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3rd opinion, now really confused!! 3rd opinion, now really confused!!

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  #1  
Unread 09-20-2002, 06:25 PM
3rd opinion, now really confused!!

Hi again Ladies,

I wanted to post yesterday after my appointment but I was so mixed with confusion , anger and bewilderment that I couldnt bring myself to write about it.

I went in yesterday determined to tell this new DR. (3rd opinion) that I just want this [email protected]#* ovary removed because I am so tired of the pain..........and I did!..... and BOY did he reprimand me! I felt sooooo small. I brought him a copy of my surgical report and my pathology report. I don't know if this guy was just having a bad day or if like some of the other Ladies on my first post said......he had already consulted with my surgeon who did th hyst.

Now I'm really confused! He was very short with me and wanted to know WHY I had a TAH? I told him that I wasn't given any other options. I was told for over a year THAT is what I needed, this man had been my GYn. for 10 years...I trusted him!

I told him about the pain on my left side every month and the suspected endometriosis and the fact that I wasn't going to have any more children and I had almost had uterine cancer at age 19. It seemed to go in one ear and right out the other! He said my pathology report shows that my DR. was only supposed to do an Exploratory Laparotomy and chose to take out everything while he was in there other than the left ovary which was the one that was causing me all the pain. He said the ONLY problem that showed on my path report was a rather large cyst 11 cm on my right ovary, but that just the cyst should have been removed...not the ovary.

He said to me in a very demeaning tone " Do you know that having these organs removed at such a young age greatly reduces your life span?" No...I wasn't told that!

I had the Depo-Provera shot in early August and am still having complications from that.....very sore joints, heart palpitations, no sex drive, worse migraines....I could go on. This DR. mentioned maybe trying the Lupron shot, I looked them both up on the internet and they both have alot of the same side effects. This doesn't sound safe to me on top of the depo shot. What do you ladies think? He is sending for all of my records...ctscan and all ultrasounds and I am scheduled to return to him next week. I told my DH that the man intimidates the hell out of me and my dh said he doesn't have to be nice as long as he gets to the bottom of my problem, I'm not sure that I agree??? This dr says taking out my ovary will further shorten my life span, has anyone ever heard of this? Now I don't know what to do, how many opinions can I get?

I had put on my paperwork that I was taking Lortab for pain. He asked me where I was getting the Lortabs and I told him that I see a pain management DR for migraine headaches and those were the Lortabs I was taking, He said in a tone that I didn't care for "you know I will have to work closely with this dr on your pain managemnet don't you?" THAT peed me off, I never once asked or EVEN suggested that I wanted or needed pain meds. I have pain meds that is not my problem ...my problem is my lack of ability to find a dr who will listen to anything I have to say and tell me what needs to be done to treat my problem.I think I am doing a [email protected]#* good job of managing both of my problems with the medications intended for only one of them..I have not asked ANYONE for more meds...I just manage. If I just wanted the pain meds, I could have got those once a month for the rest of my life from my GYN for the pelvic pain, my surgery was intended to take away the need for meds. I am so angry! Now I wonder if I was stereotyped as soon as he seen on my record that I see a pain management dr . I'm still so confused!

Ladies, I am so sorry this is so long and probably doesn't make much sense. If any of you have any suggestions I would appreciate it. Thanks

Heeeeeeeellllllllllllpppppppp!!!!!!!!

Dawn
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  #2  
Unread 09-20-2002, 09:07 PM
3rd opinion, now really confused!!

(((Dawn))))) I'm so sorry your experience yesterday was soooo unpleasant

I'm wondering if he was thinking of dealing with your pain through pain management instead of surgery? You know, trying to save your remaining ovary?

I guess you can still get another opinion Providing that there's another ob/gyn or pain specialist in your area.

Sending lots of healing s your way.
  #3  
Unread 09-21-2002, 05:44 AM
3rd opinion, now really confused!!

Hi Dawn,
I'm sorry for what you're going through--how confusing!

You may have a tough decision here with this 3rd DR. His manner sounds awful, and there certainly is no point chastising you for decisions you made based on advice from other doctors!

On the other hand, if this guy is really good, maybe you can put up with his less-than-supportive-and-caring manner and just have him fix your problem. Why not take your DH or someone else along to the appt next week as an advocate for you? I have found that can be really helpful!

Also, since this guy didn't have all your records in front of him when you came in, perhaps he will have another perspective once he sees your whole file.

I would at least give him another chance next week, but if you still don't like him, well, t here are other doctor fish in the sea!
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  #4  
Unread 09-21-2002, 07:59 AM
Thanks Ladies,

I've decided that I am going to see this dr again next week. At least HE is sending for all of my records in order to get a full picture of what has been going on, that's alot more than the 2nd opinion did.

I spoke with a friend of mine last night that has seen this dr for a while and she said that he is one of those natural approach dr's who is very conservative and likes to leave EVERYTHING intact unless it means life or death. Also that he is very detail oriented, which in my book is a good thing because so am I. Maybe I caught him at a bad time, but as long as he is willing to actually study my past and my present and work with me on a way to fix this problem then I am willing to put up with a little bit of his attitude. But I have also decided that after he sees my records and meets with me again if he still makes me feel very intimidted that I may look for someone in the next town over.

It's almost impossible for my dh to take off work to come with me, he has 19 guys working for him and has to be there. I am going to ask a friend of mine to come with me. This has turned into such an emotional rollercoaster for me that I think it would be a good idea to have someone else there to get an objective opinion on this dr.

