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Radical Hysterectomy for cervical cancer surgery with daVinci Robot - live Webcast. sm

Posted By: Op Specialist on 2006-02-22
In Reply to:

Here is the link - check it out.  Pretty wild doing surgery through robotic arms.  Of  course, UNC Chapel Hill, has this great expensive robotic surgeon!   Would love to do the op reports for these surgeries.


http://www.or-live.com/daVinci/1444/


Enjoy!




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I never mentioned that I had cervical cancer
No, I made it a point not to mention that I had cervical cancer for just that reason. I had strong issues against the whole Gardasil thing long before my daugther's doctor brought it up. When I left the room for the rest of the exam, apparently the doctor was trying to talk my daughter (still a minor) into the injection. Even if she had changed her mind, I still have the final say. She has the same feelings as I do --she hears the bad side effects ect on the news/reads it on-line. I just think it should be illegal, if it isn't already for any doctor to do that. Yes, I am stressed out. I have been working like a dog for two weeks straight without any days off, but I do not like when doctors go behind my back on issues my minor childern cannot decide upon. I have been reading info on Gardasil for months now, most of it not promising. They even haulted production for a time because of side effects and sales have gone down 16% because people are starting to see the negative results. Some doctors are even coming forward and saying that it should not be mandatory. I think it should not even be on the market. Class action lawsuits are forming as I type this.
Robot cases

My MIL has been doing quite a few robot cases at the hospital, and I have never transcribed a report like that, and to those of you who have, how different is a robot surgery than just regular surgery?


I was transcribing a surgery once, the surgery was over and the doctor was dictating
from anesthesia yet.  Anyway, the surgeon dictating stopped dictating and said "Hey Mary - is this one big enough for you?"  It was obvious he was talking about the patient's PENIS!  I thought HOW EMBARRASSING!  I hope they didn't make fun of my anatomy when I got my tubes tied!
New job first, save sick time, then surgery or surgery first?

I’d like to go back to medical secretary work.  I’ve had cortisone shots in my ECU tendon 3 or 4 times and was warned not to have too many or my tendon could rupture.  It’s been very weak for a year or so and my left wrist is smaller than my right wrist.  I can’t type at all with my left pinky so I think it’s ruptured.  I have Word auto correct and Instant Text set up so I very seldom type As, Qs, or Zs.  I haven’t had surgery because I have my own account, no subs, a DD in college to support, and no disability insurance and didn’t want to take time off work for surgery.  I do have medical insurance though my DH. 


 


I’m debating whether to get a job, save up sick time, and have the surgery while getting sick time pay or have the surgery first without any sick time pay.


 


I’ve done medical secretary work before.  I figured if I use Word there I can save their Auto Correct and transfer mine.  If they use EMR, I can make my own shorts to stay away from Q, S and Z.  I could only accept a job where I don’t type for more than an hour straight, which is what I do now.  Then I started worrying about what if I have to use someone else’s computer?  What if I unexpectedly have to type more than an hour?


 


I think I have cold feet about getting a job outside the home after over 7 years at home AND I’ve had cold feet about having surgery!  Can someone help me think this through logically?  I can’t think straight when my feet are cold.


I love my Roomba robot cleaner
It has a remote control - no pushing it around, and it's fun to watch.
cervical meandering gait
Cervical meandering gait
I agree = cervical not surgical

it's definitely cervical spine; otherwise it's fine
nm
The few I've done use the robot arms as extra hands &
s
it just struck me: Docs will speak clearly for a robot machine but not for an MT. (sm)

How does that grab ya? 


A computer is demanding and getting  more respect than we did for years, cleaning up their sentences, fixing their errors....and generally wiping their noses.


 


but now that a computer demands STANDARDIZATION....suddenly the docs can find the brain cells and patience to comply.


What a bunch of hooey. 


 


That just struck me today as I was trying to understand the new mandate that literally takes away my way I have made a living and at 60 years old I get to go try to get hired at this age.


(All I hear on the TV is the "unemployment figures came out today and they are...... yet this govt is continually using computers to do away with meaningful employment for its people)


Thanks representative in WashingDC


The other thing before I get off my soap box:


Exon made a $40.6 billion dollar PROFIT last year.


............and my tax money went to them in the form of  SUBSIDIES........


 


Unfreakingbelievable.


