flabbergasts me every time is that after diagnostic things like an endoscopy and bloodwork they proceed to ask me if I feel better and when I say no they tell me it all came back okay so am I sure and then when I say yes I'm sure they get snippy with me.

If you have had diagnostic tests for health things, do your doctors ask if doing the test or the results of the test make you feel better?

*Asks are for fun, no pressure.

Ohh, same here! The only time my doctor actually asked after my wellbeing was during the time I caught covid for the first time. But when I struggled with the aftereffects (I had a really bad autoimmune response to covid), she didn't take it serious, said I just had to wait it out and use some lotion (which I had been doing for two weeks before even visiting her).

My dermatologist is pretty great, though. Same problem as mentioned above. I went to her when I was beginning to feel pretty desperate, because I was dealing with the autoimmune response for a month by then. I had issues with my skin, my face was hit the hardest, bleeding and stuff, to the point I couldn't eat without pain. Well, let's just say she looked me over, found the right meds, checked my blood, let me come in a week later, when I was already doing considerably better and asked how I managed with the medication. I still have to use some very special kind of lotion or else the skin on my face acts up again, but it's managable now. With her, I know I'm in very good hands.

I'm not gonna add the story of my orthopaedist though, making a misdiagnosis and insisting on it's accurateness for ten years. That was just one clusterfuck after the other.

[a-sneaky-bagginses]

I have a feeling doctors in my area are just not great. For many reasons. One that just flabbergasts me every time is that after diagnostic things like an endoscopy and bloodwork they proceed to ask me if I feel better and when I say no they tell me it all came back okay so am I sure and then when I say yes I'm sure they get snippy with me.

If you have had diagnostic tests for health things, do your doctors ask if doing the test or the results of the test make you feel better?

*Asks are for fun, no pressure.

That's so frustrating. I usually have more 'well we didn't see anything so you'll need go to see this other doctor' they just play musical medical billing in my experience. I hope you find one that isn't so rude, my friend told me she found a doctor that is nice and takes her seriously, I hope there's more like that out there

[mizufae]

This is Korben from this morning at the internist specialist. It was just a consultation today. Tomorrow, however, they are doing all SORTS of invasive things. He is gonna get a full endoscopy and colonoscopy, a liver biopsy, samples taken from his gallbladder and bile duct, and he’s gonna have a feeding tube put in!!! Our beautiful handsome boy is going to get all kinds of terrible bandages.

What’s wrong with him, you may ask? Well, after throwing up every day for over a week a couple weeks back, we did urgent care vet and then multiple ultrasounds and rounds of blood work, all showing an increase in his billirubin and inflammation of his pancreas, gallbladder, and liver. He stopped throwing up but then got a respiratory infection and was sneezing boogers for a week. Coupled with all of this he had lost over a pound in the past three months and had already been underweight. And then he stopped eating. He has only eaten tiny amounts in the past two weeks and is continuing to lose even more weight.

So, what could be going on? That’s what all the procedures are for tomorrow! They are going to take all the samples from his various bits and culture them so we know the exact kind of medicine to give him. And meanwhile, we will do steroids to help the inflammation, and be able to get food into his stomach and put all his medications in him through his feeding tube, instead of forcing pills and goop down his throat and traumatizing him multiple times a day. It could just be a worsening of his preexisting IBD. It could be an obstruction in his common bile duct or small intestine or gallbladder. It could be small cell lymphoma! All of these are treatable, though IBD is progressive and lymphoma would mean different kinds of cancer treatment and palliative care.

This is all costing an arm and a leg, but Korben has a very rich grandmother who would be downright offended if she didn’t pay for it, thank goodness. The less expensive diagnostic option was just more fuck around wait and see ultrasound bloodwork bullshit which would lead to months and months of trial and error. There are of course risks to all of this, but Korben has been under anesthesia before and done just fine, and other than his complete unwillingness to eat and his elevated liver values, his blood work looks good, his energy and personality is still there, he completely got over his runny nose, and he hasn’t thrown up except for once a week ago which was before we stopped the antibiotics that obviously upset him so much he stopped eating or drinking and all he would do is drool and try to spit them out. Sigh. Poor guy. Fingers crossed though, because although we have now interacted with four separate very competent vets and numerous techs, nobody has ever given us an indication that Korben is unlikely to recover.

