TTT Day 1 — Case 6 — Awake, chronic diarrhoea, lipoma (Adam / Beth / John) — INCLUDES SAFETY REVIEW

70-year-old, no sedation (patient asked for awake). Adam (third case, pacey). Known colonic lipoma — "pillow sign" moment in sigmoid. Includes the patient-safety incident: Adam tries to unwind an external loop while a hook is still on at splenic, dragging tip into mucosa. Feedback walks the video through what happened, "when do we put loop in umbilicus" theoretical drill, plus missed ischaemic patches in the cecum spotted by John. Critical teaching block.