Re: chronic pelvic pain patient

From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com)
Mon Feb 23 08:40:35 2004

I wish we had someone like that here in Houston. I’ve been following her for 6 years. She has seen every discipline in medicine I can think of. She has not been sexually molested nor assaulted, does have some psychiatric history, although nothing to suggest Munchhausen’s syndrome or other pain related psychopathology. 

--
Richard Chudacoff, MD


A government that robs Peter to pay Paul can always depend on
the support of Paul.
George Bernard Shaw


Democracy is a device that insures we shall be governed no
better than we deserve.
George Bernard Shaw


-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Charlie
Chambers
Sent: Friday, February 20, 2004 12:54 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: chronic pelvic pain patient


Richard


Has she been evaluated by a PT with specific training in women's health, and
chronic pain?
On Feb 20, 2004, at 10:20 AM, Richard Chudacoff, MD wrote:
<?fontfamily><?param Arial><?x-tad-smaller>I have a 22 year old, gravida
zero, chronic pelvic pain patient who has had a left salpingoophorectomy for
a dermoid cyst at the age of 14.  Subsequently she has persistent pain which
has required three laparoscopies for lysis of adhesions.  Her right ovary on
laparoscopy appears to be normal, as is her right fallopian tube. She has
also undergone a laparoscopic presacral neurectomy.  Currently she is on
Depo-Provera and Nuvaring continuously which has decreased dysmenorrhea, but
has not removed for chronic pelvic pain.  She is amenorrheic. She would like
her right ovary removed, because her pain is constantly right lower
quadrant/pelvic in nature.  For workup has included evaluation by
psychiatry, neurology, pain medicine and
gastroenterology.<?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param Arial><?x-tad-smaller> <?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param Arial><?x-tad-smaller>The only thing that I could think
of would be to super ovulate her, capture her ova, and then performed a
right salpingo oophorectomy, with the understanding that she could use her
captured ova for future fertility.<?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param Arial><?x-tad-smaller> <?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param Arial><?x-tad-smaller>I would be eager for a discussion
regarding this type of patient and options of
therapy.<?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param Arial><?x-tad-smaller> <?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param Arial><?x-tad-smaller>Richard Chudacoff, MD,
FACOG<?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param Arial><?x-tad-smaller>Chudacoff Obstetrics &
Gynecology, PA<?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param Arial><?x-tad-smaller>15200 Southwest Freeway,
#270<?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param Arial><?x-tad-smaller>Sugar Land, TX
77478<?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param Arial><?x-tad-smaller> <?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param Arial><?x-tad-smaller>Tel:
281-277-3900<?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param Arial><?x-tad-smaller>Fax:
281-277-3901<?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param Arial><?x-tad-smaller> <?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param
Arial><?x-tad-smaller>rchudacoff@mylinuxisp.com<?/x-tad-smaller><?/fontfamil
y>


<?fontfamily><?param
Arial><?x-tad-smaller>Richard.Chudacoff@obgyn.net<?/x-tad-smaller><?/fontfam
ily>


<?fontfamily><?param Arial><?x-tad-smaller> <?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param
Arial><?x-tad-smaller>http://www.mdhub.com/281-277-3900<?/x-tad-smaller><?/fontfami
ly>


<?fontfamily><?param
Arial><?x-tad-smaller>http://www.chudacoffobgyn.yourmd.com<?/x-tad-smaller><?/fontf
amily>


<?fontfamily><?param Arial><?x-tad-smaller> <?/x-tad-smaller><?/fontfamily>


<?fontfamily><?param Arial><?x-tad-smaller>*****HIPAA Confidentiality
Notice*****<?/x-tad-smaller><?/fontfamily>


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<?fontfamily><?param Arial><?x-tad-smaller>The documents inside this
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*************************************************************************
Charlie Chambers
Hood River, OR


cchamber@alumni.rice.edu


"No matter where you go...
there you are."
Dr. Buckaroo Banzai
************************************************************************