Other good things: I’ve now learned how to give IV fluids and injections! It really is super simple, as long as your cat is mellow like Korben and you have a second person to be another pair of hands. The needles are like the least troubling part. I love the immediate relief and comfort Korben exhibits when he gets fluids. I know myself how it feels to be terribly dehydrated and in pain and then get an IV, so it’s a great feeling being able to do that for my cat. Yesterday I gave him his third vitamin b12 injection (he is getting them weekly for now), and he didn’t care for it one bit but it was fine. So now, I’m confident that if anyone else I care for needs injection meds, I can give it to them! I am honestly shocked I’ve never helped a trans friend with their hrt or anything before this, but now if it ever comes up can be like “let me help! Just act like a cat!”

So. I am currently in the “ignore it until shit happens” phase where I’m trying to just project calming normal energy at Korben, who is currently sleeping in a sunbeam by an open window. Tomorrow morning he is going to be going through it, so keep him in your hearts and all that. And then afterwards will be the notable experience of gooshing puréed food in through a tube in his neck! Eeeek! Then it will be some time to get the cultures done, and then it will probably be over a month of antibiotics and other supportive meds. Egad! Fingers and toes and eyes all crossed.

Thanks @penaltykeks and a few other people who have checked in and asked how me and Korben are doing. I’ve just been sort of trying my best to engage with pleasant things online and not write out my worries because I’ve learned it doubles down on my rumination. BIG UPS to Zoloft, which REALLY FUCKING WORKS for me, I would basically be a pile of quivering useless bones and fat without it. As it is I am a quivering pile of bones and fat that can give IV fluids to my cat and call my mom and do the dishes. 😽🤞

[shubhragoyal]

The Future of Fertility: Exploring Breakthroughs in Endoscopy and Laparoscopy

In medical science, the future of fertility and reproductive health is experiencing a revolutionary transformation through the remarkable advancements in Endoscopy and Laparoscopy. These innovative medical procedures have become instrumental in diagnosing and treating various reproductive health issues, offering hope to countless individuals and couples worldwide. In this article, we delve deep into the world of Endoscopy and Laparoscopy, uncovering their benefits and trends and why choosing Dr. Shubhra Goyal can indeed be a game-changer in your journey toward optimal reproductive health.

Laparoscopy and Endoscopy - what are they?

Due to their accuracy and efficacy, minimally invasive medical treatments like Endoscopy and Laparoscopy have become extremely popular in recent years. These procedures use specialized tools fitted with small cameras and lights that enable doctors to view and access inside organs without the need for open surgery.

Benefits of Endoscopic Examinations!

The following are some benefits: -

Minimal Scarring - Endoscopy and Laparoscopy require just small incisions, unlike traditional surgical techniques that demand extensive incisions. Due to the minimum scarring produced, patients recover more quickly and enjoy additional aesthetic benefits.

Less Pain and Discomfort - Patients who undergo endoscopic procedures often report less pain and discomfort following the operation. This is because these techniques are less intrusive than standard operations and result in less tissue damage.

Shorter Hospital Stays - Compared to conventional equivalents, endoscopic operations often require shorter hospital stays. Patients may resume their regular daily routines and activities more quickly as a result, which also lowers healthcare expenditures.

High accuracy - Using cutting-edge technology in endoscopic exams gives surgeons a degree of accuracy never before possible. They can traverse and treat delicate and difficult-to-reach locations with outstanding accuracy thanks to their precision, which ultimately improves patient surgery results.

Moving ahead, let's discuss,

Top Upcoming Trends in Endoscopy and Laparoscopy

The areas of Endoscopy and Laparoscopy are examples of the ongoing change taking place in the world of medical science. The following are some of the most notable new developments that are influencing how these processes may develop in the future:

Innovations in Endoscopic Imaging Technology - The endoscopic imaging technology industry is expanding quickly. This includes the creation of 3D imaging systems and high-definition cameras. These developments considerably increase diagnosis accuracy by providing surgeons with an incredibly thorough and accurate picture of inside organs.

