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  #1  
Unread 03-30-2003, 03:25 PM
follow up from dr. appointment

I did not mention on my first post to this forum , that I have been visiting for many months...in fact over a year, from time to time before i finally posted. in rw I am very vocal and have been told many times that I can talk the "legs of an iron pot", so I will try not to be so lengthy . (by the way i have a habit of not capitalizing the word I, as this helps me to remain humble.)
Firstly, because of the mis-treatment and mis-diagnosises that i have been given thru the years, i sadly do not have great faith in the medical profession in general. Especially when you see drs running to read their PDR , or suffling to go on the internet to gather information, while i am lying there in the ER. So for me to drag my bod into a hospital or drs office means i am really close to kicking the bucket (lol). So when I called and switched drs to one who knew a little bit about me and my medical history, i must have been feeling pretty bad.
When I went in the drs. office i could barely walk..and when i sat down in his office exaiming room..i was not in the mood for what i thought may happen but hoped it would not. He immediatlely started sugesting that he should not be seeing him..and that I should go back to the drs who did this to me. I explained that the first surgeon who cut into me is now in Harvard, and the second old dr.(gyn specialist ) told me that he did not remember what he left in, and that he had lost my records.
This primary care doctor made it clear to me that he wanted nothing to do with my case (as if i had a sign that yelled lawsuit around my neck). After I lied and told him that my pain and apparant bladder/kidney problems started 5 days ago..as well as the pain..they he relaxed and agreed to treat me .
Thru the years this dr has often told me that i only come to him to get the percsription..that i usually know what is wrong eith me before i come to him, and that if i could write my own perscriptions he would never see me. (boy is he ever right)
I sorta miffled him when i told him that as far as pain med..i wanted to find out what the source of the pain was and not just be given pills to mask it. I also said that my bladder incontence could come from the high dosage ibruphophen 600 milagrams that i had been taking for the past year. He asked me why i would say that and i replied because that is what that particular med does to some people. Then i offered that i was sure i had an infection and needed antibiotics. He said how did i come to this conclusion..and i said because i am a woman and most women are aware of when they have bladder infection or any infection for that kind in their body. And besides i told him about my 2 year old wound from my adominial hernia repair operation/ hysterectomy that i was given without my permission...was oozing clear fluids and blood. Hardly takes a rocket scientist to suspect that.
After a while he asked me if there were any other diagnoisis i was gonna present him with--since he said i now became the dr.
and I said no---for the moment (giggle). He looked at my wound..and said i needed an antibiotic and also i may have a bladder infection. The one thing he did find out was that i was in the stroke zone again blood pressure wise. The prior drs that i had seen six months previously told me that i did not really need bp meds as , my bp was sooo low...and changed me to 5 milagrams norvasc. good thing i went to dr...as my bp was 180 over 110 that day. He upped me to 10 milagrams for starters.
my nose bleeds had becaome more frequent and profuse and often my speach is slurred a bit.
I still do not know why i am having pain pain pain. I am tired of drs i go to acting like i had three heads or double leperacy.
i think the staute of limitations for lawsuit has expired ,,it has been two years and several months since my operations.
sigh.... sorry for the book again...yes i got gabby again (smile)
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  #2  
Unread 03-30-2003, 05:04 PM
follow up from dr. appointment

Reenie
I do know how it is to be in pain 24/7 and for the docs not to have the answers. I've been on this Road for 3+ years now and have had many tests, many surgeries, and am tired of the poking and prodding and getting my hopes up only to have them stomped on.

We do need to keep trying as I do still believe that the answers are out there. They may be elusive, but they're out there somewhere.

I'm sending s and ers that you can find those elusive answers.
  #3  
Unread 03-30-2003, 06:24 PM
follow up from dr. appointment

(((((((Reenie)))))) I'm so sorry you've been having such a hard time since your hyst I do know the feeling of going to a doctor only to be told: sorry, you can't be my patient

As ((((Kim))))) says, we can't give up, even when we want to do so... I guess because we're women, we simply don't give up.

