Re: Fibroid case follow up

From: art fougner, md (evsono@pipeline.com)
Thu Dec 29 05:58:39 2005


Question: Are there any procedures for which two surgeons are encouraged? recommended? Any ACOG opinions on this subject? Friend of mine is doing the MCO boogie trying to get reimbursement for the second surgeon.

Art

At Wed, 28 Dec 2005, Joanne Bulley, MD wrote:

<SNIP>

>OR today. Ureteral Stents placed by urology. 3 hour case with 2
>gynecologists (myself and the doc who operated last June). The Stents
>were 100% necessary. Even with the great shrinkage, the fibroid
>protruding from the left uterine wall under the left ovary (with the
>endometrioma) was hugging the ureter and the ureter was hugging the
>fibroid. It would have been nearly impossible without the pre-op Lupron
>and without the stents.
>
>As it was it was a challenge all the way through.
>
>TAH LSO completed.
>
>Some active endometriosis still present. Plan: complete the 6 month
>course of Lupron for the endo.
>
>Happy New Year.
>
>--
>Joanne Bulley, MD
>Keene, NH, USA
>
>"The coyote midwife sits by the hole and waits"
>-- from Jude Korokawa, past poster on this list
>

--
art fougner, md

"I knew I was going to take the wrong train, so I left early." Lawrence Peter Berra





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