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Surgeon or OB/GYN - 2nd opinion?. Surgeon or OB/GYN - 2nd opinion?.

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  #1  
Unread 02-28-2002, 07:32 PM
Surgeon or OB/GYN - 2nd opinion?.

Hi. Just got my April 8 date for a hysterectomy. Thanks for all the info here. I'm comfortable with my OB/GYN but REALLY scared about the operation. Do most women have surgeons or OB/GYNs do their surgery?

I am considering a second opinion but can't imagine putting the surgery off any further. Now that I've decided on the surgery, I'm extremely impatient with the pain, bloating, bleeding and irregularity associated with large fibroids. Tried HRT in the past and had no luck.

Any opinions?
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  #2  
Unread 02-28-2002, 07:55 PM
my 2 cents

When I made my decision, I figured mine was the first opinion, and the GYN's was the 2nd. I had already evaluated my other options; I consider myself my own health-care manager, and all doctors consultants. I just don't tell them that.

I think if you don't want the surgery or aren't sure, get a 2nd opinion. But if you've done the research and you feel in your heart that you really do want it, then you've got a 2nd opinion already.

But you could always go for a 3rd opinion.

Ask yourself this -- if a 2nd doc said, "Yes, have a hysterectomy," would you be relieved or disappointed? What if s/he said "No, don't have a hysterectomy"? That's how I figured out when I was done looking for other answers, and when I was resolved to move forward.

But that's just me. Do what makes you feel the most comfortable; if another opinion would put your mind at rest, by all means, get one.

Good luck!

Melissa
  #3  
Unread 02-28-2002, 08:06 PM
Surgeon or OB/GYN - 2nd opinion?.

Hi, Moco,

I got three opinions, all from gynecologists, before making my decision. I chose each doctor myself, after receiving recommendations from friends whom I trust and/or my family medicine doctor.

All three doctors told me, after examining me, and reviewing my lengthy history, that I needed a hysterectomy.

Why get more than one medical opinion? I chose to get multiple opinions because a hysterectomy is major surgery. It can't be reversed. For many women, a hysterectomy is life-altering. I just couldn't justify having the surgery until I was sure that there weren't other alternatives which I hadn't considered. I'm not a doctor, and I wanted to be as sure as possible that I wouldn't end up wishing that I'd made a diffferent choice.

I'd advise any woman who's considering a hysterectomy to get at least two medical opinions.

Good luck with your own decision.

Sending healing hugs,
Helen
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  #4  
Unread 02-28-2002, 08:23 PM
Surgeon or OB/GYN - 2nd opinion?.

Hi, I don't know what the majority of women do in this situation, but my ob/gyn did the surgery and was assisted by a surgical resident from the hospital. She has done many, many of them so I was very comfortable.
As for the second opinion question, I can't really comment except to say that you probably know your own body than anyone else could and if you are comfortable with the decision to go ahead, then go for it. I didn't really have a choice, it was obvious to me that it was the best and only option, so I didn't get a second opinion; but if you have any doubts or hesitations at all I recommend getting one for your peace of mind.
Of course the surgery is scary, but for most of us it's not as scary as the prospect of continuing with things the way they are/were!
Good luck in whatever you decide.

s,

- Linda
  #5  
Unread 03-01-2002, 05:00 AM
Surgeon or OB/GYN - 2nd opinion?.

Most OB/GYN's do extensive gyn surgery, including hysterectomy. If your OB/GYN doesn't, (you should ask him/her), find another doctor. A "surgeon" is often a general surgeon, who may or may not have a lot of experience doing hysterectomies.

Getting a second opinion is always a good idea, but usually it confirms the first opinion. I tend to think like Melissa- I read a lot of medical articles and evaluated all my options before deciding on having a TAH. Other doctors agreed with my decision; then I hired the one that I felt would do the best job.
  #6  
Unread 03-01-2002, 07:12 AM
Surgeon or OB/GYN - 2nd opinion?.

Get a gyn with lots of gyn surgery experience. As Wachusett points out, most do. You don't want a general surgeon.

Most of us have been at least somewhat scared. It's a normal emotion when facing major surgery. The hardest part of all was the emotional stuff, most of which was Pre-op for me. ( But I was post meno and can't take hrt, so hormonal issues did not play much of a roleafterward.) Part of being scared comes, I think, from the unknowns and the "what if's" that float around in our brains. I had never had general anesthesia, so that frightened me alot. I worried about the pain, too. It wasn't that bad. Some in your circumstances had said they felt better a few days post-op because thay had been in such pain before. You will still have the recovery issues, but who knows, maybe you will be like those HS who felt such relief.

