Cautionary Reports

Although these published endoscope reprocessing guidelines are the result of an evolutionary process and are comprehensive, up-to-date, and effective against the transmission of infectious agents during GI endoscopy, some recent medical and lay reports have called into question the adequacy and safety of these guidelines (CDC, 1999). These reports maintain that the physical designs of GI endoscopes marketed by at least one manufacturer are flawed and feature internal channels that cannot be accessed, cleaned, or receive high-level disinfection as required to prevent disease transmission and ensure patient safety. As a consequence of their publicity, these reports that claim GI endoscopes pose a grave and overlooked public health risk have attracted the attention of state legislators. In New York State, for example, politicians, who had at first proposed introducing a bill mandating new endoscope reprocessing guidelines, decided instead to study current endoscope reprocessing practices to determine whether they are adequate and prevent disease transmission. These politicians, in both the Senate and the Assembly of New York State, deemed their legislative involvement necessary because GI endoscopy is used so frequently to diagnose and treat diseases of the GI tract. In truth, any risk associated with GI endoscopy would have significant and far-reaching public health implications and consequences. Although any study, inspection, or evaluation designed to determine whether current health care standards are safe and effective is certainly welcome—particularly at a time when reports of patient deaths linked to medical errors are all too common—the medical literature is replete with independent studies that indicate current endoscope reprocessing guidelines and practices are adequate and prevent the transmission of infectious agents during GI endoscopy. Although improving current endoscope designs to facilitate reprocessing is certainly encouraged, there are no endoscope models currently on the market that feature internal channels or surfaces that can become contaminated with patient debris during GI endoscopy but that cannot be adequately reprocessed and therefore pose an infection risk.*

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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