Hi - You mean it was recommended he have it removed 5 years ago, but because of lack of insurance, it wasn't removed? That doesn't sound good. I'd go to an outpatient clinic before the emergency room, as the emergency room is probably more expensive. But if they have a walk-in clinic, try that. He should absolutely have it examined; and you should bring any info. about where he was last seen for it, and by whom, if you have it. Good luck - PJH