Tags
Blog

'surgery' posts

A patient's experience with the Swedish Digestive Health Network

We recently received this post from a patient who asked us to share her story and her experiences with Dr. Schembre and Dr. Tschirhart with the Swedish Digestive Health Network. Thank you, Yevette, for sharing your story with us!

---
Dec 2nd,  2012 I was out of town doing some promotion for work when I collapsed in my hotel room. I went to the local hospital ER.  They found I had a gallstone lodged in my common bile duct. As they attempted to remove this, the surgeon ripped my intestine.  This created a whole host of life threatening problems. After 5 days I was airlifted to Swedish Medical Center in Seattle.  Dr. Tschirhart was assigned my case.  By June I was stable enough for surgery.  Dr. Schembre referred to this surgery as a “Leap of Faith”. There was a team of 4 surgeons involved in this surgery.  Their concern that I may not survive was apparent. I actually said goodbye to my 17 year old daughter before this surgery.  After having me in surgery for only a few minutes he told my family that he didn’t think there was anything he could do for me & that my insides look like paper mache and were very fragile. But he never gave up.  I ended up with 9 different drainage tubes in my abdomen along with a J tune, G tube, every tube possible I think.  When I drank, the fluid would go in and then come out several of the tubes.  Dr. Schembre from GI worked with Dr. Tschirhart to help make my treatment plans. In October I was in a better situation to endure another surgery. Dr. Tschirhart explained exactly what needed to be done & explained the “Best Case Scenario” that he hoped he could perform. Fortunately he was able to achieve what he set out to do.   I ended up with 3 major surgeries and countless procedures.

Finally in December of 2013 they wanted me to go to rehab but I insisted on recovering at home in Marysville. I felt if there was a chance I was not going to make it I wanted to die at home.  Dr. Tschirhart assured me that if I had trouble and had to go to my local hospital he would have me airlifted immediately back to Swedish. As soon as I got home and on my couch I felt better!  I was discharged Dec 18, 2013 after a total of 381 days in the hospital.

Recently (August of 2014) I was able to return to work and can drive too!  I did have trouble this past April when my side split open and went into Swedish ER.  I commented to my friend that I needed to call Dr. Tschirhart so he could come get me.  The intake gal overheard me and said doctors never do that.  I tried to tell her that Dr. Tschirhart would. The ER was trying to gather info as to what had happened to me. My situation is too much to explain so I kept referring them to my file.  I was very frustrated. As they were questioning me I saw this hand come through the door and slowly he walked in. There he was!  I instantly started crying. He immediately had me transferred up to the 10th floor, order CT, medication etc.  He came for me as promised. I knew he would.
 

Dr. Tshirhart always told me  ....

Mesothelioma update: shorter course of treatment and improved survival rates?

There have been some very exciting recent developments we (the Thoracic Surgery team at Swedish Cancer Institute) are utilizing in the treatment of malignant pleural mesothelioma (MPM).

Over the past year we have offered some of our patients deemed appropriate for surgery a more streamlined approach to their overall care. Previously we have tried to offer chemotherapy, surgery, and radiation to all patients who were healthy and strong enough to undergo the three treatments, as mesothelioma is an aggressive cancer requiring aggressive treatment to optimize survival. This new approach still offers both surgery and radiation, but chemotherapy is given only to those found to have cancer in lymph nodes in the center of chest during surgery.

The advantages of this new treatment paradigm are ...

Breast Augmentation Surgery

Breast Augmentation

Breast augmentation surgery is a safe and reliable way to enhance breast shape and size. Breast enhancement using breast implants can give a woman more proportional shape and may improve self esteem.

Breast augmentation surgery is an operation designed to improve the shape and volume of the breast. The operation addresses common breast aesthetic issues, such as lack of breast volume, flattened breast shape and drooping nipple position. The operation can be combined with breast lift (mastopexy) procedures to further enhance the breast form.

To learn more about Breast Augmentation Surgery, including before and after photos, visit www.scottsattlermd.com

 

Breast Reduction

What is Breast Reduction Surgery?

A breast reduction (reduction mammoplasty) is a surgical procedure that reduces breast weight to improve both biomechanical function and aesthetics. After breast reduction surgery, the breast is ‘lighter’ and has a better shape. Many women with heavy and pendulous breasts suffer from neck pain, back pain and head aches for many decades of life. Self-consciousness in social settings and the inability to find properly fitting clothing are also frequent concerns. A breast reduction can significantly improve these functional and aesthetic issues.

Patient satisfaction with breast reduction surgery is extremely high. When the American Society of Plastic Surgeons surveyed a large group of women after breast reduction surgery recently, over 95% of patients responded that they would have the surgery done again. Breast reduction surgery consistently ranks at the top of patient satisfaction surveys for all procedures performed by plastic surgeons.

How is Breast Reduction Surgery Done?

Depending on ...

When you should seek treatment for abdominal pain

As a general surgeon, the majority of my practice is spent evaluating patients with abdominal pain and deciding whether the cause of their pain requires surgical treatment. These patients are only a small fraction of the number of people who seek medical attention for abdominal pain. Abdominal pain is fairly common and something almost all of us have experienced. Usually it is not cause for alarm and resolves on its own after a limited course if we wait and treat symptomatically. We have all had a moment however when we wondered whether this time was more serious, and how would we know if it was?

Every organ in the abdomen and pelvis (including the muscles and skin of the abdominal wall) has nerve endings and can cause pain. While nearly everyone has experienced abdominal pain, it is usually self limited and mild. Think antacids for heartburn symptoms, diet modifications for food intolerances, fluids and time for gastroenteritis, stool softners for constipation. While more severe causes of abdominal pain are rare, it is important they are recognized as they may have more severe consequences to health.

Only 15%-20% of people with abdominal pain require surgical treatment (this number increases with age). The most common reasons for surgery are  ...

Am I Operating on Your Pain or Anxiety?

I have noticed this year that many patients with significant structural anatomic problems will improve or resolve their symptoms without surgery after engaging in a self-directed structured approach.  It appears that as the nervous system calms down that the pain threshold rises.

Surgical decision-making

The barometer I use before I help patients make the final decision about whether to have surgery is whether they are sleeping well and their anxiety levels have dropped under a 5 on a scale of 10. My experience with performing surgery on a patient with a “fired up” nervous system has consistently been less than satisfactory. Pain control is difficult and even the longer-term results are marginal. There is often still a significant amount of residual pain.

I recently saw ....

Taking the Mystery Out of Robotic Surgery

Robots? Surgery?
 
The da Vinci® Surgical System is not an R2-D2™ or C-3PO™ robot. It is technology that helps surgeons perform delicate operations. Robotic surgery got its name because the surgeon does not directly hold the surgical instruments.
 
Robotic surgery is minimally invasive. It allows a surgeon to operate through several tiny incisions, rather than one large incision.
 
“Robotic surgery instruments are flexible. They mimic the surgeon’s hands and wrists,” says ...
Results 1-7 of 48