00:00
Welcome to ケビン's English Room Podcast.
Hello.
Alright.
So.
This one.
Okay.
Pick another one.
This one.
Okay, this is
about the Ningen Dog again.
Okay.
This is from Dento-san.
Kevin-san, Yama-chan-san.
毎日のコンテンツ配信本当にありがとうございます。デントと申します。
Thank you.
終身時のお供に毎晩拝聴し、もうすぐ3年になります。
全身麻酔と鎮静法の違い
胃カメラの話題ですが、一部全身麻酔を使うと監視外されていらっしゃる方が多いでになるご様子です。その件について一言コメントと私個人の見解を書かせてください。
全身麻酔では自発呼吸を止めます。
そうなんだ。
鎮静法では自発呼吸を止めません。これが大きな違いです。
一般のクリニックで行う検査で呼吸を止められてしまうのはそれこそ怖くないですか?
胃カメラ検査で使うのは鎮静法ですから、自分で呼吸ができる程度の意識レベルを維持します。
鎮静剤は体重1kgあたりの薬材量が決まっているので、単純に体重から計算された鎮静剤の量を整柱し、検査が行われることがあります。
この時、鎮静剤に対する個人の感受性の違いまで考えてもらえないことがあり、これが快適に検査を受けられるかどうかの大きなポイントでしょう。
つまり、鎮静剤が効きにくい人は鎮静震度が浅い状態のまま検査になることがあるということです。
胃カメラ検査の体験
私は築地の大きな病院で胃カメラを鎮静科でやってもらった際、効きが悪くとても辛い思いをしたことがあります。
この不安をできるだけ回避するために少し費用はかかりますが、検査専門のクリニックさんで人間ドッグの項目の一つとして胃カメラを行ってもらうと丁寧に見てもらえるはずです。
クリニックでも上手に鎮静をして上手に検査してくれる施設はありますが、一般に診察と検査が同時進行している忙しいクリニックさんは個々の鎮静震度まではあまり気にしてくださらないかもしれません。
We apologize for the inconvenience.
I don't think I have either.
What I thought when I was a little kid, I think I broke my bone, my finger bone.
Like really little, like elementary.
I think I went to high school and then they did a surgery.
I thought they did a Xenocine anesthesia on me because my consciousness was completely out.
But maybe that was a Xenocine anesthesia.
True.
Maybe.
Yeah.
You do Xenocine anesthesia for bone surgery? Like finger bone surgery?
Yeah, I mean, I broke my bone, my thumb, right?
And yeah, I went to the surgery room and they were like, hey, you're gonna sleep.
Uh-huh.
So, yeah.
Okay.
Yeah.
I mean, I was a little kid, so.
Yeah.
Excuse me.
But I don't know.
Yeah.
患者の体験と鎮静剤
Maybe that was a little too much, maybe?
I don't know.
I've heard like relatively like small kids or like even like animals, like small animals are kind of difficult to put Xenocine anesthesia compared to like huge ones.
Okay.
Tiny amounts could be different.
Too much?
Yeah.
Oh.
But maybe Kinseizai is different.
Maybe Kinseizai.
Yeah.
Probably Kinseizai then.
Yeah.
You know?
Uh-huh.
Yeah.
What are some of the things that you do Xenocine anesthesia for?
Like cutting inside surgeries?
I see.
Those huge surgeries.
Yeah.
Oh, okay.
Xenocine anesthesia.
That's true.
That's true.
Right, right, right.
But maybe misunderstood by many people, I guess.
Uh-huh.
Because I've heard like Oyashirazus.
So my friend did four Oyashirazus one time.
In a hospital.
Challenger.
Yeah.
He's a challenger.
But she went in the hospital.
Yeah.
And knew him.
Yeah.
And she said like she did a Zenshin Masui.
Uh-huh.
But maybe...
That's highly unlikely after hearing that.
Yeah.
Yeah, yeah, yeah.
Maybe Kinseizai.
Yeah.
In asleep.
Yeah.
Yeah.
Because you don't have to stop your breathing.
Right.
It's...
I think it's too much.
Yeah.
That's true.
Yeah.
That's true.
I didn't know that.
I learned something new.
True.
True.
Yeah.
Kinseizai.
Yeah, I searched some dentist that they can use the Kinseizais for the surgeries too.
But that was not your...
You didn't go there?
Yeah.
That was one of the options.
Uh-huh.
I was like in the two options.
One was for those like Kinseizais.
Uh-huh.
It's just a dentist.
Uh-huh.
He uses Kinseizai and famous for that.
Kinseizai...
Tideo.
Technology.
Uh-huh.