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<p class=MsoNormal><span class=EmailStyle15><font size=2 color=navy face=Arial><span
style='font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'>I wish we
had someone like that here in Houston. I’ve been following her for 6 years. She
has seen every discipline in medicine I can think of. She has not been sexually
molested nor assaulted, does have some psychiatric history, although nothing to
suggest Munchhausen’s syndrome or other pain related psychopathology. <o:p></o:p></span></font></span></p>


<p class=MsoNormal><span class=EmailStyle15><font size=2 color=navy face=Arial><span
style='font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><![if !supportEmptyParas]>&nbsp;<![endif]><o:p></o:p></span></font></span></p>


<p class=MsoAutoSig><!--[if supportFields]><span class=EmailStyle15><font
size=2 color=navy face=Arial><span style='font-size:10.0pt;mso-bidi-font-size:
12.0pt;font-family:Arial'><span style='mso-element:field-begin'></span><span
style="mso-spacerun: yes">&nbsp;</span>AUTOTEXTLIST \s &quot;E-mail
Signature&quot; <span style='mso-element:field-separator'></span></span></font></span><![endif]--><font
size=2 color=navy face=Arial><span style='font-size:10.0pt;mso-bidi-font-size:
12.0pt;font-family:Arial;color:navy'>Richard Chudacoff, MD</span></font><font
size=2 color=navy face=Arial><span style='font-size:10.0pt;mso-bidi-font-size:
12.0pt;font-family:Arial;color:navy;mso-color-alt:windowtext'><o:p></o:p></span></font></p>


<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;color:navy'><![if !supportEmptyParas]>&nbsp;<![endif]></span></font><font
size=2 color=navy face=Arial><span style='font-size:10.0pt;mso-bidi-font-size:
12.0pt;font-family:Arial;color:navy;mso-color-alt:windowtext'><o:p></o:p></span></font></p>


<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;color:navy'><![if !supportEmptyParas]>&nbsp;<![endif]></span></font><font
size=2 color=navy face=Arial><span style='font-size:10.0pt;mso-bidi-font-size:
12.0pt;font-family:Arial;color:navy;mso-color-alt:windowtext'><o:p></o:p></span></font></p>


<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;color:navy'>A government
that robs Peter to pay Paul can always depend on </span></font><font size=2
color=navy face=Arial><span style='font-size:10.0pt;mso-bidi-font-size:12.0pt;
font-family:Arial;color:navy;mso-color-alt:windowtext'><o:p></o:p></span></font></p>


<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;color:navy'>the support of
Paul. </span></font><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;color:navy;mso-color-alt:
windowtext'><o:p></o:p></span></font></p>


<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;color:navy'>George Bernard
Shaw</span></font><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;color:navy;mso-color-alt:
windowtext'><o:p></o:p></span></font></p>


<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;color:navy'><![if !supportEmptyParas]>&nbsp;<![endif]></span></font><font
size=2 color=navy face=Arial><span style='font-size:10.0pt;mso-bidi-font-size:
12.0pt;font-family:Arial;color:navy;mso-color-alt:windowtext'><o:p></o:p></span></font></p>


<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;color:navy'>Democracy is a
device that insures we shall be governed no </span></font><font size=2
color=navy face=Arial><span style='font-size:10.0pt;mso-bidi-font-size:12.0pt;
font-family:Arial;color:navy;mso-color-alt:windowtext'><o:p></o:p></span></font></p>


<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;color:navy'>better than we
deserve. </span></font><font size=2 color=navy face=Arial><span
style='font-size:10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;color:navy;
mso-color-alt:windowtext'><o:p></o:p></span></font></p>


<p class=MsoNormal><font size=2 color=navy face=Arial><span style='font-size:
10.0pt;mso-bidi-font-size:12.0pt;font-family:Arial;color:navy'>George Bernard
Shaw</span></font><font color=navy><span style='color:navy;mso-color-alt:windowtext'><o:p></o:p></span></font></p>


