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Spa Endo:
Choose High Touch over High Tech
Patricia L. Raymond MD FACP FACGAs
As I watched
the stylish retro movie Down with Love starring Renee
Zellweger and Ewan McGregor, I briefly longed to return to the past.
Briefly.
Back to rigid
scopes? Teaching heads? The nurse not being able to see during most
of the endoscopies and all of the ERCPs?
There was an
upside to the past, though.
I ran into SGNA
past president Nancy Schlossberg doing her thing at the Olympus
booth at this falls ACG in Baltimore. Surrounded by the height
of technology manifest in the Medusean tangle of scopes, we discussed
endonursing of the past.
" I have
an old endoscopy nursing guideline from the 80's that advocates
not cleaning the endoscope between cases," laughs Nancy Schlossberg
RN CGRN, Manager Curriculum Development, Olympus America Inc. Instructions
from The Gastroenterology
Assistant: A Laboratory Manual, 2nd Edition, 1981 state "Disinfection
of endoscopic equipment is desirable, but must be practical in a
clinical setting. The long method of disinfection is more time-consuming
and may not be applicable between cases in a very busy unit."
"Of course,
that's only if the endoscopy nurse was really busy. It would be
an unacceptable standard of care today, despite the huge numbers
of procedures done by the average endosuite" adds Ms. Schlossberg.
No, Id
say not. But it did save time.
My father advised
me, when still in training, to open a fast food practice
of gastroenterology. Only partly joking, he designed my new practice.
You could lease an old fast food joint with a drive-through
window, he enthused. Your partners could be a urologist,
gynecologist, dentist and ENT. The patients wouldnt even have
to get out of their cars. They could simply roll up to the drive-through
window, extend the appropriate orifice out of the window of the
vehicle, have it plumbed, then drive themselves on to the managed
care check-out window.
My pops
name for my practice?
Orifices-R-Us.
It makes me
shudder to think of the combo selections. And lets not even
discuss the whopper.
© 2003
Patricia Raymond (Word count 726)
Chesapeake Virginia
based gastroenterologist Dr. Patricia Raymond is an author, expert,
and consultant, who speaks for hospital systems and medical conventions.
Her books, Dont Jettison Medicine! and Colonoscopy:
Itll Crack u Up, and your FREE subscription to the re-invigorating
Rx For Sanity eNews are waiting for you at RxForSanity.com.
  
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