My cost of living to stay alive food wise, gas wise, electricity wise has gone up because Exon wanted a profit...........and my taxes still went for subsidies. 


I understand some legislators tried to do something about it and BUSH THREATENED A VETO.


I leave you with those thoughts.



Surgery/Plastic Surgery Transcription
Hello. I am considering taking a position in the field of plastic surgery. Can anyone recommend a way to pick up on the terminology FAST?
sorry, hysterectomy
im tired
hysterectomy
I had a hysterectomy when I was 40 and it took a couple of months to get back into the groove. I am on Premarin and swear by it. It is a major operation and you definitely do not need to rush your body's recovery. Everybody is different. Hang in there.
hysterectomy
You just incurred a trauma to your body - surgery and anesthesia. Of course you are tired - and you should be sleeping. That's your body way of helping you heal.

As someone with the experience of 2 major surgeries and 3 minors, I can tell you that it takes 1 week to get the anesthetic effect worn off your body. If they had to take you really deep for awhile, it might take 10 days.

Be patient - you are human, not the Bionic Woman - and kind to yourself. Listen to what your body is telling you.
I had a hysterectomy at 26
I have never once regretted my decision to have my hysterectomy. I recovered fairly quickly, partly because I was 26. I also had a TVH with LSO and then about 5 years later had the RSO. I know that TVH is much easier and quicker to recover from than a TAH. I have to take HRT to control my hot flushes twice a day or they are so out of control I can't stand it. The hot flushes are really my only complaint. I was so miserable before my hysterectomy and can hardly believe how much better I feel now.
Hysterectomy
I have never had a C-section, but had a laparoscopic hysterectomy.  Felt great and could have gone back to work after one week.  That is how great I felt, but I was working for a clinic and had 8 weeks sick time built up and was thinking of leaving (did not want to lose it))and my doctor was gracious enough to give me my 8 weeks off.  I loved it!!  It was July and so basically my whole summer was off.  Cannot beat that!!!
I'm 46, had a hysterectomy 5-1/2 years ago but still
have my ovaries. Don't think I've started through the change yet, but I'm not sure. My boobs stay tender a lot of the time like when I was pregnant. I wonder if that could be a hormonal thing?
Question regarding hysterectomy *sm*

I had a hysterectomy exactly one week ago today.  How long does it take a person to get their energy level back?  All I want to do is sleep.  I cannot figure out if I am really this tired or if I am looking for an excuse to be lazy.  I am not taking any medication right now although my doctor did give me a prescription for Premarin that I have not filled yet. 


Further bleeding per Dr. **** will affect a hysterectomy.

I had a hysterectomy last March. It took me about 3 weeks actually to
want to be out of bed or off the couch. Even then I took long breaks and rested. One friend took 12 weeks before she ever went back to work part-time. It's different for each person. Just give yourself time. You need to heal and that means that your body needs to rest.
any neck pain? Sounds like a cervical spine problem. And med advice.. you nee an xray!
You might be old enough for degenerative changes, or disc space narrowing. What you are describing could definitely come from cervical spine nerve root compressions. Does the symptomatology change when you reposition your neck or adjust your posture? See somebody, that's kinda-sorta something you shouldn't be messing with.
why no, i don't live in snobville. did you think you knew me? i live in heritage hills a suburb
it takes a little longer to get to work and shopping but thank god i have some privacy and am away from the congestion.  lovely trees and lakes all around.  maybe about 20 minutes to a large shopping mall.  but no, i don't even know where snobville is.
why yes the quality of air where i live is quite different than where the city people live.
Lots of pollution.  That's why everyone is moving away from the city and areas zoned for multiple housing units and low income housing and trailer parks.  Population is dense and near manufacturing.  So yes, the air is different but millions of people pay a little extra for the quality, the space and privacy afforded to those who move out of polluted crowded areas such as you defend.  There is always a reason why some areas and housing is cheaper than others.  Maybe it is the air and maybe it's something you can't quite put your finger on but you know you would prefer not to live in certain areas.  You know what I mean or are you living in one of those areas?  They tell after awhile you block out the sounds, the smells and get used to the pollution.  I don't know.  I didn't stay long enough to test the theory.  My mental and physical health is way too important to me. 
I know they live a long time, so if there is a chance they will out live you - sm
make sure you make provisions for them in your will. I have only had cockatiels and some finches, so don't really know anything about the bigger birds. I love African Grey's but they are very expensive.
cancer

My husband might be diagnosed with oral cancer.   He has had a lump in his cheek for awhile and wasn't really concerned about it until he went to the doctor for a check-up.  The doc is sending him to have it looked at more thoroughly.  Any words of encouragement or anyone that has gone through this.  Thanks 


     


Cancer
Please let me know if you need any moral support and feel free to write me. Read my post on MTStars.

