WOMENS-HEALTH Messages for November, 1999: Re: FIBROIDS-Dr. M

Re: FIBROIDS-Dr. M

From: Christine (anonymous@obgyn.net)
Mon, 29 Nov 1999 21:14:25 -0600 (CST)

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At Mon, 29 Nov 1999, Harvey S. Marchbein, M.D. wrote: >
>At Mon, 29 Nov 1999, LYDIA wrote:
>>
>>I am seeking advice.
>>
>>I am a 53 year old African American female with fibroids that were
>>diagnozed approximately 10 years ago. At that time, the physician
>>stated because of my age and the closeness of the onset of menopause to
>>do nothing. Apparently the fibroids continued to grow and my menstrual
>>became very heavy. My current Ob/Gyn says the fibroids are the size of
>>a 4 month pregnancy.
>>
>>Last year my hemoglobin count was 7.8 and I had to receive a blood
>>transfusion. My count this year was 5.8 -- again I had to be
>>transfused. My current Ob/Gyn (I have managed care) is recommending
>>hysterectomy.
>>
>>While my primary care physician is concerned about the anemia and has
>>indicated I cannot continue to get transfusions, because of my age I am
>>reluctant to have such an invasive surgery because my menstrual has
>>decreased in flow of late.
>
>Bottom line - your blood count is low enough to pass out while driving
>or just plain have a heart attack and die. If your flow has decreased,
>your count should come up dramatically with iron. If not, it's not as
>"decreased" as you may think.
>
>What's safest? Only you can decide. The IVP (kidney Xray) I mentioned
>in a previous post would be important to see that the kidneys are not
>being compromised.
>
>--
>Harvey S. Marchbein, M.D. FACOG, FACS
>Great Neck, New York
>
>**Note: Opinions expressed here are for educational purposes only
>and, as such, do not constitute a physician-patient relationship.
>This information is not intended to supplant the need for you to
>consult with your physician prior to choosing therapeutic options
>and/or interventions.
>
>**Private emails cannot be entertained due to time constraints,
>consequently no private emails will receive a response.
>
>**Thank you for your understanding ;-)

Hi Dr. M; I thought the same thing about the low hemoglobin-the risk of heart attack but was afraid to say it. :<) When I had this problem (low hematocrit due to extreme blood loss from fibroids) I had an episode where I felt a prickly sensation in my head and a feeling around my rib cage like a tight band. I realized that I might be about to faint so started moving around and both feelings passed. An RN friend later told me that I could have a heart attack from such a low blood count. This tight band feeling around my rib cage wasn't anything to do with my heart, was it? Yikes. This was 13 years ago. Thanks, just curious.

Chris S. >

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