Teresa,

I met with the gastroenterologist, last week and the first step is to schedule and upper endoscopy exam, she took a quite a few records from me and said I should hold on to the rest I'd brought they may be needed. I was told it may be necessary to repeat the esophageal manometry, to try and find why it was inclusive in the past.
As far as the possibility of an esophagectomy, she said it's not inevitable at this point, but I'm clearly running out of exclamations that will allow me to avoid it. I find that difficult because what I have to is plan for that being a very real possibility and hope it doesn't happen at the same time. It' s a rather weird state of mind.
We'll know a whole lot more after the endoscopy. Schedule is tuff there. Like most hospitals, they have too many patients right now.

Philip