Re: How do you know for sure ????????

[Guest guest]

>

> How do you know if a PS says he will get all the capsule he can

get

> ...really does his best to do it ? There is other PS' besides the

2 everyone talks

> about( kolb & Feng) that others have went to and they say their

Ps's will do

> their best..but how do you really know ? And if you are still sick

after

> explant...how do you know if their is still capsule left inside

and another PS

> could enen get it out if you were to God forbid have yet another

surgery ?

>

GMCLADY,

I know for me that it is in the operative report that on the right

breast,'Generous part of the capsule was sent for biopsy. And on the

2 mammograms that were recently done show a starburst on that exact

side, I will consult with the new PS to see if any other tests should

be done so He and I can actually see the capsule and how much is

there, due to my having bad staph Bacteria as well I hope to get so

good info before making the decision with this particular surgeon on

removing that left over partial capsule,

I am not looking forward to another surgery, but I know it is what is

keeping me sick, alot of my illness did get better but it was mostly

the nerological stuff,

Terri P

[Guest guest]

, I wish there was some way to be absolutely sure that surgeons would do the right thing . . . But there's not . . . There's not a surgeon who hasn't had a negative report . . . including Drs. Feng and Kolb. . . You can only do the best you can do . . . search for a doctor carefully, talk to him/her. . . then look in your heart to see if you feel that this is the right doctor. . . . The best we can do is to be an informed consumer . . . get as much information from the surgeon as you can . . . get it in writing . . . then trust your gut instincts. We've had very, very few women who have been disappointed when they approach it that way. . Still, one doctor not doing what he commits to doing is one too many. Requesting that the procedure be video taped (probably supplying the camera, tripod, etc. . . ) may add to ones confidence in the doctor

.. . . Still, whenever you go under the knife, there's an element of trust that you must have, or you shouldn't do it. Rogene

[Guest guest]

That's mainly my problem the neuro stuff.

[Guest guest]

well - I can say that you have to trust your doctor.... also - when you get the implants back after surgery get the capsules as well so they can both be analyzed by whomever you chose and measured.... I got my implants and sent them to Doc Blais in Canada but not my capsules... they were looked at in pathology at the hospital and there was a report issued there.... When I saw Dr. Kolb on Friday she looked at these reports then did a physical exam and said based on the info she had from the hospital - this was before the exam - she thought he may not have removed the whole capsules and she thought this was why I was still sick... then she confirmed it.... she also mentioned that with the amount of time my explant took - and the amount of time my implants were in.... the surgery should have taken much longer which was something I had always wondered... I personally - knowing what I know now -would trust very few doctors in the US to take the capsule out completely - maybe three? you have to make sure it is a doc that without question has seen a person they believe is ill fro implants.. believes the illness is real, and takes their time.... you will pay a premium for their service but in the long run I believe they are worth it.... of course this is all my opinion... there are plenty of very good surgeons out there - the one that did my explant was very nice - helpful with my insurance, etc....I liked him a lot. I got a very good deal with him - he really helped me at a time when I had little money to spare.... But he only took about 45 minutes to do my explant which were textured implants under the muscle and now I believe those should have taken longer as they require a lot of clean up as my shells had shed.... I think there are little pieces all over my chest. etc which is why I am still sick.

Anyways - to answer your question - you never know - you just have to trust your doctor and know that they are doing what is best for you and only you can find a doctor that you can trust that way....

shari

[Guest guest]

, That is why we always recommend that you get a copy of the operative report and go through it for indications of what was done with that capsule. You need to know for sure that it is gone. I used a doctor from the list, and I really had no way of knowing he was going to do it right or not. I was so trusting....and it could have turned out bad if he was not an ethical man! But he was....he treated me very, very good, and when I went back to get my stitches removed, I asked him if he did a total capsulectomy. He replied, "That's the only way to do it." I did not have drains and wish I had, but I got my operative report, and it in fact showed that he had followed the capsule around its entire perimeter to extract it from my body. I knew he did it right from that description. I was so thankful, and I know God was watching over me through that whole experience. The nightmare would be to find out that after going through explant, your doctor did not do what he said he would. I've known women who have experienced this. It is frightening to find out that your PS either lied to you, or deceived you and treated you with less respect than you deserved. Those guys are out there...we just need to be aware of that and make sure we cover our bases. The best choice is to go to the best surgeons, of course. And thank God, we have some. But it is up to you to make clear your desires for a proper explant and then make sure they are going to follow through for you. It takes building a proper relationship with the PS, which is sometimes not easy to do! PattyGMCLADY98@... wrote: How do you know if a PS says he will get all the capsule he can get ...really does his best to do it ? There is other PS' besides the 2 everyone talks about( kolb & Feng) that others have went to and they say their Ps's will do their best..but how do you really know ? And if you are still sick after explant...how do you know if their is still capsule left inside and another PS could enen get it out if you were to God forbid have yet another surgery ?