That doctor does sound like he's conscientious, though and I'm sure glad he found out about the high bp in time. I've been dealing with problems in that area, recently. On Tuesday, mine was only up to 145 over 90 and I felt sooooo awful, I can only imagine how bad it's been for you.

Sending lots of s your way.
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  #4  
Unread 03-30-2003, 09:28 PM
follow up from dr. appointment

Add me to the list of stroke zone hypertensive sisters. At my appointment last week mine was 140/95 and that was with me taking Tenormin 50 mg daily. Doc said it had been "at least" that high for my last 3 visits and doubled the Tenormin for the time being.

Hang in there (((Reenie))) -- we'll have our answers some day.
  #5  
Unread 03-31-2003, 06:00 AM
follow up from dr. appointment

(((Reenie))),
I'm so glad you got in to see a Dr I too have lived in severe pain since my Hyst over 3 yrs ago..it has really helped me being with others who understand!!
I'm sorry you've had to go thru soo very much & be treated like this by some of these Drs. Many of us having continuing pain & complications have had to see several Drs in order to find one willing to help I think some of it is due to what you stated about not wanting to get involved in something another Dr might have done wrong or they truly dont have any answers. We seem to be a complex bunch here. Just recently more research is being done on how a woman's body works & reacts. Hopefully in the near future enough research will bring so many of us those elusive answers we've been searching for...
Are you on HRT? I ask b/c it can sometimes worsen Hypertension...here is some good info that might be of some help; I research EVERYTHING as well

Women are especially prone to early high blood pressure:
http://www.cardio.com/articles/women.htm

Life with HRT: Monitoring your health:
http://www.geocities.com/NoLinks/health.htm

Additional Resources for Patients and Patient Advocates:
http://www.centerwatch.com/patient/patresrc.html

Pain assessment:
http://www.medbroadcast.com/health_t...assessment.asp

Pain Syndromes:
http://spruce.flint.umich.edu/~sblat...q1/paq1st7.htm

*Pelvic/vaginal pressure or fullness
http://www.wdxcyber.com/ppain.htm#ppainprs

Pain Inventory Form:
http://www2.rpa.net/~lrandall/B1.html

Hormonal Replacement Therapy Regimens:
http://www.wws.princeton.edu/cgi-bin...550/955007.PDF

Pain Clinics - a personal view:
http://www.hypermobility.org/painclinic.shtml

Managing Chronic Pain:
http://www.hypermobility.org/managingpain.shtml

Quality of life impacted by posthysterectomy fatigue:
http://www.orgyn.com/news/2002/week_..._life_impa.asp

Hysterectomy increases risk of urge incontinence:
http://www.orgyn.com/news/2002/week_...my_increas.asp
Hysterectomy associated with urge incontinence: http://www.womens-health.org.nz/whws...tm#hysterect62

Urinary incontinence higher after hysterectomy: http://www.womens-health.org.nz/whwsep00.htm#urinary

Hysterectomy increases risk of urge incontinence:
http://www.orgyn.com/news/2002/week_...my_increas.asp
http://www.biomedgate.com/web/Medici...Endocrinology/
http://my.webmd.com/content/pages/4/1661_50310.htm

What we mean by 'HRT':
http://www.geocities.com/NoLinks/hrtdef.htm

bladder diary:
http://www.dukeuroandgyncare.com/diar.html

Effects of phytoestrogens investigated:
http://www.orgyn.com/news/2002/week_..._phytoestr.asp

Urethral Syndrome:
http://www.duj.com/cystitis.html

Are You in Menopause?
http://health.discovery.com/centers/..._menoquiz.html

A Menopause Journal:
http://health.discovery.com/centers/...sejournal.html

HRT: The Whole Story:
http://health.discovery.com/centers/...hrt_whole.html

The role of ovarian hormones upon brain:
http://www.bbsonline.org/Preprints/O...bbs.fitch.html