Techniques.
Okay.
He had a certification of those in the professional Kinseizais.
Uh-huh.
Yeah.
That was one option.
But yeah.
You went with the other one?
Yeah.
Yeah.
Well, the reason was the availability.
The schedule one.
Okay.
And also it's...
Oh, yeah.
She does a professional then.
Oh.
If it's like cavity of those, then I would go with that one.
Oh, so they do cavities as well?
Yeah.
It's just the usual dentist.
Cavities and like...
I see.
...anything like...
Uh-huh.
Everything.
Do you think it's possible that when it's too painful, you might wake up during a Kinseizai?
I don't know.
How do you feel?
I've never done that before.
Because the Ikamera, it's probably not painful, right?
It's probably a reflex problem.
True.
True.
True.
Right?
It's not pain.
It's more like...
It's reflex.
Yeah.
So...
Right.
I wonder how pain is gonna affect your like deep sleep level.
True.
Because pain wakes you up.
Yeah.
Right?
Is it like just as you are sleeping?
Like deep sleep.
Okay.
Yeah.
Like deep sleep is what I feel after waking up.
Yeah.
Okay.
Yeah.
It feels like I wanna do this every night before go to bed.
That's what it feels like.
Okay.
Yeah.
So obviously if you...
Hey, Kevin!
And you don't wake up.
During when I'm under the sedation?
If I go to that place and just...
Hey!
Hey!
It's the time for podcast, man!
But you know, the thing is after I'm done with the Ikamera,
the nurse was like,
Hey!
Wake up.
You're done.
So I think if you give it enough shake...
Then you...
Then you...
Like you'd come back from the sedation.
Okay.
Which means...
Yeah.
If it's enough of a pain...
Yeah, you can...
Maybe you might...
Yeah.
Wake up to a lot of pain and that's...
That's not good.
Right.
That's...
I definitely wanna avoid that.
Yeah.
Yeah.
It's the terrifying...
It's the worst experience.
That's terrifying.
Yeah.
You know?
You wake up to a lot of pain.
Oh, I know.
Or like if you...
If you forgot going to the toilet...
And then you may wake up to like...
I need to pee.
Like an Ojiisan?
Yeah.
You know, speaking of which...
トイレの問題
I've been waking up at like 3 a.m.
To go to the bathroom like every day.
Every day?
Yeah.
For the past like...
3 months.
Really?
Yeah.
You think this is a problem?
It's a problem, man.
Every night like...
Yeah, like every night, dude.
Like every night.
That's too much.
Like...
And it's 3 months every...
Oh, you should do something, man.
What kind of problem is this?
Maybe...
What do I need to check?
Bladder?
Bladder?
Or like the Boko side?
The...
Boko?
Yeah, yeah, yeah.
What do you mean?
Is that the question?
Yeah, yeah.
Boko?
Yeah, Boko.
Or like Jinzo maybe?
Jinzo?
Where you produce the...
Your pee?
Yeah.
Oh, okay.
I see.
Okay.
Maybe...
Or simply you just drink too much water...
夜中のトイレ問題
Too much amount of water before you go to sleep.
I do drink a lot of water.
Maybe that's the reason?
Maybe that's the reason.
But you have to drink a lot of water though.
Oh, yeah.
Right?
You have to drink a lot of water.
But just very...
Very before you go to the bed?
Or just one, two hours before?
Right before I go to bed, I drink like five sips.
And a sip is like...
Yeah, it's not...
That's a sip, okay?
It's not that...
Yeah, it's not that crazy amount of water.
And, you know, so...
I haven't had like a deep, deep, you know...
Yeah.
An all-night sleep.
Oh, that's a problem, no?
Like you feel tired and...
Yeah, it is a problem.
I was thinking it was because of the aircon.
The aircon kept on like...
I don't know how...
No matter how I adjust it, it's too cold in the morning.
Okay, okay.
Temperatures and...
Yeah.
And that...
I always wake up cold.
Okay.
3 a.m.
So like, it's just...
I thought...
It's true.
I always thought it was the coldness that put me out of like the deep sleep.
Yeah, yeah, yeah.
And coldness makes you want to go to the...
Yeah.
That's true.
That's true.
Maybe not your problem, but like...
The aircon problem?
Hopefully.
Yeah, hopefully.
Yeah.
You know, the aircon season is going to be, you know, over soon.
Yes, yes, yes.
So, you know, I'm going to see if that's going to fix the problem.
Yeah, yeah.
Hope so.
Yeah.
Right.
All right.
Thanks for sitting, guys.
Thank you.
Bye-bye.
Bye-bye.
Bye.