Get your email and more, right on the new .com

[Guest guest]

Ok, so what is the best way to make SURE the surgeon does it the right way? I sometimes come across as demanding I think....so I don't want to piss off my surgeon by going in there with papers for him to sign, and demands of exactly how it has to be done, etc. You know what I mean? I mean, I know I can't just go on his word that he will do En Bloc.....what do I need to show or tell them that I need without coming across as a beotch? lolTricia Trish <glory2glory1401@...> wrote: , That is why we always recommend that you get a copy of the operative report and go through it for indications of what was done with that capsule. You need to know for sure that it is gone. I used a doctor from the list, and I really had no way of knowing he was going to do it right or not. I was so trusting....and it could have turned out bad if he was not an ethical man! But he was....he treated me very, very good, and when I went back to get my stitches removed, I asked him if he did a total capsulectomy. He replied, "That's the only way to do it." I did not have drains and wish I had, but I got my operative report, and it in fact showed that he had followed the capsule around its entire perimeter to extract it from my body. I knew he did it right from that description. I was so thankful, and I know God was watching over me through that whole experience. The nightmare would be to find out that after going through explant, your doctor did not do what he said he would. I've known women who have experienced this. It is frightening to find out that your PS either lied to you, or deceived you and treated you with less respect than you deserved. Those guys are out there...we just need to be aware of that and make sure we cover our bases. The best choice is to go to the best surgeons, of course. And thank God, we have some. But it is up to you to make clear your desires for a proper explant and then make sure they are going to follow through for you. It takes building a proper relationship with the PS, which is sometimes not easy to do! PattyGMCLADY98aol wrote: How do you know if a PS says he will get all the capsule he can get ...really does his best to do it ? There is other PS' besides the 2 everyone talks about( kolb & Feng) that others have went to and they say their Ps's will do their best..but how do you really know ? And if you are still sick after explant...how do you know if their is still capsule left inside and another PS could enen get it out if you were to God forbid have yet another surgery ? Get your email and more, right on the new .com __________________________________________________

[Guest guest]

Leyna, You don't need to educate Dr. Melmed . . . He knows! . . . He's removed hundreds, if not thousands of implants. . . Just be firm in your request . . . No need to be demanding . . . You can mention my name if you'd like. Dr. Melmed knows me. And he knows what we say about him. He's going to do the best job possible for you. You'll like him. If you have ANY doubt, ask him if you can video tape the procedure. Rogene

[Guest guest]

Shari, Your case, sadly, illlustrates the need for a proper explant using a surgeon who understands this issue...and like you said, they are so FEW! I can't believe this is the state of affairs in the United States of America...where we've got "experts" on every corner. Everywhere but in the plastic surgery industry! Knowledgeable explanting surgeons are rarer than ever....I can only hope that this will change. Did you, or are you planning on going back to your explanting surgeon to let him know how things are going for you? I wonder how he would feel knowing that as nice as he was, his lack of removing the whole capsule may be the one thing that catapulted you into seizure activity? Not to be mean, but just to educate! These doctors have got to get a clue! I'm really praying that as soon as Dr. Kolb gets you cleaned out and healing, you will begin to see

some improvements that are steady. It's been too long for you girlfriend! Love, Patty halvey70@... wrote: well - I can say that you have to trust your doctor.... also - when you get the implants back after surgery get the capsules as well so they can both be analyzed by whomever you chose and measured.... I got my implants and sent them to Doc Blais in Canada but not my capsules... they