Read More: https://www.drshubhragoyal.com/welcome/blogs/the-future-of-fertility:-exploring-breakthroughs-in-endoscopy-and-laparoscopy

[aryasing]

Leading Health Services in Jaipur

Shalby Hospital Jaipur is a leading multi-specialty hospital in Rajasthan offering comprehensive medical care across various specialties. With advanced infrastructure and dedication to clinical excellence, the hospital provides accessible and affordable tertiary healthcare.

Facilities and Services:

Sprawls over half a million square feet with 300 beds, ICUs, emergency services, modular OTs and sophisticated diagnostic services.

Houses 40+ specialties including cardiology, cardiothoracic surgery, neurology, oncology, orthopedics, gastroenterology, urology, nephrology and organ transplants.

24x7 accident and emergency department equipped with modern ICUs and NICU. Critical care by experienced intensivists.

Advanced Cath labs, MRI, CT scan, ultrasound, mammography, nuclear medicine and other diagnostics.

Minimally invasive surgeries like arthroscopy, laparoscopy, endoscopy offered in dedicated OTs.

Robotic surgeries offered in certain specialties like urology and gynecology.

Full-fledged dialysis unit providing round-the-clock renal replacement therapies.

Facilities like in-house pharmacy, blood bank, ATM, cafeteria and ample parking space.

Quality and Safety:

Highly qualified and experienced doctors supported by skilled nurses and paramedical staff.

Stringent infection control and quality protocols followed.

Continued medical education and training to update clinical skills and knowledge.

Cutting-edge medical technology used for diagnostic and therapeutic procedures.

Part of quality accreditations like NABH to maintain excellent healthcare standards.

With advanced infrastructure, technology and clinical expertise, Shalby Hospital Jaipur is committed to delivering the highest quality of ethical and patient-centric care.

[khytal]

Hey its the anon who asked about game recs! the game I was thinking of specifically when i asked that was Trauma Team. It's the most recent game in the Trauma Center series, but I always suggest that one because it's the best written one (The game always makes me cry at least twice when I play) Considering some of the other games you've posted about, I just have a strong feeling you'd like it! Fair warning though it's a game series about surgery so, just in case you are squeamish about medical stuff. Trauma Team have 6 protagonists and 6 modes (Surgery, First Response, Orthopedics, Diagnostics, Endoscopy, and Forensics) It's for the wii though. (It's on the WiiU eShop though until it shuts down) Sorry for the long ramble I'm just. Huge fan of it and always jump at the chance to recommend it to people who might like it.

oh that used to be on my backlog x) I meant to check it out but it's one of those games that I intended to watch a playthrough of ;<;)b

[mcatmemoranda]

Patient is a [ ] yo male/female presenting to the clinic for a preoperative evaluation.

Procedure [ ]

Scheduled date of procedure [ ]

Surgeon performing procedure requesting consultation for preop is [ ] and can be contacted at [ ]

This patient is/is not medically optimized for the planned surgery, see below for details.

EKG collected in office, interpreted personally and under the direct supervision of attending physician as follows- sinus rate and rhythm, no evidence of ischemia or ST abnormalities, no blocks, normal QTc interval.

The following labs are to be completed prior to surgery, and will be evaluated upon completion. Procedure is to be performed as scheduled barring any extraordinary laboratory derangements of concern.

Current medication list has been thoroughly reviewed and should not interfere with surgery as written.

Patient has no prior history of adverse reactions to anesthesia, problems with airway management, difficult IV access, prolonged emergence, or postoperative nausea/vomiting.

Airway Mallampati score: This patient is a Grade based on the criteria listed below

-Grade I Tonsillar pillars, soft palate, entire uvula

-Grade II Tonsillar pillars, soft palate, part of uvula

-Grade III Soft palate, base of uvula

-Grade IV Hard palate only, no uvula visualized

Patient is a low/medium/high risk for this low/medium/high risk surgical procedure.

