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	<title>Comments on: Laparoscopic system</title>
	<link>http://bernardchan.net/2007/04/19/laparoscopic-system/</link>
	<description>What's next along this river of life?</description>
	<pubDate>Mon, 01 Dec 2008 18:19:19 +0000</pubDate>
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		<title>By: Bernard</title>
		<link>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17529</link>
		<author>Bernard</author>
		<pubDate>Fri, 20 Apr 2007 18:17:02 +0000</pubDate>
		<guid>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17529</guid>
		<description>&lt;strong&gt;Gam&lt;/strong&gt;, no problem.. it's a benign and self-limiting anyway.</description>
		<content:encoded><![CDATA[<p><strong>Gam</strong>, no problem.. it&#8217;s a benign and self-limiting anyway.</p>
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		<title>By: gam</title>
		<link>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17491</link>
		<author>gam</author>
		<pubDate>Fri, 20 Apr 2007 11:51:55 +0000</pubDate>
		<guid>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17491</guid>
		<description>Thank you Dr. Bernard. After all these years, I finally knew the reason. The doctors didn't explain it to me when I complained of the diarrhoea.</description>
		<content:encoded><![CDATA[<p>Thank you Dr. Bernard. After all these years, I finally knew the reason. The doctors didn&#8217;t explain it to me when I complained of the diarrhoea.</p>
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		<title>By: yenjai.net</title>
		<link>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17434</link>
		<author>yenjai.net</author>
		<pubDate>Fri, 20 Apr 2007 01:42:25 +0000</pubDate>
		<guid>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17434</guid>
		<description>Jonzz will always mention the unmentionable... ^-^</description>
		<content:encoded><![CDATA[<p>Jonzz will always mention the unmentionable&#8230; ^-^</p>
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		<title>By: Bernard</title>
		<link>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17421</link>
		<author>Bernard</author>
		<pubDate>Fri, 20 Apr 2007 00:53:54 +0000</pubDate>
		<guid>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17421</guid>
		<description>&lt;strong&gt;jonzz&lt;/strong&gt;, thru the belly button is good.. no scars are seen there. :-)</description>
		<content:encoded><![CDATA[<p><strong>jonzz</strong>, thru the belly button is good.. no scars are seen there. <img src='http://bernardchan.net/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' /></p>
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		<title>By: jonzz</title>
		<link>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17420</link>
		<author>jonzz</author>
		<pubDate>Fri, 20 Apr 2007 00:53:31 +0000</pubDate>
		<guid>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17420</guid>
		<description>Augh, what ammonia, I meant smelling salts...</description>
		<content:encoded><![CDATA[<p>Augh, what ammonia, I meant smelling salts&#8230;</p>
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		<title>By: Bernard</title>
		<link>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17419</link>
		<author>Bernard</author>
		<pubDate>Fri, 20 Apr 2007 00:50:10 +0000</pubDate>
		<guid>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17419</guid>
		<description>&lt;strong&gt;Gam&lt;/strong&gt;, yes.. some people do have diarrhoea after cholecystectomy for a few weeks.

That's because bile can cause diarrhoea when it's in the intestines   at the wrong time.

The gallbladder functions as a reservoir for the bile from the liver, before it gets secreted into the intestines when you take a meal. That prevents the bile from being in the intestines when there's no meal in it.

After a cholecystectomy, bile gets secreted directly into the intestine all the time... so diarrhoea happens.

After a while, the liver adapts and bile is secreted appropriately... then the diarrhoea stops.

Many people don't experience diarrhoea after cholecystectomy because their gallbladder hasn't been working anyway. So bile had been going into the intestines for a long time and the adaptation had already been done. So removal of the gallbladder wouldn't have made a difference to these patients.

&lt;strong&gt;Capt Picard&lt;/strong&gt;, the atttendant took them. Sometimes, it's the circulating nurse.</description>
		<content:encoded><![CDATA[<p><strong>Gam</strong>, yes.. some people do have diarrhoea after cholecystectomy for a few weeks.</p>
<p>That&#8217;s because bile can cause diarrhoea when it&#8217;s in the intestines   at the wrong time.</p>
<p>The gallbladder functions as a reservoir for the bile from the liver, before it gets secreted into the intestines when you take a meal. That prevents the bile from being in the intestines when there&#8217;s no meal in it.</p>
<p>After a cholecystectomy, bile gets secreted directly into the intestine all the time&#8230; so diarrhoea happens.</p>
<p>After a while, the liver adapts and bile is secreted appropriately&#8230; then the diarrhoea stops.</p>
<p>Many people don&#8217;t experience diarrhoea after cholecystectomy because their gallbladder hasn&#8217;t been working anyway. So bile had been going into the intestines for a long time and the adaptation had already been done. So removal of the gallbladder wouldn&#8217;t have made a difference to these patients.</p>
<p><strong>Capt Picard</strong>, the atttendant took them. Sometimes, it&#8217;s the circulating nurse.</p>
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		<title>By: jonzz</title>
		<link>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17417</link>
		<author>jonzz</author>
		<pubDate>Fri, 20 Apr 2007 00:34:26 +0000</pubDate>
		<guid>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17417</guid>
		<description>Hmm, one throught the belly button. Somehow that idea gives me the creeps. *Shiver* LOL!

Isn't there a bloodsucking tube or something? ROFL... so when are u conducting a course of 'Dummy's Guide To Surgery'? LOL!

I bet you'll have to prepare a lot of ammonia to revive your student wannabes, ROFL</description>
		<content:encoded><![CDATA[<p>Hmm, one throught the belly button. Somehow that idea gives me the creeps. *Shiver* LOL!</p>
<p>Isn&#8217;t there a bloodsucking tube or something? ROFL&#8230; so when are u conducting a course of &#8216;Dummy&#8217;s Guide To Surgery&#8217;? LOL!</p>
<p>I bet you&#8217;ll have to prepare a lot of ammonia to revive your student wannabes, ROFL</p>
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		<title>By: Jean-Luc Picard</title>
		<link>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17399</link>
		<author>Jean-Luc Picard</author>
		<pubDate>Thu, 19 Apr 2007 19:22:44 +0000</pubDate>
		<guid>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17399</guid>
		<description>Who is taking the pictures while these ops are going on? They are really detailed.</description>
		<content:encoded><![CDATA[<p>Who is taking the pictures while these ops are going on? They are really detailed.</p>
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		<title>By: gam</title>
		<link>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17375</link>
		<author>gam</author>
		<pubDate>Thu, 19 Apr 2007 12:11:41 +0000</pubDate>
		<guid>http://bernardchan.net/2007/04/19/laparoscopic-system/#comment-17375</guid>
		<description>Eewww... I had my gall bladder removed by laparascopy 10 years ago. But I had diarrhoea for one month or so after that.</description>
		<content:encoded><![CDATA[<p>Eewww&#8230; I had my gall bladder removed by laparascopy 10 years ago. But I had diarrhoea for one month or so after that.</p>
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