were looked at in pathology at the hospital and there was a report issued there.... When I saw Dr. Kolb on Friday she looked at these reports then did a physical exam and said based on the info she had from the hospital - this was before the exam - she thought he may not have removed the whole capsules and she thought this was why I was still sick... then she confirmed it.... she also mentioned that with the amount of time my explant took - and the amount of time my implants were in.... the surgery should have taken much longer which was something I had always wondered... I personally - knowing what I know now -would trust very few doctors in the US to take the capsule out completely - maybe three? you have to make sure it is a doc that without question has seen a person they believe is ill fro implants.. believes the illness is real, and takes their time.... you will pay a premium for their service but in the long run I believe they are worth it.... of

course this is all my opinion... there are plenty of very good surgeons out there - the one that did my explant was very nice - helpful with my insurance, etc....I liked him a lot. I got a very good deal with him - he really helped me at a time when I had little money to spare.... But he only took about 45 minutes to do my explant which were textured implants under the muscle and now I believe those should have taken longer as they require a lot of clean up as my shells had shed.... I think there are little pieces all over my chest. etc which is why I am still sick. Anyways - to answer your question - you never know - you just have to trust your doctor and know that they are doing what is best for you and only you can find a doctor that you can trust that way.... shari

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[Guest guest]

I'm not using Dr. Melmed.....I want to though. I'm waiting to find out if my insurance will cover my surgery, and the doctor they have referred me to who takes my insurance is named Dr. Koleyni, here in Tennessee. This is the only link I could find on him..... http://www.healthgrades.com/directory_search/Physician/Profiles/profile.cfm?hgid=HGPY7DD7340A842154317 & tv_eng=tf_physician My insurance will only cover surgeons who are in Tennessee. If my insurance will not pay for my surgery, then I will have to take out a loan (that I will not be able to pay back! lol), and then I will use Dr. Melmed.Rogene S <saxony01@...> wrote: Leyna, You don't need to educate Dr. Melmed . . . He knows! . . . He's removed hundreds, if not thousands of implants. . . Just be firm in your request . . . No need to be demanding . . . You can mention my name if you'd like. Dr. Melmed knows me. And he knows what we say about him. He's going to do the best job possible for you. You'll like him. If you have ANY doubt, ask him if you can video tape the procedure. Rogene __________________________________________________

[Guest guest]

Your doctor may surprise you, and be able to do your explant correctly. I hope you can have a very comprehensive consultation with him first! PattyLeyna <leyna1964@...> wrote: I'm not using Dr. Melmed.....I want to though. I'm waiting to find out if my insurance will cover my surgery, and the doctor they have referred me to who takes my insurance is named Dr. Koleyni, here in Tennessee. This is the only link I could find on

him..... http://www.healthgrades.com/directory_search/Physician/Profiles/profile.cfm?hgid=HGPY7DD7340A842154317 & tv_eng=tf_physician My insurance will only cover surgeons who are in Tennessee. If my insurance will not pay for my surgery, then I will have to take out a loan (that I will not be able to pay back! lol), and then I will use Dr. Melmed.Rogene S <saxony01 > wrote: Leyna, You don't need to educate Dr. Melmed . . . He knows! . . . He's removed hundreds, if not thousands of implants. . . Just be firm in your request . . . No need to be demanding . . . You can mention my name if you'd like. Dr. Melmed knows me. And he knows what we say about him. He's going to do the best job possible for you. You'll like him. If you have ANY doubt, ask him if you can video tape the procedure. Rogene __________________________________________________

[Guest guest]

Well, when I talked to them on the phone, I asked them if they did En Bloc, and the lady on the phone (receptionist? Nurse?) had no clue what I was talking about, but when I read the definition of En Bloc, she said "Oh yes-we can do it that way!"....so I have my fingers crossed!Tricia Trish <glory2glory1401@...> wrote: Your doctor may surprise you, and be able to do your explant correctly. I hope you can have a very comprehensive consultation with him first! PattyLeyna

