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Re: Doc's Ignorance

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I think by becoming involved in this egroup we are all doing our part to help

women educate themselves and their doctors. By what I hear in your emails,

women are going to their gyn's armed with information. And let's not forget

to thank technology for allowing access of information at our fingertips. I,

for one, feel more powerful since I know what is available for the treatment

of fibroids. Of course, like most of you, I'm not satisfied with the

options, but at least I can make a reasonable decision based on what I read

and hear online. Without this support group I wouldn't have had the courage

to seek out other doctors. I would have accepted what my gyn said and

assumed the " doctor is always right. " Now I know that being a doctor is a

job. And like any other job, there are some who are better than others, some

who are willing to go the distance, and some who rest on their own laurels

and stick with the tried and true. Because of this group and Carla Dionne's

recommendation I am seeing Dr. Broder next week at UCLA for a consult on my

fibroid and the possiblity of UAE. I will continue to be part of this group,

even afterwards, because I would like to impart my experiences to others who

are in need of help.

Hale

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" , Barbara " wrote:

> I obviously missed all of this stuff because I only found out about UAE when

> I was looking for alternatives through the Internet. I have not seen one TV

> show or magazine or news show (and I watch them) that talked about UAE. If I

> hadn't been computer savy enough to get on the Internet (and some folks

> still aren't) I would have never known about UAE. And it seems many folks

If your " radar " isn't turned on and receptive to looking for information on this

topic, you may turn the page and bypass it all together. If you haven't been

diagnosed with fibroids yet, aren't symptomatic, aren't concerned about getting

treatment just yet, or aren't concerned with finding another option other than

hysterectomy (for whatever reason), then you would probably turn the page and

never read the article. Hence, new people coming onboard all the time who are

just now beginning to look for options. Perfectly understandable.

Gyns, on the other hand, do this for a living. I think a different set of

criteria applies to them for what they do or don't know about treatment options

for uterine fibroids.

carla

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> " Carla " wrote:

>

> If your " radar " isn't turned on and receptive to looking for

> information on this topic, you may turn the page and bypass it all

together.<snip>?

You're right. Although I was having problems, the Depo Provera was working

for me over the long run so I didn't 'pay attention' to other alternatives.

It was when the fibroids grew and started break-through bleeding that I

started searching for alternatives.

>

> Gyns, on the other hand, do this for a living. I think a

> different set of criteria applies to them for what they do or don't know

about

> treatment options for uterine fibroids.

I understand and agree with your assessment.

Barbara

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>

> > Let's not condemn, even though

> > we're angry, lets keep educating.

>

> I'm not against every thing and every doctor. And, at this

point, " angry "

> doesn't describe me. " Disgusted " with the status quo is a much

better

> description.

>

> I don't intend to give too much slack to gyns on this one because

I've seen the

> ACOG programs from the last 3 years. I've also spoken to ACOG

District reps on

> this issue. Oh, they know about this procedure all right. It's

been " abuzz "

> since it was presented 3 years ago. In addition, it has been

reported in every

> national newspaper in every major city across the U.S.. > All I'm

asking for is a glimmer of recognition in their eyes and a willingness

> to look into it if a patient asks about it. Unfortunately, that's

not what's

> happening in a great many cases.

>

My thoughts on this discussion:

1) UFE/UAE is a fairly recent development in the treatment of uterine

fibroids. If an OB/GYN opts to wait for more data/trials/etc before

recommending UFE to his patients, could this be interpreted as being

prudent? (Benefit of the doubt here.)

2) What is the 'typical' time frame for a medical procedure to move

from 'experimental' to wide acceptance. How many published papers?

How many trials? What organization makes that decision?

3) Does mass media recognition of the development of UAE/UFE

constitute medical acceptance?

4) Look at the history of women's health treatment. Not enough

research, not enough information made available, a whole lot of BS,

and not enough respect for women's needs. Can we change this picture

through an exchange of information/needs in a respectful manner

between all parties involved.

5) I too am disgusted at the status quo. But what is the best way to

change it?

Ann

P.S. Had my UFE done last Friday. Am recovering nicely. My OB/GYN was

intially not supportive of this procedure -- hyst was his

recommendation. Once I decided on UFE as my preferred option, I gave

my OB/GYN my reasons for choosing UFE. Then I gave him the choice of

following me after the UFE or me choosing an OB/GYN recommended by my

IR. I told him whatever his decision was I would respect it. He chose

to follow me.

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Leonie,

The response that I seem to hear from patients is; " My GYN told me he

could just do a hysterectomy and while he was in there, he could remove my

ovaries too. Then I wouldn't have to worry about uterine or ovarian

cancer. " My response usually consists of one or more of these statements;

" O.K., if you are going tothink about it that way, why doesn't he do

bilateral mastectomies and/or remove a lung, less chance you will get breast

or lung cancer to. " Or, " So tell me when is your doctor going to have

that radical prostatectomy to prevent prostate cancer. " I confess 98% of

the time I bite what is left of my tounge, but sometimes I just can't help

myself when I hear some of the things women tell me their doctors say to

them. I actually had a women call me last week who was AFRAID to call her

GYN's office for a refferal, because she didn't want him to become angry

with her!!!!!!!!!!!!!!!! I also know that these stories, although

unfortunate, are the exception and not the rule, there are plenty of

open-minded OB/GYN's out there who will not partake in obstructing a

patients right to explore her options, and as physicians they are allowed to

voice their opinions to their patients. They are not however, allowed to

pass judgement on a patient who inquires about options and/or voices a

desire to explore those options. They may merely state their opinion and

direct their patients to the appropriate resources. Just my thoughts.

A. Meo, R.N.

Department of Interventional Radiology

Albany Medical Center Hospital

Albany, New York

Re: Doc's Ignorance

> Candace, loved your post. My favorite response to being told I don't need

my

> uterus if I don't intend to have children is " If [insert diety of your

choice]

> had intended women's uteri to be disposable, they would shrivel up and

fall out

> at menopause. Since we know they don't do that, I have to assume that

there's a

> purpose to keeping my uterus. "

>

> Anybody else have some good responses to share? Maybe we can do a page of

them

> for women to pick from before they see their GYNs. Leonie

>

>

>

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In a message dated 6/11/00 9:30:42 AM US Mountain Standard Time,

lvpameo@... writes:

<< Just my thoughts.

A. Meo, R.N.

Department of Interventional Radiology

Albany Medical Center Hospital

Albany, New York >>

I for one thank you for being a woman in the medical profession who speaks

up. I am sure there is pressure to " go along " or not " cause trouble " . We

need more like you......

- Candace

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