For those of you that are more interested in my medical diagnoses of late, and a small discussion about potential surgery. Also, an interesting take on doctors’ biases, livelihoods, and philosophies of healing.
And, unsurprisingly, the doctor that sells me the PPIs suggests that an operation on my esophagus is unwise. 🙂 How you treat acid reflux is a philosophy, and Dr. Qiao is a confirmed internist. His belief is that using PPIs prevents the possibility of Esophagal cancer (true) and that while stomach cancer is on the risk sheet for PPIs, he has never known it to happen in all the years (some 20) that he has seen patients.
One feels caught between the rock and a hard place of potential esophagal cancer versus potential stomach cancer. Neither of which may occur, both of which would have a slim chance of doing so.
Dr. Qiao believes that most many esophagal surgeries don’t last. You can have a surgery, and six or seven years later have renewed systems. He also believes that the Esophyx operation is as yet too risky and there are too many unknowns. He is a self-confessed conservative.
That was the best conversation I’ve ever had with Dr. Qiao. He closed the conversation with the quip, “Of course, if you were talking to a surgeon, he would say everything differently. But you should listen to me.” And of course, that’s it in a nutshell. Dr. Qiao believes in what he’s doing, and what he’s doing is also his livelihood. Also, if problems continue, he is not opposed to tests. But my diagnosis could be very different in the hands of another.
So….I have a new, stronger, more experimental med. I should only have to take one pill a day. And continue my experiments in stress reduction, diet and exercise.
That said, now that the hydra of medical appointments have been slain (dermatologist–leave it alone; ENT–leave it alone; gastroenterologist–here are some more pills.) I’m getting together with my GP on the 17th, and I’m going to walk him through all this, since he instigated it. AND we’re going to talk about some thyroid numbers from the emergency room that probably mean nothing, and Esophyx.
I trust Dr. Banks to be more of my advocate, than Dr. Qiao, who knows what he is talking about, but clearly has a bias. Dr. Banks keeps up on about everything, and if there is someone who can tell me whether this surgery is a good idea, it’s him. He’s also a great believer in second opinions.
And that was the medical day that was. Pretty much all of this has been a lot of sound and fury, signifying nothing, except that acid reflux blows chunks.