When I seen this dr last week, I didn't even get the chance to discuss my bowel problems with him. Right now my bowels are becoming more of a problem than the cyst. I still feel like it may be the cyst causing my bowel problems, blood leaking from the cyst, because I am so nauseated that I keep a bucket close by at all times. This combination of throwing up and loose bowels really scares me. I feel like I am going to pass out from the pain and my heart beats out of my chest.

Thanks for your input ladies, I'll let you know what happens.

Dawn
  #5  
Unread 09-21-2002, 10:49 AM
3rd opinion, now really confused!!

((((Dawn))))) I'm so sorry you're still feeling so bad Reading your post, I wondering if this doc's reaction wasn't because he was just taken aback by all the things that this other doc had already done? He might have thought that this was because you'd insisted on it Hopefully, next time, he'll be much less intimidating and much more helpful.

Regarding the bowel issues, please do seek help in this area. The combination of loose bowel movements and nausea could lead to dehydration and whole new set of problems. Is there a GP you trust that could help you in this area

Sending lots of healing s your way. Please keep us posted.
  #6  
Unread 09-21-2002, 03:36 PM
3rd opinion, now really confused!!

((Dawn)),
I'm so sorry for all you have been thru I must say that these organs exp our Ovaries provide some much needed Hormones for our body. I would go w/ just removing the cysts. Here is a few links about Ovarian Hormones and what they do for us:

https://www.hystersisters.com/vb2/sho...threadid=10987
https://www.hystersisters.com/vb2/sho...?threadid=8076

Also some good info on cysts:
http://www.gynsecondopinion.com/OvarianCysts.shtml

I hope all goes well with your next appt and this Dr is able to get to the bottom of your problems Please keep us posted.....
  #7  
Unread 09-23-2002, 05:12 AM
3rd opinion, now really confused!!

Dawn,

Who referred you to this doctor ? What are his credentials? There is NO evidence that removing your uterus will shorten your life. You can always ask him for the studies which show this. At any rate he shouldn't beat you up for something that was done and can't be changed. What do you mean by "almost" having uterine cancer?

Dawn, my advice would be to see a doctor affiliated with a medical school- they are up to date on the latest techniques and can get to the bottom of yuor problem.

While a doctor soesn't have to have a great personality, you shouldn't dread seeing him.

Best wishes.
  #8  
Unread 09-23-2002, 06:22 AM
Wachusett,

I have been on-line trying to find credentials on dr's in my area without much luck, I live in Pensacola, Florida, so while not a large town there are MANY dr's to choose from. It seems as if most of them are credentialed with someone, I know from working in the health care industry (dental) that can mean anything from "I am a specialist in this area" to "I have attended a seminar" and some of these credentials only require a check to be mailed in once a year. The closest medical colleges to me are hours away.

I chose this dr because he was suggested to me by a close friend, although she was seen by him to deliver her baby. At this point, I am not questioning his ability as a gyn, only his character and bedside manner, both of which I am willing to somewhat overlook if I feel like he has my health in his best interest. I am going back to see him on Thursday, at that time he will have my full history. I will make my decision then based on what his concerns are after seeing my history as to whether or not I will continue seeing him. I and my pocket book are growing tired of 3rd and 4th opinions because it is not getting me any closer to a full recovery. I have already decided that I will not do the Lupron shot if that is his suggestion, I have had too many side effects from the depo and dont want to chance anymore with the lupron.

By "almost" cancer I mean: Papsmears are catagorized in classes from ClassI to Cin4,the latter being cancer of the uterus. I had a Cin3 papsmear when I was 19, indicative of abnormal pre-cancerous cells. I underwent a conoscopy(sp) and then cryotherapy to remove these cells and was told that I would need to see a GYN twice a year for follow up paps.

I am trying to keep my chin up in regards to the problems that I have been having and I am trying not to judge this dr by my emotions. I appreciate your comments and suggestions and am glad to know that there is no evidencee to substantiate his claim of shortening my life span, I have also been trying to find info on that subject online and haven't found any. Thanks again! I'll let you know what happens on thursday.

Dawn
  #9  
Unread 09-23-2002, 06:38 AM
3rd opinion, now really confused!!

((Dawn))

I'm sorry you had such an emotional encounter with your doctor. His comment on "shortening the lifespan" seems terribly inflammatory - although it is true that women who have their ovaries removed may be at higher risk for some diseases (like osteoporosis) earlier in life. This is probably why he would like to find a way to help you keep your ovary.

Pain management is always a tricky subject. It is not realistic to ask a doctor to figure out how to best help you without full information - including your pain management. And how to judge your pain is in part based on how long and how much medication you are taking (even if for something else, primarily). Narcotics can affect one's bowels and make the dx of any pelvic problem tricky. And to be honest, there are scant few good pain specialists, so he may have a legitimate reason to be concerned - for your overall health, at least until he gets all the information.

I'd give the guy another chance, but bringing a friend is a good idea, as is asking a lot of questions.

Dorrie
  #10  
Unread 09-23-2002, 06:42 AM
3rd opinion, now really confused!!

Dawn,

The gold standard for OB/GYN credentials is to be a FACOG member (Fellow, Amercan Academy of OB/GYN). This means they are board certified, and about 40% of gyns do NOT have this.
In most states (Florida is one) you can also check the doctor's malpractice history, where he went to school, did residency, whether he's published any articles in medical journals ,etc. If you go into the google search engine you should be able to pull up a state site on licenses. If you aren't able to do it, I can do a search for you if you want.

There was one study that claimed an increased risk of heart attacks after hysterectomy but it was a flawed study, so I wouldn't attach too much credibility to it. As far as having your ovary removed, and contributing to a hastened death, I would press him for more specifics. If he can't quantify it, he's not worth listening to.
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