WOMENS-HEALTH Messages for August, 2002: Re: Advice for everyone

Re: Advice for everyone

From: Asem Anwar Moussa MD (anonymous@obgyn.net)
Sun, 11 Aug 2002 10:13:37 -0500 (CDT)

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At Sun, 11 Aug 2002, kmd wrote: >
>I hope my story helps someone reading this posting.
>
>I had an annual pap smear which showed high displasia (abnormal cells
>which although not cancer, can lead to cervical cancer), then a
>colposcopy biopsy showing high grade dysplasia within the cervix. The
>result? I had a cold cone biopsy, removing 2 cm wide by 6 cm long. The
>risks? 5% chance of not being able to conceive or carry a child. Full
>recovery takes 4 to 6 weeks.
>
>Fertility risks at a glance seemed minor compared to the bigger issue
>--a chance of developing cerivical cancer, a potential terminal illness.
>
>However all I think about now are those risks, because in the end I had
>no dysplasia at all. None. The surgery was all for not.
>
>What have I learned? Well, getting a face to face second opinion was not
>enough. I should have sent my slide mounts to be reread by another
>pathologist/lab. Also, I should have listened to my gut instinct and
>not been afraid to insist on having a second colposcopy biopsy. Doctors
>said I was "going through the proper steps" and no other test was
>needed. But what was the big deal of having another colposcopy biopsy
>test (takes less then 15 minutes)? It would have only been an
>inconvenience for the doctor. In retrospect, I am saddened that I felt
>I was burdening the doctors and nurses with my concerns. When it came
>to my health, I should have been as equally confident with them as they
>were with me. It was hard for me to be assertive (which I vow will
>never happen again).
>
>Everyone has a unique situation. Only you can be the judge of your own
>circumstance.
>
>Best of luck to you.

I think your advice is of value to us as a medical team,as we have to mention to our clients the possiblities of false positive&false negative results of a given investigation and we have counsel our client regarding the issue of the treatment&actively involve he/or she in our planned treatment,be empathtic&sympathetic to our clients.not to be upset from the rechecking or repeating the investigations or having a second opnion.

--
Dr:Asem Moussa MD
Prof.of OB/GYN.
Alazhar School of Medicine.
Cairo-Egypt
This is for teaching purpose

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In reply to: kmd: "Advice for everyone"
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