Margaret
cancer.

x


cancer.org
They have a great cancer drug list. I really like oncology except when my doc does a weeks worth of dictations all in one day.
why so much cancer?
Did you know about the atomic bomb testing/nuclear bomb testing done around the world?  Well worth researching.  I was shocked to find out that it was more than originally led on, well over 700 bombs and I cann't remember if it is just our country or if the numbers were world wide.  Then we have companies that polute our water, our land fills, our air... We have paved roads that are giving off gases constantly into the air, not including the vehicles that give off gases continuously, encircling the earth.  Do you know about the carcinogens in the plastics that hold bottled water?  Chemicals added to food is going to build up in the tissues...  Deodorant is not safe, either, and we don't stop there with hygiene chemicals...
Live and let live. Don't force your lifestyle on me.
x
I used to live in MN now I live in MS and they were both cold last night!
Will take MS cold over MN cold any day, and I don't miss the snow. I miss the Mall of America, though!
I live in PA, can I help? If they are close to where I live, I would go check them out for ya!
Where in PA is this company?
cancer sites
I usually use the NIH-National Cancer Institute site. It has listing of clinical trials, types of drugs, different types of cancer treatments. I also depend heavily on the Oncology Word Book by Stedman.
Okay, my experience with cancer

Rather I should say my husband's.  He was diagnosed 6 years ago with stage III colorectal cancer.  Very advanced out of the bowel wall.  They did not think they could cure it, but did say maybe remission.  I was floored and in tears always.  My hubby was a young man, 50.  He had been misdiagnosed by several other doctors and it had reached a very large size by the time it was found.  It was found by a doctor I did transcription for.  This was God's intervention, because I feel this wonderful doctor was  put in our lives to save my husband.  He came and asked me several times to do his transcription and I was so busy I turned him down, but he was such a nice man, I finally said okay.  Well I was talking to him and I mentioned my husband's problem and he said to bring him into the office.  This doctor found the cancer on my husband's first visit.  We had a wonderful surgeon and a wonderful oncologist.  (By the way, all except the surgeon were ESLs so I love doing ESLs now, have a soft touch for them.) 


My husband had a very large cancer.  They were very concerned.  We sought alternative therapies, in addition to traditional therapies of chemo and radiation.  He had a 6-hour surgery, blood transfusions twice, blood clots, DVT, abscesses, etc.  It was touch and go, I felt.  Like being  on a rollercoaster.  We prayed and prayed.  We spent lots of money on alternative therapies that we researched on the internet.  Also he had conventional therapy, except had to stop the chemo because of low blood counts. 


Well my hubby is still alive today, no sign of the cancer.  In the doctor's consultation letter he uses the word "amazing" about not finding ANY sign of cancer during the surgery.  Everything was just dead tissue, they could find no viable cancer, just friable tissue.  I really believe that with the help of prayer, the angels, God, alternative and natural therapies, plus excellent regular medical treatment, a  positive attitude and creative visualization (which my husband also used) that it saved his life.  We moved 3000 miles after that cancer to where we always wanted to live in the mountains on a farm, both our dreams. I feel like I am living in heaven.  I don't get too worried about what is going on at transcription companies, just do my work, because are so much more important things to concentrate on. 


Very little gets either of us down anymore because we learned the hard way what is truly important in life.  My three children have their dad still and I still have my husband.


Good luck and I am praying for you.  Remember, cancer IS curable.