Old Ovaries-still of value?
https://www.hystersisters.com/vb2/sho...threadid=10987

Survivor's Guide to Surgical Menopause:
http://www.geocities.com/NoLinks/

Menopause Symptoms and Hormone Replacement Therapy:
http://www.menopause-and-osteoporosis.com/

Other Disorders Affected by Menopause: http://www.umm.edu/patiented/doc40other.html

Effects of Menopause on the Heart And Circulation:
http://www.umm.edu/patiented/doc40heart.html

Will Testosterone Help Menopausal Symptoms? http://www.wdxcyber.com/nmood10.htm

Natural versus Surgically-Induced Menopause: http://www.wdxcyber.com/nmood17.htm

Making the decision about treatment for urinary incontinence in women:
http://12.31.13.84/library/healthgu...p?HWID=aa137467

Urinary Incontinence in Women:
http://12.31.13.84/library/healthgu...p?HWID=hw220313

Types of Urinary Incontinence:
http://www.bidmc.harvard.edu/obgyn/...ation.asp#types

Possible Causes of Urinary:
http://www.bidmc.harvard.edu/obgyn/...on.asp#possible

What You Can Do to Help Your Incontinence:
http://www.bidmc.harvard.edu/obgyn/...nation.asp#what

Surgical Procedures for Stress Incontinence:
http://12.31.13.84/library/healthgu...p?HWID=hw219880

Treatment options:
http://www.dukeuroandgyncare.com/trea_ui.html
http://www.dukeuroandgyncare.com/trea_bladder.html

Incontinence Surgery:
http://www.gyndr.com/incontinence_surgery.htm

Laparoscopic and Minimally Invasive Procedures:
http://www.urogynecologychannel.com/lap_proc.shtml
http://www.obgyn.net/displayarticle...dures#lap_proc4

Treating women with urinary incontinence and prolapse:
http://www.mybladdermd.com/URPS.htm
http://www.urogynecologychannel.com/laparo.shtml

Dropped Bladder:
http://www.hisandherhealth.com/arti...d_bladder.shtml

Burch procedure:
http://www.obgyn.net/displayarticle...dures#lap_proc3

Urinary Incontinence:
http://12.31.13.84/library/healthgu...p?HWID=hw220313

Types of Urinary Incontinence in Women http://physicaltherapy.about.com/li...ncontinence.htm

Urinary Incontinence in Women--How it is diagnosed
http://physicaltherapy.about.com/li...ontinencerx.htm

Urinary Incontinence Treatment Options for Women
http://physicaltherapy.about.com/li...s=Urinary+Sling

Hysterectomy-Increases Risk of Incontinence Later In Life:
http://report.kff.org/archive/repro/...kr000817.8.htm

http://www.earlymenopause.com/

Hypertension Treatment and Causes of High Blood Pressure:
http://www.about-hypertension.com/index.php3

What IS Early Menopause?
http://www.earlymenopause.com/whatis.htm

  Quote:
Chronic pelvic pain: Puzzling, frustrating condition:

The pain can be steady or it can come and go. It could be a dull ache, a sharp pain or cramping. It can be an overall feeling of pressure or heaviness deep in your belly. You could have pain when you have intercourse, when you move your bowels or even when you plop into a chair.

The pain may intensify after you stand for long periods and may be relieved when you lie down. The pain may be so bad that you miss work, can't sleep and can't exercise. The pain may vary from mild to severe, from annoying to downright disabling.

One thing these various aches and pains have in common — besides being persistent — is that they occur in the area of your body referred to as your pelvic region — somewhere below your bellybutton and between your hips. If you were asked to locate your pain, you'd be more likely to sweep your hand over that entire area rather than point to one spot.

However you describe it, chronic pelvic pain is no stranger to women. One in seven women experience it, and it accounts for 10 percent of office visits to gynecologists. It's the reason behind at least 20 percent of all laparoscopies — the viewing of your internal organs using a lighted tube inserted through a small incision in your abdomen — and 12 percent to 16 percent of hysterectomies, which is the surgical removal of the uterus.

