Scheduled LAVH Second opinion from a midwife???? (UPDATED: 2nd Opinion with GYN) | HysterSisters
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Second opinion from a midwife???? (UPDATED: 2nd Opinion with GYN) Second opinion from a midwife???? (UPDATED: 2nd Opinion with GYN)

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Unread 10-14-2010, 04:08 PM
Second opinion from a midwife???? (UPDATED: 2nd Opinion with GYN)

My scheduled surgery is for 10-28 and I wanted a second opionion for myself and when I called to get one, they scheduled me with a midwife? Don't they deliver only?
I am confused on whether or not to have my ovaries taken out because of family history with ovarian cancer. I'm only 37 and don't want to go through menopause this early, so I still can't decide. How will she know what to say to me? Maybe they do know more than I think that they do on this subject. I have never seen one personally, so I don't know. Does anybody know? Any suggestions on what to say to her. PLEASE!!!!
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Unread 10-14-2010, 04:17 PM
Re: Second opinion from a midwife????

I'd hold out for a 2nd opinion from a GYN. Some, not all, midwives are also nurse practitioners so maybe that's the case? Nonetheless I think its an inappropriate referral for a surgical opinion. I've had midwife friends but none I'd consider as equivalent to a GYN as a 2nd opinion on a hysterectomy. Seriously, I'd get that changed, I hope you are able to get another referral.
Unread 10-14-2010, 04:32 PM
Re: Second opinion from a midwife????

That sounds about right. That's what I've been thinking, there's only one problem. I had already cancelled my first surgery on 10-7 to wait for a second opinion. When I called about it the person who answered the phone said that if I am going to cancel again then I need to let them know now. I wasn't trying to cancel I was only letting them know how important that I think it is to get a 2nd opinion.
Also part of the problem is that my insurace goes away next month, and the dr knows it, so I think that's why this is all hurry,hurry! My husband and I are not sure when we can get insurance again, so being 37, prolapsed uterus, 5 cm fiboid on it, grade 3 cystocele, grade 2 rectocele, and a family history of ovarian cancer, I'M FREAKING OUT!!!
I really don't know what to do? But I will call tomorrow and mention that I want a regular doctor, so thank you for your input.
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Unread 10-14-2010, 05:10 PM
Re: Second opinion from a midwife????

Do what you have to do, I hear you on the insurance. I hope it all comes together on schedule. One thing to ask about----if you get your ovaries out and have HRT needs, will they see you without ins? Its something to know in advance so you can plan. Good luck and best wishes on decisions and surgery.
Unread 10-14-2010, 09:26 PM
Re: Second opinion from a midwife????

the doctor who does the second opinion should not be in the same practice. definitely not a midwife! you may do well seeing a urogynocologist or a gynoncologist due to your issues. i had to delay my surgery to insurance switching as well. but it gave me more time to make a less rushed and more informed decision. can you go on cobra? if your gyn is pressuring you and it is not an emergency you need to take the time you need to have questions answered and fears addressed beforehand. i am so sorry you are stressed, try to breath and take one step at a timel.ppppo
Unread 10-14-2010, 09:38 PM
Re: Second opinion from a midwife????

sorry for typos, cannot edit from my phone. it should have read gyn/oncologist
Unread 10-15-2010, 07:30 AM
Re: Second opinion from a midwife????

Thanks for the info. Just called my 2nd opinion dr's office and they said that they didn't realize the appt was for that. They re-scheduled me for the 20th with an actual ob/gyn doctor. Thank you guys for letting me know that I am not crazy!! I'll post what is said after. Thanks!!!
Unread 10-15-2010, 07:54 AM
Re: Second opinion from a midwife????

My midwife, whom I saw for two pregnancies, she also delivered both babies and I continued to see her after each birth for my regular appts was the one who had first suggested my hysterectomy. They are a very good source of information,,,and quite honestly I believe they are the more unbiased (sorry sp). What I mean by that is,,,they cant do the procedure, so there is nothing in it for them. Now I understand that they refer to their own doctors whom they work in conjunction with, but they are unable to actually schedule you for anything or tell you "you need this procedure" and get you rolling when you might not be ready for that emotionally. I personally would see what she has to say...I find that the midwives actually "listen" to their patients and are really in tune with the female body, where doctors are very much more "medical" if you will. Thats my opinio, hope it eases your mind. You can always seek a third opinion from another gyn or surgeon too. Good luck, I know its a difficult decision to come to grips with.
Unread 10-15-2010, 09:51 AM
Re: Second opinion from a midwife????

I also had a midwife deliver my 3 children. I went to a midwife because the OB/GYN's at the time had a reputation of doing unnecessary c-sections, and I wanted to avoid surgery unless it was absolutely necessary. When I went in for my annual appt, she was the one who referred me to the surgeon for the ablation. When he recomended the hysterectomy, I called my midwifes office to let them know, and she called me from her home to discuss it because she knew I was upset. I told her what the Dr. had found and how he diagnosed it, and she was able to give me a lot of background on the condition and of the Dr. himself. She said she was comfortable with his diagnosis, but gave me the name of another OB/GYN to see for a second opinion. Of anyone in the process, she gave me the best patient care and compassion , and is even going to call me after the proceedure to see how I am doing.

The feedback that a midwife listens I have found is very accurate. However, I already had a patient relationship over many years with mine. I don't know that I would see one as an only second opinion, and think you were wise to call them back and change the appointment.

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