Re: Re: How to get info. on doctors training

[Guest guest]

As far as controling the blood loss with myomectomy, I spoke to a very

knowedgeable RN/BSN who says the scalpel, or cutting tool the surgeon uses,

cauterizes at the same time it cuts, so she doesn't see how bleeding could

be too severe. Plus, as she says, a relatively small amount of blood can

look pretty awful, but not really be a major blood loss compared to total

blood volume in the human body. She says any blood loss is measured in

cc's, which is a very small amount. It made me feel better. Dorie

Re: How to get info. on doctors training

> In uterinefibroids@y..., " Ginny Ray " <gray@s...> wrote:

> Just because hysterectomy has been around for years

> > doesn't mean a particular doctor is any good at it.

>

> Ginny,

>

> It is a very unfortunate fact that hysterectomy is standard training

> in medical school. Vaginal hysterectomy is a level above that, but

> it is still very standard in their training these days. Besides

> that, it has been done for nearly 200 years, and has changed very

> little since then in its basic technique (according to at least two

> books I've read - I'm no expert on it myself) What I've read is that

> it is not very difficult surgery, unless cancer is involved, and even

> then they are simply removing an organ, not repairing it.

> Myomectomy, on the other hand, is finesse surgery, it takes special

> training, and the majority of surgeons don't bother with it,

> hysterectomy is easier and more profitable. If hysterectomy is

> something a woman wants, I would think that just about any Ob/gyn

> doctor is competent enough to perform one. I think the real skill is

> in performing a difficult myomectomy, being able to control the

> bleeding while doing it, and preserving the strength of the uterine

> wall to enable a future pregnancy. Unfortunately many doctors don't

> feel confident in their ability to do this, are afraid that they

> might have to resort to emergency hysterectomy to save the patient's

> life, and as my doctor put it, " an emergency is not the best way to

> undergo a hysterectomy. " I hope I haven't offended any doctors, but

> that is just my impression based on what I've read.

>

> Judy

>

>

>

>

>

>

[Guest guest]

As far as controling the blood loss with myomectomy, I spoke to a very

knowedgeable RN/BSN who says the scalpel, or cutting tool the surgeon uses,

cauterizes at the same time it cuts, so she doesn't see how bleeding could

be too severe. Plus, as she says, a relatively small amount of blood can

look pretty awful, but not really be a major blood loss compared to total

blood volume in the human body. She says any blood loss is measured in

cc's, which is a very small amount. It made me feel better. Dorie

Re: How to get info. on doctors training

> In uterinefibroids@y..., " Ginny Ray " <gray@s...> wrote:

> Just because hysterectomy has been around for years

> > doesn't mean a particular doctor is any good at it.

>

> Ginny,

>

> It is a very unfortunate fact that hysterectomy is standard training

> in medical school. Vaginal hysterectomy is a level above that, but

> it is still very standard in their training these days. Besides

> that, it has been done for nearly 200 years, and has changed very

> little since then in its basic technique (according to at least two

> books I've read - I'm no expert on it myself) What I've read is that

> it is not very difficult surgery, unless cancer is involved, and even

> then they are simply removing an organ, not repairing it.

> Myomectomy, on the other hand, is finesse surgery, it takes special

> training, and the majority of surgeons don't bother with it,

> hysterectomy is easier and more profitable. If hysterectomy is

> something a woman wants, I would think that just about any Ob/gyn

> doctor is competent enough to perform one. I think the real skill is

> in performing a difficult myomectomy, being able to control the

> bleeding while doing it, and preserving the strength of the uterine

> wall to enable a future pregnancy. Unfortunately many doctors don't

> feel confident in their ability to do this, are afraid that they

> might have to resort to emergency hysterectomy to save the patient's

> life, and as my doctor put it, " an emergency is not the best way to

> undergo a hysterectomy. " I hope I haven't offended any doctors, but

> that is just my impression based on what I've read.

>

> Judy

>

>

>

>

>

>

[Guest guest]

As far as controling the blood loss with myomectomy, I spoke to a very

knowedgeable RN/BSN who says the scalpel, or cutting tool the surgeon uses,

cauterizes at the same time it cuts, so she doesn't see how bleeding could

be too severe. Plus, as she says, a relatively small amount of blood can

look pretty awful, but not really be a major blood loss compared to total

blood volume in the human body. She says any blood loss is measured in

cc's, which is a very small amount. It made me feel better. Dorie

Re: How to get info. on doctors training

> In uterinefibroids@y..., " Ginny Ray " <gray@s...> wrote:

> Just because hysterectomy has been around for years

> > doesn't mean a particular doctor is any good at it.

