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no internal- post op? no internal- post op?

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Unread 02-09-2005, 07:09 AM
no internal- post op?

Just went for my 4 week post op, nurse had me undress from the waste down and wrap in one of those lovely sheets to wait forever in an freezing room for the Dr. He comes in asks me how I was doing? Did I return to work already. (thought he was supose to release me) After a short conversation, he asked to see my abdominal incision. That was it!!!! I asked him, don't you need to do an internal? His reply: Wether I look or not won't make any difference in how you heel, and it will be more comfortable for you if I don't. Now I really like this Dr. He has been very thourough, spent more tme with me than any Dr Iv'e ever seen (and I've seen alot, I've been a nurse for 11 years) I llet him go without addressing any of the questions I had that somehow magically disappeared from my mind at that very moment!

As he walked out the door, I suddenly remembered something I promised myself I would tell him. still forgetting all my pressing questions the only thing I could remember to tell him was:
go figure

should I be concerned about not getting an internal exam???

38yo TAH, LSO 1/4/05
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Unread 02-09-2005, 07:14 AM
no internal- post op?

I went for a one-week post op with my doctor and he told me he didn't have to see me again until next year for my annual checkup. I guess some doctors just don't see the need for an internal unless you feel you're having problems.
Unread 02-09-2005, 07:20 AM
no internal- post op?

You should have an internal. If you are not healed than how can he release you to work and activities? I would make another appt and demand him to do one. This is ludicrous! There are so many docs seeing people at 2 weeks and then telling them they don't need to see them anymore..its crazy.
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Unread 02-09-2005, 07:52 AM
no internal- post op?

I agree Marian

I had several internals during my hyst recovery days. I had some bleeding, which my dr. felt needed to be checked out. At 5 weeks he checked to see if the cuff was healed. ANd at 7 weeks when he was supposed to discharge me he checked again and also gave the go ahead for intercourse. I wasn't discharged until 10 weeks, because my abdominal incision had remained open until then and wanted me to be 100% healed before returning to work. I had also developed depression and he wanted to make sure I was doing ok, before letting me return to work.
I just had a rectocele and enterocele repair done Jan25th. I called him because I was still bleeding bright red at one week post op. He had me come in to see what was going on, He did a internal and gave me the good news that everything looked fine. I was overdoing it and causing the bright red blood. He upped my anxiety medicine and I am now doing much better.
We need to have good, caring doctors so we can be sure we heal properly.Mine is the best!

I would demand a internal before going ahead with work or intercourse. You want to make sure you don't have a nasty infection or open area in there.

Unread 02-09-2005, 08:16 AM
no internal- post op?

At my 2 week ck up, I said to my dr that I would see her for my 6 week ck up, and she said there was no need, unless I was having problems!! I was shocked too! I said that I would need an official return to work slip as my employer requires it. So, she made an appt for me for 2/11. I bet she won't examine me either and will probably just give me my slip to return to work. In my pre-surgery paper work that my employer required, she did advise them that I would be out of work until 2/14. So, I didn't have to ask for more time.
Unread 02-09-2005, 08:21 AM
no internal- post op?

I agree,

I have seen my Dr. twice since surgery, once at 4 1/2 weeks, and once at 6 weeks. He did an internal both times. I don't think I would be at all comfortable if he didn't check on that area of healing.

I had a TAH. He barely looks at the incision site, but that healed at 2 weeks and didn't have any visable stiches.

I think I would insist on an internal if I were you. How will you know you are healing properly?

Take care,

Luv, Luvmabug
Unread 02-09-2005, 09:31 AM
no internal- post op?

I just had my 1st post op yesterday. I did get a internal exam from the doc because I said I felt I had something stuck in me vaginally, after the surgery. He told me I probably was feeling inflamation but did and internal check just to be sure, other wise I wouldn't have had the internal check. I will have another follow-up in four weeks, he told me then, he would give me a thorough internal exam. I do dread his "thorough" internal exams because he (TMI) also sticks one finger in my rectum and one vaginally, before my surgery he did this twice to check the progress of the growth of my tumor. It "smarts" quite a bit but I do feel it was the most complete exam I had, in comparing it with the 4 past doctors I had recently.

Unread 02-10-2005, 05:56 AM
no internal- post op?

Well now I'm more than a little concerned. I didn't bring my return to work paperas with me to my appointment. they said just fax them. maybe I'll call and try to get another appt. Thanks for the input.

It is so nice to have people to talk to about this who have been there!!!!!
Unread 02-10-2005, 09:27 PM
no internal- post op?

I went to get my staples out and dr told me no need to come back for 4 months! I guess I'm not alone.

He assumes that since everything has gone so well, I'll automatically be able to go back to work after six weeks. I think that's assuming a lot.
Unread 02-10-2005, 09:51 PM
no internal- post op?

I saw my DR. four times post op. The 4Th time was my six week check. He did do an internal on that visit. He was pleased with my recovery so far, asked that I call him in three weeks then again in three months then see him for the year check up.
He is a great Dr. but has such a busy practice calling him is not always that easy!

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