If you can get in to see the doctor at Shands quickly, then do that. I know the ENT that saw me initially didn't want to do the biopsy. He likes sending patients to the specialist with a "fresh first hand look" and considering what medical we have here in Sitka, I was good with that. Everything happened pretty fast once we met the doctor in Seattle.

Like everyone said, the first thing to do is the biopsy.