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Comment on Why are doctors so hands off and unhelpful in the USA?

curbstickle@lemmy.dbzer0.com ⁨2⁩ ⁨months⁩ ago

My doctors have been incredible, at least those I’ve had for the past 4 years or so. Including my gastro.

They take the time to talk to me, they remember who I am, and my gastro is even a direct recommendation from my primary doctor (my gastro is his gastro).

I’ve been going to gastroenterologists for literally decades, the one I got a couple years ago is the first to finally find the issue, and I’ve been reflux free. I doubt he’d do a transnasal either - its more limited in scope (hah!), you’re only getting part of what an endoscopy can do. That’s why its not transnasal endoscopy, its transnasal esophagoscopy.

And that’s probably why. Why they wouldn’t just say that, I don’t know. There are lots of places that will do transnasal esophagoscopy throughout the US, so it isn’t a procedure that’d just “not done here” or anything, its not as popular in general because its just not as thorough of a procedure.

I hope you find a doctor in the future that takes the time to explain things though.

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kungen@feddit.nu ⁨2⁩ ⁨months⁩ ago

you’re only getting part of what an endoscopy can do.

But it’s much less intrusive, no? So should it not be considered to see if a good diagnosis can be made via it?

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- curbstickle@lemmy.dbzer0.com ⁨2⁩ ⁨months⁩ ago
  If it doesn’t cover the expected area of concern? No
  
  If you dont know the cause of the issue? No
  
  If you know the issue, and just need to check the state of the esophagus or something? Sure.
  
  Its done for specific reasons, just like an endoscopy is done for specific reasons. When it comes down to it though, it only does a small part of what an endoscopy can do, and with a generic “acid reflux”, its not going to give enough information to diagnose. Its a way to assess symptoms, not a way to diagnose a gastrointestinal problem.
  
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Buttflapper@lemmy.world ⁨2⁩ ⁨months⁩ ago

And that’s probably why. Why they wouldn’t just say that, I don’t know. There are lots of places that will do transnasal esophagoscopy throughout the US, so it isn’t a procedure that is just “not done here” or anything, its not as popular in general because its just not as thorough of a procedure.

Here’s the exact wording I got from my Gastro in the USA in a major metro serving millions of people. No one in the ENTIRE state of Georgia… does a Nasal Endoscopy or esophagoscopy, a common procedure all across the world. Truly asinine.

I have reached out to our gastroenterology department and have learned that we do not do this procedure. Additionally, we are not aware of anyone in the state of Georgia that offers it.

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- curbstickle@lemmy.dbzer0.com ⁨2⁩ ⁨months⁩ ago
  I can tell you its done in the tristate area.
  
  Maybe its a Georgia thing.
  
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