In 2012, a healthy, normal-weight, 61-year-old woman presented to my gastroenterology clinic. She requested endoscopy because she was worried about cancer of the esophagus. Four years earlier, her primary care physician had diagnosed gastroesophageal reflux disease (GERD), prescribed once-daily acid-reduction therapy, and noted complete resolution of symptoms. As a precaution, the primary care physician referred the patient to a gastroenterologist for consultative advice. The gastroenterologist performed endoscopy and noted slight irregularity at the squamocolumnar junction, did a biopsy of the area, and found no intestinal metaplasia in the esophagus. Despite these essentially normal findings, the gastroenterologist told the patient that she had “impending Barrett's” and, if it progressed, so would her risk for esophageal adenocarcinoma (EAC). The patient was advised to have another endoscopy in 2 years. Two years later, without a primary care physician's input, the patient saw a gastroenterologist in another state, brought her medical records, and told the specialist that she needed endoscopy. Despite another set of normal results, she once again received advice to have another endoscopy in 2 years. Two years later, she presented to me. After reviewing her records, I told her that there was no reason for her to have another endoscopy and she was not at increased risk for EAC.