Hysteroscopy news katyboo1’s weblog electricity online games


I will explain. A hysteroscopy is a first line diagnostic procedure that allows doctors to look inside your uterus and have a good old rummage about if it appears that all is not well gynaecologically speaking. It’s usually done alongside an internal ultrasound. If you have unexplained bleeding or pain or bits falling out, in they go, rummaging around like a pensioner who’s lost their bus fare.

A hysteroscopy consists of a camera and a little hosepipe. They pop you in stirrups, push the camera/hosepipe contraction inside you, open your cervix (if it isn’t already open, which for most of us it should not be) and push it in. They then fill the uterus with water, move the scope around to have a look at what’s happening, and very often, take a biopsy sample while they are in there. If you have polyps they will sometimes remove them while they’re there. Occasionally they may also do what’s called an ablation. This is where they take a hot wire and sear off the bits inside your uterus that are causing bleeding (if this is what’s causing bleeding, obviously).

They usually do this as an out patient procedure. They estimate it takes five to ten minutes to complete. gasco abu dhabi careers You are generally told that pain will be mild (like period cramping!) and that taking over the counter pain relief half an hour before the procedure will be sufficient. They also tell you that you will need someone to drive you home afterwards.

So, as you know, I had an oophorectomy last September where my ovaries and what was left of my fallopian tubes were removed. The plan was to remove my uterus too, so I would have had a total hysterectomy. The surgeon discovered that my uterus is glued to a lot of other parts of me, and by removing it there was a strong chance she might nick my bladder or bowel and I could be left incontinent, so I kept my uterus. electricity questions grade 6 I have no HRT because I had surgery in the first place because of my increasing intolerance to progesterone and oestrogen. All went well after surgery and I sailed into the hot, sweaty life of a menopausal woman.

In February this year I went to my GP because I had had two weeks of random bleeding which clearly should not have happened. My GP referred me to the hospital and after a false start I saw a consultant who said that they should do an ultrasound followed by a hysteroscopy to see what they were dealing with. At this point I had no idea what a hysteroscopy was. I did ask, and it was explained briefly and I was simply told that it was routine.

I spent the next few weeks frantically trying to get hold of anyone related to my case (the consultant who had sent me for the procedure was a locum and not my actual consultant) to discuss it. I could not get anyone to talk to me. I tried my GP who utterly dismissed my concerns and when I asked for valium, actually inferred I only wanted it to become addicted to it and gave me 3, 2mg diazepam tablets and a ‘you’ll be fine, you’re just hysterical,’ line.

My complaint meeting was not only about my own case, but about the fact that I had ascertained that many women like me were being let down by the hysteroscopy system within University Hospitals Leicester, and indeed nationally. I’d been given a huge amount of support and information by the group Action Campaign Against Painful Hysteroscopies. It was becoming increasingly clear that this was not just a case of me being a ‘difficult’ patient, as I was being painted. I wanted my own case resolving to my satisfaction, but also to see what could be done to stop other women going through what I endured.

My complaint is still ongoing. My treatment is still ongoing. ogasco abu dhabi My meeting ended up a strange mixture of addressing issues in the system and a kind of ham fisted attempt to figure out what to do with me next. I left the meeting confused, and very concerned that the way my treatment was going, I was basically being used as a kind of aberrant experiment.

In the end I paid for a private consultation and went back to see the consultant who had operated on me last year. She listened to everything I had to say and we formulated a treatment plan. She decided to move me to her care as an NHS patient, and that she would treat me from now on. I would have my smear and hysteroscopy under general anaesthetic with her doing the procedure and we would go from there.

My consultant came to find me mid morning to say that my notes were lost. Normally when a patient’s notes are lost, they will be sent home because a surgeon cannot risk doing something to a patient by accident. She explained that because she had operated on me before and knows my history, she was confident I would be alright, but wanted to check in with me to make sure I was ok with her doing it. I was. The thought of going home and doing this all over again was making me feel sick. She did stress that if the anaesthetist was not happy, I could still be sent home.

The anaesthetist came to find me. gas 93 octane He told me that notes are often mislaid (gynaecology in UHL operates across two sites) from site to site, and they had been hoping mine would be on the other site and they could just send for them, but it appears my notes are actually totally lost. He said that if he sent me home on that day, it would still be a problem if I were rescheduled. He did a tonne of paperwork and asked a lot of questions and finally decided the operation could go ahead.

I was particularly lucky because last week I was called by the admissions team asking me if I would fill a gap on a list and go in for surgery on Monday. I nearly agreed until I realised that it would not be my consultant doing the surgery. hp gas online booking phone number If I had gone in on Monday I would, without a doubt have been sent home, and I’d still be waiting, only this time indefinitely until they figure out where my records are, if they ever do.

If you decide to go with the outpatient hysteroscopy option, make sure that you take appropriate pain relief before you go. Make sure that there is gas and air (entonox) in the room if you need it. There is also the option for local anaesthetic on the day. They inject into the cervix. This can be extremely painful in its own right, and often does not work very well (as well as having side effects) but it may be an option you wish to discuss.

If there is a chance that an ablation or polyp removal will occur then you are absolutely within your rights to ask that they discuss appropriate pain relief with you before doing it. If they make their mind up once the hysteroscopy is underway you are allowed to refuse the treatment. It is not the same as a biopsy and evidence shows, naturally, that it is considerably more painful for women having this than just a straightforward hysteroscopy.

NICE guidelines, released this year recommend that hysteroscopy be used more as a first line diagnostic tool because of the quality of the results it gives. Currently, sixty women a week are having this treatment across Leicester hospitals, under the guidelines numbers are set to rise. Training does not always rise with levels of activity or need.