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Date Posted: 00:06:16 11/10/17 Fri
Modern Trends in Well-child and Well-teen Assessments - as They Manifest in Certain Areas in th World, wjith the purpose of surveillance and research, and often associated with institutions dealing with children
By Knut Holt
There is a growing tendency in many societies to call in children at specific age levels for a thorrough assessment of the health and development with advanced radiological and endoscopic methods, much of which is perfomed through the openings in the intimate area. Usually the child is put under anesthesia for this exam. It happens in USA, Canada, Latin America, Western Europe, Australia and all other coumtries with strong cultural and political ties to USA and UK. It also happens in Eastern Europe but with somewhat other methods.
This ordeal is typically performed in a health center or in a hospital, and takes typically 3-5 hours, and is usually done some days after a more traditional well-child exam, a psychological assessment and an assesment by a dentist.
Some avatguardistic societies even hospitalize the child for a couple of days or have a hospital department within schools where the children stay for a couple of days for this type of examination.
The elected age levels for the ordeal tend to be 6-7, 11-12 and 15-16. These ordeals follow an internationlly standardized protocol and are coordinated internationally by some orgaqnization, nost probably the World Health organization (WHO). But this intrnational exam and surveillance program is mostly held secret for the common public as much as posible.
The following is a description of this protocoll.
PREPARATIONS AT HOME BEFORE THE EXAM
The parents will often be instructed not to give the child food after some time the day before and to give the child some laxative agent to make his stomach empty. They are instructed to bath the child and bring himher to the exam only lightly clothed. In some communities the child is taken to the exam from home or school in a special ambulance.
Some communities use huge ambulance vans that drive around, pick up the kid and perform the whole ordeal inside the van, that usually will be parked in a shielded area until the exam is finihed.
The exam will typically start as an ordinary well-child physical with the purpose of making the kid believe this willl not be something especially intrusive, and gradually increase the intimateness and intrusiveness of the ordeal.
One will perform a structured conversation with both the parent and the child. During this part the child will still have most of the body covered by clothes, but lightly so that bodily reaction during the conversation can be observed. This part may however occur in the home of the kid or the school before the kid is taken along.
At the end of this preliminary part the child will be clothed down to underwear or given a gown or some light exam clothes that are easy to open or remove.
At this early stage, the kid will usually be given some anesthesia through the mouth, by a shot or into the anus to make himnher calm and easy to manipulate.
Then one will listen to the heart and lungs, take the temperature, pulse rate and blood presure.
Then all clothes will be taken off the child, but heshe will typically be offered a gown or carpet to cover the body parts that are not under examination.
The exam is likely to proceed with anthropomorphic measurements with an assessment of the growth patern. This stage will include measurement of weight, height, limb length, and circumferance of all body parts.
During this early part one will also inspect the mouth, nose, genitals and anal region and take specimens of micobes and secretions from all body openings.
The next stage will be a thorrough orthopedic examination, where the shape, flexibility, function and development status of all muscles, joints and bones in the body will be assessed, including the whole pelvic area and the muscles in the pelvic floor. The child will stand, sit or lie according to what is most practical for the different tests.
This part will typically start like the orthopedic exam in an ordinary well-child physical.
This examination will include:
-A check of spine curvature to diagnose scoliosis or other deformities, performed with the child in standing and foreward bent posisions.
-Checking of flexibility in the schoulders, armes, spine and hip with the child in standing and sitting posision.
-Assessment of leg and hip joint flexibility with the child laying, performed by probing all possible modes of bending and twisting of the legs.
- A general inspection of the pelvic structure with the legs bent up and spread, including assessment of the alignment of the rectal opening, symmetry of the buttocks, and symmetry of the outer genital structures.
-Ultrasound and X-ray examination of the major joints in the body, especially the hip joints, knees, shoulder joints and jaws.
During all of these eacminations, pictures of the kid in various positions will be taken and stored in a database.
ABDOMINAL AND CHEST EXAM WITH EXTERNAL MEASURES
After the orthopedic examination there one will perform an outer abdominal assessment whith the following procedure.
- Manual palpation and percussion all over the abdominal and renal region with the child laying on the back and laying at the sides with the legs flexed, to assess the shape of the abdominal organs, detect any tissue changes, painful points, muscular tension, masses, fluid accumulation and abnormal accumulation of intestinal content.
- Ultrasound examination of the abdomen with special attention at the bladder and the renal area.
- Ultrasound examination of the chest with special attention at the functions of the heart and great blood vessels.
FURTHER PREPARATIONS AND ANESTHESIA
As preparation for the following endoscopic exams, the child will usually get an enema and the intimate area will be washed. The enema will often be performed with a machine that flushes the colon several times through a tube inserted through the anus.
They will then place the child on the examination table. They will place monitoring electrodes on the head, chest, pelvic area and thighs. They will insert an intravenous tube into a blood vessel.
Then they will give the child anesthesia. The anesthesia will most often be initiated with medication given through the IV tube and in many societies this will be the main anesthesia throughout the procedures to follow.
But some societies will proceed by giving general anesthesia with artificial breathing. In this case the child will be given gas with a mask until heshe is uncoscious, then the breathing will be paralyzed whith medication through the IV tube, then a tube will be inserted into the airpipe of the child and through this tube the child will resceive further anesthetic gas and artificial breathing.
When the anestesia is effective, they will position the child for the endoscopic examinations. Hisher legs will be flexed, spread and placed upon stirrups to fully expose the pelvic area, and the arms extended to the sides or flexed upards at both sides of the head. The child will be held in this position for most of the endoscopic procedures.
