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When I searched back in Feb 1999, there were also these doctors in that area

on the SCVIR list:

Crocker, Mobile,

H. Dory, Fairhope AL,

Hassell, Rad. Assoc. of Mobile,

which is near Pensacola.

I hope they are offering UAE. Some I called from the list in my area were

wanting to begin programs, but had not yet trained specifically. The most

experienced IR had left the year before. But finally I found some excellent

doctors who did a great job for me. Good luck in your search!

At 09:19 PM 9/16/99 -0500, Dr. wrote:

>The SCVIR www site (www.scvir.org) has a search engine that allows you to

>locate a radiologist performing UFE in your area. It has only been

>intermittently working lately...some server problem I guess. I just tried to

>search Pensacola for you but could not get through.

>I know the following docs are Interventional Radiologists in Pensacola, but

>I do not know if they perform UFE

> J. Baehr, III MD

>Harry R. Cramer Jr MD

> , MD

> Duncan MD Ph.D.

>Karl Weingarten MD

libbielou@...

=-=-=-=-=-=-=-=-=-=-=-=-

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Dear Carla:

I'm confused, I got this e-mail addressed to ?????? Hum....So don't know

if you will get this reply or not.

I can tell you my perceptions of why I think the docs present the " choice " of

hysterectomy to their patients in the way they do. Of course I have gotten so

cynical in the last few months since I was diagnosed with my huge fibroid! I

think the doctors do it for one reason, $$$$$$$$$$$$.

I'm still burning fm the last doctor's visit I had where he threw me out of

his office.

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Close your eyes for a moment and imagine the following....

A mid-life Male presents to his doctor with a mass in his scrotum.

The Doctor has run tests, examines him, and then sits down on a stool next

to his patient, who is sitting up on the examining table.

Dialogue:

" You have a mass, Mr. Male. Most likely, it will continue to grow. Your

beyond

your child producing years, so let's just take it all out so there will be no

threat of

cancer. You should be up and about in 6 weeks or so. We can put you on HRT,

testosterone pellets or the like. It takes about a year to adjust to the

surgical

MENopause. You shouldn't have any problems with sex. If you do, it's

probably all in your head and anyway, there's that little blue pill, Viagra. "

" Wait a minute now, Mr. Male...Mr. Male stop yelling at me! This is the

definitive solution to solve your problem. No it is not castration, the

procedure is called a

" HISterectomy! " What do you mean, alternatives? --you, you want to subject

yourself to some " experimental " procedure?! "

(unspoken doctor thoughts--that is not in my specialty and that I cannot

perform, and receive compensation, and keep my hospital privileges in which

I have a monthly quota of procedures to perform, my overhead and insurance

payments are

heavily subsidized by this lucrative HISterectomy procedure, as well as my

lifestyle, my vacations, my children's college education, my mercedes, and

ad nauseum...)

Ok, open your eyes!

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Several folks responded to the direct question you asked, so I won't add much

there - except to suggest that you call the IR department in your local

hospital(s) directly. I found two IR's doing UAE's by that method a few weeks

before they were listed on the SCVIR site.

My bigger concern is not the question you asked directly, but what was implied

in the question, that you need to do something NOW!

Whether or not you find a doctor to perform an embolization before your next

period, don't let your gyn scare you into making an immediate decision by vague

assertions that because you are anemic you need immediate surgery. I have been

anemic, at times severely so, for at least 15 months. At one point, I was

referred to a hematologist because I was so anemic that it had dragged down the

rest of the blood count levels as well and there was no sign I was producing any

new blood cells. I think my hemoglobin was around 5.2 at that time. (For some

reason, it never occurred to three docs that my anemia was due to losing [at

that point] about 1 1/2 cups of blood a month. Duh.) Since then, assisted by

consuming massive amounts of iron, it runs around 9.5-10.8. (Normal is 12-15, I

believe.)

Anemia is something you want to be concerned about, but my understanding is that

the big concern is long term damage to organs (particularly the heart) because

they have to compensate for the low oxygen carrying ability of your blood. It's

not something, generally, that you would need to rush into surgery for. (And

even if you're critically anemic, there is the option of a transfusion to buy

you some time.)