Determining what's causing your discomfort may be one of medicine's more puzzling and frustrating endeavors. Indeed, no physical cause may ever be discovered. As many as 61 percent of women suffering from chronic pelvic pain never receive a specific diagnosis. Here's what you need to know about likely sources of chronic pelvic pain, how your doctors will uncover what may be causing yours, what happens if no cause is found, and the treatment strategies designed to bring you relief.

Gathering clues:
Figuring out what's at the root of your chronic pelvic pain often involves a process of elimination, since numerous disorders could be responsible. Your doctor will ask you to describe in detail the type of pain you're experiencing, when it occurs, how long it lasts, how severe it is and what makes it better or worse. Your doctor may also ask you to keep a journal of your symptoms. He or she will then suggest tests or exams that may include:

Pelvic examination. This can reveal signs of infection, abnormal growths or tense pelvic floor muscles. Your doctor will check for areas of tenderness and changes in skin sensations.
Cultures. Samples can be taken from your cervix or vagina to check for infection, including sexually transmitted diseases such as chlamydia, herpes or gonorrhea.
Laparoscopy. Using a laparoscope, your doctor can check for abnormal tissues or signs of infection. This is especially useful in detecting endometriosis and chronic pelvic inflammatory disease.
Imaging studies. Ultrasound, abdominal X-rays, computerized tomography (CT) scans and magnetic resonance imaging (MRI) may be used to help detect abnormal structures or growths.

Likely culprits, possible remedies:

Here are several of the more common gynecologic causes of chronic pelvic pain, along with possible treatments your doctor may suggest. Many other problems could be causing your pain, such as irritable bowel syndrome or interstitial cystitis.

Pelvic floor tension muscle pain. This results from spasms of your pelvic floor muscles. Treatments include working with a physical therapist to learn how to relax these muscles and then how to stretch them. You may also receive ultrasound treatments administered through your vagina. The ultrasound device applies soothing, healing heat to the muscles.

Pelvic congestion syndrome. This is a condition that may be caused by varicose-type veins around the ovaries. These veins cause blood to pool in your ovaries and pelvic area. Treatments include hormones to suppress ovulation, surgical removal of your ovaries, stress management, relaxation therapy or, in unusual circumstances, a procedure called ovarian vein embolization. With this minimally invasive treatment, doctors inject a fluid through a catheter into the bad veins, permanently scarring them so that blood can't pool.
Ovarian remnant. During a complete hysterectomy — surgical removal of the uterus and ovaries — a small piece of ovary may be left inside, which can later develop tiny, painful cysts. Surgery may be required to remove the ovarian remnant.

Don’t give up:

Even if your doctor is unable to pinpoint the exact cause of your pain, you still have treatment options. You may need to try a combination of therapies before you find what works best for you. Treatment options include pain medications, antidepressants, physical therapy, relaxation exercises, biofeedback and abdominal trigger point injections — a direct injection of medicine into a painful spot.

If you have chronic pelvic pain, finding the cause and getting relief can be an exercise in frustration. Don't give up. Newer diagnostic tools and treatments can help. If you work with your doctor, you have a good chance of uncovering the root of your problem or at least finding a treatment that can provide relief from your discomfort.

http://www.mayoclinic.com/invoke.cfm...93CE611&locID=
Chronic Pain:
[quote]
Millions of people world wide seek treatment for chronic pain every year. On occasion certain medications, nerve blocks or physical therapy can make a big difference, however, in most cases a multiple-part approach to ending the downward spiral of chronic pain is required. Reversing this spiral is now commonly referred to as pain management. Pain management includes, not only medication, but also a comprehensive plan of relaxation, exercise and behavioral change. There is no magic bullet for relief of chronic pain. Managing pain is not about making the pain disappear, it is about keeping pain tolerable and there are several ways to accomplish this. Keep a Pain Journal: Record the various activities and therapies that reduce or alleviate your pain. A journal also helps track the ebb and flow of pain, so you are aware of them and know when the pain worsens and how to ease it.