<leyna1964 > wrote: I'm not using Dr. Melmed.....I want to though. I'm waiting to find out if my insurance will cover my surgery, and the doctor they have referred me to who takes my insurance is named Dr. Koleyni, here in Tennessee. This is the only link I could find on him..... http://www.healthgrades.com/directory_search/Physician/Profiles/profile.cfm?hgid=HGPY7DD7340A842154317 & tv_eng=tf_physician My insurance will only cover surgeons who are in Tennessee. If my insurance will not pay for my surgery,

then I will have to take out a loan (that I will not be able to pay back! lol), and then I will use Dr. Melmed.Rogene S <saxony01 > wrote: Leyna, You don't need to educate Dr. Melmed . . . He knows! . . . He's removed hundreds, if not thousands of implants. . . Just be firm in your request . . . No need to be demanding . . . You can mention my name if you'd like. Dr. Melmed knows me. And he knows what we say about him. He's going to do the best job possible for you. You'll like him. If you have ANY doubt, ask him if you can video tape the procedure. Rogene __________________________________________________

[Guest guest]

Well, first off is you need to be prepared to walk if they are just not fitting the bill with their relational skills. If they are arrogant and snobbish, and act like you are just some snot in their nose, then I'd walk. But, if they are willing to have a little dialogue, I would definitely just politely discuss with them my concerns, my desires for explant outcome, and let them know in as kind a way as possible, through smiles, gestures and body language, I am the one in control and making the decisions about MY body, and I am hiring them to do it my way. If they are at all experienced, professional and skilled, they will not be offended or threatened by your knowledge about proper explant. I would perhaps touch on the idea that you have heard of other women who have been told that they were getting a total capsulectomy, only to find out that later it was not done, and that you didn't want

that happening to you. Let them know in a polite way that you understand what the possibilities are for failure to have a properly performed explant and you just are seeking the assurance that they understand what it is you want and that they are going to be the ones to do it right. Hold them to a high standard of conduct, not by hanging it over their heads, but by appealing to their conscience. (They all should have one, right?) I hope this helps a little. I know every office is different, and I've heard some horror stories lately about what you girls are experiencing when you go in for consult. Hopefully, you won't be dealing with a jerk. But most of the jerks seem to be American born and bred, so perhaps you will be safe with a foreigner! (Gee, I hope that is not offensive, but has anyone else observed that? ) Patty Leyna

<leyna1964@...> wrote: Ok, so what is the best way to make SURE the surgeon does it the right way? I sometimes come across as demanding I think....so I don't want to piss off my surgeon by going in there with papers for him to sign, and demands of exactly how it has to be done, etc. You know what I mean? I mean, I know I can't just go on his word that he will do En Bloc.....what do I need to show or tell them that I need without coming across as a beotch? lolTricia Trish

<glory2glory1401 > wrote: , That is why we always recommend that you get a copy of the operative report and go through it for indications of what was done with that capsule. You need to know for sure that it is gone. I used a doctor from the list, and I really had no way of knowing he was going to do it right or not. I was so trusting....and it could have turned out bad if he was not an ethical man! But he was....he treated me very, very good, and when I went back to get my stitches removed, I asked him if he did a total capsulectomy. He replied, "That's the only way to do it." I did not have drains and wish I had, but I got my operative report, and it in fact showed that he had followed the capsule around its entire perimeter to extract it

from my body. I knew he did it right from that description. I was so thankful, and I know God was watching over me through that whole experience. The nightmare would be to find out that after going through explant, your doctor did not do what he said he would. I've known women who have experienced this. It is frightening to find out that your PS either lied to you, or deceived you and treated you with less respect than you deserved. Those guys are out there...we just need to be aware of that and make sure we cover our bases. The best choice is to go to the best surgeons, of course. And thank God, we have some. But it is up to you to make clear your desires for a proper explant and then make sure they are going to follow through for you. It takes building a proper relationship with the PS, which is sometimes not easy to do! PattyGMCLADY98aol wrote: How do you know if a PS says he will get all the capsule he can get ...really does his best to do it ? There is other PS' besides the 2 everyone talks about( kolb & Feng) that others have went to and they say their Ps's will do their best..but how do you really know ? And if you are still sick after explant...how do you know if their is still capsule left inside and another PS could enen get it out if you were to God forbid have yet another surgery ? Get your email and more, right on the new .com __________________________________________________

[Guest guest]

What would happen if you were to travel to Texas and get very sick and need

an immediate removal of your implants? Would your insurance cover Dr.

