Physical Exams of Children and Teens - the extremist variant -- Freedom Guide Message Board

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Date Posted: 22:29:42 11/03/15 Tue
Author: Knut Holt (in USA and elseewhear)
Subject: Physical Exams of Children and Teens - the extremist variant

By Knut Holt
http://www.abicana.com

FIELD TRIPS OF BOY AND GIRLS IN PRETEEN AND TEEN AGE FOR ASSESSMENT OF DEVELOPMENT AND HEALTH

This is a general description of a procedure that teens in the age 10-16 go through in certain places in the World, including some communities in USA. The details in the description has been obtained through poll responses form kids gone through the procedures.

The procedure seem to be administrated by the schools, summer camps and youvenile denention centers in cooperation with certain medical companies or governmental agencies that also use exam results from the procedure for research and surveillance purposes. The procedure performed on the children or teens take place at special facilities owned by these companies, at hopitals, or at the school or camp itself.

PREPARAIONS AND GENERAL ASPECTS

Some time before the procedure, the parents gets information about the planned procedure. It seems that the parents also are adviced not to give much of this information to the kids.

Some days before the procedure, the kids are typically informed that they will have a field trip to a health center to get an exam by a dentist and some other exams. The dental exam is stressed in that information and they try to let the kids believe that the other exams just are some small addedums to the dental exam.

A couple of days before the procedure, the kids get a reminder from the school to be delivered to the parents. They are instructed not to give the kids anything to eat after midnight the day before. They are asked to provide that the kids are dressed in comfortable clothes easy to take off and then bring the kids to the school in due time or to the center where the procedure shall take place.

In the evening before bedtime the kids gets a liquid laxative to drink, that maked the stool fluid the next morning and stimulates the colon to empty itself that morning.

When the day arrives, around 25 kids are brought to the center by bus from the school in the morning. After arrivel the kids are ordered to go to the toilet. If the kid after this initial toilet visit wishes to go to the toilet, this can be done any time, but the kid must tell a staff member first and a staff will follow the kid to the toilet.

During the procedures that follows, the kids feel little pain or distress. This is achieved partly by a careful approach, partly by doing procedures directly pleasurable when this is possible, partly by explaining what is done, but without giving very exact information, and partly by medication. Generally the staff manages to make the kid cooperate.

DENTAL EXAM

There are several dentist's offices in the building. The kids are then distributed among the offices so that several kids are treated simultaneously. The dental exam is rather standard, including a standard x-ray. The only unusual thing is that they are covered from the neck and below with a plastic sheet. Minor lesions in the teeth, like cavities are then repaired.

WAITING FOR THE EXAMS

After the dental check boys and girls are led to different areas in the building

The kids are led into a waiting area. At some places half of the kids must wait a long time while the other half is examined. The waiting kids are engaged in activities like video play so that they do not get bored. When the time comes for each kid, he is led into a fairly standard doctor's office.

INITIAL MEDICAL EXAM

Each kid is then led into a small examination room with an examination table.

In this room the kid is given a hospital band with their name date of birth and a bar code on it that got scanned every time they were brought to a different room thereafter.

The kid will here get a new amount of a liquid laxative to drink. They also have to strip to the underwear and their clothes are placed in a bag.

They check weight, height, blood pressure, temperature in the ear, heart activity, breathing and other vital signs.

Then the kid has to take off his underwear, and he is checked for hernia.

Girls are also given a pregnancy test.

Next the kid is given a gown, and pull on the gown, but without the underwear.

WAITING AND CLEANING PROCEDURE

After the initial exam, two kids together are led into a special cleaning procedure room that has the capacity to treat two kids at once. If the cleaning room is not available at once, they have to sit waiting in their gown in a waiting room first.

There they get a rubber hut on their heads. Then they have to strip naked and lie upon a rubbery seat over a sink. The staff clean all of their body using hoses with sopy water and then pure water.

The laxative given is meant to make its effect during the stay in this cleaning room. When this happens the kid wil get to a toilet connected to the room to empty his colon.

The staff also clean out all rest of content from the kid's lower digestive tract, by gently and slowly inserting a tube through their anus in all the length of the colon and then flush isotonic water in and out several times till the water coming out is clear. This is done with a tube with a spinning head that is ejecting water. After the water having flushed the inside of the colon, it escapes into openings in the tube and is carried away again in the inside of the tube.

During the process, one lets the colon be filled to a point where its walls are stretched, the water is held some time, and then carried out trough the tube. During this proces, the pressure and muscular reactions in the colon is measured to test the function of the colon.

During the cleaning process the kids can choose the temperature of the water that is felt most comfortable.

Then the kids are made to stand up. They are dried. The rubber hut is replaced with a looser plastic hut. They also get a surgical mask to wear in front of their nose and mouth.

The kid also have to take on a given a pair o pants, socks and booties for their feet. They then have to wash their hands before putting on gloves.

They get back their gowns and made to sit and wait further in another waiting room or get directly into the operating room.

THE KIDS ARE MOUNTED FOR EXAMINATION AND SURGERY

After a short time each kid is led into one of the operating rooms.

