![]() |
||||
|
||||
|
|
||||
Re: herbs for fibroidsFrom: Joanne Bulley (jbulley@cheshire.net)Fri Oct 24 06:48:34 1997
Doug wrote: I did see one woman with large fibroids who agreed to undergo hypnosis. I suspected that she had a surgery phobia, but I suggested to her that hypnosis would help her uncover her fears and make whatever decision she made a much more powerful healing technique. In therapy she uncovered some material about a bad surgical experience that a relative had had. And with some prearranged hypnotic suggestion, the patient decided to go ahead and have the hysterectomy. But she's the ONLY woman of this kind I've been able to even remotely influence. People really do live and die by their beliefs...it's OK. I agree completely. Whenever I have someone (well 95% of the time) that is that adamant about the non-surgical approach, I look to find the OTHER reasons that she is avoiding surgery. It isn't usually that she only wants "natural" approaches (that is - she wouldn't skip antibiotics for culture positive stre throat, etc) it is almost always that there is some sort of PTSD there obstructing the situation. Maybe I realize this and try to uncover it because of my own past which includes several PTSD situations, one of which was related to anesthesia. I had my appendix out back in 1967 - with my "consent" to going out with straight inhalational anesthesia. I had had a ton of shots for pain in the preceding 12-24 hours, so when they said, "well, do you want a shot or to just breathe something?" - I said ok to the gas. Well, any of you who have experienced that without warning what it would be like probably hated it as much as I did. Until I went to med school and saw what a gentle method we had available, I would onlyu have local for anything! I even had all four impacted wisdom teeth out at one time under local! Going out under (I think) ether was horrendous! The respiriatory stimulation before you go out triggers a response of "Oh my God, I am dying", the lights get painfully bright, then sound becomes deafeningly loud!! Years later - about '87 when I had my tubes tied by laparoscope, I asked the anesthesiologist to be sure I was unconcious before turning on any gas - Well, he turned on the gas probably a nanosecond before I was out and hearing the "click" of the gas canister being turned on and getting that tiny whiff of the gas brought back such vivid memories - it was astonishing to me the power of that past experience! Therefore - when someone has what appears to me to be a totally irrational approach, I try to gently look for other reasons. I once had a patient who was postponing her hyst for horrendous menometrorrhagia and 16 week fibroids whom I thought was just committed to a non surgical approach. She had been switching docs, also. I did not pursue the "other reasons" I speak of above. She bled through two pampers an hour, passed out at home (thank god her husband was there) went to the neighboring hospital and was transfused. When we finally did the hyst and she was 24-48 hours post op she told me she had been postponing it because of insurance!!! She and her husband had there own business, had not looked into upgrading their insurance program, and it was so antiquated as to be useless. So, they had shopped around until they found a policy with no pre-existing clause, then took a $2000 deductible (for each of the three they were insuring) because it saved them over $6000 a year in premiums, then she scheduled the surgery! If I had pursued why she was avoiding surgery as my gut said to do, or if she had volunteered the info, we could have figured some approach to diminishing her bleeding and avoided the transfusion!!! Happy Weekend! If anyone comes to look at the jack-o-lanterns here in Keene Saturday - look me up - I'll be out of town til about 10 - but I am in the phone book and do best with spur of the moment company.
-- Joanne Bulley Keene, NH
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:21:40 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.