Mick, my first biopsy, shortly after I'd been diagnosed with hep C in '93 was painful. Yes, they did give the local injection but I don't think the GI gave it enough time to take effect. Besides that, they inject the biopsy needle deeply and there's not going to be any anesthetic where it goes. They gave me nothing whatsoever for anxiety or pain prior to the biopsy, and I had to stop taking ibuprofen (or any kind of blood thinner) for a week prior to the biopsy. The biopsy was at 7:15 AM. Quite frankly, I felt like I had been hit with a hammer with a knife on the end of it. Then I had terrible upper back pain on the right. I asked for a Darvocet or some oral pain med after the procedure and they said all they had was IV Demerol on that floor (Outpatient Surgery.) I really didn't want to take that, given my drug history. They had me there for a couple of hours after the procedure, waiting for a room, as a 23-hour patient. At that time, they wanted me to lie on my rt. side with a folded blanket against my side until 3 PM. Because it was taking me so long to get a room and the pain wasn't subsiding, I finally asked for the Demerol. It took the pain away completely and I was flying high all day. I was discharged about 4:30 PM when my then-husband came to pick me up. (They don't keep you nearly that long anymore.) I think 3/4 of the people who have biopsies only experience some mild discomfort. I know I have a low pain threshold.
Once I got home, I only had to take a Darvocet twice the next day (stayed home from work as I was pretty sore and felt wiped out), and after that was fine.
I didn't have a biopsy again until '07 when I was under anesthesia having the rt. liver lobectomy. A biopsy was done of my left lobe and it showed cirrhosis. The one in '93 showed none. This was strictly due the hep C, as I've mentioned before.
As to your doctor, when you next speak with him, ask him if you can call him Dr. Martin. My feeling is that physicians have studied long and hard to earn the title of M.D. and that they deserve the respect of having that title used when being addressed...unless they specifically ask you to call them only by the first name. I worked closely with a nephrologist for about 4 yrs. His office manager, who had worked with him for 12 years and had been to his house for dinner, etc., called him by his first name, but ours wasn't a social relationship so I wouldn't have dreamed of calling him by his given name.
Hugs,
Connie