The operating room has a surgery table, a lamp with different sections over the table, an x-ray machine hanging in a flexible arm from the ceiling, an ultrasound upset also hanging from the ceiling, full anesthesia equipment and full equipment for monitorings of various kind.

He is then given a mild sedative through his mouth, so that he is relaxed and cooperative for the mounting process. The staff then takes off the mask and the gown. The kid is asked to take off his pants himself, but let the hut and boots stay on. He then has to lie naked upon a surgery table.

His body is covered by a sheet with an opening just over the navel. This area is then shaved and sterilized.

They then swing each arms out to each side and strapp the arms down in that position. They also flex the legs of the kid up, spread them apart, lay the legs upon two devices and strap them dowm, so that the area between the legs is fully exposed and so that the hip joints can be examined from all directions with x-ray or ultrasound equipment.

They then place electrodes for heart monitor, blood pressure device, an pulse oximeter and IVs at various places on the body, arms or legs. They also place electrodes on his head to monitor brain activity.

There is a lamp over the operating table that is let illuminate the belly zone. Other lighting equipment is brought forth to lit the area between the legs and the hip joints. Anesthesia equipment stands at the left side of the kid's head. Over the kid at the right side there is a stand with monitoring equipment and wires from that equipment to the monitoring electrodes. A tray with surgical equipment and endoscopes is placed over the chest of the kid.

As these things are going forth, an anesthesiologist is sitting by the head of the kid. He places a mask over the mouth and nose of the kid and lets him breath in air blended with anesthetic gas until he is unconscious. Then the kid gets a higher concentration of oxygen a while. Then he gets a medicament that paralyzes the muscles in all of his body to make him totally relaxed. Then a breathing tube is inserted down his throut. From that point he will get mechanical ventilation through the tube with a blending of air and anesthetic gas.
The oxygen level in the air will be adjusted so that the oxygen saturation in the blood is held optimal.

SCANNING OF BREAST ZONE

Theu do an ultrasound scan of his breast to inspect the heart and other organs inside the test. They also do a scan of the zones around the breast nipples of both boys and girls.

INSPECTION OF THE INSIDE OF THE BELLY WITH A SCOPE

One makes a small insicion in the navel of the kid or just beneath the navel. One then inserts a flexible tube-like scope through that opening and inspects the inside of the belly. The end of the scope is pushed down to the pelvic region, so that backside of the bladder and the surroundings of the rectum and colon can be seen. By girls the surroundings of the uterus and ovaries are also inspected. Furthermore they inspect the apendix and its surroundings.

INSPECTION OF THE URINARY TRACT WITH A SCOPE

A staff member sits between the legs of the kids during this exam.

A cahteter is advanced up through the urethra to the bladder. The catheter is connected to instruments that can measure pressure and muscular reactions in the bladder. They gradually fill the bladder with water with a dissolved contrast substance, while recording pressure and muscle response. When completely filled, onr takes an x-ray picture or a ultrasound image of the bladder so that one can see leakages of fluid up into the ureters. The bladder is then emptied and the catheter taken out again.

Then one gradually inserts a scope through the urethra and up to the bladder while inspecting all the structures along the way. The bladder is inflated and inspected.

In boys special attention is directed at the prostate area and the outlet of the seminal channels into the urethra. In both boys and girls special attention is directed at the valves at the outlet of the ureters to the bladder.

They then insert a thinner scope through the first and this is advanced up into the ureters all the way to the kidneys. The inside of the kidneys are inspected. Then this scope is gradually pulled back while performing a reinspection. The cystoscope is pulled back while performing a reinspection of the bladder and urethra.
Tissue samples and samples of glandular secretions are taken along the path.

In boys they stimulate an erection of the penis with some injected medication and stimulation with electrodes. They then insert a scope to reexamine the urethra and bladder under erection.

EXAMINATION OF THE GENITALIA OF THE BOYS

Since the genitals of boys are thightly integrated with the urinary system, the urinary tract inspection will also serve as an internal inspection of the genital structurs, especially the prostate area,

They will then examine the the scrotum, the testicles, the penis and the area between the legs with an external ultrasound sond. They further do an inspection of the prostate area and the structure around this area with a long ultrasound sond insertid through the anus.

A thin scope is inserted through the urethra to the prostate area. Here it will be guided into the channel from each testicle and all the way through this channel to each testicle. It will also be guided into each seminal vesicle at the sides of the prostate. All these structures are inspected from the inside and samples of sperm and secretions is collected.

After the genital exam a catheter is inserted and let stay.

EXAMINATION OF THE GENITALIA OF THE GIRLS

The ovaries and uterus have already been inspected with the scope inserted through the navel. Now samples of secretions and microbes is collected from the area between the genital lips. A scope is inserted into the vagina and further up into the uterus and the internal structures inspected. Samples of secretions and microbes are collected on the way.

An ultrasound sond is inserted into the anus to get a broad view of the pelvic structures. The breasts are also examined with an ultrasound sond.

After the genital exam a catheter is inserted and let stay.

