Joey, I am in southern PA, about 45 minutes from Hopkins. Charlene is the best!
Well, today's appointment was kind of an unorganized mess. They had me down as a current patient, so they put me in the procedure room and were getting ready to prep me when they realized that I had never met Dr. Schoenberg. They only realized I was a new patient when I asked if anyone wanted my health history. Then Charlene took my medical history and allergies (which I carefully filled out on the forms) and then the other nurse came in and took all the same info. I assured them that I was okay meeting the doctor during the procedure in order to keep them on schedule, but they insisted he would talk to me first. Fifty minutes later, a nurse looked in and realized they had forgotten about me. I said I would be happy to prep for the procedure and forgo the initial consult, and then of course the doctor strolls in as I'm changing into the hospital gown. Nice.
Dr. Schoenberg was skimming my test results and notes from my regular uro, and then he says, I wonder if you have a UTI, I don't want to do the procedure if you have an infection. After an hour drive and almost two hours at the Outpatient Center!!! Luckily, I was clear and he took a look at my bladder. The good news is he thought my bladder looked "remarkably healthy." He thought maybe just some usual squamous metaplasia. The bad news is he thought I had already had a biopsy that came back negative for malignancy. I guess he skimmed the cytology results and thought they were biopsy results. No wonder he thought my bladder looked remarkably healthy, he thought I was the world's fastest healer I guess.
I was much relieved, but he never said anything about the "heaped up papillary tissue along the UOs" that was what my regular uro found concerning. My other doctor already had noted the squamous metaplasia and wasn't concerned about that. Anyway, he wants me to email him in a week for the cytology report on my urine, and if it's negative, he would suggest doing nothing, as opposed to "re-biopsying." Maybe now that he realizes that I was never biopsied, that advice will change. Meanwhile, my regular guy thinks the heaped up tissue is what's causing the irritation and retention, and wanted to burn off the stuff after he had biopsied it so that I would feel better.
I feel better, but still a little confused by the whole thing.