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Re: GALLBLADDER/LAPROSCOPIC/HYSTERECTOMY

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In regard to the original message from Lovette about needing

to have gallbladder removed and the doctor stating that

laproascopic surgery could not be used due to previous

hysterectomy. Also reply from Fransea stating that she had

had a hysterectomy performed and then later the laproascopic

surgery to remove gallbladder without difficulty.

Two things. Possibly due to your hysterectomy being a difficult

procedure for some unknown reason, the new laproascopic

surgery cannot be performed. Or, perhaps your physician is not

up on this or the person you are being referred to for removal

of gallbladder is not up on this procedure. I was told by my LLMD

that I would be in and out the same day when having the laproascopic

surgery performed, vs. standard surgical procedure. Otherwise,

have a phobic type fear of hospitals, I just would not be able to have

the procedure done unless I ended up a " basket " case after all was

said and done! So, with both of my insurance plans, I have to obtain

2nd opinions, to substantiate the need for the laproascopic surgery

to remove gallbladder or neither one of the insurance companies

will pay. I believe most insurance pretty much the same regarding

the necessity of obtaining at lease one other opinion concerning

the " medical necessity " of the surgery/procedure. Perhaps, this

would be a way to do so? Also, I would ask to choose the physician

to perform second opinion the call AMA or similar concern and

find out who are the best in your area at performing both forms of

gall bladder removal. Bar none, I always get a second opinion,

after all it's my body.

I've still got my gallbladder but due to go this morning for the

sonogram. Just don't let anyone cut on you until you are very

" satisfied " that the gallbladder removal cannot be safely done

using the laproascopic surgery. I've read where insurance co's

will not pay for this less invasive procedure because it cost's

more thus the reason you doctor says you cannot have it done.

Apparently, acquiring the skills, etc. to be able to do this kind

of surgery is something not all surgeons willing to do, and because

expensive micro equipment required, cost is higher to insurance

company, even if you have to stay in hospital several days!

So, my advice to myself is the same I'm giving to you, check it all

out completely before going 1 step further. I know for myself that

having to have any kind of surgery where they have to open me up

is a big no no, in that on top of everything else I could come home

with some major additional infection from the hospital. Also,

that cutting on me beyond what is minimally required for less invasive

procedure, would do me great harm because of my myofascial

pain syndrome, fibromyalgia pain syndrome, chemical sensitivity,

old structural body damage on same side, and not something I could

agree to easily even if I am able to overcome my extreme phobias

regarding hospitals!

So do check it all out, also ask the " mortality " figures for the same

procedures from each and every physician you see as required

by insurance and when you determine you have the right surgeon,

make sure you have someone with you at each appointment, taking

notes, as your main job is to obtain information. This also serves to

keep the people you talk with from " glossing " over and telling you

outright lies. One final note, it's become common practice for the

" licensed aniestologist " to get you started on IV etc when surgery

required same, then turn your care over to a " junior " " trainee " who

may/may not yet be licensed. You also need to get in writing that

the physician providing the anisetology, will be with you every

moment from the time you are put to sleep until you are brought

out from under the anesthesia, once surgery is over. It's a way the

" big name doctors " can get lots of fees at the same time in the same

place and it's not a very safe practice. Before everyone gets upset

with me about the " morbidity figures " , these are valid figures and a

physician with high morbidity figures is not someone I want to cut

on me. The question I believe is to ask how many people who

you have operated on for this exact same procedure and nothing

else, have died? You can't take a heart surgeon who takes only

the worst cases who will quite naturally have a higher morbidity

figures and compare to a physician right out of school who has

only taken " cut and dried " kind of cases, without anyone dying

on him and compare the two doctors fairly. It has to be apples

and apples, not oranges and apples for comparison!

Wishing us all health and freedom from pain,

both physical and emotional. -

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Regarding the hysterectomy and gallbladder removal. Was the hysterectomy a

vaginal hysterectomy or a regular incision type (?). The reason I am thinking

this is because many hysterectomies are done vaginally now and maybe the gall

bladder surgery has something to do with whether or not you have a previous

incision. Just a thought?

Kathleen

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In a message dated 11/16/1998 11:23:32 PM Eastern Standard Time,

Fyikat@... writes:

> Subj: [Lyme-aid] Re: GALLBLADDER/LAPROSCOPIC/HYSTERECTOMY

> Date: 11/16/1998 11:23:32 PM Eastern Standard Time

> From: Fyikat@...

> Reply-to: lyme-aidonelist

> lyme-aidonelist

>

> From: Fyikat@...

>

> Regarding the hysterectomy and gallbladder removal. Was the hysterectomy a

> vaginal hysterectomy or a regular incision type (?). The reason I am

> thinking

> this is because many hysterectomies are done vaginally now and maybe the

> gall

> bladder surgery has something to do with whether or not you have a previous

> incision. Just a thought?

>

> Kathleen

>

>

Hello Kathleen:

Good question...but...not the answer! I had regular surgery

down my belly.....reopened the previous incision I had giving

cesarean birth to my son. I also had my cervix removed at the

same time which warranted vaginal suturing.

I can tell you when I had the gallbladder laproscopic surgery

they put three ONE INCH incisions in my belly.....one at the

belly button....one about 7 inches above the belly button and

one on the right side where the gallbladder is located. Its been

6 years since I had the gallbladder surgery....and you can only

see one of the scars now! The others are barely visible!

I had been told that one of the incisions was for the camera

lense to go through, and I know that my surgery was video taped...

but nope, I do not have a copy!! LOL

Hope this helps. I forget who had mentioned this before, but

the doctors reasoning is most likely based on the insurance!!!!!

Just thought I would mention this....our Govenor Christie Shi(oops)

Whitman recently had emergency appendix surgery. We had all

been told she had been treated for lyme and was cured. If you

ask me, I bet the appendix problem was related to her still having

lyme....and I bet there will be more health problems that we will

eventually hear about, but which, of course, will never be admitted

to being related to Lyme Disease!!! She does have repeated back

pains! NJ would never ruin the

tourist trade!!!! Cured.....I bet not!!!!!!!! Hey Christie....welcome

to the club!!!!!

sincerely and God Bless!

Fransea

nj seashore

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amen fran.....i called her office when it was in the papers about her n

lyme......asked that she did not drop the ball now that we had some

publicity....OOOOOPS...FUMBLE...... geuss they didn't want the truth to hurt

the tourist trade oooohhhh well anohter one drops the ball......i thougnt we

would get more out of mike fox but guess not.....god bless all and lets all

hang in here together

Reid

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