{ "text": "This patient is [PERSON_NAME] [PERSON_NAME]. MRN is [HEALTHCARE_NUMBER]. They just start recording, and then a [OCCUPATION] really reads it because they haven't figured out how to make a computer figure it out yet. I was like, is it gonna take out all the chitchat? Exactly. Yeah, exactly. They haven't figured that one out yet, so. But. So tell me what's been going on in [DATE_INTERVAL], in [DATE_INTERVAL], my neck was really swollen. I couldn't even turn it. And then I. [ORGANIZATION] [ORGANIZATION] said something. Salivary gland. So I ended up getting in to see an [OCCUPATION] who didn't even look in my mouth and told me it was a [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION]. But I said, you know, ever since it, like the swelling had gone down by the time I saw her, but it felt like there's something on my tongue way in the back and trying to think. I. So she wasn't helpful. I ended up seeing I had to go to an [OCCUPATION] cause somebody couldn't diagnose [MEDICAL_CONDITION] [DURATION] ago. And so I went back to him, and he put me on [MEDICAL_CONDITION] [DRUG], but was like, kind of got snippy with me when I said, it's on the side of my tongue. Like, you didn't tell me that. I was like, I'm not the one looking. But anyway, like, you're. I was. That's why I came, because I can't see it. Yeah. So [MEDICAL_CONDITION] [DRUG] didn't work. And then finally my [OCCUPATION], I went to an [OCCUPATION] [OCCUPATION]. They saw something on the tongue. They [MEDICAL_PROCESS] [MEDICAL_PROCESS]. It was a [MEDICAL_CONDITION] [MEDICAL_CONDITION]. And I thought that would be, like, the end of it. Yeah. And of course, now my tongue always feels slightly swollen where it was [MEDICAL_PROCESS], but I think I can still feel it farther back. I've been told things like, the person that did my [MEDICAL_PROCESS] when I was [PERSON_AGE]. I'm sure they did a fine job. And I was like, that was [DURATION] [DURATION] ago from that appointment. I wasn't implying poor [MEDICAL_PROCESS] [MEDICAL_PROCESS] or anything, or it's not [MEDICAL_CONDITION]. I'm like, well, okay. And so I just am looking to figure out what it is because sometimes I feel like. Almost feels like a [INJURY] [INJURY] sometimes. Like, it's not always like that, but it's almost like [INJURY] [INJURY]. And then like, sometimes, like, if I turn my head. Like one time I was drinking and turned, and it was like, real painful. I don't know if it's like a [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION]. It does feel like it's large, but. Or maybe if I'm exposed to some, like, an illness and I'm fighting [MEDICAL_PROCESS] [MEDICAL_PROCESS] because it gets larger, even though I don't know. I'm. I don't know what's going on. But I do feel pain sometimes here, but especially when it almost feels like a sore back there. Like, granola bars, things like that really irritate it sometimes get. I almost feel like it gets caught on it, whatever it is. I can't see it, but I thought maybe it's another [INJURY] farther back. I guess it was. Two of them were. Were [MEDICAL_PROCESS] from as far back as they could go in a dental office. Yeah. Okay. And so that was [MEDICAL_PROCESS], and I have the report of what it was from the lab, but I guess I'm just looking for a little bit of. I need to know what it is. I need to know what's going on because. Yeah. Yeah. Okay. I just feel like I need that. I have three kids, and. Yeah. Yeah. And so this has been [DURATION] [DURATION] [DURATION], really, overall, or more than [DURATION] [DURATION] [DURATION] of this. This process going on. Yep. And seeing numerous people. Oh, it's not [MEDICAL_CONDITION]. It's not. Your [OCCUPATION] did a good job. I'm like, mm. But why is it. I just want to know what it is. Yeah. So at least knowing this was [MEDICAL_PROCESS], maybe that's what's going on farther back. But. Okay. Yeah. I just don't want it to be like, oh, yeah, we. Like, why didn't we. You know? And then, of course, somebody said [MEDICAL_CONDITION]. I think even wrote [MEDICAL_CONDITION]. It looked like an imp. Like that looked like what it could be. But of course it makes you worry. Like, what is back there? Because what if it is? Sure. Okay. I don't know. I'm just worried. Yeah. Any ear pain at all? Sometimes. But both sides or just left? Just on the left sometimes. It's not consistent. Okay. How about difficulty swallowing? I