Melmed if it was an " emergency " ?

Kenda

> I'm not using Dr. Melmed.....I want to though.

>

> I'm waiting to find out if my insurance will cover my surgery, and the

> doctor they have referred me to who takes my insurance is named Dr. Koleyni,

> here in Tennessee. This is the only link I could find on him.....

> http://www.healthgrades.com/directory_search/Physician/Profiles/profile.cfm?hg

> id=HGPY7DD7340A842154317 & tv_eng=tf_physician

>

> My insurance will only cover surgeons who are in Tennessee.

>

> If my insurance will not pay for my surgery, then I will have to take out a

> loan (that I will not be able to pay back! lol), and then I will use Dr.

> Melmed.

>

> Rogene S <saxony01@...> wrote:

> Leyna,

>

> You don't need to educate Dr. Melmed . . . He knows! . . . He's removed

> hundreds, if not thousands of implants. . .

>

> Just be firm in your request . . . No need to be demanding . . . You can

> mention my name if you'd like. Dr. Melmed knows me. And he knows what we say

> about him. He's going to do the best job possible for you. You'll like him.

>

> If you have ANY doubt, ask him if you can video tape the procedure.

>

> Rogene

>

>

>

>

>

>

>

> __________________________________________________

>

[Guest guest]

Ooops . . . I got mixed up! . . . I'll be praying that Dr. Koleyni turns out to be a winner! Hugs and prayers, Rogene

[Guest guest]

In a message dated 8/30/2006 1:11:31 AM Eastern Standard Time, leyna1964@... writes:

No, not at all. It would not matter if it was an emergency or not-if it was not in Tennessee, it would not be covered at all. It really bites, and my insurance is the ONLY thing keeping my husband and I in Tennessee, believe me. Well ,that, and our jobs and house. lol

Leyna,

Our insurance doesn't cover us outside of our state (WV) either, though I'm fortunate enough to also have Medicare. It sucks when your state lacks in the medical field and you're not insured else where!

When I worked, I had insurance that covered me any where in the WORLD.

Brig

[Guest guest]

No, not at all. It would not matter if it was an emergency or not-if it was not in Tennessee, it would not be covered at all. It really bites, and my insurance is the ONLY thing keeping my husband and I in Tennessee, believe me. Well ,that, and our jobs and house. lolKenda Skaggs <skaggs@...> wrote: What would happen if you were to travel to Texas and get very sick and needan immediate removal of your implants? Would your insurance cover Dr.Melmed if it was an "emergency"?

:)Kenda> I'm not using Dr. Melmed.....I want to though.> > I'm waiting to find out if my insurance will cover my surgery, and the> doctor they have referred me to who takes my insurance is named Dr. Koleyni,> here in Tennessee. This is the only link I could find on him.....> http://www.healthgrades.com/directory_search/Physician/Profiles/profile.cfm?hg> id=HGPY7DD7340A842154317 & tv_eng=tf_physician> > My insurance will only cover surgeons who are in Tennessee.> > If my insurance will not pay for my surgery, then I will have to take out a> loan (that I will not be able to pay back! lol), and then I will use Dr.> Melmed.> > Rogene S <saxony01 >

wrote:> Leyna,> > You don't need to educate Dr. Melmed . . . He knows! . . . He's removed> hundreds, if not thousands of implants. . .> > Just be firm in your request . . . No need to be demanding . . . You can> mention my name if you'd like. Dr. Melmed knows me. And he knows what we say> about him. He's going to do the best job possible for you. You'll like him.> > If you have ANY doubt, ask him if you can video tape the procedure.> > Rogene> > > > > > > > __________________________________________________>

[Guest guest]