EXAMINATION OF THE GENITALS
Then there will be a more specific genital assessment with the child laying on the back with the legs flexed up and separeted. The exact posision will vary according to the development stage of the child.
For girls this will include:
- Manual palpation of the outer genital area
- Examination of the genital area with an outer ultrasound sond.
- Separation of the labia to inspect the inner area of the genitals.
- Inspection of the vagina with an optical scope or using a speculum.
- Examination of the inner pelvic structures with an ultrasound probe inserted throughh the vagina or anus.
For boys the genital exam will include:
- Manual palpation of the penis, scrotum, testicles and the area down to the anus.
- Ultrasound exam of the scrotum, testicles and the area down to the anus.
- Retraction of foreskin and spreading uretral opening for inspection.
- Taking specimen of prostate fluid with a tube inserted into the urethra, and if necessary with a massage of the prostate with a finger or instrument inserted through the anus.
- Palpation of the prostate with a finger inserted through the anus.
- Ultrasound exam of the prostate region with a sond inserted through the anus.
INTERNAL INSPECTION OF THE URINARY TRACT
The child will then undergo cystoscopy where one inspects visually the inside of the urethra and the bladder, and possibly also takes small specimens from the inside walls. For boys there will be a thorrough inspection of the prostate area during this examination. Traditionally cystoscopy has been a difficult examination to undertake, but modern flexible instruments ha made it to an easy and very quick examination. During this exam the bladder will be filled with fluid and in that shape also assessed with an outer ultrasound sond.
Often one extends the inspection bu advancing as cope up into each kideney.
EXAM OF THE RECTUM AND COLON
Then they will examin the anus, rectum and colon, which involves.
- Examination of the anus and interior room with an inserted finger
- Opening of the anus with a speculum for visual inspection and taking specimens.
- Internal ultrasound exam to visualize the structures around the rectum.
- Inspection of the deeper parts of rectum and terminal colon with a flexible optical scope.
- Often one extends the inspection to include the whole of the colon and even the terminal part of the small intesine.
EXAMINATION INSIDE THE STOMACH THROUGH A HOLE MADE IN THE NAVEL REGION
This exam consists of making a small perforation in the botton of the navel, incerting a thin flexible endosocpe and inspecting the inside of the belly with this.
Sometimes one also takes tissue samples from the inner abdominal area during this exam, or even takes out the appendix.
OTHER ENDOSCOPIC EXAMINATIONS AND TISSUE SAMPELLING
Other endoscapic examinations than those mentioned occur during the ordeals, but vary according to a present whish, for example inspections in the nose or down into the upper digestive tract through the esophagus.
During the endoscopic examinations they will sample tissue speciments for analysis. Often they also do so from other regions, for example the area under or around the breast nipples.
IMPLANTMENT OF ELECTRONIC SURVEILLANCE CHIPS INTO THE KID
During the exam, they implant one or two electronic chips into the kid so that the wheareabouts and physiological status of the kid cam be followed around the clock from a secret surveillance station. They typically implant one chip in the chest and one in the pelvic area.
The chips will communicate with the station by use of the network of communication antennas set up thightly in most communities, just like cellphones are followed the same way. This chip implantement is the most secret of all particularities of this international program, but has been revealed accidentally when the kids have been subjected to examinations with independent doctors, that did not know about the progran in detail.
TEST OF PHYSIOLOGICAL REACTIONS
After the active exams, the child will be placed in an intensive care unit, with the recording electrodes in place, with a sond through the urethrato in the bladder, and often a sond through the anus going up into the colon.
The sonds going into the bldder and through the anus are used for drainage, but will will often have ability to record bodily activities and are used to test the functions in the urinary tract and lower digestive system. Typically sections of the sonds will be inflated, and the reactions inside the body will be recorded, or the bladder and the colon will be filled with fluid and stretched to test reactions.
Girls may also have sonds into the vagina, and boys often have devices surrounding the genitals. These are used to stimulate the sexual physiology by mechanical movements and by electric stimulations.
During these tests, the kid is held under anesthesia, but not so that bodily reactions are hindered.
After these tests, the child is allowed to wake up and the electrodes and sonds will be removed after some time.
HOW DATA FROM THE EXAMS ARE ADMINISTERED
The instruments used in most of these examinations will take pictures and measurements that are transfered to a computer, stored there and later taken forth for further inspection and diagnosis. The society will store all of the data in a secret database that authorities in the sodiety dealing with the kids will use accordingh to need.
SOME HISTORICAL ACCOUNTS
The type of exam program described here, is nothing new. It has been attempted from time to time in various societies around the world at least from the end of the second world war. In most of these societies, a certain percentage of children seem to have been chosen for the program, typically 10%. but steadily more societies perform this program on all kids in the society.
HOW THIS INFORMATION HAS BEEN OBTAINED
This information is based on extensive polls made about the exam types people in various countries experience at specific age levels, and on facts regarding the technological development in examination equipment.
By Knut Holt
To read information about sugery and anesthesia relevant for these ordeals, plaease see this page:
Ordeals like those described here, will sometimes lead people to believe they have been abducted by aliens which is not thrue. But these ordeals are sometimes done in such a way that they give the impression of such abductions. Read more about this here:
TWO OF THE POLLS USED TO INVESTIGATE THIS SECRET EXAM PROGRAM
Extended, mandatory well-child examination under anesthesia - where the kid undergo endoscopic inspections in the intimate zone and other body areas, extensive ultrasound inspections, ex-rays of several body zones, intrusive specimen collection and body function testings:
Secret, intimate, intrusive medical exams and procedures under anesthesia on kids and adults:
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