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meshice
Veteran Member


Date Joined Jan 2003
Total Posts : 734
   Posted 2/7/2008 8:49 AM (GMT -6)   
Sorry to just get back with you from the other post.  This will be long. I posted this on the CD board, but it was suggested I post it here too.
 
Yes, Dr. Koruda did my surgery and I was not impressed with him.  I have very mixed emotions about my experience at UNC.  I saw Dr. Sartor (who has CD himself) he was wonderful, but he is not a surgeon so then I saw Dr. K.
 
I had a fistula draining from my intestines to the outer wall of my abedomen.  I had drainage from my intestines and infection coming out a hole in my side so I had to keep it covered at all times.
 
Day of the surgery I was waiting in the lobby with about 75 other people scheuled for surgery.  They called everyone at once and we had to walk up two flights of stairs down a long hallway (a lot like a cattle line).  I had never seen Dr. K at this point.  Then we were taken into a huge room with cubicles and each given a "room".  I waited there for a couple of hours and was then taken to surgery.  After surgery I was in the recovery room for over 6 hours while they waited for an empty hospital room to put me in.  The next day Dr. Koruda came and literally stood at the door and talked to me - he did not even come in the room.  He said he could only find a tiny hole to sew up and I should be fine with no more drainage.  For the next 5 days I only saw the med students each morning before dawn.  They came in and literally had class standing over me and did not even acknowledge me as a person or patient.  I felt like a frog in biology class.  When I asked a question they would give me a short answer or say they would pass it on to Dr. K.
 
The day I got home the drainage started again out the hole in my side.  I called UNC and was given the person on call.  They told me it was impossible for it to be draining.  Excuse me, I had that hole in my side for two years, I knew when it was draining!
 
They did a test (forgot the name) to look.  I had this test done at home before I went to UNC so I knew what to look for.  They x-rayed while putting dye into the hole in my side.  The dye went straight into my intestines, just like it had done before surgery.  I started asking questions so the tech called Dr. K.  He couldn't tell them anything and would not talk to me.  I asked if I had been cut open and stapled shut for no reason and the tech just shook his head.
 
So, return visit to have the staples removed.  Dr. K took them out and I asked why it was draining and what he had done while I was in surgery.  He said he had never seen anything like it before and I was released.  Then he walked out.  Literally almost in mid sentence walked out and that was it.  I went home.  I even walked around in the halls looking for him and couldn't find him.
 
After that I started going to Baptist and started taking 6MP which closed the hole.
Again, mixed feelings - I feel like it was a good place to be at the time, but I seriously question Dr. K and what he did.  Dr. Sartor was wonderful.  He took all the time I needed to answer any questions I had and explain things.
 
Since then I have been to CD support groups where I have heard bad and good things about Dr. K.  The bad were similar stories to mine of him not being able to answer questions or just not answering them and then having to have another surgeon still fix the problem.
 
All that I guess to say make sure you know what is being done before it is done and make sure it gets done.  My experience with the nurses once I was in the hospital was fine - they were all nice and sympathic to the person who was the biology frog.  They told me sometimes the bad thing about a teaching hospital is they forget you are a person too.  That is so true.
 
Hope you and your friend are doing well.  Feel free to e-mail me if you have other questions.
 

"We can't beat this disease, YET, but we can't let it beat us!"
Mandy

"Do not worry about tomorrow, for tomorrow will worry about itself. Each day has enough trouble of its own." Matthew 6:34


Carlow
Regular Member


Date Joined Sep 2007
Total Posts : 113
   Posted 2/7/2008 11:53 AM (GMT -6)   
Wow, meshice, thanks for sharing your experience with Koruda. I'm scheduled for a ileostomy surgery with him at the end of this month! I had a consult with him and his flanking team of dr.s (there were three of them and me, and my parents in a room that could fit maybe 3 comfortably) and found him to be just like you described. Very curt with answers, especially the ones about complications and having possible chron's-colitis. However, he seemed knowledgeable about the procedure (says he's performed around 800) and I was able to get a date early on so I do not have to continue limping on steroids for months. I'm sorry you had trouble with your post-opt recovery etc. Thats my biggest fear right now. From your story though, it sounds like the hospital is a good place to have these types of procedures done. And I'm glad to hear that the nurses are sympathetic to patients, especially those that are seen as petri dishes.
Diagnosed Fall of 2004
(Scheduled for Stage 1 of IPAA in late February)

Meds:
Remicade 7 infusions (no more!)
(Per Day):
Prednisone (30mg taper)
Asacol 8 (Ran out and waiting for refill...actually improving off of it...hmmm)


suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5698
   Posted 2/7/2008 12:23 PM (GMT -6)   
Dr. Koruda comes highly recommended by his j-pouch patients. His bedside manner might not be the greatest, as reported above, but I would prefer a surgeon who is adept in the OR rather than a surgeon with great bedside manners. Personally, I believe doctors who pursue surgery do so because they like their patients best when anesthitized!

Sue
dx proctitis in 1987
dx UC in 1991, was stable until 1998

1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics

2000 lost all my B-12 stores and became anemic

2001 opted for j-pouch surgery- now living life med-free


Carlow
Regular Member


Date Joined Sep 2007
Total Posts : 113
   Posted 2/7/2008 12:31 PM (GMT -6)   
lol, good one Sue! I couldn't help but think of the surgeons on that tv show Scrubs when you said that they prefer their patients out cold. But yeah, I'd rather have a cold-shouldered doc that knows what he is doing than a socialite without a clue. Thanks for the encouragement.
Diagnosed Fall of 2004
(Scheduled for Stage 1 of IPAA in late February)

Meds:
Remicade 7 infusions (no more!)
(Per Day):
Prednisone (30mg taper)
Asacol 8 (Ran out and waiting for refill...actually improving off of it...hmmm)

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