Rejected by my surgeon?

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Lallabee
Regular Member


Date Joined Dec 2012
Total Posts : 20
   Posted 3/14/2013 10:02 AM (GMT -6)   
So I was supposed to have my Nissen on Monday the 11th. My husband and I went to talk with the surgeon on Thursday for one last round of questions and answers on Thursday and then I was to go for blood work etc.
I had also just had another 24 hour PH study, as the first one I'd had I was on PPI's, and we were going to get the results from that.

When we got there the surgeon informed me that I'd not had enough reflux episodes to warrant surgery.
Mind you on the prior visits, he told me I would be an excellent candidate for the Nissen.
I'm so shocked and confused by this. My Digestive Health doctors highly recommended the surgery after all kinds of tests, and my request to get off the PPI's.
The surgeon sat there agreeing with me that I have severe GERD, but he doesnt think it's the reflux...What?
He said my reflux is controlled with the PPI so he doesn't feel comfortable doing the surgery.

Nissen is an elective surgery and according to the nurse that did the PH study, symptoms were positive to reflux and there was a strong association with my symptoms. She was shocked by the surgeon's decision as well, and so was my digestive health docs.

I'd been off PPI for 7 days prior to the test, but could take zantac the first 3 days, then only tums, and nothing the day of the test. I was so miserable I could barely move without regurgitating acid, so I took some sleep meds and went to bed early.
I'd pressed the symptom button almost every 5 to 10 minutes and was miserable.

Has anyone else ever been turned down? I have another appt with digestive docs coming up next week and hope to get some answers.

*Just found out I need partial knee replacement on top of this
smhair

Post Edited (Lallabee) : 3/14/2013 10:18:15 AM (GMT-6)


drtinsac
Regular Member


Date Joined Apr 2012
Total Posts : 458
   Posted 3/14/2013 12:13 PM (GMT -6)   
Yes I've been turned down once and was sent to an ENT, who then helped make a better case for fundo which eventually worked and may or may not have actually helped, though it's still early.
 
Regarding your tests: what symptoms showed association with reflux, and specifically what types of reflux -- acid or weakly acid? How many reflux episodes of each type? Those details make a difference in how doctors interpret a patient's case.

Lallabee
Regular Member


Date Joined Dec 2012
Total Posts : 20
   Posted 3/14/2013 12:52 PM (GMT -6)   
I didn't get a full report as he was the surgeon. I have an appt next week with digestive health docs.
So you had the fundo with no relief? How frustrating.
I have a friend that just went through it like a breeze.Back to work at day 8, and feeling great.

drtinsac
Regular Member


Date Joined Apr 2012
Total Posts : 458
   Posted 3/14/2013 1:38 PM (GMT -6)   
Yeah it's frustrating but it's still early apparently. People with throat symptoms seem to take much longer to have relief compared to heartburn patients.
 
I'm a firm believer in getting all the data you can from your health providers, looking it over and understanding what it means as best you can. In my case they goofed up on one of the test interpretations (24 hour pH) and had I not been asking them questions about it, I doubt I would have ever received a correct analysis which in fact put me outside the range of "normal".
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