Miss D Ghosh feedback

 DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY

Consultant: Miss D Ghosh
Secretary: Stephanie Lloyd
Direct Line: 01562 513025
E-mail: stephanielloyd@nhs.net     wah-tr.endometriosis@nhs.net

Thank you for writing to me to let me know how you have been getting on since the operation. | confirm that we removed endometriosis from throughout your pelvis and this was confirmed on histology. When we re-sect endometriosis | do not expect you to be better after the surgery for some time. It can take many months for the inflammation, scaring and swelling to resolve after you have endometriosis excised: It often also takes many months for the nerves to settle following the surgical treatment.

Again with the Mirena we always counsel our patients that we insert the Mirena’s for that it can take up to 6 months to control bleeding and pain. | certainly explained this to you pre-operatively and at the time that we inserted the Mirena. 

| understand that the irregular bleeding can be very distressing but | would expect this to settle. This has only been 2 months since your operation. The reason that we ask you to have a coil check with your GP is to ensure that you can rely on this for contraception. | usually suggest to my patients that they feel for the threads of the coil inside the vagina themselves and this way it avoids you needing to be seen by either myself just to do a thread check or your GP/practice nurse. | would be grateful if you could do this, if this is something you are unable to do then | would suggest that you have your coil check performed by your GP or practice nurse to ensure that you can rely on this for contraception

| apologise that this wasn’t clearly written in your discharge letter from Kidderminster. | would like to emphasise and reassure you that things do usually improve but you do need to give it some more time. | am pleased with the outcome in terms of being able to remove all of the visible endometriosis and therefore if your pain does persist or is worse after 6 months from surgery then we have to consider that the pain is not gynaecological. | do plan to make a follow up appointment for you at the 6 month mark and this will be with the endometriosis nurse. | hope this helps clarify things in response to your letter.

Miss Donna Ghosh BSc MBBS MRCOG Consultant Gynaecologist and Obstetrician Minimal Access and Endometriosis Specialist

 ICC: Dr J Ash St Stephens Surgery Adelaide Street Redditch Worcestershire B97 4AL

CLICK TO OPEN FILE

Gyno Tel Consultation

 DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY

Consultant: Miss D Ghosh : Charles Hastings Way Secretary: Stephanie Lloyd Worcester Direct Line: 01562 513025 WR5 1DD E-mail: stephanielloyd@nhs.net wah-tr.endometriosis@nhs.net

Our Ref: DG/SJL/CH Typed Date: 19/11/2021 NHS No: 6106007306 Unit No: 4440496393

 CE: Private & Confidential Mrs Emma Jane Goode 35 Archer Road Redditch Worcestershire B98 8DN

Dear Mrs Goode

Thank you for your letter posted October 2021 regarding an update on your current condition. | am again sorry that you are suffering with your symptoms and things have not been better since your surgery.

 Again | will emphasise that you do have endometriosis, which has been confirmed at laparoscopy and following resection of the endometriosis at histology. Unfortunately endometriosis is a condition that can be verydifficult to treat and despite fully resecting all the visible endometriosis it is clear that this has not helped you. There may of course be another cause for your pain, but if there is this is unlikely to be gynaecological in origin.

It is not my place to comment on whether you are physically or emotionallyfit to resume work and unfortunately this assessment will need tc be done by your general practitioner.

If you refuse to believe that your symptoms are caused by endometriosis, then you will need to be assessed by your GP to exclude other potential causes for your pain. | would be more than happy to have a telephone consultation with you to discuss this further. Please contact my secretary if this is something you wish to proceed with.

Miss Donna Ghosh BSc MBBS MRCOG Consultant Gynaecologist and Obstetrician Minimal Access and Endometriosis Specialist

CLICK TO OPEN FILE

Letter to Miss D Ghosh

 Update since My Last Letter                                   Saturday 4^th September 2021

My Current Situation - From Emma Goode - To Miss D Ghosh

I sent you an email via your Secretary (Stephanie Lloyd) on the 1^st of August updating you on my current situation and the problems I have been having.

I am still bleeding every day. I have been bleeding now for 2 months straight. Some days the bleeding has been heavy and some days it has been light. Sometimes it’s red blood and other times it is dark red blood. I have noticed that when I go to the toilet for a pee and I am bleeding I get excruciating stabbing pains afterwards in my abdomen, belly, groin and pelvic and I end up resting in bed for the rest of the day. I have to take a Tramadol to help ease the pain.

Both me and Stuart have noticed that I suffer great pain just before I start bleeding and it continues on afterwards.

I am still suffering with pains all along the middle of my abdomen, belly, and groin and pelvic. It is mainly worse in the morning when I wake up and I have to take a Tramadol straightaway.

I suffer with pains while I am walking around the house. I am using my crutch all the time again to help me get about.

 When I have a good day, I can do some jobs around the house e.g. the washing and the washing up.  But it puts me in excruciating pain for days afterwards and I am bed bound with my hot water bottle.

The pain has been that bad lately that it makes me tearful and I just want to breakdown into tears and cry.

There have been a couple of times where I have gone out with my mother-in-law but we have to go to places where there are seating as I cannot walk for so long.

My Tramadol intake is slowly going up again some days I take 3 and other days it has been 4.

When me and Stuart has sexual intercourse I am in pain soon after and I am again bed bound for a couple of days after in pain.

I still suffer excruciating stabbing pains before, during and after having a bowel movement. It is also been happening when I need to pee.

I sometimes been getting pains in my right side abdomen and hip. But the pain has always been in the middle.

This past week I have been waking up again in the night in excruciating pain. I’m having to wake Stuart up to do my hot water bottle and to empty my pee jug.

Me and Stuart is still 100% convinced it is the Mirena that causing me to have all of these pains and bleedings. I would still like the Mirena to be removed as soon as possible. I would still like you to remove the Mirena personally at your earliest convenience.

I will be sending this letter to both of these email addresses: stephanielloyd@nhs.net wah-tr.endometriosis@nhs.net

I hope you and your family is well.

Thank you for your co-operation

Mrs Emma Goode

NHS No. 6106007306

Unit No. 4440496393

35 Archer Road, Redditch, B98 8DN, 07383109492, 21/02/1990, emmasmith90@yahoo.com.

CLICK TO OPEN FILE