Will send documentation of this preoperative visit to surgeon [ ].

**** ADDITIONAL INFORMATION****

Patient Risk for Elective Surgical Procedure as Determined with the Criteria Below:

1- Very Low Risk

No known medical problems

2- Low Risk

Hypertension

Hyperlipidemia

Asthma

Other chronic, stable medical condition without significant functional impairment

3- Intermediate Risk

Age 70 or older

Non-insulin dependent diabetes

History of treated, stable CAD

Morbid obesity (BMI > 30)

Anemia (hemoglobin < 10)

Mild renal insufficiency

4- High Risk

-Chronic CHF

-Insulin-dependent diabetes mellitus

-Renal insufficiency: creatinine > 2

-Moderate COPD: FEV1 50% to 70%

-Obstructive sleep apnea

-History of stroke or TIA

-Known diagnosis of dementia

-Chronic pain syndrome

5- Very High Risk

-Unstable or severe cardiac disease

-Severe COPD: FEV1 < 50% predicted

-Use of home oxygen

-Pulmonary hypertension

-Severe liver disease

-Severe frailty; physical incapacitation

Surgical Risk Score Determined as Below:

1- Very Low Risk

Procedures that usually require only minimal or moderate sedation and have few physiologic effects

-Eye surgery

-GI endoscopy (without stents)

-Dental procedures

2- Low Risk

Procedures associated with minimal physiologic effect

-Hernia repair

-ENT procedures without planned flap or neck dissection

-Diagnostic cardiac catheterization

-Interventional radiology

-GI endoscopy with stent placement

-Cystoscopy

3- Intermediate Risk

Procedures associated with moderate changes in hemodynamics, risk of blood loss

-Intracranial and spine surgery

-Gynecologic and urologic surgery

-Intra-abdominal surgery without bowel resection

-Intra-thoracic surgery without lung resection

-Cardiac catheterization procedures including electrophysiology studies, ablations, AICD, pacemaker

4- High Risk

Procedures with possible significant effect on hemodynamics, blood loss

-Colorectal surgery with bowel resection

-Kidney transplant

-Major joint replacement (shoulder, knee, and hip)

-Open radical prostatectomy, cystectomy

-Major oncologic general surgery or gynecologic surgery

-Major oncologic head and neck surgery

5- Very High Risk

Procedures with major impact on hemodynamics, fluid shifts, possible major blood loss:

-Aortic surgery

-Cardiac surgery

-Intra-thoracic procedures with lung resection

-Major transplant surgery (heart, lung, liver)

High risk surgery: yes/no

Hx of ischemic heart disease: y/n

Hx of CHF: y/n

Hx of CVA/TIA: y/n

Pre-op tx with insulin: y/n

DM/how are blood sugars?

Pre-op Cr >2mg: y/n

OTHER EVALUATIONS BASED OFF PATIENT HISTORY SEE BELOW:

1. CARDIAC EVALUATION

A. Ischemic Cardiac Risk- Describe any history of cardiovascular disease and list the cardiologist/electrophysiologist. For CAD, report the results of the most recent stress test or cardiac cath, type of procedures or type of stents, date of MI, and recommendations for perioperative management. Include antiplatelet management. Continue baby aspirin for patients with cardiac stents - unless having neurosurgery, then coordinate with surgeon.

B. Ventricular function - include most recent echocardiogram evaluation ideally performed within the past 2 years

C. Valvular heart disease- include most recent echocardiogram, type of prosthetic valve

D. Arrhythmias - include any implanted devices and recent interrogation report, contact electrophysiology about device management during the surgery and include recommendations provided. For A-Fib, include CHA2DS2-VASc score

E. Beta blockade - All patients on chronic beta blockers should have these medications continue throughout the perioperative period unless there is a specifically documented contraindication.

