For over a year I constantly bugged my GI doctor for EUS endoscopic ultrasound test, he refused since it was invasive and I had no symptoms of pancreatic diseases,like (pain, nausea, etc), all I have is occasional elevated lipase pancreatic enzymes which he reassured me was benign macrolipasmia) so he gave me a MRCP which has up to 90% specificity in finding pancreatic tumors or disease and it was negative. That with a ct scan should be enough reassurance (but not for me)
Finally I got my diabetes A1C back and it was slightly elevated from 1 year ago, it was 5.6 to 5.9, my primary doctor said it's not signicant jump and is not realted to new onset diabetes that is associated with pancreatic cancer, new onset diabetes is similair to type1, where you lose weight unintentionally.
So I emailed my gastro and told him about my diabetes results and even sent him a study. So he replied via Kaisers email system, that he is now going to refer me to get EUS. The test I always wanted, now that he is ordering it, I am freaking out. Even though common sense tells me he is finding any excuse to refer me to finally keep bugging him. I sent about 30 emails in 12 month period to gastro.
endoscopic ultrasound is the test and it's the gold standard to find anything wrong. My primary doctor thinks it's unnecessary.