Endoscopy

Surgeon says at one point that he doesn't know why Mello gave himself that name, but he does tell Mello the meaning of endoscopia, saying it's Latin for to look inside.

Except it's not actually Latin, it's Greek.

Sergin is remembering Endoscopia wrong and Melo is reading Endoscopia wrong.

It's like the truth degrading over time in a game of telephone or a photocopy of a photocopy, which is appropriate because the suffix copia actually refers to copies.

And now Melo is retelling the events of this story to his sister.

Yeah.

or a fun name like a dolphin right right right but i'm telling you man that was the craziest thing i've ever experienced she said yeah rub this and it literally is called like something rudimentary like that it doesn't have some kind of crazy name it's like the pain wand and you rub it on your gums and it felt stupid doing it the herd

stick

She got in there, went to work, and she goes, just tell me if you feel anything.

Da, da, da, da.

the last person i want chuckling is somebody with an ice pick in their hand going into my face

although as far as jokes in a medical procedure go i think i probably i i tried one as uh as i was being put under oh yeah like i was having a colonoscopy or something the other side Endoscopy.

Okay, there you go.

I've heard so many scopics and oscopies and everything else.

usually means they don't make an incision.

Instead, either go through the mouth or through another hole.

I had no symptoms in 24.

Endoscopy and biopsies found chronic atrophic gastritis, intestinal metaplasia, mainly in the stomach body, and ECL neuroendocrine cell hyperplasia.

I'll translate all of this for everybody in just a moment.

The pattern suggested autoimmune gastritis and pernicious anemia.

If you're being very strategic about your outsourcing and you're still engaged in the task, there's the possibility of enhancing learning and augmenting our thinking.

But if you're deferring the entire task to AI and you're no longer engaging those mental muscles or the technical aspects of diagnosing polyps, for example, then you're going to lose some of those skills, right? And obviously the flagship paper in The Lancet, Endoscopic Deskilling, is a great paper.

It's super interesting.

There's some colleagues of mine, ex-colleagues, I guess, now that I'm at King's College, but some Wharton professors who are working in high school education.

So you can see things like concentric rings, longitudinal furrows, exudates, as well as food impaction.

There's a score that's been developed called the EREF score, which is the EOE Endoscopic Reference Score, which breaks down these different components just so that we can sort of standardize evaluation over many different endoscopies and across different endoscopists.

So the first E stands for edema, the loss of vascular markings, and this can be either zero with no significant edema up until two where there's significant edema and loss of vascular markings.

R stands for rings or trachealization, and you can have no trachealization or you can have very severe grade three trachealization as you see here.