After going round and round with home care measures, OTC creams, a lackluster CRS and nitro, I finally got in touch with a CRS who listened and cared. I traveled to Nevada to see him. He read up on the Feingold procedure and agreed that it was a reasonable measure with a good likelihood of succeeding, and we paired it with Botox to keep residual spasms at bay. He didn't anticipate much pain while healing, said it likely wouldn't be worse than what I've been dealing with (again, eliminating spasms is key).
I had general anesthesia. He found and cauterized one fissure and removed a fleshy papilla (sp?) for biopsy. My local anesthesia is is still in effect. I'm not completely numb, but I also don't feel any pain. The nurse had me take a percocet, but all agreed I probably wouldn't need more than Advil or Tylenol hereafter.
The worst part was the IV!
I'll keep everyone posted about my progress. I'm feeling very optimistic. Along the way of this 7 month journey, I discovered that candida/yeast exacerbates/d the problem. Keeping a low sugar, low dairy diet will be key for the foreseeable future. I need to get my gut flora in better shape.