>Questions are at the end.
>
>I recently had a HIDA Scan which showed that my gall bladder doesn't
>excrete. In October I had a laparoscopy to remove pelvic adhesions.
>While the gyn was doing the lap, she told me that my liver & gall
>bladder were covered with adhesions. So bad that she couldn't even see
>the organs. Because I had limited her to the laprascope, she couldn't
>take those adhesions down. When I relayed the gyn's findings to my
>primary, she said I needed a general surgeon. The general surgeon says
>that she doesn't take down adhesions without a bowel obstruction, which
>I don't have. She says she absolutely won't bother the adhesions, and
>will only bother them (as few as necessary) if they get in the way of
>her removing my gall bladder laprascopically. She also says that my
>pain covers a larger area than just from my gall bladder and that for
>that reason, she's not sure that my gall bladder is the sole (or even a
>part) source of my pain.
>
>I also gathered from my gyn, that while my adhesions had re-formed, they
>weren't nearly as severe as they had be during a previous surgery
>meaning that I didn't get any new ones and that the ones that had grown
>back weren't as bad as they had been. This gives me hope that if
>perhaps much care is taken then to remove my adhesions in the upper
>right quadrant, they won't grow back; and if they do, it won't be as
>severe. Because I want to avoid having surgery again for as long as
>possible, I want to have my gall bladder removed as well as having the
>adhesions taken down. That way, I'm covering all the bases.
>
>I don't have much experience in dealing with insurance companies but I'm
>wondering how much success I can expect with Cigna (HMO) in getting them
>to allow me to have 2 surgeries at the same time. Can a gyn remove my
>gall bladder? Liklihood of getting a gyn & a general surgeon to work
>together? Can anyone recommend any good surgeons in the Washington,
>D.C. area? Finally, I've noticed that all of the doctors who seem to
>care anything about adhesions are gynecologists. Am I imagining that?
>If not, why are gynecologists the only ones who seem to work on
>adhesions?
>