Jim or anybody that had this

[Myown]

test that an ENT does with that long flexible scope. What does that feel like? Do they give you anything?

Jim I remember you said you had it, I think?

[Myown]

Sorry for the misinformation My, I should have read your original question more carefully..wish you good luck w/ it!
----------------------------------------------------
That's okay.
The test was nothing - easy. Thanks.

[Press_On]

Sorry for the misinformation My, I should have read your original question more carefully..wish you good luck w/ it!

Cheers

[Myown]

The scope you had went in your nose, but then down your throat? If so, that is not the same one that I will be getting. Maybe its the same instrument, but mine won't be going down my throat. I won't let him if thats what he wants to do cause that is not whats bothering me.

I think it may be that nasal endoscopy. Who nose? I mean who knows?

[jmjm530]

???

MO was referencing a procedure I posted about several times. It was done with
a flexible transnasal laryngoscope. Trust me, I nosed this.

[mikesimon]

http://www.answers.com/topic/ear-nose-and-throat-surgery?cat=health
".......Different instruments with light sources (i.e., otoscope for ear examinations) enable ENT surgeons to quickly visualize the ears, nose, and throat. Visualization of these areas can reveal the severity of the disease or deformity. The head and neck area is inspected and the neck and throat area is typically felt with the surgeon's hands (palpation). Special technological advancements have enabled ENT surgeons to further visualize deep internal anatomical structures.,,,,,,,,,
(Jim, you must have missed this part)
,,,,,,,Nasal endoscopy allows visualization of the upper airway to detect anatomical problems related to sinuses.

Videostroboscopy can be used to visualize the vocal cords, and triple endoscopy (laryngoscopy, esophagoscopy, and bronchoscopy) can diagnose and stage head and neck cancers........"

[Myown]

Your scope is the one I probably need. Its definitely going to be a scope that goes through the nose. I don't know. You probably had the nasal endoscopy (mentioned in mikes post) and that is probably what I need. Its not until tomorrow, so I'm not going to think about anymore until the morning.

Seeya later.

[Myown]

no one is going to hurt your vocal chords -- they just look at them with the lighted instrument.
-----------------------------------------------------------------------------
I know they do this procedure alot - but I still would not want anyone near my vocal chords - thats me.

This procedure has to be one that goes into my sinus area, not down my throat. If he thinks that he will be going down my throat - he's wrong and I don't need his help. My problem is not "down" its "up" to the right- more in my ear, but sinus area is inflamed for a couple years and no one will listen to me, but now this para doc is concerned and wants me to go to this doctor. He said he is good - so I'll see.

Yes I thought I remembered you had the scope, but I didn't know what direction it goes or if they can push it to go different ways.

Thanks.

[jmjm530]

Got to run now,  but just to clarify going back to your original post where you said, "test that an ENT does with that long flexible scope...Jim I remember you said you had it, " --
the exam I had used a flexible transnasal laryngoscope, it was done by an ENT,  and it does not require any sort of sedation, perhaps just something sprayed down your throat.  

[jmjm530]

I'm under the impression MO is talking about some sort of  Laryngoscope that is performed by ENT's (through the nose if a transnasal) and not an endoscopy (through the mouth) usually performed by Gastros. Of course, she can clarify. And MO -- no one is going to hurt your vocal chords -- they just look at them with the lighted instrument and is very useful for professional singers both in dx and treatment because it can access the condition of the larynx very well.

[Myown]

Howdy medicmommy! (howdy to you too mikesimon)
It sounds like I will be getting "otoscope" or nasal scope according to what Dr. Mike posted.

Thank you Michael.

[medicmommy]

Hello!
i had this procedure done...and don't remember a thing...LOL...i was Soooo doped...I had the tiniest scratchy throat...the most difficult thing was making arrangements for someone else to drive me home...

[mikesimon]

An upper endoscopy goes down the throat into the esophagus, stomach and the first part of the small intestine (duodenum) - it's not going anywhere near your brain. This is the test used to examine or check for esophageal varices.

http://www.webmd.com/digestive-disorders/upper-endoscopy
"Upper endoscopy, also called esophagogastroduodenoscopy, or EGD, uses a thin scope with a light and camera at its tip to look inside of the upper digestive tract -- the
esophagus, stomach and first part of the small intestine, called the duodenum.

Usually performed as an outpatient procedure, upper endoscopy sometimes must be performed in the hospital or emergency room to both identify and treat conditions such as upper digestive system bleeding.

The procedure is commonly used to help identify the causes of:

    * Abdominal or chest pain
    * Nausea and vomiting
    * Heartburn
    * Bleeding
    * Swallowing problems

Endoscopy can also help identify inflammation, ulcers and tumors."

http://www.answers.com/topic/ear-nose-and-throat-surgery?cat=health
".......Different instruments with light sources (i.e., otoscope for ear examinations) enable ENT surgeons to quickly visualize the ears, nose, and throat. Visualization of these areas can reveal the severity of the disease or deformity. The head and neck area is inspected and the neck and throat area is typically felt with the surgeon's hands (palpation). Special technological advancements have enabled ENT surgeons to further visualize deep internal anatomical structures. Nasal endoscopy allows visualization of the upper airway to detect anatomical problems related to sinuses. Videostroboscopy can be used to visualize the vocal cords, and triple endoscopy (laryngoscopy, esophagoscopy, and bronchoscopy) can diagnose and stage head and neck cancers........"

