WOMENS-HEALTH Messages for May, 2000: Re: To Dr. Braun -- Re: Delaying myomectomy

Re: To Dr. Braun -- Re: Delaying myomectomy

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 16 May 2000 20:31:57 -0500 (CDT)

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In reply to: Heather: "To Dr. Braun -- Re: Delaying myomectomy"
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Reply: Heather: "Dr. Marchbein-- Re: Delaying myomectomy"

At Tue, 16 May 2000, Heather wrote: >
>At Mon, 15 May 2000, R. Daniel Braun, MD wrote:
>>
>>At Mon, 15 May 2000, Heather wrote:
>>>
>>>Last week I was diagnosed with uterine fibroids. I have 2 fibroids each
>>>larger than a grapefruit and a third slightly smaller. I've been having
>>>a lot of leg and ankle swelling as well as pains in my legs due to the
>>>pressure one of the fibroids is putting on my circulatory system.
>>>
>>>My doctor has explained to me that I will need a myomectomy -- in this
>>>case, major surgery that will include an incision directly above my
>>>pubic area that will allow them to extract the fibroids. In turn I will
>>>have to stay in the hospital for 3 - 5 days, stay in bed at home for the
>>>following 2 weeks and have minimal activity the 2 weeks subsequent.
>>>Totalling almost 5 weeks off of work. Due to previous commitments I'm
>>>trying to delay the surgery until late June or early July. My doctor
>>>tells me that it's up to me... if I can endure the discomfort and if
>>>water pills or surgical hose relieve the leg swelling then I can
>>>postpone the surgery.
>>>
>>>Is there anything else that I should be considering as I attempt to
>>>delay the surgery for almost 6 weeks? I'm fearful that the fibroids
>>>could grow to an even larger size causing greater damage and reduce my
>>>chances for a successful surgery... and the possibility of having
>>>children.
>>
>>If the fibroids are big enough to be causing leg swelling they could
>>also possibly lead to Thrombophlebitis (Blood clots in the veins in the
>>legs) This is very dangerous if it develops because they can break loose
>>and go to the lungs. (Pulmonary Embolus)
>>The other possibility is that these are not fibroids. They could be
>>ovarian or something else. One never knows what a pelvic mass is until
>>one removes it.
>>IOW, it doesn't seem to me that postponing it is a good idea.
>>
>>RDB
>>
>>--
>>R. Daniel Braun, MD FACOG FOG
>>
>>This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional. Due to time constraints, private e-mails cannot be answered.
>>
>Dr. Braun,
>
>You've definitely raised my concerns. Why would my doctor have not said
>something about the swelling and the possibility of blood clots?

Standing in for Dr. Braun is his stunt double, Dr. Marchbein.

I'm presuming that your doctor doesn't believe your leg swelling is related to the fibroids.

If this doesn't answer it, please write again with a specific question that I may be able to answer.

HSM

>My
>blood work came back fine, I'm 31 and my blood pressure is 100/80...but
>I am considerably overweight. Please elaborate.
>
>Thanks,
>
>--
>Heather
>

--
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 ;-)

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