>

> Ginny,

>

> It is a very unfortunate fact that hysterectomy is standard training

> in medical school. Vaginal hysterectomy is a level above that, but

> it is still very standard in their training these days. Besides

> that, it has been done for nearly 200 years, and has changed very

> little since then in its basic technique (according to at least two

> books I've read - I'm no expert on it myself) What I've read is that

> it is not very difficult surgery, unless cancer is involved, and even

> then they are simply removing an organ, not repairing it.

> Myomectomy, on the other hand, is finesse surgery, it takes special

> training, and the majority of surgeons don't bother with it,

> hysterectomy is easier and more profitable. If hysterectomy is

> something a woman wants, I would think that just about any Ob/gyn

> doctor is competent enough to perform one. I think the real skill is

> in performing a difficult myomectomy, being able to control the

> bleeding while doing it, and preserving the strength of the uterine

> wall to enable a future pregnancy. Unfortunately many doctors don't

> feel confident in their ability to do this, are afraid that they

> might have to resort to emergency hysterectomy to save the patient's

> life, and as my doctor put it, " an emergency is not the best way to

> undergo a hysterectomy. " I hope I haven't offended any doctors, but

> that is just my impression based on what I've read.

>

> Judy

>

>

>

>

>

>

[Guest guest]

i do understand what you are saying about the number of myomectomys a doc

performs dosent necesarily make him a great doctor but i can tell you when my

doc said he had peformed over 100 without having to turn it into a

hysterectomy i had a huge feeling of comfort come over me.

[Guest guest]

i do understand what you are saying about the number of myomectomys a doc

performs dosent necesarily make him a great doctor but i can tell you when my

doc said he had peformed over 100 without having to turn it into a

hysterectomy i had a huge feeling of comfort come over me.

[Guest guest]

i do understand what you are saying about the number of myomectomys a doc

performs dosent necesarily make him a great doctor but i can tell you when my

doc said he had peformed over 100 without having to turn it into a

hysterectomy i had a huge feeling of comfort come over me.

[Guest guest]

I understand all this very well. I am just troubled, philosophically. Does

having done a particular number of myomectomies or UAE's really qualify one

doctor over another? I'm not saying it doesn't matter. But should we be

focusing solely on a number? Maybe the doctor who's done fewer myomectomies

has been a better student and cares more about women. Maybe he's more

concerned about controlling bleeding.

Just pondering. gr

Re: How to get info. on doctors training

> In uterinefibroids@y..., " Ginny Ray " <gray@s...> wrote:

> Just because hysterectomy has been around for years

> > doesn't mean a particular doctor is any good at it.

>

> Ginny,

>

> It is a very unfortunate fact that hysterectomy is standard training

> in medical school. Vaginal hysterectomy is a level above that, but

> it is still very standard in their training these days. Besides

> that, it has been done for nearly 200 years, and has changed very

> little since then in its basic technique (according to at least two

> books I've read - I'm no expert on it myself) What I've read is that

> it is not very difficult surgery, unless cancer is involved, and even

> then they are simply removing an organ, not repairing it.

> Myomectomy, on the other hand, is finesse surgery, it takes special

> training, and the majority of surgeons don't bother with it,

> hysterectomy is easier and more profitable. If hysterectomy is

> something a woman wants, I would think that just about any Ob/gyn

> doctor is competent enough to perform one. I think the real skill is

> in performing a difficult myomectomy, being able to control the

> bleeding while doing it, and preserving the strength of the uterine

> wall to enable a future pregnancy. Unfortunately many doctors don't

> feel confident in their ability to do this, are afraid that they

> might have to resort to emergency hysterectomy to save the patient's

> life, and as my doctor put it, " an emergency is not the best way to

> undergo a hysterectomy. " I hope I haven't offended any doctors, but

> that is just my impression based on what I've read.

>

> Judy

>

>

>

>

>

>

[Guest guest]

That would have been absolutely reassuring to me, too. I think it's also an

indication that he cares about his patients, which is what we want.

Re: Re: How to get info. on doctors training

> i do understand what you are saying about the number of myomectomys a doc

> performs dosent necesarily make him a great doctor but i can tell you when

my

> doc said he had peformed over 100 without having to turn it into a

> hysterectomy i had a huge feeling of comfort come over me.

>

>

>