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Confessions of a gastroenterologist

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Breaking news: FDA expected to approve di Michelangelo® System for robotic fecal disimpaction.

MILAN, Italy: Gastroenterologists rejoice! Innuendo Technologies has announced that FDA approval of the di Michelangelo robot is expected early this spring…the first robotic platform designed specifically to perform fecal disimpaction! Dr. Hans Enyuanus was one of the pioneers of robotic fecal disimpaction using the di Michelangelo® System, having performed over 2000 procedures…

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I wonder if they have a white coat ceremony in care management school?

Now, I don’t want to offend anyone with this post (it’s already too late), but it seems these days that the only qualification that one needs to don a long white coat is to work in some patient care area of a hospital. The long white coat used to be the way patients, families, and other hospital medical staff could instantly tell who was a full-fledged attending physician. In fact, the emphasis on the white coat starts on the first day of medical school with something aptly called a “white coat ceremony.”

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“Badness” is a spectrum

“Is it bad” is an honest question. “Is that bad” is usually also an honest question, but one that is much more difficult to answer. Patients usually ask “is that bad” without actually having a diagnosis yet. At the end of our visit I try to summarize the pertinent issues and I will usually list a few of the possible diagnoses that may explain the symptoms. Then we will come up with a plan to test for these diagnoses. I might say “This is probably irritable bowel syndrome, however some of the symptoms could be consistent with Crohn’s disease or ulcerative colitis. We need to do further testing to figure out which one it is.”

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