I had the "pleasure" of speaking face to face with this new GI today. Sorry...I'm going to rant a bit.
This is how the conversation went (Abbreviated):
Me: So you mentioned in the ER that an ileostomy was the only surgery available to my husband. Can you explain why you say that?
GI: Well the his rectum is compromised with colitis and he would not be able to have a j-pouch because of it.
Me: I spoke to a woman who only had colitis in her rectum and she had the J-pouch surgery.
GI: I'm sure it was not successful. (He goes on to say that the whole pouch would get colitis and there would be all these problems. Then he tries to put some big words in like ileoanal anastomosis thinking I don't know what it means...wth)
Me: She hasn't seen her GI dr. in 7 years and is doing fine.
GI: Well the colonscopy report did say it was in the recto-sigmoid. When the time comes we could get a (fancy word for the partial scope of the anal
opening...I don't remember it right now) and see if the colitis is in the rectum...maybe it is just in the top portion and not in the bottom 10cm.
Me: Yeah because all you need is 1 cm to connect the small intestine
GI: Yes....that's true
Me: How many of your patients have had any type of surgery for colitis or crohns?
GI: Well people don't do the surgery anymore. All my patients had the surgery before, years ago and people don't do it anymore because it's just not very successful. Remicade and Imuran have come out and that takes care of it. (He then tried to convince me that it was be hard to find a surgeon to do the J-pouch surgery and there's maybe 1 at the mayo clinic who will do the surgery
I started ignoring the guy from then on. I was polite about
it and all my questions were as polite as I could be. I know I didn't go to medical school but he was so misinformed... As soon as my husband is out of the hospital we will not be going to that guy.
I just couldn't get over how high and mighty he tried to be. He was talking to me like I was this idiot that barely knew what Colitis was...and when I caught him in a mistruth (you can't have a J-Pouch PERIOD) suddenly the story changes..and there's a possibility, according to him, that the J-pouch surgery *might* work.
This guy is also against blood transfusions and won't give my husband a transfusion. He's had 2 and they both helped immensely.