May 20, 2013 - 1:41 pm
i'm eric. i'm bugged.
After an annual endoscopy to see my 12 cm-long Barrett's tissue, the physician(#1) noted a "nodule" and scheduled an endoscopic ultrasound.
I decided to go to a larger city where the GI docs were more practiced. My Barrett's tissue was further mapped using 45 biopsied sites. Only the nodule had high grade dysplasia and the MD(#2) scheduled me for a endoscopic ultrasound and mucosal resection (EMR). Upon examination, the MD(#3) noted "cratering" of the nodule and opted not to do the EMR because of possible "rooting" into deeper tissue layers and, possibly, spreading cells if cancerous. Instead, tissue surrounding the nodule was biopsied and the lymph nodes imaged. Lymph nodes on either side of the nodule were about 5-8 mm in diameter whereas, normally, they would be unnoticeably small. ( wouldn't other things cause lymph nodes to enlarge such as sore throat, chest cold for the past month, recent biopsies?) Waiting for the pathology report of the tissue surrounding the nodule. MD(#3) mentioned surgery and wants to schedule an appointment with MD(#4) to discuss options (assuming the biopsy report will so dictate).
MDs #2, #3 and #4 all know each other, work closely together and have "high marks" for gastroenterology issues. The first time I went to see #2, I filled out the basic questionaire in which I was asked, "Have you ever declined a procedure or surgery that you were advised to undergo?" (something to that effect). Why would they ask that question?
Now my intuition is being invaded with paranoia and cynicism, as I get the feeling that I'm being funnelled through the stages into surgery because I have good medical coverage. Like "This looks like a good candidate for putting through the entire ringer. Max out every procedure. Maximum number of biopsies, appointments, procedures, chemo treatments, radiations, surgeries--the works--and we will get paid! I just know that the pathology report this coming Wednesday will "suggest" the patient should undergo everything we can soak him for. I just know it.
Being the stubborn and recalcitrant person that I am, I might just say no to it all. Hell no. Go to hell. NO! I can't think of anything I would rather NOT have, than a esophagectomy.
The more I think about this, the stucker I get. I'm feeling like a sucker; yeah, a stuck sucker. Ha!
Sort of feel like I'm losing rationality.
I gotta go for a walk.