{"id":350,"date":"2009-09-16T15:06:00","date_gmt":"2009-09-16T22:06:00","guid":{"rendered":"https:\/\/www.fourchinnigan.com\/blog\/?p=350"},"modified":"2013-09-13T20:35:08","modified_gmt":"2013-09-14T03:35:08","slug":"misadventures-in-medicine-part-3-of-3","status":"publish","type":"post","link":"https:\/\/www.fourchinnigan.com\/blog\/?p=350","title":{"rendered":"Misadventures in Medicine Part 3 (of 3)"},"content":{"rendered":"<p>It was the end of May. Months of trying to get my swallowing issues resolved had led to nothing. I finally had a referral and it linked me to a potentially non-existent doctor&#8217;s office. That was the [insert straw and\/or camel-related cliche here]. I decided to change physicians. It couldn&#8217;t possibly take any longer to start from scratch than I had wasted in the prior few months. My gamble met with reward.<\/p>\n<p>I chose a doctor Erika recommended. Her office is within walking distance. It sits in a block comprised entirely of medical facilities and a hospital. Almost all of the tests and visits I would later undergo would occur within this block\u00e2\u20ac\u201dless than a mile from my apartment. These buildings are clean, well-kept, and what one expects from a medical facility (very unlike my Westlake experience). Never have I welcomed the sterile environment of a bland doctor&#8217;s office so happily. I contacted my insurance and had my Primary Care Physician changed to her. I called to schedule an appointment. Less than a week later, I was in her office. She was friendly and listened without interruption. Then came the clincher. She has suffered from <a href=\"http:\/\/en.wikipedia.org\/wiki\/Gastroesophageal_reflux_disease\">GERD<\/a> since childhood. She has decades of experience dealing with its many intricacies. Fate was dealing me a kind hand. The following week she had me in a specialist&#8217;s office (conveniently located in a nearby building in that same block). He too was helpful and attentive. I had my blood drawn at a clinic down the hallway. The nurse&#8217;s technique was surprisingly good. It was as if he was able to slide the needle into my vein, extract the blood, and remove it in one well-honed movement. It was the first time in years I&#8217;d had blood drawn without leaving a bruise. Two days later the testing began.<\/p>\n<p>I awoke early and walked to the hospital (still on the same block), received my armband, and headed upstairs for my <a href=\"http:\/\/en.wikipedia.org\/wiki\/Esophagram\">Barium Esophagram<\/a>. They placed me against a vertical bed on a hinge with an x-ray cannon aimed at my throat. I was asked to swallow odd-tasting barium solutions of various viscosity and a barium pill. Sometimes, the bed would rotate 90 degrees like a miniature amusement park ride. Occasionally, I could see a small monitor displaying an x-ray image of my digestive tract. At one point I was able to see the small pill shoot down my throat into my stomach. I was a little upset when it was over. It was kind of fun and I was looking forward to more strange liquids and entertaining live video from my innards.<\/p>\n<p>A few weeks passed before the main event\u00e2\u20ac\u201d<a href=\"http:\/\/en.wikipedia.org\/wiki\/Endoscopy\">Esophageal Endoscopy<\/a>. No food the night before or the morning of. Starving, I jumped on a bus in the early afternoon of July 1st (this was the only test requiring me to go to a facility outside of the especially convenient medical block). I would be sedated and driving was not allowed. I had already arranged for Erika to pick me up after work. I was met with a little paperwork, a stylish gown, my own cot, and an IV feeding me saline. Then a rather long wait with intermittent conversations with passing nurses. The main event neared. I was a bit nervous, but not exceptionally. I was mostly bored. Having little experience with surgical procedures, I didn&#8217;t expect to be lying in a bed for so long awaiting the operation. I should have brought a book. Two saline bags later, I was rolled into the arena. I reminded the nurse I was there for the <b>esophageal<\/b> endoscopy and <b>not<\/b> the <a href=\"http:\/\/en.wikipedia.org\/wiki\/Colonoscopy\">colonoscopy<\/a>. She assured me that wouldn&#8217;t be a problem as my pants would get in the way. Then came the anesthesia. My lids drooped a bit and I was drowsy, but still somewhat coherent. When my teeth were cut out, I blacked out instantly and came to much later with no memory of what had transpired. In this case, I have memories of the entire procedure, albeit swimmy-drunken-surrealist painting-style memories. I didn&#8217;t feel the full effects of the sedative until the very end of the procedure. That being said, there was no pain or anxiety, although I do recall numerous odd gurgling noises coming from my throat. An endoscope is much wider and intimidating than you may expect. I imagined a small fiber-optic cable with a bulbous end. Instead, it was like a very long\u00e2\u20ac\u201dyet flexible\u00e2\u20ac\u201ddesk lamp probing the depths of my throat. It was a strange experience, especially considering the drunkenness induced by the anesthesia. I was told to expect a sore throat, but it turned out to be very minor. A few days later I was rafting and kayaking whitewater in Kernville with no discomfort or weakness.<\/p>\n<p>Thus ended my introduction to the world of esophageal medicine. It began badly, but ended rather well. I am currently on <a href=\"http:\/\/en.wikipedia.org\/wiki\/Omeprazole\">omeprazole<\/a>\u00e2\u20ac\u201da valiant warrior against my over-abundant stomach acid. My doctor believes that my primary problem is not GERD, but <a href=\"http:\/\/en.wikipedia.org\/wiki\/Eosinophilic_esophagitis\">Eosinophilic Esophagitis<\/a>\u00e2\u20ac\u201dan allergic inflammation of the esophagus. Based on my history with allergies, I think he is correct. My father has been seeing great results with his problems by taking allergy shots. He recommends I do the same. I intend to look into that soon. The swallowing problems have not disappeared entirely, but the medication has been helping.<\/p>\n<p>The story of my throat does not end here. It continues, but I&#8217;m better armed for the quest ahead.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>It was the end of May. Months of trying to get my swallowing issues resolved had led to nothing. I finally had a referral and it linked me to a potentially non-existent doctor&#8217;s office. That was the [insert straw and\/or camel-related cliche here]. I decided to change physicians. It couldn&#8217;t possibly take any longer to [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","footnotes":"","jetpack_publicize_message":"","jetpack_is_tweetstorm":false,"jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false}}},"categories":[264],"tags":[148,144,146,145,116,147],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/www.fourchinnigan.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/350"}],"collection":[{"href":"https:\/\/www.fourchinnigan.com\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fourchinnigan.com\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fourchinnigan.com\/blog\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fourchinnigan.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=350"}],"version-history":[{"count":0,"href":"https:\/\/www.fourchinnigan.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/350\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.fourchinnigan.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=350"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fourchinnigan.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=350"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fourchinnigan.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=350"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}