Saturday, 16 May 2026

Tubing Down the Gullet

The Weight of Anticipation

Anxiety is a weight. It sits on your chest and bears down regardless of whether you are lying down, sitting, or standing. Anxiety also signals that the issues of life, though measurable in the brain, are situated in the chest cavity where your heart and lungs reside.

For instance, when you feel confident, you are likely to beat your chest rather than slap your head. Slapping your head, it turns out, is an act of self-deprecation in recognition of one's silliness or foolishness. Anticipation can create anxiety, and nothing quite causes that feeling of foreboding like the hours just before a long-scheduled medical procedure.

Lessons from a Previous Encounter

With hindsight, two years ago, after a multiparametric MRI scan, the consultant sprang a biopsy of my prostate gland on me without first reviewing the results or explaining the reasons. Even so, I was quite well prepared for the encounter.

I asked questions, demanded answers, and only acquiesced to the procedure once I was convinced of the need. The importance of reading up on your medical situation is paramount.

A Portmanteau of Procedures

Tomorrow, I am going for an Oesophagogastroduodenoscopy. I could have sworn that is not a word, but welcome to the world of medical terms that suggest a portmanteau of activities. The word reminds me of German, where portmanteau words are joined up with the letter "S". I would suppose, with medical terms, it is the letter "O", much like when I had that inguinoscrotal abscess last month.

In summary: I am having an endoscopy that will reach down through my oesophagus, past the gastrointestinal junction, to the first and shortest section of my small intestine. I have not deigned to measure that in miles, but it feels like a long way down to places never before visited, rather like the first landing on the moon.

Why This Procedure Is Necessary

This is pursuant to an investigation that presaged my visit to A&E after a choking incident which impacted my ability to swallow anything, including fluids, for hours. I was eventually discharged about five hours into my hospital attendance, after managing a sandwich and a drink. Taken alongside a history of choking events going back decades, and three such incidents since that discharge, this procedure is necessary.

Herewith, the cause of my anxiety: without a chaperone, I can only elect for the most basic palliative, which would be a numbing spray to the back of the throat, rather than a sedative.

Finding Peace

I believe I shall be fine. I suppose it is just part of human nature to be slightly concerned at that kind of invasive activity, and it is not helped by a mind full of others recounting their own endoscopic odyssey.

Shalom! Peace to my mind, peace to my soul, peace to my thoughts, peace through it all.

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