Get Started on an Exercise Program: Exercise improves overall fitness, increases strength and flexibility and can reduce the risk of further injury and helps control pain.

Balance Your Life: Find a healthful balance of activities, which should include work time, exercise, recreation, hobbies, relaxation, rest and socialization with family and friends. This balance can ease pain and elevate your mood.

Medications: All medications have side effects and there are toxic risks with all medication. So which medication to use and when to use one for chronic pain is very complex.

Some Tips to Help in Managing Chronic Pain:

Write yourself a contract: Pledge to yourself that you are committed to managing your pain.
Keep your home environment healthful: Remove all items from your home that might lure you into unhealthy habits. Your home should reflect your positive active attitude.
Set goals for pain management: Set specific goals to address your greatest pain problems.
Monitor your progress: Prepare some type visual aid or chart to display your progress.
Accept support: Support of family, friends and physician will help you keep going on track on difficult days.
Team up with your doctor: Your doctor can work with you to overcome obstacles, keep him/her posted on your progress.
Plan each day: Schedule your exercise, relaxation, rest, work. Make a list of things to do in order to accomplish your goals.
Stay positive: Think that you will control the pain. Keep your spirits up, this will help to maintain your ability to overcome and manage pain.
Reward yourself: If you treat yourself to something enjoyable, when you reach a goal, it will reinforce a positive attitude.

http://doctorsforpain.com/patient/chronic.html

Pain Terminology:
http://doctorsforpain.com/patient/terminology.html


  Quote:
PSYCHOLOGICAL SUPPORT:

There can be psychological effects from chronic pain. It can produce feelings of anger, sadness, hopelessness and despair. It can alter your personality, disrupt sleep and interfere with work and personal relationships.

http://www.ozemail.com.au/~markgra/h...comingpain.com
  Quote:
RELAXATION/MEDITATION:
There are numerous forms of relaxation therapy that are helpful to patients. Relaxation training and stress management, biofeedback and meditation can all be beneficial.

We believe that a time set aside each day to close your eyes, take some deep breathes, listen to some relaxing music and think only pleasant thoughts, with the idea of you controlling the pain rather than the pain taking control of you. Perhaps 15 minutes twice a day.

WHAT YOU CAN DO TO HELP YOURSELF
http://doctorsforpain.com/patient/treatments.html
  Quote:
Psychological Management:

Chronic pain is a complex condition, which may begin with a physical trauma, but is always maintained by a combination of physiological, neurological and psychological factors. In recent decades, it has become increasingly accepted that effective treatment must address both the physical and the psychological aspects of chronic pain. The psychological treatment of pain is important for a number of reasons. Firstly, psychological factors play a crucial role in the onset and course of chronic pain. People with psychological problems are more at risk of injury and pain (Tunks, 1996). The author has observed for example, that poor people who get hurt at work {particularly repetitive strain injuries] often do not report the injury for fear of losing their job, leading to delayed access to medical treatment and aggravation of injury. People with pain are also more likely to develop anxiety and depression - some studies have found up to 60% of chronic pain sufferers have either clinical anxiety or depression (Tunks, ibid). Although anxiety and depression are effects of pain, they can also undermine a person's ability to cope as well as increasing their perception of the intensity of the pain. A kind of pain-stress feedback loop is created. Chronic pain also presents a number of diagnostic dilemmas, as the physical cause is often unclear. This presents the clinician with a dilemma, is it psychogenic (e.g.; a somatization disorder) or a medical problem of unknown origin? Treating a somatization disorder as a real medical problem can lead to unnecessary treatment, while treating a medical disorder as 'psychological' can lead to withholding of treatment and cause added suffering and complications. In addition, chronic pain is often poorly managed, not because of lack of know-how, but because of psychological factors. For example, one study {of cancer patients} found that over 50% were under-medicated. The reason was poor communication between doctor and patient. Other studies indicate underreporting of pain by patients is a major problem. Cultural factors such as macho attitudes may also predispose people to "putting up with it."