If your doctor insists that in your case, it is an emergency situation, ask

him/her specifically why. Ask for numbers, copies of bloodwork, and if s/he

suggests heart damage request that an evaluation be done. Ask for an evaluation

by an internal medicine specialist - anemia is not a specialty of gyns, although

they do encounter it. Even though I can tell that my heart is struggling (I've

got irregular beats the frequency of which increase when I am most anemic - and

make me nearly pass out each time it beats irregularly, and I get pounding in my

ears whenever the hemoglobin drops below about 10.5) tests show my heart as

functioning normally. (So far, the recent EKG's have all been done when it's

behaving itself - I know what's happening because of a previous experience with

irregular heartbeats that were captured on a monitor.) The insistance on

specifics should make the doc back off - and if it doesn't, at least you'll know

what the specific risks are so you can make an informed decision about how

quickly you have to move.

--

>I'm being told I need immediate surgery within the next 2 weeks before

>I have my next period because I'm anemic. I am in southern Alabama

>near Pensacola, FL. Does anyone know of any doctors that could perform

>UFE in this area?

>

>

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>eGroups.com home: /group/uterinefibroids

> - Simplifying group communications

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>My bigger concern is not the question you asked directly, but what was

implied in the question, that you need to do something NOW!

Excellent post . All good info on the issue of blood loss and anemia.

You know, one of the things that I find most curious is how gyns refer to

hysterectomy as an elective choice that women make for uterine fibroid

treatment. They don't, when speaking about it to one another, refer to it

as " life-threatening " or an " emergency " procedure that " must " be performed.

They discuss the choices that are made by women as something they " simply "

do to treat their fibroids; and, it is the woman's " choice " to undergo

hysterectomy. Elective surgery.

Now, on OUR side of the fence, the communication coming from the gyns is

taken much more seriously. The bleeding, urinary incontinence, back pain,

bulky feelings, etc. can all be horrendous and take over our lives. This is

serious stuff to us that seems, at times, life endangering. So, when gyns

tell us we need a hysterectomy and couple that with telling us it needs to

be done right away (generally scheduling it within 1-4 weeks), giving us

additional details about the potential for cancer and the need to take the

cervix and/or ovaries, etc. -- well, you get the picture. It comes across

as something that we must make an immediate decision about to have done.

Couple that with little to no options presented along with the " choice " of

hysterectomy . . .well, it's pretty scary, head-spinning stuff to many of

us. The sense of urgency that one must " do something " right away is very

strong.

I wonder. Is this the impression that gyns REALLY mean to place before us?

They sure don't talk about it to one another like it is the impression they

give out to patients at all.

A gyn over on obgyn.net phrased uae like this in response to an inquiry

about uae:

>The reason your

>doctors don't know much about this is likely because it's a new

>procedure. Medical textbooks are full of horror stories of new

>procedures that at first glance sounded great, but later turned out to

>be unhelpful or even dangerous.

I called him on it and called this placement of information by way of

explanation a " scare tactic " to dissuade women from looking at uae as a

viable option. He was shocked. Scare tactic? He was NOT the kind of

doctor that participated in doling out " scare tactics " and was indignant

over my suggestion that he was. It took a couple of emails back and forth

before he finally realized how his information was coming across. He truly

didn't " get it. "

(There isn't ANY reason that a gynecologist should be unfamiliar with

uterine artery embolization. It is a procedure that has been around for over

20 years and any gynecologist who has performed an abdominal myomectomy

should be more than aware of it. It is precisely the procedure that is

performed when there is uncontrollable hemorrhage during a myomectomy or a

cesarean birth. -- He admitted that he knew this in a subsequent post--but

it didn't stop him from posting the above anyway!)

So, there seems to be a definite gap in " how information is given to women

by their physicians " and " how it is perceived by the patient. " Education is

the only way I know of to reduce that " gap " -- hence, the formation of this

group. But, y'know -- it seems the " education " should occur on both sides

of the fence. Don't you think?

Again, thank you for your response . It was a good one.

