Well,I see that the patient is considered,followed,listened a lot in your countries and he can obtain a lot of cure and attentions.
Unlucky in Italy GERD,gastristris or reflux issues are not considered so much
Every doctor and GI can only say"it's anxiety,you are nervous"and he/she's annoyed if you call him/her very often,he/she gives you antidepressants or anxiety drugs,so he/she tries to "liquidate"you every time...then you have to go to another doctor...and the story repeats..........it's very unpleasant,very sad and hopeless!!!
What about surgery?
Of course every gastroenterologist advices against surgery for GERD,he/she thinks it will be not useful and will not help to feel better...NOBODY makes you a surgery if you have only a gastritis or a small jatal hernia.I Know some people which have had a severe esophagitis and GERD for a lot of years,people which have Barret's esophagus,but nothing.Only few very selected cases sometimes can have surgery.
Of course Bravo System is not yet used as a daily exam,it's almost impossible to have it.
Also sedation is not used easily and not recommended.
So I wonder,where I live??Health care is a real problem here!!!Should I transfer to foreign countries to receive some attentions??