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Laurie

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Wow ya'll live in Wisconsin, you have real winter up there! Do you

know that Ihave never seen real snow in my life. Yup 43 years old

and th eonly snow Ive seen is the freak blizzard that may drop 6

inches or so and the whole city shuts down...lol seriously!

Well I didn't start having panc problems until after a lap chole. I

really did't have biliary problems at all until after the lap

chole. Then like you every time they touched me it just led to

another. Its nothing they caused, I've seen the pathology; but I

know I have had panc problems all my life.

Ever since I was a young girl my back would go out. It was like a

vice grip in my right arm pit squeezing my thorax. When it went out

I was imoble for at least 2 weeks. They said juvinile arthritis;

once, muscle spasms, blah blah, but Its the same pain I had with the

cp attacks. Every couple of years it would go out, so I get a lap

chole, to an already dimished pancreatic head stressing the

sphincter even more.

But anyway, I think you should get in touch with Dr. Lehman; make an

appt, talk with him about your concerns. I dont think lehman will

think you have maunchausen crap. Why not just give them a call

tomorrow so that I will know what you will do before I leave because

it will bug me something awful...lol

Warmly,

Chrissy

>

> Hi Chrissy,

>

> Thanks for your response - you gave me alot to think about. I am

> almost convinced to make an appointment with Dr L for the week

> between christmas and new years. I have that week off from

> work and my absence will not disrupt our patient flow to any

> extent I hope (always my biggest concern when taking off as I

> have no one to cover for me when I am gone). I live in

> southeastern wisconsin so indiana is not that difficult of a trip

for

> me as long as I avoid driving near chicago (I am choosing to go

> around it - it will add a few hours onto the driving time, but it

is

> worth it for the avoidance of big city driving). To answer your

> question concerning my last pancreas eval...that was about a

> year ago when I had my second stent removed. I think he did an

> ERP at the time but no EUS.... at my final and unscheduled visit

> with that GI doc a week later, he mentioned (among other things

> not worth repeating) that I may have developed a pseudocyst

> from the procedures but that I didn't need to worry about it

unless

> it began to give me trouble (didnt say it in those words, but that

> was the meaning). I never bothered to confirm or rule it

> out...mainly because there are no doctors in this area that are

> willing or able to do this for me. So this is another thing in

the

> back of my head that is pushing me to see Dr L. as well as those

> things that you brought up.

>

> Thanks too for telling me about your journay with surgeries and

> CP. What I am greatly interested in is what caused you to have

> the first surgery? Did you have SOD, PD or biliary / gallbladder

> problems that led the doctors to suspect you had a blocked

> duct? Do you feel that one surgery led to another? in the manner

> of " once you fiddle with something it never stops " type of thing?

> That is my biggest fear...that I have caused this in a chain

> reaction sort of way...that by having the first surgery it led to

the

> second one, which caused the acute attack, which caused the

> scarrig of the duct, which caused the gallbladder surgery, which

> caused the SOD, which caused the CP which led them to find

> the PD which caused the stenting, sphincterotomy and two more

> attacks of AP, which may have caused a pseudocyst, which may

> cause me to go to Dr L which may cause me to have another

> ERCP with more attacks of AP, etc....I know that all medical

> treatment is a risk, no doubt....and I am a firm believer that you

> have to do what you have to do.....because both of those original

> surgeries were emergencies and I would have died without

> them immediately, but my decision making after that becomes

> quite shakey and on hindsight, there is much to be regretted,

> despite my philosophy of no regrets.....And I am sensitive to this

> kind of flaw in my character because my last GI (the one who did

> the incomplete stenting series) basically accused me at our last

> meeting, of causing all of this by insisting that he stent me when

> on his hindsight, it was apparent that I didn't need it - he

> basically accused me of being munchausen without saying it

> outright.....(even though he told my husband that I had the most

> stenotic minor papilla that he had seen in years and that he was

> convinced at the time of the first stent that this was my problem,

> etc) Anyways, those are my personal psychological

> hangups...that I don't expect you to fix! LOL!!!

>

> Oh well, thanks for taking the time out of your preparation for

> Cincy to answer all of my questions in these last few days. I will

> make it up to you I promise! At the least, maybe I can take your

> mind off from things! Are you going to go home being a bengals

> fan? Oh scary!

>

> Laurie

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