Guess What - Surgeon Recommends AGAINST surgery!
I had my follow up with the surgeon today regarding my appendix (perforated and abscessed about a month ago for anyone who hasn't heard this little drama). So I'm reassured that they are not ALL out to line their pockets, and some are reasonably open-minded.
He said that there is new literature coming out (contested by some doctors in terms of how the studies are performed and the conclusions drawn) that "interval appendectomy," i.e. surgery after perforation and abscess (which in my case was drained and treated with
Antibiotics ), may not be necessary, and conservative management may be a better route because they are unlikely to re-perforate and re-abscess.
After examining me, feeling no mass, very little to no tenderness, been feeling OK, not constipated, he said - "if it were me, I wouldn't have the surgery." Alright!! Wasn't planning to, anyway! I told him I knew there was not a lot of data on this because the majority of people will opt for surgery as a "preventative," or because that has been the norm, but I wanted to know what do the appendices look like when he removes them in cases like mine, typically. He said generally they have a lot of scar tissue and look chronically inflamed, but typically these are patients who have chronic appendix/right lower quadrant abdominal pain. He said (as a surgeon would) that in those cases he feels surgery is a more logical and justified approach, but since I'm not symptomatic, there is no reason to operate, especially based on some of the new thinking/new studies.
I asked about whether the blockage was likely to have cleared, he said yes, and that even though it's typically from a fecolith plugging the hole, it doesn't necessarily happen with or from constipation, though my guess is his idea of constipation is a lot different than mine. I was still pooping the week before my crisis with it, but it took a lot of herbal coaxing and was pretty much the consistency of cement. I said I was fully expecting him to tell me I should have it, so it was a big surprise to hear him suggest a conservative approach. He was a really nice guy, actually, didn't rush me, answered all my questions, was very respectful of my "weird" beliefs about natural health.
So, very good news. I also don't think the hospital bill is going to be as god awful as I first believed, so even better. I'm still going to accomplish a juice fast sometime in the next few months, I really need some solid time off work to do that, but meanwhile a light, careful veggie diet with proper food combining, easy on the nuts, bowel formulas, juicing, liver/GB/
parasite herbs, castor oil packs and as much hot/cold showers, exercise, stretching, sweating and deep breathing as I can accomplish.
Next order of business is dealing with the circulation issue in my legs, and hormone balance because I think that may be at least part of the reason for the "large posterior central inhomogeneous mass suggesting degenerating fibroid" and the "possible calcification associated with the right ovary." I'll get rid of that, too.