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Two for one emergency surgery


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#1 BillsWatch

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Posted 20 May 2012 - 01:25 PM

Wednesday I took my daughter to get a referral (required by insurance) to correct problem found by GYN and while there told my doctor about a pain in stomach right of belly button. My belly button had gone from concave to convex but figured that it was just getting older and frankly fatter. He said I had an umbilical hernia but did not see anything needing immediate attention.

Next day Thursday I took my daughter to doctor and PS failed so I needed to manually control car to doctors office including parking in garage which caused a lot of strain on my stomach. Car was inoperable so I left it and my daughter took metro home. Last bus connection was terrible so walked home so I could catch my wife in time for next appointment. By end of 2nd appointment my gut was killing me and I told my wife to take me to doctor again. He diagnosed me now with appendicitis and told to go directly to hospital.

I was on trolley or in waiting room from 5 PM to 2:30 AM where they finally gave me a room (double occupancy room had been empty before, white board said when last patients left) and had surgery at 5 AM in morning. I understand they were busy due to some accidents but they could have told me earlier that it would have been a long wait. One doctor made an off the cuff remark to another doctor "It is not an emergency" but never told my wife or myself this. I could have been redirected to another hospital which was less busy since it was not urgent enough for their case load. They could have communicated the delays directly to us rather than hearing it from other people not working on my case.

Since the preferred way to do the operation is to remove the appendix thru the belly button I was told they could fix both problems at same time. Operation went well (two small scars and large amount of stitches around belly button but type which 'melt') and at 7:30 am was woke up and told doctor would see me shortly. Six hours later I was told same thing 'soon'. I called my doctor who spoke to nurse and told me there was no medical reason to keep me there. I asked again when I would be released and told 'soon'. I asked when day charge for next day occurred and I was told I was being charged hourly for room - they were delaying me! I told them I was checking myself out and then they paged a doctor to get me checked out. I asked if there was any medical reason for me to stay and was told no, just for observation.

I have never felt so money milked by a hospital. I looked at charts when waiting for doctor to check me out and every conversation was recorded as billable time with multiple people asking same questions repeatedly. I hope the insurance company looks long at duplicate services.

#2 mead107

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Posted 20 May 2012 - 02:45 PM

Glad you are doing well.Just don't try to do to much or you will feel it.. Did they have to put the mesh in to fix the hernia?

#3 BillsWatch

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Posted 20 May 2012 - 05:16 PM

Appendectomy performed laparoscopically (this is called minimally invasive surgery). Laparoscopy is often used if the diagnosis is in doubt, or if it is desirable to hide the scars in the umbilicus or in the pubic hair line. Recovery may be a little quicker with laparoscopic surgery; the procedure is more expensive and resource-intensive than open surgery and generally takes a little longer, with the additional risks associated with pneumoperitoneum (inflating the abdomen with gas).


Since I neither asked about scarring and diagnosis was not in doubt I am guessing the reason for doing this way was (1) physician's choice and (2) because I also had an umbilical hernia. No choices were given to me just the paper telling dangers of surgery. No difference in cost, no recovery time, etc. Barely got instructions afterwards other than shower but do not soak and set up appointment for 2 weeks. Actually walked out of hospital not wheel chair escort like every other time I have had surgery, elective and emergency.

I was told stitches will melt away - nothing about a mesh.

Edited by BillsWatch, 20 May 2012 - 05:16 PM.


#4 LancasterSteve

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Posted 21 May 2012 - 10:27 PM

A 2 for oner (-: IM happy You are doing OK Glenn. Easy does it. I remember from mine...ancient history it seems; that I was not to bend or lift anything heavy for like two light years !! Little incission..hmmm mine went from ying to yang and used cat-gut to sew me back up. Hurt like hell for days and was a 10 day stay in the hospital. Like I said ancient history. You take care

#5 Boyst62

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Posted 23 May 2012 - 08:04 PM

A guy at the local feed store had one of these, it got infected...he nearly died. Glad to know you're alright! They removed a lot of tissue from the ab area due to rot.

#6 BillsWatch

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Posted 09 June 2012 - 11:54 AM

Had my checkup from surgical doctor (not actual doctor (they gave me substitute at office despite being scheduled to see actual doctor) and was finally told what doctor saw - appendix was definitely infected but it had not spread to other tissues.