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My Doctor has flipped the script - post-op My Doctor has flipped the script - post-op

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  #1  
Unread 09-01-2009, 01:38 PM
My Doctor has flipped the script - post-op

After I scheduled my surgery, I was getting a bit nervous, to say the least...from what I've seen on here that seems to be a bit normal. But, after surgery, my doctor said that was ridiculous. However, I knew my physcial hx obviously more than she did, and was more aware of how complicated the surgery could be - we discussed my concerns, and she said they were legitamate, and instead of easing my fears by saying, "I got this." She said, "Yeah, that's a concern of mine too, so I'm pulling in our Senior Surgeon and a general surgeon too." But, my worst fear was not addressed - dehiscence. It was never expressed as a concern of hers, it was of mine because of previous surgeries. However, other people that I talked to around my community that had had this surgery a TAH, said that it was just like a c-section. Well, my c-section was a cake-walk. So that's what I expected for recovery.
In the hospital I was treated pretty badly. I never saw my surgeon, just the surgeon on call, someone I'd never met. Then, I was released three days after surgery, with them knowing I lived four flights up on the third floor. I had no one at home to take care of me. I expressed this concern deeply. Just me and my daughter.
During a shower over the weekend, I lost three staples, no drainage though, that I was aware of. I called the doctor that released me, he said that was not an issue.
That following Tuesday, I went into see him, because my doctor was on vacation. He removed my staples, didn't apply stary strips or anything and sent me home. I was extremely sore that afternoon. There was a bit of bleeding from the staple removal according to my daughter, because I felt wet. I sat up off the couch to go to the bathroom, and using my splinting pillow, easing my way to the edge, my whole incision split from hip to hip. All the way open. It gushed serosanguinous fluid.
Another week in the hospital - still no sign of my doctor, but this time the Senior Surgeon. When I asked him why it happened, he blamed it on my weight. I asked him why it didn't happen during my c-section - I weighed the same then? No answer. Then he said my age. I'm only 10 years older - I guess that makes a big difference, I don't know.
However, I asked why they didn't use stery strips, he said that wouldn't have helped.
Originally they were going to use wet-to-dry dressings with a peroxide/saline solution, but that was going to take months to heal - and stuff curlex in my stomach. I was split all the way to the abdominal wall - however everything was intact- my abdominal wall was saved by the fascia. In the end, it was my fat that saved me...how ironic?
They decided to go with the wound vac - I was on it for three weeks, at the hospital they predicted two months. My wound now is 9 sonometers long and .5 sonometers wide, and there isn't any depth to it at all.
However, now that I have finally seen my surgeon, I've asked, what about all that fluid build up? She had no response. She said I wasn't a candidate for a drain tube, when prior surgeries I've had one. Didn't with my c-section, I assume I didn't need one.
However, this is where she flips the script, when I was split open I was very upset, I was crying and nervous and she chastised me and berated me again about my anxiety level. Saying there wasn't any need to be that anxious. But, I implore my sisters out there - wouldn't you be just as nervous and anxious if your gut just split open in front of your 11 year old and fluid just pour out like a gallon of tea?
All they were doing was stuffing rolls of thin gauze soked in peroxide in it and covering it with a thick version of kotex (an ABD pad) and some paper tape? The only thing I had for pain was pills, and I'd rather had been knocked over the head.
Again, she flips the script because everytime I go back and I heal a little more, she tells me how proud she is of me that I've made progress, like I'm healing myself in some miraculous way - or doing something for her? I don't get it? I'm not doing anything different than what I was doing all along, even on the day I split open...well now that I'm pretty much healed I'm doing a lot more, cleaning out the blanket closets, doing dishes, ect. Sunday I attempted to drive, since I'm not on any pain meds and she said I could - and take the advice of other sisters - take it slow, stick close to home, and work up to it, because it was painful - and factor in if you drive a clutch because I do, and most doctors (mine doesn't) have any concept of how much harder it is to drive a clutch!
And if this problem ever happens to one of my sisters out there - after you're back in the hospital - ask them if you're a wound vac candidate - my doctor had never heard of one, and if it hadn't been for a friend that was a traveling nurse and used them in California - I'd still be being stuffed with peroxide soked curlex! >:-( That wound vac saved my life and my sanity!
Also ask about drain tubes - prior to surgery - I wished I had! Because according to my home health nurse, what happened was a blessing in disguise, if all that fluid had stayed in there and I had healed, I'd be sitting in the hospital right now with a pic line and a septic infection! :-( And it was a lot of fluid! That vac pulled fluid off for three weeks on top of the fluid that came out the day it split open - but remind you there was never an infection. At least that's what I've always been told.
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  #2  
Unread 09-01-2009, 03:07 PM
Re: My Doctor has flipped the script - post-op

OMIGOSH. Big hugs! HUGE hugs!!!!!!
  #3  
Unread 09-01-2009, 03:39 PM
Re: My Doctor has flipped the script - post-op

Honestly I would file a complaint if I were you. There is no reason you should have been treated that way. WHY on earth would they not put steri strips on an incision? That would be the logical thing to do. I am so sorry you had to go through this!!! I hope you start healing and feeling better soon.