Mike

[Myown]

Thanks for your input - truly appreciate it.

Rob -that sounds like it would be it "upper endoscopy" cause I need something that goes to towards the ear/brain not towards the throat.

The steritilazation does scare me though - not just for myself, but me giving my disease to someone else. I'll have to ask the doc about the steritilazation. If its just barbicide like whats used on combs - he may as well just wipe the scope on his pants leg(same difference) cause that barbicide is for the birds - kills germs maybe but not diseases.

Thanks again appreciate it.

[Press_On]

Sounds like you're talking about an Upper Endoscopy.  I've had two, though they offered it, both were done w/o spray - not a big deal! If you have concerns, depending on the reason its been ordered, the pill-cam may be an option. Best of luck.

my-2-cents
Rob

[Bobby1952]

I had it about a month ago...twice. its no big deal. I had Thrush and it was killing me. So the ENT put a decongestant up there and then he put a numbing agent on a cotton swab and left it in the nose for a minute. Then he did the procedure and it was a snap. No problem or discomfort. Just put it up my nose and then it was in the back of my throat.

Bobby

[irishrayne]

After having 3 sinus surgeries in one calander year I've had my sinuses 'scoped' MANY times. The docs will spray a numbing agent into your sinuses. If your sinuses are relatively healthy you shouldn't experience much discomfort (if any). My ethnoid sinuses were packed in with polyps so in the earlier stages when my ENT would scope me I would squirm in my chair. If it is TOO uncomfortable they can put a stronger numbing medicine on some cotton and pack that in and leave it for a few minutes.
I was never sedated. Only for the surgeries!

[desrt]

Most 'scope procedures these days are done with Versed or a versed/fentanyl combo. Valium is also an option but most prefer Versed as it wears off quickly. Ask if they do weight based sedation. My last 'scopy they gave me (230#) the same sedation (4mg Versed/100mcg Fentanyl) as someone else who weighs about 150#. He had to sleep it off till late that afternoon, while I could have driven myself home (I didn't).

[Myown]

I would really like to move to Austrailia at this point. I like their policies - people get checked out before being allowed in. Their food is very safe because its handled correctly. And they have the best lamb. I eat beef once in a while and I only buy theirs now- free range - no hormones etc.

[Myown]

ask how those scopes are sterilized
---------------------------------------------------------
LOL!!!!!!!! I was going to ask you but I figured you would say,,,"oh stop being so paranoid all the time."LOL Because, really, that was the first thing I thought of and being it is rubber - rubber is porous and so in my mind there is NO WAY they could sterilize something that is porous. Steam heat - but still not safe IMO.

The Para doc looked in my nose and did see it was inflamed on the right side - thats the side that I get that static noise in my ear. He said let the doc go in there with a scope and I figured it was that one - cause he said its a long scope,,,but if it goes down to the throat that won't do me any good. Going in just to the back of my sinus area will be enough. I don't want nor need anyone going near my vocal chords. I really need some kind of test that goes deep into my ear close to my brain - if there is such a thing. Unfortunately, I think I will prove again that I am right about something and at that point, the doctors should all salute me when I walk into the room. This guy may send me to a Neurologist, but I am just guessing. But my problem might be out of his area too - although the right nasal area being inflamed might give him some kind of clue. He is Philliphine and for something like this I think it is best to see someone like him who is not from this country. They are used to dealing with and seeing differnet things that American doctors may not always see. My para doc told me that the med schools are only offering a very short course - some an hour lecture - on Tropical med (para etc) and with the diversity of people we have here now in USA- ~things~ are here or brought in AND and with the handling of food we are exposed etc:) and if you don't know how to recognize it - cause you haven't been taught etc. Thats the jist of what he said.

Scary stuff - look up Chagas and how many people they think are infected and coming into our country AND they are not even testing the blood supply yet. Its ashame what has happened to this country.

But anyhow, I will discuss my ear problem with this doc - tell him I don't want a porous rubber thingy going in me and see if he can do some other kind of test or if I should go to a Neuro doc.

Thanks Jimmmmie.

[jmjm530]

If you want to make trouble -- and please do :) -- ask how those scopes are sterilized. I saw some sitting in a solution in the corner of the doctors office and it reminded me of how they sterilized barber's combs in the old days :) Not even sure if they put a sheath on the scope.

[jmjm530]

MO: est that an ENT does with that long flexible scope. What does that feel like? Do they give you anything?

--------------------------------------------------------------------------------
It's a nothing procedure.  Takes a minute. I think they might spray something in your throat but not sure if it was an antiseptic or perhaps a very mild numbing agent, or maybe they didn't spray something, I don't remember. So what's up? Are they checking for reflux? I know you sing and this give them a good look at your vocal chords. It you want to go even more high tech, some centers do the same thing but they go in through the mouth (the scope I described goes in through the nose). With the one that goes in the mouth, they take some pretty cool high-res pics of your vocal chords. That's also a "nothing" procedure in terms of discomfort.