Guest guest Posted November 3, 2003 Report Share Posted November 3, 2003 , My doctor and I sat down today and had a long discussion about plans for the future with my pseudocyst. I am crazy about this doctor and the time he takes to really listen to me. He believes me when I tell him what hurts and where and takes immediate action. First of all, he has set me up for another CT-scan tomorrow. This will be my 16th, I think....I'm beginning to lose track. He didn't like the fact that my pain hadn't reduced any this week, and that there is new swelling located down by my navel. This is where the smaller pseudocyst is, last week it was unremarkable during the scan, it was only the one in the head that had gotten inflamed and enlarged. But since the pain has continued just as strong since I got out of the hospital, he suspects problems with the other one, maybe, or just more problems with the one in the head. He said he wanted to check this out first, before my appointment with the surgeon that I have tomorrow at 2:15. Another long day! In regard to surgery, we talked about MUSC and I told him that I sensed some reservations from him whenever I mentioned MUSC, and he told me why. He said that undoubtedly, MUSC had one of the BESTgastroenterology departments in the country, and he had no reservations referring me there for a second opinion, or for surgery, under one condition. His concern is that Dr. Cotton, who he said, was the master of the ERCP, " Dr. ERCP " , would persuade or try to influence me into having one. He said that was the reason he had the MRCP already done on me this summer, that the MRCP, which is a totally non-invasive procedure, has revealed just as much as an ERCP would and carried so much less risk. He told me, that by GA law, he was obligated to tell me that an ERCP carries a 15% risk of causing an acute pancreatitis attack, and he didn't feel it was necessary for me to take this risk. Naturally I know about this risk, but many others don't. On my MRCP, they were able to clearly see all of my pancreas, the common bile duct and the main duct in my pancreas. He had told me after I had the MRCP that it was totally clear of any obstructions and showed no signs of blockage or ductal problems. All the other tissue damage, calcification and pseudocysts were visible, also. Both he and my earlier doctor had said that my types of problems would not be corrected by any stenting procedures that would make an ERCP necessary....all my problems were with the pseudocysts. So that's what his concern was....no unnecessary ERCP's! He said he'd heard that was an excellent pancreatic surgeon and he had no problems whatsoever with my seeing him and would help me arrange to consult with him if surgery is necessary. I was very relieved and reassured to find this out. My questions were answered, and now we just have to determine what we can from tomorrow's scan and go from there. Now it's past my bedtime, and tomorrow is sure to be another long day. With much relief, I'm off to bed. I'll be back in touch tomorrow. Hope everyone rests well. With hope and prayers, Heidi Heidi H. Griffeth South Carolina SC & SE Regional Rep. PAI, Intl. Note: All comments or advice are personal opinion only, and should not be substituted for professional medical consultation. > If you need to see , I can get you in. Not a problem. Quote Link to comment Share on other sites More sharing options...
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