DR LEELA LAPIN GIVES YOU A PHYSICAL IN AP EXAM You've been feeling funny and we want to get to the bottom of it. Your Mom has brought you in and I'd like to give you an exam. Don't worry, you're fine to sit on her lap for this first part. Before I begin I confirm your details while pulling on clean gloves, and the three of us discuss your upcoming birthday and the big plans for your special day. Then I show you my stethoscope and explain that I'll use it to listen to some of the things that go on in your body. I hold it against your chest and then your back, listening to your heart and lungs. Next I look over your hands, I check your pulse, continue with your ears and eyes. Everything seem to be looking very good. Now, how about we have a look at your tummy? For this I'll need you to lie down. I'm going to leave the room and Mom (offscreen, implied) can help you get settled. I return once you're in place, I put on fresh gloves, and your exam continues. Go ahead and lift your gown, thank you, and I'm going to pull down this sheet so that I can see your belly. I use my hands to apply pressure in different places to get a good feel and I ask about your last meal and bowel movement. Satisfied, I cover you up and ask you to skootch down to the end of the table. I have you lift your feet into the stirrups on my table put on new gloves again. I let you know that you're going to feel my hands on your penis and testicles. Once I've finished your genital exam I lubricate my finger, and offer you some reassurance before examining your anus and then inserting my finger to feel your prostate. It know it's awkward but I keep the mood light with a few jokes and some reassurance. I look to your Mom and explain that I want to be thorough and get a look, she gives me a nod (implied offscreen) and I show you that the speculum isn't anything to be afraid of. It's no bigger than my finger. I have you relax as best you can, taking a deep breath in and out as I insert it. I open the speculum, take a peek, retract it again and we're all done. Not so bad, huh? You did SO GOOD! Nothing I find causes me concern, but nothing explains your symptoms either. Out of an abundance of caution I'd like to get you in for a colonoscopy. Is that ok, Mom? Alright, I'll schedule you in and see you again then! LEELA FOLLOWS UP IN COLONOSCOPY (START TIME 18:22) You've been feeling funny and we want to get to the bottom of it. You're back to see me for a follow up to your exam, today's the day we're going to do your colonoscopy. I visit you in pre-op to check in on how you're doing. I ask how your colonoscopy prep went and Momma (offscreen, implied) indicates you did really well. It wasn't much fun, but believe me when I say it's the hardest part. I heard you were a bit nervous so I explain the procedure to you to help to put you at ease. I meet you in the OR dressed in a surgical gown, gloves and a tie on mask. Before we begin your colonoscopy I give you a bit of gas to ensure you remain comfortable. Then I have you put your feet into the stirrups as I lift your gown. As I expose you I assure you that the surgical team are all very professional and that all of this is nothing we haven't seen before. I lubricate your anus, with my finger, and the colonoscope before inserting it into your colon. I observe the camera's feed on a monitor (implied, offscreen) while I work it deeper into your colon and up into your intestine. Throughout the procedure I confer with the team, describe bits of what I'm doing to you, and offer you affirmation and reassurance. As I'm retracting the scope I notice you've ejaculated and that you are aware that it happened. I explain that it's a common result to the pressure put onto the prostate and that you have nothing to be embarrassed about. After I've removed the scope from your colon I give you a good wipe - there, it's like it never happened. I let you know that a nurse will finish getting you cleaned up and will move you into recovery. I visit you in recovery where you are back with Momma. I let you both know that everything went really well, that you did so good, and that everything looked fine. Knowing we haven't explained your tummy troubles I suggest referring you to a dietician. We're all in agreement but I promise to have you back in to see me if they can't get you sorted. LEELA SOUNDS YOU IN AP DILATION (START TIME 32:37) It's nice to see you again! I see you have an upcoming cystoscopy? Your upcoming procedure is just a routine check to make sure you're developing properly. Ahead of that though, I want to be sure you're ready, so we're going to go ahead with a procedure today that will help to ensure that. If you're okay with it, I'd like to have a colleague sit in. Would that be alright? Great. Thank you! I'll step out now and let you get situated on the table. FULL DESCRIPTION EXCEEDS CHARACTER LIMIT, SEE IT HERE: https://www.manyvids.com/Video/5322933/leela-lapin-sounds-you-in-ap-dilation