Carla Dionne

mailto:cdionne@...

http://www.uterinefibroids.com

member, /list/uterinefibroids

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  • 7 months later...
Guest guest

Hi all, Im not sure how many of you out there will remember me or not..I was

scheduled for a laproscopy on April 25th. Well guess what??? I had to have a

total hysterectomy that day. I awoke to the news I have ovarian and cervical

cancer. I start chemo in a bout 2 weeks...Ihave had a very very hard time for

sure. My wound opened up this week and they say I have to pack it every day and

let it heal from the inside out has anyone else out there had an open wound

before....they cut me from pubic area up towards the breast area...just before

my rib cage starts...the lymph nodes were cancerous as well...Its a nightmare

here...Help!!! Dawn :(---

" Smile, It makes everyone wonder what you are up to "

***********************************

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I also wanted to state to everyone woman out there, make sure you have your drs

check you well..if you think soemthings wrong it proabably is...I am going for a

lawsuit because I have bitched about this stuff for 8 to 10 years now and now I

have a cancer that has spread...My survival rate isnt the greatest now thanks to

these ob/gyn's please women..,.take care of yourselves and be totally pushy in

your health care and bodies!!!!! Dawn

---

" Smile, It makes everyone wonder what you are up to "

>

>Hi all, Im not sure how many of you out there will remember me or not..I was

scheduled for a laproscopy on April 25th. Well guess what??? I had to have a

total hysterectomy that day. I awoke to the news I have ovarian and cervical

cancer. I start chemo in a bout 2 weeks...Ihave had a very very hard time for

sure. My wound opened up this week and they say I have to pack it every day and

let it heal from the inside out has anyone else out there had an open wound

before....they cut me from pubic area up towards the breast area...just before

my rib cage starts...the lymph nodes were cancerous as well...Its a nightmare

here...Help!!! Dawn :(---

>

>

> " Smile, It makes everyone wonder what you are up to "

>

>

>

>

>

>***********************************

>chickclick.com

>http://www.chickclick.com

>girl sites that don't fake it.

>http://www.chickmail.com

>sign up for your free email.

>http://www.chickshops.com

>boutique shopping from chickclick.com

>***********************************

>

>------------------------------------------------------------------------

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***********************************

chickclick.com

http://www.chickclick.com

girl sites that don't fake it.

http://www.chickmail.com

sign up for your free email.

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boutique shopping from chickclick.com

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Guest guest

Dawn,

Hon, what a profound shock you must have experienced... Did you have any

inkling

via tests prior to the surgery or any intuitive feelings?

I think we must all be in shock reading your post and want to reach out

and give you our gentlest hug and hand to hold.

Get every ounce of support from everyone around you,

physicians, family, friends, therapists, clergy--whoever can most

meet your needs, give you the positive energy you

will need each day to heal.

In addition to uterinefibroids, you may want to access other support groups

dealing specifically with ovarian and cervical cancer who can relate to

exactly what

you are going through, offer support and any kind of suggestions for daily

physical, emotional, and spiritual healing.

God bless and keep you close, Dawn.

My thoughts and prayers are with you.

Sincerely,

Marsha

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Guest guest

Dear Dawn --

My thoughts, meditations, prayers -- whatever you want to call them -- are

with you. Please, please, please keep us posted on your progress, as I think

it's important to hear details of an experience such as yours. Know that you

will ultimately emerge from this nightmare healthy, and surround yourself

with supportive, loving people to assist you in your journey.

M.

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Guest guest

Dawn, I'm new to the group and have been waiting until I had time to

write a nice intro before I posted, but I really wanted to respond to

your post. I'm so sorry to hear about your outcome. I can only

imagine what a what a devastating experience this must have been. I

hope that you can surround yourself with loving, supporting people

during your recovery. I've found that to be most helpful during

difficult times like this.

Also, thanks for taking the time to remind women to be assertive in

their health care. That's an important message that we can not be

reminded of often enough.

Best wishes for your complete recovery.

> >

> >Hi all, Im not sure how many of you out there will remember me or

not..I was scheduled for a laproscopy on April 25th. Well guess

what??? I had to have a total hysterectomy that day. I awoke to the

news I have ovarian and cervical cancer. I start chemo in a bout 2

weeks...Ihave had a very very hard time for sure. My wound opened up

this week and they say I have to pack it every day and let it heal

from the inside out has anyone else out there had an open wound

before....they cut me from pubic area up towards the breast

area...just before my rib cage starts...the lymph nodes were

cancerous as well...Its a nightmare here...Help!!! Dawn :(---

> >

> >

> > " Smile, It makes everyone wonder what you are up to "

> >

> >

> >

> >

> >

> >***********************************

> >chickclick.com

> >http://www.chickclick.com

> >girl sites that don't fake it.

