John matthew +1 036832 john matthew yes hi I'm rob I'm with gastroenterologist nice to meet you how are you I'm happy good I hear from your gp you've had some pain yeah tell me all about it I don't know if you've been all you know the upper tummy yeah up tummy mhmm it's all the day when I can't eat it anything you know when I'm starting to eat mhmm it is feel like full you feel very full quickly yeah and does the pain get worse when you eat no it is ongoing up and down the pain is there all the time or where it comes up and down 1 hour yeah and then the problem with eating yeah is independent of the pain when I am starting to eat I feel leg full mhmm yeah very quickly yeah very how quickly when I am starting to eat mhmm first first mouthful yeah mhmm do you are you sick no do you feel nauseated like you want to be sick no no any problem with your bowels no losing normal yeah good losing weight no it's alright the weight is okay yeah good I'm glad and you are on some antacid medicine yeah and did it make any difference did it make you better oh yeah I think so yeah you think so made it a little better yeah but you're still having the symptoms it's okay are you on high dose antioxidants only twice per day yeah and still the symptoms mhmm okay good we were going to have a look with our camera today if that's okay yeah definitely make sure there's nothing causing your symptoms the procedure is called an upper gi endoscopy the benefits are diagnosis of the cause of your gastrointestinal symptoms okay I should tell you about 2 serious risks of the test but very rare risks so bleeding is a serious risk if that were to happen we can usually fix it with our camera but it can take a bit more time perforation that's making a hole or a tear in the wrong place can also happen with this test if that were to happen you might just stay in hospital even have an operation to fix it the good news is they're incredibly uncommon and they happen in less than 1 in 9000 diagnostic gastrostomyces okay so that's bleeding and perforation there's 2 problems with the test it's a very good test and the best test we have to look at the upper gi tract there's a chance of missing something on the way it's stuck underneath a pool of fluid or behind a fold that we just don't see behind we call that missed lesion and there's a chance of for whatever reason not getting to where we want to get to which we call failure that could be problems with my technique my equipment your ability to tolerate the test everything could contribute we can talk about what we might do if that happens but I know it could difficult you're going to have some sedation is that right lovely sounds good we've also got a spray in the lab real quick I'll sign it it's the sixteenth and twelfth and your signature is on either side you get to go ahead mister murphy just there lovely are you ready to go and get this sorted today come on now this is your signature yes no worries now we're through we've got sarah and iwi to after look you someone in yeah hi how are good yeah lovely