Working at St. Vincent’s Cancer Hospital heightens my awareness of how one appointment to the doctor’s office can change the whole course of your life. Recently, Joan Rivers died of a complication after a routine endoscopy. Endoscopies are important because they check for diseases like gastrointestinal cancer and Barrett’s esophagus, which can lead to esophageal adenocarcinoma, a cancer that can often be fatal. [1] How often, though, do these types of investigative procedures lead to worse outcomes than the actual disease itself? In Joan River’s case, she may have opted for the alternative, a longer life!