> >http://www.chickmail.com

> >sign up for your free email.

> >http://www.chickshops.com

> >boutique shopping from chickclick.com

> >***********************************

> >

>

>---------------------------------------------------------------------

---

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> >Come and buy today and get free shipping!

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---

> >

> >

> >

>

>

> ***********************************

> chickclick.com

> http://www.chickclick.com

> girl sites that don't fake it.

> http://www.chickmail.com

> sign up for your free email.

> http://www.chickshops.com

> boutique shopping from chickclick.com

> ***********************************

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Guest guest

Thanks BarbaraC. for the prayers..They are much appreciated I can not reiterate

this enough..Thank you so much for the faith...Dawn

---

" Smile, It makes everyone wonder what you are up to "

>Dawn,

>I'll send prayers your way.

>Barbara C.

>

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***********************************

chickclick.com

http://www.chickclick.com

girl sites that don't fake it.

http://www.chickmail.com

sign up for your free email.

http://www.chickshops.com

boutique shopping from chickclick.com

***********************************

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Dear Dawn,

When I read your message yesterday, I did not know what to say....but then I

thought in this world of medical technology and support, I am positive all

will go well for you.

Please take care and know that you are in my thoughts and prayers.

Janet

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Guest guest

THANK YOU JANET....DAWN

---

" Smile, It makes everyone wonder what you are up to "

>Dear Dawn,

>

>When I read your message yesterday, I did not know what to say....but then I

>thought in this world of medical technology and support, I am positive all

>will go well for you.

>

>Please take care and know that you are in my thoughts and prayers.

>

>Janet

>

>

>

>------------------------------------------------------------------------

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***********************************

chickclick.com

http://www.chickclick.com

girl sites that don't fake it.

http://www.chickmail.com

sign up for your free email.

http://www.chickshops.com

boutique shopping from chickclick.com

***********************************

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THANK YOU SUSAN M. I WILL KEEP YOU ALL POSTED. DAWN

---

" Smile, It makes everyone wonder what you are up to "

>Dear Dawn --

>

>My thoughts, meditations, prayers -- whatever you want to call them -- are

>with you. Please, please, please keep us posted on your progress, as I think

>it's important to hear details of an experience such as yours. Know that you

>will ultimately emerge from this nightmare healthy, and surround yourself

>with supportive, loving people to assist you in your journey.

>

> M.

>

>------------------------------------------------------------------------

>Remember four years of good friends, bad clothes, explosive chemistry

>experiments.

>http://click./1/4051/7/_/4009/_/958585233/

>------------------------------------------------------------------------

>

>

>

***********************************

chickclick.com

http://www.chickclick.com

girl sites that don't fake it.

http://www.chickmail.com

sign up for your free email.

http://www.chickshops.com

boutique shopping from chickclick.com

***********************************

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Guest guest

THANK YOU SUSAN M. I WILL KEEP YOU ALL POSTED. DAWN

---

" Smile, It makes everyone wonder what you are up to "

>Dear Dawn --

>

>My thoughts, meditations, prayers -- whatever you want to call them -- are

>with you. Please, please, please keep us posted on your progress, as I think

>it's important to hear details of an experience such as yours. Know that you

>will ultimately emerge from this nightmare healthy, and surround yourself

>with supportive, loving people to assist you in your journey.

>

> M.

>

>------------------------------------------------------------------------

>Remember four years of good friends, bad clothes, explosive chemistry

>experiments.

>http://click./1/4051/7/_/4009/_/958585233/

>------------------------------------------------------------------------

>

>

>

***********************************

chickclick.com

http://www.chickclick.com

girl sites that don't fake it.

http://www.chickmail.com

sign up for your free email.

http://www.chickshops.com

boutique shopping from chickclick.com

***********************************

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  • 1 month later...
Guest guest

- Re: hysterectomy

Dear Irina,

Let me start by saying that recovery after a hysterectomy is different for

every woman. Why are you having the hysterectomy? What has your doctor

told you about recovery?

