If Your Hemorrhoidectomy Surgeon Told You This, Start Looking for a New One
About two months after my surgery, my surgeon’s office called and told me that my surgeon had quit unexpectedly without a reason. I still had a follow-up visit with her, which was obviously cancelled and rescheduled for much later with another doctor.
This news shocked me. My BMs were still very painful. I knew I was far from a full recovery and would continue need to see a doctor. Up till then, I had a lot of respect toward and dependence on this surgeon. After all, she was the only doctor who had checked and operated on me. Who else would understand me better? Her unexpected and unprofessional severance from her medical practice triggered me to reexamine her mannerism and performance all along. I started to pick up some disenchantment in her behavior through my encounter with her four months before she quit.
My visit with her was always short and rushed. She always smiled and shook hands. But there’s not a lot of genuine concern in her manner. In a sigmoidoscopy (half way colonoscopy) prior to the surgery, I was in a lot of pain when she pushed a lot of air in me too quickly.
When I attempted to ask her some specific questions about the surgery, like “Do you use laser for the surgery?”. She brushed it off with a laughter. “No, we never use laser. We use cauterized knife.” I felt quite ignorant for asking an “apparent” question.
Immediately after the surgery, she told me to resume normal diet, supplemented with a sheet of instructions involving stool softeners, fiber supplement, water intake, etc. As I learned afterward, BM control is the No. 1 key for recovery and special diet should be administered to produce the best BM experience. Not only constipation should be avoided at all cost, slightly hard stool is no good either. Everybody’s “normal diet” is different and has not been constipation-proved. In fact, many patients “normal diet” caused this medical plight in the first place. Many online medical literature mentions “normal diet” as well. In my opinion, this suggestion of “normal diet” as a post-op protocol indicates a lack of respect and empathy of patient suffering by the general medical industry.
For such a critical factor in a patient’s recovery, a doctor should be ale to provide detailed recommendations or answer questions. Surgeons may quote they are too busy for that. But as Karen Duffy points out in her memoir “My Life as An Incurable White Ass”, patients are the vulnerable ones in a patient-doctor relationship. She also points out doctors need to be reminded that patients are the ones that are paying them. In the treatment of any anal disorders, patients can easily become vulnerable either from the pain or the embarrassment. But we need to remind ourselves, we do have the power to pick whoever pleases us.
If your doctor suggests “normal diet” after the surgery and refuse to discuss further, I think it is time to look further.
My surgeon left after my surgery was done without any face-to-face consultation or instruction before I was released from the hospital. When I wondered if I am taking any prescription home with me, nobody could answer. I ended up calling her and asked if there’s any prescrip cream I could use to help with pain or healing. She refuted quickly, “No. There’s no cream. Don’t use any cream.” Later as I’ve learned, there are creams that can benefit some patients, but some side effects should be made aware of. My doctor did not bother to explain or even give me an option.
My surgeon also forgot to mention there was a medicated gel plug in my butt – a normal procedure to stop bleeding after the surgery. The gel falls out on its own with the first post-op BM. When I first took off the gauze the following day and saw this flesh colored soft “tissue” sticking out of my butt. I almost fainted, thinking maybe some internal tissue had fallen out. Most patients experience certain level of anxiety over this surgery and understandably so. The least a surgeon can do is provide information and real reassurance, instead of leaving patients to figure out things on their own.
A few days after the surgery, the pain triggered by constant diarrhea (a bad accident you should avoid, read more here) caused muscle spasm in the rectum area. And I had trouble urinate. When I called her, she reassured me to relax, but added, in her 15 years of practice, expect for a few older male patients, what I was experiencing never happened. That made me feel like a big cry baby. After five hours not being able to urinate, I ended up on a catheter at ER.
You’ve read enough. The point is I should be able to pick up some of her insensitive traits prior to the surgery, and should have gone with a doctor that I could fully count on. She’s the only doctor I tried. There’s not a lot of information you can find about a surgeon online or elsewhere, unfortunately. She never made me feel comfortable to ask questions. So I really went in the operating room with a lot of anxiety and uncertainty. That did not provide a good start for my recovery. If you want to have a good post-op care and relationship with your doctor, in addition to her surgical skills, I suggest you learn from me and be more proactive and dare to ask questions and switch doctors if you have to.
I don’t think my doctor is a bad doctor. But I don’t think she is the best I could have. After knowing what the recovery takes, I wished I had found and worked with a better doctor for me.
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