Surgery 2 consult

drgarzaart

The uterus art of Dr. Devin Garza

Dr. Devin Garza (real name used for referral purposes) is in demand so I’m scheduled for February 6. Until then, Vicodin and heating pads.

Dr. Garza excises tissue, removing endometriosis at the root. If your surgeon uses ablation, it’s akin to “mowing the lawn” and the endo will return with potential pain and infertility. If you have a cyst, and it is drained, like mine was, the cyst will return and you will have another surgery (like me). Birth control, pregnancy, hysterectomies will not cure endo. Only excision can remove the disease and only a specialist can perform this surgery. And guess what? These specialists typically don’t contract with insurance, but Dr. Garza does, so I’m lucky he practices nearby.

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I no longer fear pain.

ERvisit2

10pm on a weekday.  When I felt a sharp pain on the right side of my abdomen, I was ready.  I messaged my husband on Hangouts to warn him a cyst may be rupturing (as this is what Dr. P told us had most likely occurred last time), took two Tylenol 3 and a Zofran, and began to throw items in my hospital bag.  Within two minutes, I called my husband to return from work and take me to the ER.  I called the on-call nurse at the OB/Gyn because I was two days away from my initial appointment with Dr. Devin Garza so I was not an official patient yet.  At this point, I was doubled over, but I continued packing gluten-free snacks, changed into a maxi dress (exude casual glamour while giving easy access for vaginal exams), and ensured the pets had food.  I knew what to expect.  I knew I only had to wait for Trent, endure a car ride, and then I would be given morphine.  Bingley chose this moment to have diarrhea and I apologized to him and left it there.  I waited outside our home and called my mom to let her know what was happening and then Trent was arriving and Dr. M was calling.  Dr. M advised me to go to the ER and that she would be on-call to perform emergency surgery if needed.  I was really hoping to avoid this as I knew I would then need a third surgery to excise the endometriosis.

Again, I idiotically chose to walk to the emergency room entrance because I had conquered pain.  I knew this kind of pain and I could endure it.  Bring on childbirth, I thought to myself!  I am an empowered woman who can suffer through anything!  A woman walking the other way as I dragged myself behind Trent muttered, “Bless you.” Who knows what the check-in staff thought as they saw me slowly crawling toward them?  ‘What the fuck is coming our way?’  I helped myself to a wheelchair and at this point I was pretty winded.  I gasped out to the staff that I had ovarian cysts and I was “99% sure” a cyst was rupturing as this had happened before.  This is when the T3 kicked in. That was nice.

We were given the same room (sans vomiting man next door).  Did you know they can give you lidocaine before inserting a hep-lock?  Try requesting it!  You will be much more comfortable, especially when the ultrasound tech pulls away the wheelchair with your IV tubes wrapped around a wheel.  Trent set up my candles, put on drone music, and started reading “The White-Luck Warrior”  aloud (second time for me).   The ER physician explained that no ovarian torsion was occurring, I could go home, and the pain was typical for someone on their period with cysts.  So no rupture, not even leaking, just run-of-the-mill pain for my condition.  I confirmed with him that yes, I do need to come in every time I feel this pain due to the risk of ovarian torsion.  I would complain that this treatment plan is exorbitantly expensive but I reached my deductible the first month of the year through this ER visit.

I felt release in that I no longer feared the most painful events I experienced.  I would regain that fear a month later after waking up from surgery and feeling like my urethra was on fire.  For two days.

Stasis in the Lower Palace

statisinthelowerpalace

Herbs from my acupuncturist

Adapted from a social media post:

Ultrasound found two new ovarian cysts/endometriomas in my lower palace. We don’t know what we’ll do next, but if you or anyone you know has had laparoscopic excision surgery for endometriosis, I’d love to hear about it.  [Editor’s note: this is the point where Trent insisted that there must be a solution other than this surgery cycle.  Pretty Little Celiac Facebook group pointed me to Dr. Seckin in New York, and from there I looked up Dr. Nezhat in California and in a Yelp review found a woman encouraging people to join Nancy’s Nook Endometriosis and Education Group on Facebook.  LIFE-CHANGING.  I found evidence-based treatment for endometriosis and unlike many others who travel across the country or internationally, there was an excision specialist in my area who accepted insurance.  Many have to pay for the surgery out-of-pocket.]