Just the beginning. It was a slow morning at the hospital, so they had time to examine me thoroughly. They found a mass on my thyroid about an inch in diameter. I have no symptoms from it. I was then referred to Ear Nose and Throat specialists for a biopsy. They were in no hurry. I paid my copay, noted that I had recent hearing loss, pain and discharge from my ears. The PA asked to touch my neck. That constituted an examination for insurance purposes, then he said they would schedule me for the biopsy. No reason they couldn't have done it that very day. I cancelled the appointment for the biopsy. There is a 5% chance the mass is cancerous, and a chance it will continue to grow to give me swallowing issues. I'm not going to pay another copay after paying $37,500 for MRI and CT Scan, and a copay plus $125 for an ultrasound, and a copay and who knows what else for a PA to touch my neck, bill my insurance, and make a biopsy appointment. He never checked my ears.