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Re: Laproscopy/Post-OpFrom: Susan (anonymous@obgyn.net)Mon, 28 Apr 1997 23:00:48 -0500 (CDT)
At Mon, 28 Apr 1997, K. wrote: > >This is regarding a Lap I had done on the 4th of April, my post op was >scheduled for the 21st. My mind was filled with many questions to ask >the Dr. and ready to hear the worst or ready to hear that the endo >problems were all in my head. >The Dr. came in looked at my scars said all was fine gave me a >prescription for Sereophene and said he wanted to see me within 4 weeks. >I had to stop him and ask him what was the outcome of the surgery, then >I had to ask him to see the pictures he'd taken than he was off. That >was it, he stated the degree of the endometriosis was extreme which had >spread all over from the cervix, tubes, bowels, uterus, etc. More than >I ever dreamed of, I was diagnosed with this in 1990, than hadn't >another lap until now and the disease has seemed to have spread like >crazy. Is this the norm? After the first Dr. said he got it all, also >if the disease was that wide spread wouldn't it take longer than 30 mins >to laser all of it? When a post op is done shouldn't a pelvic exam be >performed to ensure all is ok? > >Thank you again! > >-- >K. Lesniak > Hi, I am not a doctor, and am afraid I can't answer some of your questions. But having had endometriosis myself and done a lot of research on it, I know a little. So here goes... Endometriosis is a condition for which there is no known cause or cure, only treatments to manage pain and remove the "implants." New implants often occur, especially when hormone therapies such as birth control, progrestin, or Danazol are not used after a laser lap. So the fact that it got worse after the first surgery is not surprising, particularly if you were not on hormonal therapy. The implants can attach anywhere in the abdomen, and even in the thoracic (chest) region, though this is less common. Any where they are, there can be pain during your hormonal cycles each month. A pelvic exam is not necessary after a laparoscopy, as the incisions are made on the abdomen and umbilical areas, not in the vagina. Your doctor already knew you were in pain, and probably had no new clinical reasons to subject you to a pelvic exam at that time. As for your doctor not recognizing your need for information, and being short with you when you needed reassurance, I have this to say. Doctors are people like us, and have good days and bad. THey can't always read a situation well, just as we can't. If your past experiences with him are similar, and you need to have more opportunities for discussion, I recommend looking for a new doctor. Finding a doctor you are comfortable with is extremely important, and you are certainly entitled to have your questions answered. If, on the other hand, this behavior was out of character for your doctor, you may want to chalk it up to a bad day and call him with your questions. You have a right to know about all available treatments, risks, benefits, and possible outcomes. If you need to go somewhere else for this then do. It may also be that the nurse can fill in some blanks for you, if you are comfortable with that. If he is a good doctor and you trust his medical judgement, perhaps you can overlook his bedside manner in favor of his expertise. But do get answers somewhere, and don't agree to treatments (even medications) before you understand what they are for and have a chance to make your own decision. I hope one of the docs here at OBGYN.net has a chance to answer the more technical questions for you, because those are important. Good luck, and hang in there!
-- Susan Boyles
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