INSPECTION OF THE UPPER DIGESIVE TRACT WITH A SCOPE

One bends the head of the kid backwards, keeps the mouth open with a gag, and then inserts a scope through the esophagus down to the stomach. The stomach is inflated and all of its insides are inspected. Then one inserts the scope further down in the small intestine past the outlet of the biliary ducts and pancreas. The scope is then gradually pulled out again while repeating the inspection. One also takes samples of tissue and secretions at strategic points.

INSPECTION OF THE LOWER DIGESTIVE TRACT

They insert a scope in through the anus, then guide it along through the rectum, the whole of the colon until the area where the small intestine is joined with the colon. Here the scope is guided further into the small intestine and somne way up in the small intestine. Then the scope is gradually pulled out again while the lower intestines are reinspected. At strategic places specimens of secretions, microbes as well as small tissue samples are collected.

ORTHOPEDIC EXAM

They insert an ultrasound sond into the anus to get a broad view of the muscles and other structures in the pelvic floor. They take x-ray pictures of the hip joints, the shoulder joints, the elbows and knee joints.

DEMOUNTING OF THE KID

The armes and the legs of the kid are dismounted from the holding devices.

The anesthesia is disconnected, but the kid is held intubated and given oxygen until he begins to wake up.Then the breathing tube is pulled aout. Then one lets the kid get oxygen and help for breathing through a mask until he breaths well alone.

Then they lift the kid from the operating table and onto a guerney. They then wheel him to a hospital room and he is mounted in a hospital bed.

IVs for fluids and pain control, the catheter, heart monitor and pulse oximeter is let stay until the next morning, Ca 1 hour after the kid is well awake the the next morning the catheter, the IVs and the electrodes are taken out.

The parents come and fetch the kid around 10 o'clock the nexct morning.

TIMING AND ORGANIZATION OF THE PROCEDURES

The points 5-12 will for a girl each take around 0,5 hours, so that the girl is under anestesia around 3,5 hours.

The examination of a boy's genitalia and urinary system is more complicated. Therefore a boy will be held under anestesia around 5 hours.

The staff doing the exams are for the most parts not doctors. They are nurses and technicians with a special training.

There are doctors at the place that supervice what is taking place.

The images that are obtained from the endoscopes are deposited onto a computer. The staff doing the practical exams are trained to recognize abnormal structures and pathological processes, but do not perform any further diagnoses. The data and the images are assessed later on by doctors.

There are doctors standing by at the place and at the children's hospital. If something is recognized that necessitates special care, these doctors are called to take care of the kid.

HANDLING OF DATA AND THE PURPOSE OF THE EXAMINATIONS

At each room the hospital band with barcode is scanned to keep order. The scanned data is transmitted to all the computerized consoles that resceive images and mesurements from the various instruments. The data is then deposited in a central database tagged by the scanned identity of each kid.

There has als been some planning beforehand, and the staff in each room can read thir part in the plan for each kid on a screen after the scan is done.

There is not one single purpose of these programs, but they are done with a multiple of purposess, both for the benefit of the kids, for the benefit of other patients, the benefit of the society in general, and commercial benefit of certain pharmacological and medical companies. The specific purposes are:

- To detect congenital defects that have not yet manifested themselves by symptoms and be able to correct these.

- To detect abnormal or unsymmetrical body development, in the early teen age grouip especially problems in the pubertal development, and to be able to correct these.

- To detect signs of behavior that might create problems for the kid or the society, especially sexual behavior, and perform an early intervention in the kid himself or in the society in general.

- To detect early patological processes like infections, inflammations or tumors and be able to treat these.

- To map the general presense of specific microbes and patological processes in the young population and make the society able to deal with these.

- To harvest tissue, especially stem cells and use this for research or for tretment of other patients, especially patients that pay for it.

- To try out new and advantguardistic equipment, especially endoscopic equipment.

- To train nurses, technicians and doctors under education in use of endoscopic techniques, under supervision of fully trained fysicians.

The data from these exams and the results regarding each kid is deposited in databases with restricted access. They are shared out to hospitals, schools and authority bodies that will be dealing with the kid. They are only to a limited extent shared with the kids themselves of their parents.

SURGICAL INTERVENTIONS

If something is detected that can be fixed with a quick surgical intervations , that is done right away. Such things can be apendicitis, narrow areas in the urinary system or blockages in the genital system of the boys.

Sometimes special surgical interventions are also ordered beforehand, for example tonsillectomy or smaller anatomical corrections in the genitals or rectal area.

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Knut Holt has an hobby of investigating things done more or less secretly to children and adults by authorities of variou kind. This article comes as aresult of such investigations.

Knut Holt is also an internet consultant and marketer focusing on health items. At his web-site you can find health advices, training supplements, vitamins, minerals and natural drugs against common diseases, like: Acne and skin problems, allergy, over-weight, hypothyroidism, hemorrhoids, heart trouble, joint pain and rheumatism, depression, constipation and digestive trouble, cold, flu, men's and women's problems, and more.

http://www.abicana.com

----Free to reprint with the author's name and link.

Article Source: http://EzineArticles.com/?expert=Knut_Holt

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