>----- Original Message -----
From: Peggy <pklippe1@nycap.rr.com>
To: Multiple recipients of list ADHESIONS <adhesions@talk.obgyn.net>
Sent: Monday, November 29, 1999 9:41 AM
Subject: Re: Adhesions/Gall Bladder...I Need Some Advice
> At Sun, 28 Nov 1999, Rhonda R. White wrote:
> >
> >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?
> Hi Rhonda, To answer your question on having the gyn and general surgeon
> there at the same time . I just had that. the gyn wanted the surgeon
> there to look at verything possible.I can't say for your insurance but
> if the gyn thinks that a general surgeon should be there than the
> insurance should comply. Good luck and please keep us informed.
> "FRIENDS THAT STICK TOGETHER" PEGGY
>