Re: oncology vs gyn for myomectomy....

[Guest guest]

>

> Had you wanted a myomectomy at UCLA, you were knocking on the wrong

> door. In the gyn clinic, Dr. DeCherney and Dr. Broder are the 2 docs

> most experienced at this that would have readily offered you a myo and

> certainly would NOT have pushed Lupron off as a " must " for any surgery.

Carla,

Are DeCherney and Broder doctors at UCLA? If so, are you saying they're

the only gynocologists there who are experienced w/ myos?

Thanks for clarifying, Robyn

>

>

[Guest guest]

on wrote:

> Are DeCherney and Broder doctors at UCLA? If so, are you saying they're

> the only gynocologists there who are experienced w/ myos?

Yes, they are both gyns at UCLA. DeCherney is Chief of ob/gyn and an

RE. ALL gyns are experienced with myos. ALL. The real trick comes in

finding one who happens to think you're situation is actually worthy of

his/her time and energy to do anything beyond a hysterectomy AND in

determining whether or not he/she does enough myomectomies to suit your

own comfort zone of skill. And, no, I don't have a whole lot of

confidence in the rest of the gyn staff at UCLA when it comes to

fibroids and myomectomy -- even though I'm quite certain that every gyn

there does myos regularly. It's just that the hysterectomy is also

quite popular there just as it is every where else in the U.S. After

all, medical students need to hit their hysterectomy " quota " as

promised by whatever recruitment efforts were made to get them there in

the first place just as they do at every medical teaching institute in

the world.

My real point in my post, however, had to do with choosing a gyn

oncologist for a doctor to see over fibroids. Truly, without cancer

risk in your individual situation, I don't see the point in this and

honestly believe it is equivalent to begging for a TAH/BSO. Whether

it's UCLA, Duke, Massachusetts General, Brighams, Cedars, or wherever --

go to an oncologist and you can pretty much count on a TAH/BSO

recommendation for fibroids. I don't think most women fully understand

this though nor do I think that they consider the reasoning behind this

perspective through when making an appointment with an oncologist. In

the end, it hardly matters which kind of gyn recommends a hysterectomy,

it is still devastating news to most women. To reduce your chances

(albeit rather slimly) for receiving a hyst recommendation, do not

choose an oncologist for consulting over your fibroid unless you have

real fear or a strongly perceived risk of the potential for cancer.

carla

[Guest guest]

Carla:

You are absolutely 100% regarding your statement on oncologist vs.

obgyn. I had to learn this through trial and error. I had a problem with

abnormal pap smears and was referred to an oncologist years ago. He

continued monitoring my paps for over 20 years and now I'm having problems

with fibroids. The first thing that came out of his mouth was hysterectomy.

I was devastated. He told me that I would eventually enter menapause and it

really didn't make a difference. He told me with taking everything out my

worries would be over. Thats when I went to Rapkin (obgyn) and Dr.

Berek (ob/oncologist). Berek never mentioned myomectomy and Rapkin said

yes, but with Lupron. Broder said, NO, to all surgeries telling me that

surgery is a BIG risk and wait and see. Thats when up until recent I met a

woman at my gym who told me that she almost died from fibroids. She said

that she bled so bad one cycle as to where she passed out and hit her head

and ended up in a coma. She said they called in a doctor by the name of Dr.

Greig and he performed a myomectomy on her after she came out of the coma

(one month later). I decided to go forth with the myomectomy and just hope

for the best. Re: oncology vs gyn for myomectomy....

> on wrote:

>

> > Are DeCherney and Broder doctors at UCLA? If so, are you saying they're

> > the only gynocologists there who are experienced w/ myos?

>

> Yes, they are both gyns at UCLA. DeCherney is Chief of ob/gyn and an

> RE. ALL gyns are experienced with myos. ALL. The real trick comes in

> finding one who happens to think you're situation is actually worthy of

> his/her time and energy to do anything beyond a hysterectomy AND in

> determining whether or not he/she does enough myomectomies to suit your

> own comfort zone of skill. And, no, I don't have a whole lot of

> confidence in the rest of the gyn staff at UCLA when it comes to

> fibroids and myomectomy -- even though I'm quite certain that every gyn

> there does myos regularly. It's just that the hysterectomy is also

> quite popular there just as it is every where else in the U.S. After

> all, medical students need to hit their hysterectomy " quota " as

> promised by whatever recruitment efforts were made to get them there in

> the first place just as they do at every medical teaching institute in

> the world.

>

> My real point in my post, however, had to do with choosing a gyn

> oncologist for a doctor to see over fibroids. Truly, without cancer

> risk in your individual situation, I don't see the point in this and

> honestly believe it is equivalent to begging for a TAH/BSO. Whether

> it's UCLA, Duke, Massachusetts General, Brighams, Cedars, or wherever --

> go to an oncologist and you can pretty much count on a TAH/BSO

> recommendation for fibroids. I don't think most women fully understand

> this though nor do I think that they consider the reasoning behind this

> perspective through when making an appointment with an oncologist. In

> the end, it hardly matters which kind of gyn recommends a hysterectomy,

> it is still devastating news to most women. To reduce your chances

> (albeit rather slimly) for receiving a hyst recommendation, do not

> choose an oncologist for consulting over your fibroid unless you have

> real fear or a strongly perceived risk of the potential for cancer.

>

> carla

>

>