mean, every time I swallow, I can feel this lump. It might be the most minuscule thing. I can't be sure. Okay. I think it's weird that after I had the [MEDICAL_PROCESS] [MEDICAL_PROCESS], the tongue in the back now rubs on my tooth, which is irritating. Yeah. But it makes me wonder, is there something making it enlarge? Like, is it enlarging? I don't know. Or is it just because they [MEDICAL_PROCESS] [MEDICAL_PROCESS] and my teeth have shifted? I don't know. You know, because. How about unintentional weight loss at all? I had a baby. Okay. I did lose it, Right? Yeah. I mean, I lost weight, but I mean, my mom had nodules in her thyroid. And I know thyroid's different location. Yeah, there is a family history of that. And so I just. I know it's not my thyroid, but how about loss of appetite at all? I mean, I'll eat anytime. Okay. I mean, yeah, good. I'll leave and eat when I'm not hungry, you know, which for this instance is good because. Yeah, we don't want to hear people losing their appetites and just wasting away because that means bad things usually so good. Well, have a seat. I'm gonna take a look first. I'm wondering, did anyone ever look with a scope, the flexible scope to put some [DRUG] [DRUG] in your nose and look down into the throat? [PERSON_NAME]. [PERSON_NAME] through [PERSON_NAME]. Yeah. But, you know, he was only looking at the vocal for like, I really feel like it's on the side [MEDICAL_PROCESS] [MEDICAL_PROCESS] tongue. I wouldn't even be opposed if, like, if a flexible tube went this way and like. Yeah, I see what you're saying. Okay. I, I just. And then one time I went to a regular [OCCUPATION] because I thought, oh, a referral would be better because they'll take me more seriously. Which the [OCCUPATION] she referred me to never called, but even the [OCCUPATION] was like, it doesn't look the same on the left as it does on the right. Like, there's something. And it could be a glam, a salad or a taste bud, but I just find it odd. Related to [MEDICAL_PROCESS] [MEDICAL_PROCESS] being swollen. Yeah. I don't know. Okay, get a good look here. But [MEDICAL_PROCESS] [MEDICAL_PROCESS] gets swollen in addition to the pain. Well, sometimes, like, I just, I Like specifically right here. So it's not. And I wonder if it's related to the [MEDICAL_CONDITION] [MEDICAL_CONDITION]. I don't know if there's like. I don't know if it's the thing where like a [INJURY] could be in there and kind of [INJURY]. And that's why it's sometimes [INJURY] right there, if that's the word. [INJURY]. Yeah, yeah, that's a word. So I don't know if that's a possibility. Check things out. And would you say you feel it like here or further back? Farther back. That's like where the [MEDICAL_PROCESS] [MEDICAL_PROCESS]. Okay. And go ahead and say, Ah, good. So I'm just going to touch that area. I don't know if that's specifically where you feel it. It's kind of hard with a tongue depressor. It's kind of that region. Yeah, yeah. Okay. Because there's a little There's a. What we call like a lymphoid cobblestone there. So it's a little lymph tissue that's kind of heaped up right in that area there. But I want to just feel here, see if I could feel if it's firm at all. So. Yeah. So right there and then nothing on the side, which is good. Yeah. And then. Let me get this. Tongue depressors again. You're doing great, by the way. Thank you. Yeah, you have, like. It's. It's about. It's like a little pebble almost in size, and there's two. And they're next to each other, and they're not. They're not growths at all. They look like lymph tissue from the back [MEDICAL_PROCESS] [MEDICAL_PROCESS] tongue, actually. And lymph tissue can get irritated. Why specifically that lymph tissue gets irritated? Is hard to answer, but. Yeah. There's like two little raised circles. I don't. Could it. I do feel like a slim. No, I mean, everybody has said, oh, it feels a little larger, but I'm like, well, yeah, I agree. Like, there's a. And it's not enlarged, but it's larger than the other side, for sure. Which I guess is what really makes me worry that it's always palpable, I guess, that you can. And that's not unusual. Just so you know. It's. Yeah, it's not uncommon. I have a node, kind of a big node in my neck. It's not big, actually. Yours isn't big. Mine's not big either, but it's palpable. It's like, always been there for some reason, but. But I guess with the tongue part, that's