Re: Surgeons and Surgical Procedues........for Bobbie and others

From: Bonnie L. (Destiny2606@aol.com)
Fri Apr 26 20:57:04 2002


At Fri, 26 Apr 2002, Helen Dynda wrote: >
>Bobbie, I agree with Karla!! Have you had diagnostic tests that indicate
>surgery is necessary?
>
>If you've had prior surgeries, it's very likely you have ADHESIONS!!
>Adhesions result as the human body heals itself following a trauma - and
>surgery is a trauma to the body!! The formation of adhesions is a
>completely natural process - the way the body protects itself!!
>
>Adhesions DO cause pain; but MOST surgeons will NOT operate for
>adhesions, unless the patient is having an emergency bowel obstruction!!
>Surgeons do NOT like to operate for ADHESION for several reasons:
>
>1.) When the patient has had prior surgery, surgeons know they will have
>to deal with adhesions. I
>
>2.) If the patient has had several prior surgeries (especially
>laparotomy procedures), surgeons are fully aware that each surgery will
>increase the formation of even more adhesions!!
>
>3.) For the surgeon, there's a lot of risk involved with performing
>adhesiolysis procedures!! When the patient has severe
>adhesion-involvement, there is the ever-present possibility that he/she
>might accidentally nick the bowel, sever a blood vessel, cut into the
>bladder, etc. Surgeons do not like to perform surgeries - where there's
>the potential for a lot of risk!!
>
>4.) There aren't any adhesion barriers that will offer 100% protection
>against the formation of adhesions!!!!
>
>SprayGel adhesion barrier IS a very promising adhesion barrier; however,
>at this time, SprayGel is available ONLY in Europe!! Clinical trials for
>SprayGel have not yet begun in the United States!! It may take as many
>as 2 years for SprayGel -- http://www.confluentsurgical.com/ --to
>complete the required clinical trials - before Confluent Surgical will
>be ready to seek the approval of the FDA!!!
>
>5.) Surgeons know they will be poorly reimbursed by Medicare and other
>insurance programs for adhesioysis procedures; because adhesions are not
>recognized as being a disease yet!! Consequently, adhesion surgeries are
>one of the lowest paid surgical procedures.
>
>6.) For the surgeon - an adhesiolysis can be a very time-consuming
>procedure!! There aren't any surgeons, who really want to perform a
>lengthy surgical procedure for adhesions!!
>
>Imagine you are a surgeon: Would you be willing to spend many hours
>(3-10 hours)lysing adhesions, when you know you will be paid for only 1
>or 2 hours? The maximum reimbursement by Medicare and other insurances
>is for up to 2 hours!! If the procedure takes as many as 3-10 hours,
>then the surgeon will have to "write that off"; and he/she will not be
>able to collect the balance from the patient.
>
>When I had a diagnostic laparoscopy in August 1997, my surgeon had to
>"write off" almost half of cost of my surgery - he couldn't bill me for
>the rest. I only had to pay $13.00 - that's all!! Unfortunately for me,
>I was dropped as his patient!!!
>
>7.) Surgeons know there's only way for them to be paid adequately - for
>their time and their work; and that is to combine a better paying
>procedure with an adhesiolysis!!
>
>Unfortunately, sometimes the surgeon will remove an abdominal-pelvic
>organ - only to find out later that pathologically there was nothing
>wrong with the severed organ. The organ was healthy - not diseased!! A
>situation like this is a set-up for a malpractice suit for a surgeon; so
>this explains why MOST surgeons refuse to perform for adhesions. They
>would rather be SAFE than SORRY!!
>
>I probably will never know what kind of surgery Bobbie is scheduled to
>have next Monday; but I hope that I have helped at least one person to
>avoid an unnecessary surgery -a surgery that involves the possible
>removal of healthy body parts. The best example of this is a
>hysterectomy - a hysterectomy that is done for the wrong reasons. Unless
>diagnostic tests reveal a hysterectomy is necessary, do not elect to
>have a hysterectomy!!
>

Unfortunetly , I had that exact thing happen. A total Hysterectomy following 7 surgeries in one year. I still have pain, worse now than ever. My OB/GYN now doesn't want to touch me with a ten-foot-pole. Very sad! Bon >~ ~ ~ ~
>
>At Fri, 26 Apr 2002, Karla N wrote:
>
>I guess I will jump on this one and ask why you are having portions of
>your intestines removed. Are you obstructed? If not, why are you having
>the surgery? I know, people don't like hearing me say that they
>shouldn't have surgery when they are in so much pain, but if you are not
>obstructed then there is no emergent need for surgery. I can tell that
>there isn't anyway since they are waiting until Monday to do it. If it
>was a total obstruction they would be doing the surgery Today! I know,
>it is easy for me to say don't have the surgery....learn to live with
>the pain....actually it isn't easy. I don't like telling people what to
>do....I don't like telling people they should learn to live with their
>pain...but I must. I don't want people ending up like me.
>Karla


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