Sunday, 9 May 2021

Confirm Operation

received letter confirming operation for emma hopefully next 2-3months, as follows...
Miss D Ghosh - surgeon contact details below...

Worcestershire Acute Hospitals

Consultant: Miss D Ghosh
Secretary:: Stephanie Lloyd
Direct Line: 01562 513025 

Worcestershire Royal Hospital, Charles Hastings Way, Worcester, WR5 1DD

Our Ref: DG/SJL

Typed Date: 28/04/2021 Clinic:27/04/2021
NHS No: 6106007306
Unit No: 4440496393

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

Dear Dr Ash

Re: Emma Goode DOB: 21/02/1990
35 Archer Road Redditch Worcestershire B98 8DN

I reviewed Emma in my gynaecology out-patient clinic today. As you are aware she has a diagnosis of endometriosis, which was diagnosed at peritoneal biopsy in September 2020. She is  currently taking the combined contraceptive pill tri-cyclically and bleeds regularly when she withdraws this. Her pain is mainly right-sided and is non cyclical in nature. She is struggling significantly with  managing her symptoms. Although there are no particular exacerbating factors she does feel that when she is standing or sitting for long periods of time her pain can get worse. For the last 6 weeks she has also noticed an epigastric pain which coincides with the exacerbations of her lower pelvic pain and is not caused by any foods that she eats. She says that her bowels open regularly and are normal. She uses Tramadol, Paracetamol and Ibuprofen and is aware that Oramorph can make her constipation worse so she should try to avoid this. I have again explained her diagnosis of endometriosis.

I have explained that there are options to try and conservatively manage her symptoms better and we could consider changing her pill to the progesterone only pill, or consider inserting a Mirena. She is happy to consider a Mirena, but she feels that she needs to undertake surgery and she is willing to undertake the risks of this.

She is also understanding of the risks of surgery, which include bleeding, infection, risk of VTE and risk of injury to adjacent structures in the pelvis; which include bladder, bowel and ureters. She is also aware that she may have ongoing pain symptoms despite her surgery, or that the pain may recur despite initial improvement. She has completed a pelvic pain questionnaire today. I have added her onto the waiting list for surgery and we will keep you updated.

Many thanks.

Yours sincerely
Miss Donna Ghosh BSc MBBS MRCOG Consultant Gynaecologist and Obstetrician

Mrs Emma Goode 35 Archer Road Redditch Worcestershire B988DN
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