 


 


Cancer - moody as all get-out and
sometimes very touched and concerned about my transcription patients. Even though I know they are totally in another part of the US.
Leo. On the cusp with Cancer.
Very appropriate!
Cancer ..... Leo cusp nm
nm
Just had a doc say a guy with gastric cancer was...
admitted to the OB/GYN service.  (I didn't miss something in my training, did I?)
does anyone know if bone cancer is always..sm
metastatic or can cancer originate in the bone? 
Breast cancer
Does any one on this board know where I might find a sample report with regards to breast cancer?  Any tips greatly appreciated.  I want to be sure to get all of the stages ect. right on and though I have MT experience this is my first shot in the area of breast cancer clinics.
Breast Cancer
Thank you for your kind thoughts.  I was diagnosed with invasive ductal carcinoma.  I had a sterotactic biopsy last Wed.  I had one 4 years ago that was clean and assumed this one was too.  Yikes!! That didn't happen.  I was given an option of mastectomy or lumpectomy and radiation.  That's the good news, as the tumor is less than 5 cm.  I'm really scared.  I recently moved to Virginia (about 60 miles south of Roanoke) so I haven't made any friends and no close family nearby.  Luckily, I'm close enough to the local hospital and work at home to be able to go for the daily radiation treatments for 6 weeks.  Surgery is scheduled for next Friday and then the wait to find out if the cancer has spread, what type, the extent of the treatment, etc.  I really do appreciate everyone's kindness and prayers.  I will also buy a copy of the book tomorrow.  Also have a really good to reason to march with all the "pink" ladies now :-)  Bless you all for your kindness
Breast Cancer
Thank you so much for your words. Of course, I was so unprepared, and my world is not what it was 4 days ago. My only son is graduating from college on the west coast in mid June (I'm on the east coast) and it will be cutting it close to get my tired butt on a flight, but I'm determined to make it :-)
cancer terms
http://www.onelook.com

http://cancerweb.ncl.ac.uk/omd/


It won't take cancer to quit smoking. Try
ASTHMA, a common problem for smokers. When you can't breathe when there is a strange odor around such as perfume, you won't get near a cigarette because if you do, you won't be able to breathe. You will cough, and choke and gasp for air and feel air hunger when you sit down. It is not a fun way to live, and I absolutely LOVED my cigarettes, a real hard core addict to nicotine.
Yes, Libra, with Cancer rising.