Patty, Your suggestions sound very good-I'm hoping I can remember them! If I don't use this Dr. Koleyni, I know there is no way that the horrible PCD will give me a referral for another one-no way at all, the way he stormed out of the room, and then I went and told his manager on him! I'm not going back to him, so hopefully this Dr. Koleyni will be a good choice.Tricia Trish <glory2glory1401@...> wrote: Well, first off is you need to be prepared to walk if they are just not fitting the bill

with their relational skills. If they are arrogant and snobbish, and act like you are just some snot in their nose, then I'd walk. But, if they are willing to have a little dialogue, I would definitely just politely discuss with them my concerns, my desires for explant outcome, and let them know in as kind a way as possible, through smiles, gestures and body language, I am the one in control and making the decisions about MY body, and I am hiring them to do it my way. If they are at all experienced, professional and skilled, they will not be offended or threatened by your knowledge about proper explant. I would perhaps touch on the idea that you have heard of other women who have been told that they were getting a total capsulectomy, only to find out that later it was not done, and that you didn't want that happening to you. Let them know in a polite way that you understand what the

possibilities are for failure to have a properly performed explant and you just are seeking the assurance that they understand what it is you want and that they are going to be the ones to do it right. Hold them to a high standard of conduct, not by hanging it over their heads, but by appealing to their conscience. (They all should have one, right?) I hope this helps a little. I know every office is different, and I've heard some horror stories lately about what you girls are experiencing when you go in for consult. Hopefully, you won't be dealing with a jerk. But most of the jerks seem to be American born and bred, so perhaps you will be safe with a foreigner! (Gee, I hope that is not offensive, but has anyone else observed that? ) Patty Leyna <leyna1964 > wrote: Ok, so what is the best way to make SURE the surgeon does it the right way? I sometimes come across as demanding I think....so I don't want to piss off my surgeon by going in there with papers for him to sign, and demands of exactly how it has to be done, etc. You know what I mean? I mean, I know I can't just go on his word that he will do En Bloc.....what do I need to show or tell them that I need without coming across as a beotch? lolTricia Trish <glory2glory1401 > wrote: , That is why we always recommend that you get a copy of the operative report and go through it for indications of what was done with that capsule. You need to know for sure that it is gone. I used a doctor from the list, and I really had no way of knowing he was going to do it right or not. I was so trusting....and it could have turned out bad if he was not an ethical man! But he was....he treated me very, very good, and when I went back to get my stitches removed, I asked him if he did a total capsulectomy. He replied, "That's the only way to do it." I did not have drains and wish I had, but I got my operative report, and it in fact showed that he had followed the capsule around its entire perimeter to extract it from my body. I knew he did it right from that description. I was so thankful, and I know God was watching over me through that whole experience. The nightmare would be to find out that after going through explant, your doctor did not do what he said he would. I've known women who have experienced this. It is frightening to find out that your PS either lied to

you, or deceived you and treated you with less respect than you deserved. Those guys are out there...we just need to be aware of that and make sure we cover our bases. The best choice is to go to the best surgeons, of course. And thank God, we have some. But it is up to you to make clear your desires for a proper explant and then make sure they are going to follow through for you. It takes building a proper relationship with the PS, which is sometimes not easy to do! PattyGMCLADY98aol wrote: How do you know if a PS says he will get all the capsule he can get ...really does his best to do it ? There is other PS' besides the 2 everyone talks about( kolb & Feng) that others have went

to and they say their Ps's will do their best..but how do you really know ? And if you are still sick after explant...how do you know if their is still capsule left inside and another PS could enen get it out if you were to God forbid have yet another surgery ? Get your email and more, right on the new .com __________________________________________________

[Guest guest]

Well, if I had the insurance at work, it would probably cover all over the world too. But, it's way to easy to get fired at my job, and I'm on thin ice as it is around there. And I don't see dropping an insurance that pays 100%, to one that I have to pay all those copays and deductibles.....KissofSadness@... wrote: In a message dated 8/30/2006 1:11:31 AM Eastern Standard Time, leyna1964 writes: No, not at all. It would not matter if it was an emergency or not-if it was not in Tennessee, it would not be covered at all. It really bites, and my insurance is the ONLY thing keeping my husband and I in Tennessee, believe me. Well ,that, and our jobs and house. lol Leyna, Our insurance doesn't cover us outside of our state (WV) either, though I'm fortunate enough to also have Medicare. It sucks when your state lacks in the medical field and you're not insured else where! When I worked, I had insurance that covered me any where in the WORLD. Brig

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