I. YAY!
Dr. Napoleon Dynamite looked at the x-rays and said there was only one way to be sure, and asked if I thought I could deal with being scoped while awake (apparently there IS some anesthesia involved for the squeamish, but I wanted to know TODAY what the deal was and didn't get any last time, and it kind of feels like being stabbed in the back of the nose with a skewer but oh well), and I said DEAL with it, I DEMAND it! He said atta girl and sprayed some local up my nose (which I SUPPOSE it could have felt worse than it did, but I don't think the spray made any difference), then busted out the endoscope. He looked here, and there, and had me breathe and sniff and swallow, and used the end of the scope to poke and "feel" around the soft tissue back there. The good news? THERE IS NOT A MOUTHGUARD IN MY THROAT! WHOOOOO TITS!!!
II. BOO!
The suspicious-looking thing on the x-ray is...drumroll please...my hyoid bone. Turns out there is a horse-shoe shaped bone in your neck that isn't attached to any other bones, and when you relax your neck you can move it back and forth and feel it clicking--who knew! So why did it look so bizarre-o on the x-ray? Well, apparently MY hyoid bone could kick YOUR hyoid bone's ARSE! It's all bulky and calcified. Dr. ND says that this is something that normally happens as we age, although he doesn't usually see it to this degree in people MY age. I reminded him that Freakishly Rare Condition Z Syndrome has some premature aging aspects to it (remember, it is related to Progeria) and he said "ooooooohhhhh...that would certainly explain it." Then he remarked that I did not appear to have normal secretions in the back of my throat, and that they were very dry and thick. I reminded him that the syndrome with the umlaut in the name causes scant production of both tears and saliva, and he said "AHA! Wow, you really ARE a freak of nature. I mean, I'm sorry, it's just...you REALLY got the short straw in the genetic straw-pull, anyone ever tell you that?" Um, why NO, imagine my shock! For the moment we don't have to do anything about my overly-robust hyoid bone--it's not bothering us and we're not bothering it. "Damn," said Dr. ND, "I was kind of hoping I'd get to fish something really COOL out of there." Then I reminded him that I have a bleeding disorder and asked him if he REALLY wanted to do neck surgery on me. "Oh..." he said, frowning and flipping through my chart. "What the hell has happened to you since I took your tonsils out nine years ago? You used to be so HEALTHY! Yeah, I totally wouldn't want to mess with your throat now. Good thing you grew that funky little growth back there when you still had two platelets to rub together."
III. EWW!
Now for the eww. Dr. ND observed that I appear to have a RAGING case of reflux (which I already knew but hadn't been bothering me--when I had MRSA the first time they took me off of my PPIs because they would interfere with my absorbing the MRSA-killing drugs and I hadn't missed them. Or at least I didn't THINK I had. My larynx, apparently, did, but couldn't say anything because the reflux has eroded my nerves back there).
If you click to enlarge, you will note the following:
1. Bright-red voicebox (because of reflux damage)
2. These are my vocal chords. They're not grossly asymmetrical, but there is some damage to them (from...you guessed, REFLUX)
3. This thing that looks like I swallowed a Pringle whole? That would be my epiglottis. There's nothing wrong with it, I just found its appearance to be rather startling and wanted to know what it was, and then thought I'd pass that knowledge on to you. YOU'RE WELCOME.
4. This would be an example of the abnormally thick secretions Dr. ND noticed. So, in essence, that egg-white-looking stuff would be mucus. Perhaps my larynx is ovulating?
Dr. ND was impressed with both my tolerance for discomfort (he actually scoped me twice; the first time just using his eyepiece since he says that gives him better resolution, and then when I expressed doubt as to the non-mouthguardness of the thing on the x-ray he asked me if I felt like going for "double Jeopardy" and letting him scope me again with the monitor on so that I could see, too). And as unpleasant as the scoping is, I wanted to see WITH MY OWN EYES that there wasn't anything in there that didn't belong (lately I don't trust doctors when they tell me scans are "clear," plus okay, I wanted a picture to put on my stupid blog--there's no shame in that). When I asked him for a picture Dr. ND was amused. "You know you are the first person EVER to ask me for a picture of their larynx?" he said, pressing the "print" button. "Yeah, I'm sick like that," I said, snatching my prize from the printer and giving it a squint. "Plus I want to put it on my website." He laughed again. "Your readers must be sick, too." I thought, but did not say, "of course they are--that is why I love them!"
The REALLY eww part, though, is that Dr. ND wants me to see a GI doc ASAP for upper and lower GI endoscopies, because he said that it was VERY likely I had Barrett's Esophagus from the syndrome with the dangling-five-thingy hanging from a C and the little house-y thing over the E, and that syndrome can also cause ulceration and/or cancer at any point in your GI tract. Which I already knew, but didn't really want to hear. My maternal grandfather had esophageal cancer secondary to Barrett's Esophagus that spread to his stomach; in fact he died of it the summer before last.
So all in all it was a Doolittle day--no good without some bad mixed in for seasoning. I left the office with a sore nasopharyngeal cavity, a picture of my funky larynx, and a prescription I'm not sure I can take for Nexium--Dr. ND wanted me to take it in the morning two hours before a meal, but I pointed out that I had to take my Armour Thyroid in the morning ONE hour before a meal and couldn't mix it with PPIs or antacids. So he said to take it at night, and when I asked him if it would interfere with the white and yellow antiepileptics that I take then, admitted he didn't know and suggested I speak to the prescribing physician or maybe my pharmacist about that. I have a call in to The Nervous Wrangler's office and am waiting to get his input before filling the prescription, so if he gives it his blessing I will start the Nexium tomorrow. Which to my great dismay puts me back in the double digits per day on prescription drugs, not counting the new migraine pill. Alas. But that brings us to...
IV. Ooo...
Since last month, I haven't gotten charged for a single prescription. That's right, no co-payments. I hadn't been aware of this since The Patriarch always picks up my medications for me, but apparently I have met our HMO's out-of-pocket spending cap all by myself, three months before the end of the insurance calendar year. Free drugs! Ooo...
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