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I give up-YentaFrom: Christine (anonymous@obgyn.net)Sat Jan 23 06:46:42 1999
Hi Yenta: I agree with you that Toni has too much faith in her gyn and I have told her so many times. But I came to realize she probably is not going to change her mind on that so I gave up. However, in defense of her decision, and I think I mentioned this to someone else who suggested Toni consult one of the endo specialists, is that I really don't think an endo specialist would accept Toni's case. Toni doesn't have endo and her problem comes from surgical adhesions. I'm sure the endo specialists do procedures on women looking for a diagnosis and they definitely do procedures on women who have endo and adhesions, surgical or caused by endo, but in Toni's case they would want all her old records and would see immediately that she never had endo in the past (and there was plenty of opportunity for diagnosis with all the surgical procedures she's had) and at age 44 is unlikely to be first developing it. It is my guess they wouldn't take the case. I could be wrong about this, but if I am, I think Helen Dynda would have gotten somewhere on it, because she has done (I think) some serious research on the treatment of surgical adhesions. Getting a doctor to take you seriously is a problem if the adhesions have not done something like cause an obstruction, etc. Some even go as far as to say adhesions don't cause pain! I think I remember Helen saying somewhere that a doctor told her that no one would operate on you for adhesions if they were not causing a problem. I don't agree with this totally because the general surgeon I saw did operate on me just for pain, rather than try to find out if the adhesions were causing a problem.(It didn't appear that they were) I think the trick is to find someone who is not close-minded like the bozos Toni has run into. I do think Toni should consider if fixing her problem is out of her gyn's area of expertise, but I'm not sure an endo specialist is the answer. Although, it never hurts to try and perhaps she should ask them for an opinion. (I understand with the ones in Atlanta you can do this by e-mail) When I had a reoccurrence of my pain 3 months after the gyn did the lap, I knew it was probably not a gyn problem.(that was seen at the first lap, although it could have been a completely different problem I experienced the second time, so I was not 100% correct saying it was not a gyn problem) This was the reason I insisted on consulting the general surgeon. I thought that a surgeon would have more expertise in handling problems of the bowel, no matter what they were and because he can do resections, where a gyn can not, he might approach and tackle the problem from a different perspective. Also, my fertility was not at stake so I didn't have to worrying about the wrong surgical technique messing up my reproductive organs. As it turned out,he wouldn't operate without the gyn being there. He has more experience than I do and I guess he knew that even though I was insisting it was the *same* problem that led to the first lap, and that that problem turned out not a gyn problem, it could still be a gyn problem. I realize I have gotten off the point here, but what I wanted to say was that an endo specialist would probably not be Toni's answer, although I agree she should consider that her gyn doesn't have the expertise. I know one surgeon referred her back to her gyn. Idon't think surgeons *like* operating for adhesions. I don't think it is very satisfying as the outcome is too much of a question. Chris S.
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