I had a hysterectomy 20 months ago because of uterine fibroids, and possible

adenomyosis (later I learned there was no adenomyosis, just fibroids). I

don't mean to scare you, but I want to be honest. I would not have this

surgery again. There are other ways to successfully treat fibroids.

For me, hysterectomy just exchanged one set of problems for another. The

only good thing hysterectomy did was to stop the bleeding. Now I am dealing

with hormone problems (I have my ovaries), pain in my hip joints, groin,

bladder, back, sexual dysfunction, insomnia, depression.

Have you looked into myomectomy or uterine artery embolization? These are

alternative treatments for fibroids.

If you are going to follow through with hysterectomy, be 100% sure that this

is what you want, because it can't be reversed if you are not happy with the

outcome.

Maybe some of the other women on this forum who have had myomectomy or UFE

could help Irina?

DSkalisky

hysterectomy

> Hello,

>

> i am going to undergo a hysterectomy in a few days and i am rather scared.

> Can anyone give me details about the surgery and the period of recovery

> after it ?

> Thanks a lot

> Irina

>

>

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Hello,

Thanks, greeneyes for your kind message.

I've heard of the other optional treatments for uterine fibroids. But,

myomectomy is not adequate for me, as the fiborids are " embedded " in the

uterus wall and the uterus itself is enlarged (like 20 weeks pregenant, as

confirmed by the ecography). UAE is not usual in my country. Moreover, I

experience already the kind of problems you say you have after the

hysterectomy - fatigue, insomina, anxiety, huge belly, always " full " (maybe

you don't have this symptom anymore), permanent fatigue etc. For the last

two years, my periods have been awfully difficult - heavy bleeding with

enormous clots, lasting for more than 8 days or for a whole month...

I don't want to have this surgery, which seems mutilating, but I don't want,

also, to have such bleedings anymore. It's awful. I want to be a normal

woman, an active one, as I used to be, with lust of life and optimism. I

hope maybe this surgery is a chance, for I don't want to be, for the rest of

my life, an " infirm " with a protuding belly and all kinds of digestive

disfunctions or pains in different parts of mai abdomen. Of course, i fear

the recovery period, i don't know when i'll be able to resume my usual

activities, because, like so many women perhaps i feel i am a

" superwoman " ,if you know what I mean, a person indispensable to the family

and all the others... I don't want to be a burden for my family.

My gyn said that for at least one year after the hysterectomy he would

provide me with an " implant " (Riesel, if i've got it right) meant to take

care of this surgical menopause.

I'll be around untill next week, then, maybe tuesday, i'll have the

hysterectomy, provindig my bloods tests and urinalysis are OK.

Waiting for your answer, i am eager to chat.

Best regards,

Irina

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Guest guest

My girlfriend just had a hysterectomy last year, she was up that night

walking the corridor. She's a fighter, and said from the get go, that she

was going to be back to work in three weeks verses six, and she was. My aunt

had a hysterectomy 4 years ago. She recuperated in six weeks. Both are

doing great.

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Robin Frick wrote (July 9, Digest 99 - July 10):

" My girlfriend just had a hysterectomy last year, she was up that night walking the corridor. She's a fighter, and said from the get go, that she was going to be back to work in three weeks verses six, and she was. My aunt had a hysterectomy 4 years ago. She recuperated in six weeks. Both are doing great. "

Did your girl friend have a vaginal or an abdominal hysterectomy? Total or sub-total?

Large incision or laparoscopic incision? Her physical condition before the operation and her mental determination would certainly make a difference, but so would the nature of her operation.

Allied question for anyone - hormonal drugs are often use to shrink fibroids prior to myomecotmy, to make the operation easier and safer. Are the ever used prior to hysterectomy to allow for a smaller incision or easier removal of the uterus?

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My girlfriend had a total hysterectomy, with minimal scarring. She first had

a myomectomy many years back to save her uterus, as she wanted desperately to

have children. She says now that there has been no major changes in her way

of living. She bounced back like a pro.

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Guest guest

I forgot to add, her physical condition before the operation was severe

cramping and bleeding. She had several large sized fibroid tumors. Her

mental attitude was excellent.

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