Thus although chronic pain may start out with physical injury, it quickly develops into a major psychological problem. Psychological factors play a part in the whole course of the development of chronic pain, including diagnosis and management. Clearly, psychological treatment is an essential part of any treatment approach. Given the difficult nature of the disorder, a preventative approach founded on early intervention is indicated.

Psychological treatment can help by:
Education - many people with chronic pain are ignorant about the causes of pain, or their rights and responsibilities as a patient, or even just how to deal with the effects of pain on their relationships. Education in the form of information about pain, communication skills, and the treatment process can empower the chronic pain sufferer and enable them to benefit more from treatment.
Provision of adequate support - adequate psychological support is known to be an essential prerequisite for coping with life stressors, including chronic pain.
Reduce anxiety and depression - this is largely achieved through changing negative feelings, thoughts and behaviors associate with pain. Once a person knows what is going on and has some ability to control things, their confidence increases and anxiety and depression are less.
Case management - the pain management psychologist is the best-qualified person to identify any psychological obstacles to recovery, and advise other treating professionals.

http://doctorsforpain.com/patient/psychological.html

Physical & Occupational Therapy:

Physical modalities, if appropriately used, can be effective in reducing acute or sub-acute pain and can be very beneficial for chronic pain. The use of physical therapy does not ensure the elimination of pain. This is due to the fact that the perception of pain is different from patient to patient. While total relief of pain may be ideal, it is very difficult and not always attainable, particularly in chronic pain. However, even if there is residual pain, it is very frequently less intense and is at a bearable level
and may allow the patient to engage in his or her daily activities and/or function better in work activities.A list of specific physical therapies includes:
Thermotherapy - down through history heat and cold have been used for the relief of pain. The sedative, antispasmodic, analgesic, and decongestive effects of heat are well known. Superficial heat includes hot packs, paraffin baths, and heat lamps. Hydrotherapy, (warm
or hot whirlpool bathes). Deep heat includes ultrasound, short wave diathermy, and microwave.
Cryotherapy - there is no agreement on the effectiveness of cold over heat in the control of pain, however, application of cold to local areas produce some therapeutic effects, including reduction of temperature, reduction of neuromuscular transmission, analgesia, and an anti-inflammatory effect. Cold packs, (many sizes and shapes are available commercially), are composed of a pliable gel in a thin plastic pouch, that can be stored in the freezer until ready to use. They may retain their cold for up to 30 minutes after applied. Vapocoolant sprays are available, containing either fluorimethane or ethyl chloride and are useful to relieve pain of muscle spasm and trigger points. They must be used very carefully to prevent tissue damage. Ice water is a good and inexpensive method of cold therapy, where the extremity or part to be treated is immersed in ice water. The ice stick or block method involves moving an ice stick or block, back and forth in a massaging manner, over the painful area.
Electrotherapy - has been used since ancient times for the treatment of pain. Both direct (galvanic) current and
alternating current have been and are being used in the treatment of various pain syndromes. Transcutaneous
electrical nerve stimulation (TENS) is being used with varying degrees of success for pain relief. There is the
possibility of abuse both by the physician and the patient and its usefulness has been question in some studies.
Ionophoresis is a procedure, in which, molecules or atoms (ions) are force into the tissue using an electrical field.
Mechanotherapy - massage has been used since early times, and still plays an important role in pain management. The physiologic effect of massage is to increase or regulate muscle tone. The therapist's hands, stimulates the transmission of impulses to the higher centers in the brain, producing, sensations of pleasure and well being. The mechanical effects include, increasing the circulation of blood and lymph, and produce muscular motion, stretching of adhesions and reducing the accumulation of fluid. Common techniques of massage are stroking, kneading, rubbing and percussing. Indication for massage include reducing swelling, relieving pain, and mobilization of contracted tissue. There are some contraindications for its use such as; infection at the site, thrombophlebitis, burns, malignancies, and skin disease.
Therapeutic exercise - is a cornerstone on the treatment of sub-acute and chronic pain. Body movement improves musculoskeletal function and helps to maintain a state of well-being. An exercise program that helps to increase range of motion, increase elasticity of soft tissue, decrease spasm and tension, is usually followed by exercises that increase strength and endurance. Some of the various types of exercises include isometric, isotonic, aerobic and aquatic. Traction and passive manipulation are other modalities used. There are physical exercises that are used for various part of the body, such as shoulder, neck and low back. Lists of the various modalities are listed in many texts.
Occupational therapy - is used to help return the patient to work activity. When physical or occupational therapy are ordered by the physician, it should be remembered that the therapist is a trained professional, and should be treated as a member of the treatment team. The therapist will see the patient more often than the physician and therefore may give insightful information regarding some physical and psychological problems. The order for therapy should include: evaluate and treat; specific requests by the physician; a working diagnosis; frequency of treatment; length of time treatment is to be continued; possible contraindication to treatment and precautions.
Hands on therapy - depends on the skill of the therapist regarding dysfunction of muscles and joints.
Programs to restore function - are some where between, physical therapy and the fitness center type
programs. This may consist of physical conditioning with a group of patients. Patients attend such a program two or three times a week, with sessions lasting up to two hours, during which time exercise consists of stretching, strengthening and aerobatics. It may also include education and back to work activity.
Gym programs - usually begins as the physical therapy program is ending and the patient continues to exercise in the gym independently. The gym can be and appropriately is a part of the physical therapy department or may be private. Some supervision may be provided, however, the individuals are usually on their own. It is important that they follow instructions from the therapist in order to prevent further injury.
http://doctorsforpain.com/patient/therapy.html
Battling Back: Overcoming the Undertreatment of Chronic Pain:
http://my.webmd.com/content/article/1/1700_50872.htm

