Saturday, March 1, 2008

Pandoscopy Proceedure

How ever you spell it Pan endoscopy or Pandoscopy, this is another procedure which is a fact finding mission.
Pan endoscopy (including laryngoscopy, esophagoscopy, and possible bronchoscopy): The Doctor will thoroughly examine the larynx, hypo pharynx, esophagus, and the trachea and bronchi (breathing tubes of the lungs). This examination, called a pan endoscopy, it is done in the operating room while you are under general anesthesia (asleep). The surgeon will look at the area through a scope to determine the size of the tumor and how much it has spread to surrounding areas. A biopsy (removal of a tissue sample for examination under a microscope) is performed with a special instrument operated through the scope. Fiber optic scopes are also used to check the esophagus and, possibly, the trachea and bronchi.

This is a more costly procedure but is more in depth in the determination of the size of the cancer. It also will determine my candidacy for the TORS. Most insurances will not pay for it because of the less expensive procedure that they say is good enough. Can you imagine that?
I have a problem with this. Who are the insurance companies to say what is good enough for our health! This proves that our best interest nor our health is an issue. It is all about how we can save a buck rather than increase the chance for survival. But that is a whole other article!


My current condition is less than I would have thought two weeks ago. My throat is very sore. This is in part from the tonsil and surrounding tissue being removed. The scab has fallen off and now the new tissue is sore. The one Lymph Node is very swollen and I know I need treatment as soon as possible.

I am optimistic yet remain concerned. I know that getting this done right away is imperative yet the free flap surgery concerns me a tad bit more. Dr. O' Malley and his team are very good at what they do. I still wonder if there is yet another form of treatment.

My next appointment will be this next week March 4, 2008 with the oncologist. We are to discuss what I can expect concerning a possible treatment plan and how that will affect me.

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