F. Hypertension - Other than for cataract surgery, ACEI inhibitors and ARBs should be held for 24hours prior to surgery and diuretics should be held the morning of surgery

G. Vascular disease - include antiplatelet management and dates of strokes

2. PULMONARY EVALUATION

A. COPD/Asthma - include any recent exacerbations, intubations, chronic O2 use, amount of rescue inhaler use

B. OSA risk - STOPBANG score - address severity of sleep apnea and CPAP use

3. HEMATOLOGIC EVALUATION

A. Bleeding Risk - assess the bleeding risk and history for every patient

B. VTE Prophylaxis/Thrombotic risk - estimate risk and provide recommendations

C. Anticoagulation management - include pre-op and post-op medication instructions

D. Anemia - pre-op treatment plan

D. Oncology - history and treatments

4. ENDOCRINE EVALUATION

A. Diabetes mellitus - include type, medication use, recent A1c, pre-op and post-op management instructions

B. Adrenal insufficiency risk - assess for prolonged steroid use in the last year

5. RENAL EVALUATION

A. CKD - include stage, baseline labs

B. ESRD - include dialysis schedule, type, access, dry weight, location of dialysis. Generally, surgery should not be scheduled on a dialysis day.

C. Electrolyte abnormalities

6. GI EVALUATION

A. Liver disease - including MELD score and Child-Pugh classification

7. OTHER relevant comorbidities or anesthesia considerations

[substance abuse, chronic pain, delirium risk, PONV (post-operative nausea and vomiting) risk, psych disorders, neurologic disorders, infectious disease, etc.]

[trixree]

Adding a bit of my own story onto this because I want to highlight those statistics that OP provided.

I was born with a genetic immunodeficiency disease that did not get diagnosed until I was fifteen. And it isnt like this disease didnt manifest until age 15 - I was REALLY ill from the get-go. I was seeing numerous specialists across two different states as a kid and routinely ended up in the emergency room. I averaged about 1 visit to the ER per year for something or another. I was MRSA colonized by age 8, tore a hole in my lung at age 13, and I was sick with some virus or random infection more often than not. Because of antibiotics overuse in my childhood there are very few antibiotics that I can take now. I was visibly very, very sick my whole life. And all the while, through all those appointments and non-answers for what was wrong with me, this poster was a constant:

Every immunologist/allergist I ever saw had this hanging in their exam rooms. Literally every one, no exceptions. I used to go through the check-list for fun, telling my mom, "Hey, look, that's me!" But I was a kid, so what did I know, right?

And it was. I was fucking right. I had a primary immunodeficiency disease. (Side note that this is a category of diseases but I actually can't get a more specific diagnosis than this umbrella category of PI because narrowing it down requires really expensive genetic testing that insurance will not cover, and knowing precisely what brand of PI it is wouldn't change my treatment anyways, so it will remain a mystery until such a day that I have 3k to blow). It was literally written on the fucking wall. For fifteen years. It was on the wall. Right there. And it was me. And you know how I eventually got diagnosed?

My mother ended up hospitalized with a severe fungal infection and her immunologist tested her for it. When her results came back, she insisted they test me as well. And lo and behold.

I've done the diagnostic dance my whole life. I've got a medical rap sheet longer than most people will ever have in their lifetime. I'm currently trying to figure out what the fuck is going on with my GI system and I've been fighting that battle for nearly a year. Since last July, I've done a colonscopy, endoscopy, full-body CT, sooo much blood work, and a gastric emptying study. The diagnostic dance is expensive, exhausting, and defeating with no clear end in sight. Every year or so, another one of my systems seems to throw in the towel on me (3 years ago it was my heart, now it's my tummy, before my heart it was my brain) and I often wonder if it will ever stop. I feel like Sisyphus, but instead of a boulder, I'm dragging my broken body to the next specialist, over and over again, only to be told "results are normal!" "have you tried THIS diet?" "oh gee, that sounds rough! Not my specialty, though!" "have you tried ____?"

But let me emphasize that it is a fight worth fighting. You're worth it. You're so fucking worth it. We all deserve comfort in our own bodies, as much as it can be obtained, and unfortunately that tends to make warriors out of us. Don't stop advocating for yourself. Push for documentation at every step. Bring back-up to your appointments - a friend, a loved one, an advocate. But don't stop fighting for an answer. Don't ever stop fighting for care. You deserve it.

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