Guest guest Posted November 16, 1998 Report Share Posted November 16, 1998 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. - Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 1998 Report Share Posted November 16, 1998 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 16, 1998 Report Share Posted November 16, 1998 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 17, 1998 Report Share Posted November 17, 1998 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 Quote Link to comment Share on other sites More sharing options...
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