An obese 52-year-old woman presents to a free clinic. She reports a 10 years history of “heartburn” that she has been treating with an over-the-counter proton pump inhibitor that has offered partial relief. Endoscopy is performed with biopsy identifying a change in the normal squamous lining of the lower esophagus to columnar epithelium. What type of cellular reaction is present in this case?

Briefly describe what caused these changes

What can the patient expect if she is not treated?

I’ve personally felt invisible all my life, especially when a friend turned out to be fake and didn’t seem to take any type of interest in what i said or any type of input i said. being invisible is a terrifying feeling to experience due to the fact you feel like no one sees you and just sees you (sorry if that doesn’t make sense). it’s like a deep emptiness that no one can fill, just you; you have to fix that emptiness by yourself and you don’t really want , or in some cases want to be invisible. i can see many invisible people when they intentionally stay away from people that can potentially hurt them in any way. also, when a person intentionally breaks off a connection so they aren’t seen by people.hope it