Is there another doctor/surgeon you could see??
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  #4  
Unread 09-01-2009, 07:22 PM
Re: My Doctor has flipped the script - post-op

Of course, I am no expert, but this sounds like negligence to me - especially since it sounds as if you had experienced dehiscence previously and mentioned this.
You should absolutely file a complaint! I am also sorry you were treated that way! I hope that things are better now for you physically and that you are healing!
  #5  
Unread 09-02-2009, 10:40 PM
Re: My Doctor has flipped the script - post-op

I went today for my last checkup, I told her about the extreme pain on my right side, I told her it was constant, but intensity came and went. She said all the adhesions were mostly on the right side and the tumor was on the right side of my uterus. The surgery was more extensive on the right side - so it made sense. However, she still did a pelvic and a spectulum exam and pushed on the right side - and when I gasped in pain she said she didn't feel any hernias. I don't know ladies, you guys aren't the only ones I've heard this from - and I did call my insurance company tonight. I was waiting to be released from her care because another surgeon wouldn't take me - I had that problem when I dehisced. The ambulance took me to the closest hospital and she didn't have privlages there - so they transferred me 45 minutes away to hers.
My wound is still 9 sonometers long .5 wide and there isn't any depth to it, supposedly, of course I can't see it. Although there has to be something because the home health nurses are still able to put small strips of Aquacell in it and there is still some bloody brown drainage - but according to the wound nurse that's all normal.
Again though, with an open wound, regardless of it's size and depth, she still released me from her care today???? Told me I could drive, and when I told her I tried, that it was extremely painful especially because of my clutch - she said to work up to it??? How do you work up to driving? Have my car towed home each day?
I appreciate your support - it's been so nice to hear these kind words...and some of these thread sound so familiar.
Be good to yourselves - we are the only ones who can be sometimes - and we really need to focus on it during this time of our lives!
  #6  
Unread 09-02-2009, 10:42 PM
Re: My Doctor has flipped the script - post-op

  Quote:
Originally Posted by jc1978 View Post
Honestly I would file a complaint if I were you. There is no reason you should have been treated that way. WHY on earth would they not put steri strips on an incision? That would be the logical thing to do. I am so sorry you had to go through this!!! I hope you start healing and feeling better soon.

Is there another doctor/surgeon you could see??
Her exact words were - steri srips wouldn't have made a difference. The Senior Surgeon said that too. However, I do feel a bit better knowing that had I not split open I would have had a septic infection, so it's a mixed blessing. My question is, why not a drain tube? I've had them with so many other surgeries!?
  #7  
Unread 09-02-2009, 10:50 PM
Re: My Doctor has flipped the script - post-op

  Quote:
Originally Posted by bwonk2003 View Post
Of course, I am no expert, but this sounds like negligence to me - especially since it sounds as if you had experienced dehiscence previously and mentioned this.
You should absolutely file a complaint! I am also sorry you were treated that way! I hope that things are better now for you physically and that you are healing!
I called my insurance company tonight, I also told them about the hospital and the home health agency. It's been a disaster all the way around...my doctor asked me today if it had been long enough to be relieved I had had the surgery - I told her the truth and I think it ticked her off, but I don't care - I said, "I don't care if it's life threatening, this will be the LAST surgery I ever have!" I said a few other things that might be misconstrued on here - but I think you get my drift - no more surgeries! The treatment on this one - they'd have to tackle me and tie me down and do it completely against my will!
As far as negligence, I'm a paralegal, and I don't know about torts much - I do a different kind of law, so I don't know. But, I think there is some sort of clause about soft tissue. Most attorneys don't really take medical negligence anymore unless it's blatent and if it has caused death or severe injury like permenant damage - I probably wouldn't know that until long after the statute of limitations. :-/
  #8  
Unread 09-02-2009, 11:53 PM
Re: My Doctor has flipped the script - post-op

Jedbrads,

I am sitting here reading your post and feeling your pains . . . I am so angry for you, because this seems to be a total disregard for your pains and problems. I am so sorry that you had to experience all of this and I only hope and pray that the rest of your recovery will be smoother.

  #9  
Unread 09-03-2009, 12:16 AM
Re: My Doctor has flipped the script - post-op

I am so sorry you had to go through that nightmare. The only thing I can tell you is that I will be keeping you in my thoughts and prayers...praying for a speedy healing for you.
  #10  
Unread 09-03-2009, 12:18 AM
Re: My Doctor has flipped the script - post-op

Thank you so much for your support and encouragement! I love all of you guys! Ur so great! I too hope my recovery continues to go on a positive path! :-)
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