she was in Mexico for treatment for cancer, BUT...
From what I heard on GMA a few days ago, the clinic she was in was deplorable. There was even an article about it on the Watchdog website, AND the man running the clinic was NOT a doctor. So, what does that say about the person or persons who took this woman there for treatment?
for lung cancer in 1980.......nm
xx
A breast cancer warning sm
Let me tell you a true story. I am hesitant to tell it because I want every woman to have a mammogram and to be tested as often as possible. In 2000 a surgeon I had trusted for 30 years read my path report of a biopsy he did for a suspicious small lump. The pathology report came back as "atypical ductal carcinoma insitu which some may call atypical hyperplasia." This surgeon literally yelled in my face "You have breast cancer and that breast has to come off." Due to the fact that friends of mine had suffered lymphoma and other complications from mastectomy, I asked him again if mastectomy was the only answer. He was extremely stern with me and said it was, and my only other alternative would be lumpectomy with radiation and he would not guarantee it. Due to other problems of health issues in the family (serious) I wondered about my ability to type or transcribe again. I even asked him to keep it from my husband until I decided what to do and he called my husband in his office (my husband was very ill at the time).  I called my health care provider and asked about a second opinion, they said get as many as I was comfortable with. I was referred to the head of oncology at another facility (IMPORTANT) and he referred me to a breast surgeon. I told her that I had read Dr. Susan Love's Breast Book and I read about surgeons leaving "dirty margins" from the first biopsy and questioned if lumpectomy would be just as good as mastectomy. I told the second surgeon (a breast surgeon) I had heard of  a physician from "Dr. Susan Love's Breast Book"who practiced at Vanderbilt University in Tennessee. The new breast surgeon did the second operation which was removal of the rest of the "dirty margins" and my slides were sent to Vanderbilt. Their opinion was that no further treatment would be necessary. The breast surgeon called a tumor board meeting and it was their opinion that they were not sure if I did indeed have "breast cancer." The radiologist who was at that tumor board meeting said she would not radiate me since they were not sure it was cancer, as if I did get cancer back in that breast, she could not radiate me again. By the way, the first surgeon whom I had trusted for 30 years told me to "to go ahead and listen to your neighbor and your hairdresser and you'll be back here with more cancer and it will be too late for you then because we don't know what's in the rest of that breast!" He also was very angry that the other doctors told me I had every right to have a plastic surgeon present at operation to install Expanders should I decide to have a mastectomy and want plastic surgery down the road. He was very upset with that and upset at the fact that I would have had my own plastic surgeon of my choice. He wanted that mastectomy done "last week" were his very words. Well, it's 2006, I have had 6 month mammos on that breast and yearly mammos on both breasts since 2000. I did have a needle aspiration for the tiniest lump in that breast which was benign, then I had a stereotactic biopsy on that breast because I was watched closely for 5 years, that biopsy was insufficient for diagnosis, so I underwent another surgical biopsy in 1/05 which turned out to be "atypia." So, whether I am a fool for not having the mastectomy, I can't really say, but I can say that I did question, read, study, make my own decisions. I did not have a mastectomy in 2000, I still have that same breast (a bit smaller, but who cares?) and I still have negative mammos every 6 mos. except for the two ? findings later on. I refused tamoxifen for my own personal reasons, although it is the treatment of choice. I am very, very reluctant to tell this story for fear of just one woman letting a cancer go undetected. On the other hand, I am telling it here (now for the first time) because I want women to know they have a right to make a decision with regard to their own bodies and ask intelligent questions. You have every right. Just be sure you get many high-level opinions. By the way, I did get put on a lot of prayer lists as well. I do believe God helps those who help themselves. I will never be sorry for the chances I took and the choices I made. I hope that trusted old surgeon is NOT right (my new breast surgeon says he is from the "days of yore"}. The important thing is to get tested, get more than one opinion and please, please, if you believe, pray, and talk, talk, talk, and read, read, read. Learn when to say "yes" and learn when to say "no". I hope I didn't scare anyone, but there is hope and help out there for those who are willing to use their intelligence. For any of you who think I did it for cosmetic reasons -- absolutely not! I would not have even wanted expanders for further plastic surgery. I am a grandmother, not interested in body beautiful.  I was the sole source of income due to an unfortunate circumstance with my husband and we would both have been "down" at the same time. I did it because I had to at least ask what my options were. So far, so good. Please pray that I did the right thing and please know that you too have "options" to consider. Please be sure to go to a "different" facility for a "different" opinion, not the same as the one who diagnosed you. I sure hope this helps someone some day, but please, please if the second opinion says the breast must be removed, then you will absolutely have to listen and you will do fine. My new breast surgeon said if it were ever necessary, she could remove both breasts, freeze and save the nipples and do a reconstruction for her patients if they desired it down the road. There are tons of new options for us out there. But ASK!. My message to you is GET CHECKED, and make those checkups regular, there are clinics that will take you for free. I hope if they do find something, you have as good a result as I did. Please go, and please ask questions and get other opinions. Good luck and God bless. Hope I helped someone today but I really, really do not want anyone to miss anything that could kill them, so be aware that this is only my story, but it's true and it may give someone else with atypical ductal carcinoma in-situ some help, hope and understanding.A mastectomy is not a bad thing, not in today's world, but I want you to know that there are tons of options for you and I hope you take advantage of the best ones for you, God forbid, you every need that kind of help. You may E-mail me but I won't "practice medicine without a license," I just want to share my experience and strength with you and urge you to get tested soon!
I know what you mean, I lost my dad to lung cancer....sm
about 9 months ago and then my 12-day-old grandson passed away the day after my father passed away. It seemed like for the next month or so every day I typed at least two terminal cancer patients and several sick children. It is hard not to get emotionally attached sometimes.
she just learned she has breast cancer
did you think about that?
Can you get cancer from chronic mouth

I have a wisdom tooth that is coming in. I do NOT do well w/ dentists/anesthesia, etc...well a few months back i had an appointment to have this removed.  long story short even though the dentist knew I was freaked out about the local anesthesia he took so long to do the extraction my mouth was no longer numb when the hygenist tested my gum area.  I freaked out, left crying and vowed to never go back to him.  Well now that the tooth is slowly coming in more and more i have an ulcer that seems to be getting bigger from where i am more or less chewing the inside of my mouth. 


It doesn't really hurt or bother me that much, i would much rather deal with the ulcer than have another panic attack/heart racing event from the local at the dentist's office.  My concern is this:  Can you develop cancer from a chronic mouth ulcer? My aunt died of oral (tongue) cancer last year so i'm paranoid about it.


 


Any info you can give is welcom.  Thanks!