<p class=MsoNormal><!--[if supportFields]><span class=EmailStyle15><font
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<p class=MsoNormal style='margin-left:.5in'><font size=2 color=black
face=Tahoma><span style='font-size:10.0pt;font-family:Tahoma;color:black'>-----Original
Message-----<br>
<b><span style='font-weight:bold'>From:</span></b> ob-gyn-l@obgyn.net
[mailto:ob-gyn-l@obgyn.net]<b><span style='font-weight:bold'>On Behalf Of </span></b>Charlie
Chambers<br>
<b><span style='font-weight:bold'>Sent:</span></b> Friday, February 20, 2004
12:54 PM<br>
<b><span style='font-weight:bold'>To:</span></b> Multiple recipients of list
OB-GYN-L<br>
<b><span style='font-weight:bold'>Subject:</span></b> Re: chronic pelvic pain
patient</span></font></p>


<p class=MsoNormal style='margin-left:.5in'><font size=3 face="Times New Roman"><span
style='font-size:12.0pt'><![if !supportEmptyParas]>&nbsp;<![endif]><o:p></o:p></span></font></p>


<p class=MsoNormal style='mso-margin-top-alt:0in;margin-right:0in;margin-bottom:
12.0pt;margin-left:.5in'><font size=3 color=black face="Times New Roman"><span
style='font-size:12.0pt;color:black'>Richard<br>
<br>
Has she been evaluated by a PT with specific training in women's health, and
chronic pain? <br>
On Feb 20, 2004, at 10:20 AM, Richard Chudacoff, MD wrote:</span></font><font
color=black><span style='color:black;mso-color-alt:windowtext'><o:p></o:p></span></font></p>


<p class=MsoNormal style='margin-right:.5in;mso-margin-top-alt:auto;margin-bottom:
12.0pt;margin-left:1.0in'><font size=3 color=black face="Times New Roman"><span
style='font-size:12.0pt;color:black'><?fontfamily><?param Arial><?x-tad-smaller>I
have a 22 year old, gravida zero, chronic pelvic pain patient who has had a
left salpingoophorectomy for a dermoid cyst at the age of 14.&nbsp;
Subsequently she has persistent pain which has required three laparoscopies for
lysis of adhesions.&nbsp; Her right ovary on laparoscopy appears to be normal,
as is her right fallopian tube. She has also undergone a laparoscopic presacral
neurectomy.&nbsp; Currently she is on Depo-Provera and Nuvaring continuously
which has decreased dysmenorrhea, but has not removed for chronic pelvic
pain.&nbsp; She is amenorrheic. She would like her right ovary removed, because
her pain is constantly right lower quadrant/pelvic in nature.&nbsp; For workup
has included evaluation by psychiatry, neurology, pain medicine and
gastroenterology.<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>&nbsp;<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>The only thing that I could think of
would be to super ovulate her, capture her ova, and then performed a right
salpingo oophorectomy, with the understanding that she could use her captured
ova for future fertility.<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>&nbsp;<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>I would be eager for a discussion
regarding this type of patient and options of therapy.<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>&nbsp;<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>Richard Chudacoff, MD, FACOG<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>Chudacoff Obstetrics &
Gynecology, PA<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>15200 Southwest Freeway, #270<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>Sugar Land, TX 77478<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>&nbsp;<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>Tel: 281-277-3900<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>Fax: 281-277-3901<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>&nbsp;<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>rchudacoff@mylinuxisp.com<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>Richard.Chudacoff@obgyn.net<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>&nbsp;<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>http://www.mdhub.com/281-277-3900<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>http://www.chudacoffobgyn.yourmd.com<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>&nbsp;<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>*****HIPAA Confidentiality
Notice*****<?/x-tad-smaller><?/fontfamily><br>
<br>
<?fontfamily><?param Arial><?x-tad-smaller>&nbsp;<?/x-tad-smaller><?/fontfamily><br>
<br>
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transmission contain confidential information belonging to the sender that is
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<p class=MsoNormal style='margin-left:.5in'><font size=3 color=black
face="Times New Roman"><span style='font-size:12.0pt;color:black'>*************************************************************************<br>
Charlie Chambers<br>


Hood River, OR<br>
cchamber@alumni.rice.edu<br>
<br>
&quot;No matter where you go...<br>
there you are.&quot;<br>
Dr. Buckaroo Banzai<br>
************************************************************************</span></font><font
color=3Dblack><span =


style='color:black;mso-color-alt:windowtext'><o:p></o:p></span></font></p>


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