{"id":116,"date":"2021-07-23T23:00:00","date_gmt":"2021-07-24T06:00:00","guid":{"rendered":"https:\/\/the-mm-show.com\/?p=116"},"modified":"2021-08-30T10:28:46","modified_gmt":"2021-08-30T17:28:46","slug":"eus-day-the-mystery-of-the-surgeons-appointment","status":"publish","type":"post","link":"https:\/\/the-mm-show.com\/index.php\/2021\/07\/23\/eus-day-the-mystery-of-the-surgeons-appointment\/","title":{"rendered":"EUS Day; The Mystery of the Surgeon&#8217;s Appointment"},"content":{"rendered":"\n<p>It&#8217;s Friday, 8 days after The News.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">EUS Day<\/h4>\n\n\n\n<p>Thankfully I don&#8217;t have to do the bowel prep that was necessary for the colonoscopy. For the EUS (technically a &#8220;endoscopic ultrasound with flexible sigmoidoscopy&#8221;) it&#8217;s suppositories. This is my first experience with them, and to spare you the details all I&#8217;ll say is that it is infinitely better than the bowel prep. For one you don&#8217;t have to taste anything (one of the worst things I found about the bowel prep). <\/p>\n\n\n\n<p>The first suppository needed to be taken three hours prior to the procedure, so I was up at the ungodly hour of 7:30. At this rate I&#8217;ll die of lack of sleep long before this cancer has a chance of killing me.<\/p>\n\n\n\n<p>While this was at a different PAMF facility the pre-op routine was much the same. Multiple times they asked me for my name, birth date, and why I was there. The second or third time the nurse said that they just wanted to make sure I wasn&#8217;t there for a facelift. She didn&#8217;t think the gastroenterologist would do a good job. But if that&#8217;s what I was there for she&#8217;d see what they could do. The nurses were great and joked a lot. When they were taking my blood pressure I commented that the machine in the Palo Alto facility had died while tightly gripping my arm. One of the nurses said, &#8220;Oh yeah, we know about that one! Always needs to be recharged.&#8221; That machine is infamous. One of the nurses asked me when I&#8217;d done the bowel prep and I told her I was told to do the suppositories this time, which another nurse who was in the room confirmed. Then we got into a discussion about the Suprep bowel prep I&#8217;d used for the colonoscopy and how horribly it tasted. One nurse asked which flavor I got. Flavor? You mean there are multiple flavors? They prescribed it and I got whatever the pharmacist handed over. They suggested I get the lime flavored one next time. I&#8217;m pretty certain I had cherry, which they said was like cough syrup. About right.<\/p>\n\n\n\n<p>Once again I had the ever-so-cool sensation of being on a roller coaster as I was wheeled into the OR. I laid on my side, and&#8230;.the next thing I knew I was in recovery. And once again my clothes had magically appeared on me. I wonder if we could somehow work this out so every morning I wake up fully clothed and ready to go out into the world. It&#8217;d be a great time-saver.<\/p>\n\n\n\n<p>While I was in recovery the gastroenterologist came and and relayed his findings. He seemed upbeat &#8211; he said the tumor was small. Maybe it could even be addressed with chemo \/ chemo-radiation and surgery wouldn&#8217;t be required. Didn&#8217;t see any lymph node involvement. I thought he said it was about 1 cm, but in then I wasn&#8217;t 100% recovered from sedation. [ note to self: always, always, always have the person picking me up hear what the doctor has to say after being sedated. ] When I got home I found a mysteriously unread email in PAMF&#8217;s online system sent a week earlier. It was an introductory message from the nurse navigator, sent before she called, explaining that she had been assigned to me because a 5 cm mass had been observed during the colonoscopy. 5 cm vs 1 cm? Maybe width vs depth? Maybe a 1 cm tumor can present as a 5 cm mass due to inflammation or other reasons? No sense in speculating &#8211; let&#8217;s wait for the results to be formally published in the after-visit summary.<\/p>\n\n\n\n<p>KT picked me up. After having been fasting I was starved. We headed to Hobees to pick up lunch, and then headed to home to eat.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">The Mystery of the Surgeon&#8217;s Appointment<\/h4>\n\n\n\n<p>The mystery for the day is that sometime during the morning the &#8220;New Patient Visit&#8221; with the surgeon has turned into a &#8220;Proctology Exam.&#8221; Same time, same place, same surgeon, just a new title. Now I&#8217;m really confused about what this appointment is. I tried to call the surgeon&#8217;s office, but they&#8217;d already closed for the weekend. JT is planning to go with me and I&#8217;ve told her it&#8217;s her call &#8211; it&#8217;s a long drive and I&#8217;d hate for her to waste her time, especially if it does turn out to be a proctology exam and not a consultation.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>It&#8217;s Friday, 8 days after The News. EUS Day Thankfully I don&#8217;t have to do the bowel prep that was necessary for the colonoscopy. For the EUS (technically a &#8220;endoscopic ultrasound with flexible sigmoidoscopy&#8221;) it&#8217;s suppositories. This is my first experience with them, and to spare you the details all I&#8217;ll say is that it&hellip; <a class=\"more-link\" href=\"https:\/\/the-mm-show.com\/index.php\/2021\/07\/23\/eus-day-the-mystery-of-the-surgeons-appointment\/\">Continue reading <span class=\"screen-reader-text\">EUS Day; The Mystery of the Surgeon&#8217;s Appointment<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-116","post","type-post","status-publish","format-standard","hentry","category-diagnostics-staging","entry"],"_links":{"self":[{"href":"https:\/\/the-mm-show.com\/index.php\/wp-json\/wp\/v2\/posts\/116","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/the-mm-show.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/the-mm-show.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/the-mm-show.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/the-mm-show.com\/index.php\/wp-json\/wp\/v2\/comments?post=116"}],"version-history":[{"count":3,"href":"https:\/\/the-mm-show.com\/index.php\/wp-json\/wp\/v2\/posts\/116\/revisions"}],"predecessor-version":[{"id":129,"href":"https:\/\/the-mm-show.com\/index.php\/wp-json\/wp\/v2\/posts\/116\/revisions\/129"}],"wp:attachment":[{"href":"https:\/\/the-mm-show.com\/index.php\/wp-json\/wp\/v2\/media?parent=116"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/the-mm-show.com\/index.php\/wp-json\/wp\/v2\/categories?post=116"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/the-mm-show.com\/index.php\/wp-json\/wp\/v2\/tags?post=116"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}