Try to find something to do to give you distraction from all of your fears and worries and think how much better you will feel when you're healed.
  #7  
Unread 03-01-2002, 01:02 PM
Surgeon or OB/GYN - 2nd opinion?.

I originally had an OB/GYN who I felt was too busy delivering babies (which is fine...that is the practice). I finally settled with a Gynecology Specialties Surgeon who was in the OR 2 days out of the week. This was a better choice for me because I had extensive problems. After hearing the operative report, I was relieved not knowing if the original doctor would have been able to proceed on his own. Best of luck.
  #8  
Unread 03-01-2002, 09:37 PM
Choice of Surgeon

Your choice of surgeon really depends on the type of surgery you need. There are specialists who should be considered depending on the circumstances.
Gyn-Oncologist -- Treats cancers of the female reproductive tract.
Uro-Gynecologists -- Treat things like bladder problems along with gynelogical problems.

My first appointment was with a female Gyn. I initially had an exam in her office, then both types of ultrasound (pelvic and transvaginal) were ordered, then a D&C with hysteroscopy. After the D&C, I called the doctor's office about a week later because I didn't hear anything from the doctor. I guess she was going to wait until I came to her office to tell me I needed a hysterectomy. She came on the phone and said, "You need a hysterectomy." I had my post-op appointment for the D&C approx. two weeks after the procedure. At that time, the doctor was anxious to schedule my surgery. I told her that I wanted to wait. She told me I could maybe wait a month, but she would not recommend waiting longer than that. Then she asked me if I would like to get a second opinion and offered a doctor's name. (What she didn't know was that I already had a second opinion earlier that afternoon.) She didn't offer any information about what she would do during the surgery (what would be removed, etc.), only was anxious to schedule it in the next few weeks. On my way out of her office, I stopped at the reception desk and asked if I owed anything for that visit. The receptionist said no, but handed me a brochure from the doctor about Hysterectomy. I felt that was very cold and that the doctor could have had a short discussion with me that day and a longer one prior to surgery at a pre-op appointment. I decided then and there that doctor #2 would do my surgery.
DOC #2 -- My surgeon (an OB-GYN) had performed my Mom's hysterectomy and I decided to see him for the second opinion. He was so soft-spoken that he put me at ease immediately and was confident in his ability. I had only met with him a short time after my Mom's surgery and really didn't remember him. My sister had always taken my Mom for her post-op appointments. WHAT HE TOLD ME WAS "MAKE SURE WHOEVER DOES YOUR SURGERY IS 'BOARD-CERTIFIED' IN GYN." He then told me to ask the doctor. He also told me I could find out on the Internet. There is a website for OB-GYN's where you can search for a doctor by name. It is www.acog.com. He then told me I could find him there -- and I did. It gives the doctor's medical school, when they graduated, when they became a doctor, birth date, and their specialty practice. He then told me that, because I had a pre-cancerous condition (hyperplasia) that he was going to consult with a Gyn-Oncologist and have him available at the hospital on the morning of my surgery in case he needed to step in to take over. He wasn't needed to come into the surgical suite, but I had to see him in his office almost 2 weeks later because of my diagnosis. I had Stage Ib uterine cancer and Stage Ic ovarian cancer. I did not require chemo, but had a terible scare -- hence more gray hairs on my head that summer.
THE DECISION IS UP TO YOU. I feel fine and am happy to be on the "other side."
  #9  
Unread 03-02-2002, 04:04 AM
Surgeon or OB/GYN - 2nd opinion?.

Most ob/gyns are surgeons. Besides hysterectomies, they often perform csections and other procedures. Some gyns only are not surgeons. Some ob/gyns are more experienced surgeons than others.

Make sure that your ob/gyn has plenty of surgical experience, especially with the type of procedure that you expect to have. Most of them are very experienced with hysterectomy - it is almost a routine operation. However, some are more experienced with partial hysterectomy than others.

If there is any suspicion of cancer, then you want to see a gynecologic oncologist who is also a surgeon. This could save you future surgeries as the gynecologic oncology can remove more material if necessary whereas a gynecologist might only remove the standard hysterectomy parts requiring that you have another operation by an oncologist to get the rest. Plus, an oncologist would continue to give you any treatment necessary following the surgery.
  #10  
Unread 03-02-2002, 05:11 AM
Surgeon or OB/GYN - 2nd opinion?.

I tried www.acog.com The location for searching for a gyn has moved. What you want is
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