Questions You Should Ask About Pain & Pain Treatment:
http://www.ortho-mcneil.com/painb/index.html

Pain Management:
http://www.newmilfordhospital.org/se...management.htm

Fatigue Takes a Special Toll on Women:
http://health.discovery.com/centers/...ngfatigue.html

Women and Pain:
http://health.discovery.com/centers/...pain/pain.html

Self-Discovery Through Journaling:
http://health.discovery.com/centers/...ournaling.html

Interstitial Cystitis - Pelvic Pain from the Bladder:
http://www.wdxcyber.com/nurine04.htm

http://health.discovery.com/centers/...pain/pain.html

http://www.pelvicpain.org/communication.ppt

http://www.pelvicpain.org/pdf/diagnosis_management.pdf

http://www.familydoctor.org/handouts/284.html

http://www.gynsecondopinion.com/pelvic-pain.htm

Interstitial Cystitis: Progress Against Disabling Bladder Condition:

  Quote:
What risks are associated with hysterectomy?
Risk and complication associated with hysterectomy can be significant. Depending on the type of hysterectomy performed, bowel and bladder problems/damage, stress urinary incontinency, early ovarian failure, constipation, fatigue, changes in sexual interest and function, and depression may occur.
http://www.doctorfarmer.com/hysterectomy/facts.htm
Here is some good info on Incontinence after a Hysterectomy:

http://www.wdxcyber.com/mutbladdersurg.htm#m02

Understanding Hysterectomy-Dr. Susan Tannenbaum:
http://www.uhmc.com/tgynst02.htm

Gynecologic Causes of Pain - Internal: In Pelvis or Abdomen: http://www.obgyn.net/displayarticle....indman_gynpain