what makes me concerned there's something. Yeah. Well, have a seat again. Let me. Let's just talk about what we can potentially do here. Like, I'm not opposed to just [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS]. No. Okay. Yeah. The. Because, I mean, is it. So do you think that's what's [INJURY] [INJURY]? Like, it. Maybe it's getting [INJURY] or like when I'm eating, it's kind of in an area that. And if it's lymph tissue, is that why. Like, if I'm fighting something off, maybe that's why it feels like it's [INJURY] [INJURY], because it's inflamed from germs? Probably not. I'm just. Yeah, exactly right. Figure out, like, why that's. You know. And so it looks like regular what we call lymphoid cobblestones [MEDICAL_PROCESS] [MEDICAL_PROCESS] back [MEDICAL_PROCESS] [MEDICAL_PROCESS] throat. But they're prominent compared to the rest [MEDICAL_PROCESS] [MEDICAL_PROCESS] tongue right there. If someone came in without symptoms and I saw that, I'd say that's totally normal. But the fact that you have symptoms there, you know, it's possible there's a [MEDICAL_CONDITION] [MEDICAL_CONDITION] there that just wasn't [MEDICAL_PROCESS]. Typically, those didn't go that far back. Yeah, right. Typically those shouldn't cause necessarily significant pain. So I can tell you, number one, I don't suspect anything bad going on, and I have [DURATION] [DURATION] of experience. Just. Just so you know where I'm coming from, because you might look at me and be like, this guy's probably just practiced for the past [DURATION] [DURATION] or something. [PERSON_NAME]. [PERSON_NAME]. My son goes to [PERSON_NAME]. [PERSON_NAME] and he. Oh, I told him. I said, I need to know a good ent, and he. Oh, cool. Awesome. Awesome. Good. That's good to hear. Yeah. One thing we could always do, if it would. If it would. I mean, it's important to have your mind at ease about this. We could always just schedule a procedure where I would do it as an [MEDICAL_PROCESS], like an [MEDICAL_PROCESS] [MEDICAL_PROCESS] center, because it's far enough back that I'd want potentially even have you some [DRUG] [DRUG] on board so I can put [DRUG] [DRUG] in there and take. Take the specimens out there and just send them for pathology. The chance of it being anything bad is really super low. Because your [MEDICAL_PROCESS] [MEDICAL_PROCESS] is good. The. The [MEDICAL_PROCESS] [MEDICAL_PROCESS]. I can feel the little. Two little bumps, but they're. They don't look like [MEDICAL_CONDITION] [MEDICAL_CONDITION] [MEDICAL_CONDITION]. They don't look like [MEDICAL_CONDITION]. They just. Those things would have continued to grow over the course [MEDICAL_PROCESS] [MEDICAL_PROCESS] past months. Where it would have gone. Yeah, where it would have gone from something tiny like that to something where you definitely would be noticing it bleeding, that type of thing. Okay. So, you know, it's really. I would say I really put it up to you in terms of if you want to schedule something to do that or if you say, hey, well, as long as this guy thinks it's okay and it's just inflamed lymph tissue, fine. Why it's inflamed is a good question. I was trying to. I was looking it up, too, because I had a [OCCUPATION] friend who said that there's something that that's called. It's like, not [MEDICAL_CONDITION] [MEDICAL_CONDITION], but he says he's had a number of patients with that where they have lymph tissue way in the back [MEDICAL_PROCESS] [MEDICAL_PROCESS] tongue that hurts and that he had a name for it. And I've been trying to figure out what the heck it was. I haven't seen him in [DURATION] [DURATION] now. And could it be like remaining tonsil tissue? Is that right? Because the tonsil comes down, right? Yeah, right there where those little two nubbins are. So, you know, I don't think treating with an [DRUG] would be of any benefit. And an [DRUG] [DRUG] could potentially help, like [DRUG], something like that. But it'd probably be just temporary. So, you know. You know, one other thing. I mean, you've been having pain and sometimes there's something under the surface that we don't appreciate. So an [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] [MEDICAL_PROCESS] would give us basically the final answer. Would it show the tongue? Yeah. Oh, yeah, yeah. [MEDICAL_PROCESS] is best for tongue tissue. Not that I want one, but I'm just. 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