Here is some info on Adhesions, this is the cause of most of my Chronic pelvic & abdominal pain:

http://www.adhesions.org/Links/Docto...lesprevent.htm
http://www.adhesions.org/forums/ADHE...0201/0024.html
http://www.adhesions.com/patient.html
http://www.adlap.com/adhesions.htm
http://www.generalsurgeryinfo.com/gerhart5/index.html
http://www.drcook.com/adca15.html
https://www.hystersisters.com/vb2/sho...threadid=19427
http://www.nurseminerva.co.uk/adhesion.htm
http://homepage.tinet.ie/~pjlb/adhesions.htm
http://www.pain.com/drfiles/cfdradvi...Article_id=121
http://www.adhesions.org/patientguide/index.htm
http://www.ivillagehealth.com/expert...171560,00.html
http://www.adhesions.com/welcome_main.html
http://www.nlm.nih.gov/medlineplus/e...cle/001493.htm
http://www.pathwaystohope.org
http://www.cmchealthsys.com/
Hand Assisted Surgery - http://www.dexterity.com/
  Quote:
"If the adhesions are extensive, and the patient has undergone previous adhesion surgery that failed, I have taken an unorthodox approach to such individuals. Because adhesions begin to form almost immediately, along with the healing process involving the raw anterior abdominal wall, I have in special situations recommended a repeat laparoscopy in one week. At this point, the "new" adhesions are flimsy, soft, do not contain a blood supply, and can be swept away with minimal tissue injury, compared to a conventional adhesiolysis (freeing the adhesions surgically) of old adhesions that are dense, very adherent, and bloody. This is performed in an outpatient setting, and usually takes but a few minutes, compared to the time involved dealing with extensive, dense old adhesions."

http://medseek.com/glennbradley/newsdetail.cfm?ref=264
Good Luck ((Reenie))..pls know we are here anytime for you Pls keep us posted...(((hugs)))
  #6  
Unread 03-31-2003, 09:22 AM
follow up from dr. appointment

Reenie:

I can't really tell from your post whether or not your doctor supports your efforts to stay informed about your health. Either he has a dry sense of humor and is just egging you on, or he is really irritated that you are self diagnosing. I hope he is just joshing.

I just found a new family physician [pcp] last week that is going to be fantastic. First off, he talks to my son directly about his symptoms (he's 10). It was great!

So, we hit it off right away. He's very very intelligent and spoke to me about my son's allergy symptoms as if I were a fellow doctor. He thoroughly explained 3 choices of treatment options to try with my son and asked me what I would prefer to try!!!! Because he was so open, I just said, we'll try whichever you'd recommend. It was great for me and my son, but I am sure there are patients who would just rather he shut up and write the script.

I hope you feel better soon and that your doctor will partner with you to solve your issues! There are doctors out there who really enjoy well informed patients. [I have 2 - my gyn and our pcp]
  #7  
Unread 03-31-2003, 10:44 AM
follow up from dr. appointment

Hi Reenie..

WOW, you have had your share of BAD 's!!!

I too was misdiagnosed by 2 Dr's and went through hell for 8 years before my hyst. I had my first lap and was told the pain was all in my head when it was clear endo. That grew for 8 years and I finally, after bleeding for almost 3 months, went to the Womens health clinic and saw a NP who told me I had a bacterial infection. I was given antibiotics and Motrin and sent home. Well, when I went back the next day and demanded to see the Gyn and get some meds that worked he told me to throw away the antibiotics, I had no infection and scheduled me for a lap.

Had the lap and had a TVH/BSO 3 weeks later for endo, adeno and severe cyctic ovaries.

What I am trying to say is that there are good and bad Dr's out there, unfortunatly, you have to find them. The one you just saw does not sound like the one for you at all!! I think I would have come off the table fighting.. *punch* I HATE the Dr's that make us out to be oblivious as to what we are feeling.

Please keep the search up and you will find the one that will make sense of all of your problems!! No wonder your bloodpressure is up, mine was just from reading your post!!

I am sending you a BIG and will keep you in my prayers!!

Pam
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