Foreign Objects Inside Your Body After Surgery: What Your Doctor May Have Forgotten To Mention
Written by: Dr. Jonathan Weinstein
Over the last 14 years in private practice there have been many occasions where patients have been referred to me for pelvic pain. There are a number of reasons a women may suffer this problem but today I would like to focus on one particular one that is rarely spoken about, but is seriously under reported by physicians and medical device companies.
For some Gynecologists the use of a medical stapler is common place. A series of surgical staples or clips are used to remove an ovary, tube or to free up a uterus during hysterectomy. In one push of a button the blood supply is cut off to the anatomical part being removed and a staple line is left in the patient and on the side where the pathology has been removed.
General Surgeons use medical clips to remove the gallbladder and they remain in the patient for the rest of their lives.
There have been numerous times over the years I have found myself removing these inert foreign bodies from patients having pain. I personally have never used staples, as there are many other tools at a surgeon’s disposable that can get the same result.
So why do I bring this topic up? A recent patient reminded of the potential problems created by ‘inert’ surgical devices and I thought back to the different patients I have removed staples, clips and most recently the Essure device. Each of these patients had something in common, their complaints of pain, which were met by deaf ears from their physician or remarks like ‘it’s all in your head’ or ‘it must be a bladder or intestine problem.
More than 600,000 women have Essure for birth control and most have no problems with the device but it is becoming apparent that it is not all “good times” for some people who have Essure. According to the Essure website there are no long term complications from placement of the Essure implants.
One of my new patients, Jen had Essure placed 2/2011, she had her right tube and ovary removed years earlier. She had pain on her left side every day after the procedure was performed. She was told it was a Urology problem but the Urologist ruled that out, then her OB finally agreed to remove it. She underwent laparoscopy and hysteroscopy 10/2011 and was told the single Essure was removed by pulling it out from inside the uterus. She still had constant pain, had been through two ultrasounds showing the Essure was still in place but was reassured by yet another physician in her doctor’s group that only a small piece remained and it was not the source of the pain.
Two years and three months after initial placement I received an email through our website asking if I had any insight in to her persistent pain. I called her that night. First we established you cannot just pull out an Essure, as it works by becoming part of your fallopian tube and uterus over a 3 month period. The only way to safely remove it is by hysterectomy. At the time of her daVinci hysterectomy I found her Essure just sitting next to her tube, not in her tube at all. Her two years of pain was gone as soon as she woke up.
Now some skeptics would say this is an unusual case, but I have heard this story before. An Essure Physician Spokesperson told me a story four years ago about a patient having a hysterectomy at a local DFW hospital for Essure related pain, unfortunately for this patient the doctor doing the surgery used the wrong type of electrocautery which led to permanent femoral nerve damage. When I look up Essure complications on the internet in turns out there are many vocal women with similar complaints.
Now I am not here to pick on Essure, I list it on my website as a procedure I am trained to perform, it is really not that complicated. I have learned to counsel my patients that persistent postoperative pain although rare, may happen and that the only treatment is hysterectomy. Honestly, if men would just step up to the plate and get a Vasectomy I would not even need to offer Essure. Right now Essure, for most women is the cheapest method of permanent birth control, as it is an in-office procedure.
This takes me back to surgical clips and staples. One patient I took care of about seven years ago complained of the sudden onset of severe right lower abdominal pain and nothing was found on ultrasound so I performed a laparoscopy. The inside of her belly was pristine except for a single surgical clip that had fallen off her gallbladder surgical site. I picked it up removed it and was out of the OR in 20 minutes. She woke immediately with complete pain relief. Another patient had persistent pain for 12 months after the removal of an ovary and her gynecologist told her it was not related to her surgery. I went in and picked out every staple that had been used to remove her ovary and she woke up with complete pain relief.
‘Inert’ does not mean you will have no pain if the device is pushing on a nerve ending. It definitely does not mean your body may not outright reject its presence, because every person is unique. Hey, people are allergic to Benadryl, the allergy medicine, go figure?
The point of this story:
- Do not let anyone dismiss your complaints of pain when you have a foreign body placed in you.
- Ask your doctor not to put staples and clips inside of you during gynecology surgery or for that matter any surgery, if possible.
- Bayer Healthcare, the maker of Aspirin and the recent purchaser of Conceptus, the Essure distributor, update your website as you are misleading the public. Essure can cause pain. The part of the patient brochure that says “the inserts are soft and flexible and are designed to bend and conform to the Fallopian tubes” is true, but you are downplaying the fact that the insertion device is rigid enough to poke a hole through a patient’s uterus.
- In general, complications of surgery are gravely under-reported. I believe it is partly because physicians are not allowed to be human. There is a tremendous fear of litigation, which is greatly justified in this country. Each patient I perform a procedure on has to read and sign a detailed document (Informed Written Consent) outlining all the risks and potential complications of their surgery. It is the biggest joke in medicine, if a complication listed on the consent actually occurs the patient can still sue. What is the point?
I hope someone out there finds this information helpful, if not, at least I feel better talking about it.
Jonathan Weinstein, MD, FACOG
Staples – Retail Sales Print Associate – Frisco, TX
Retail Sales Print Associate Staples Stores Frisco, TX 75034 Job details Job Type Part-time Full Job Description Description Staples Connect is focused on our customer and our community, while empowering you to learn, grow and deliver.
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STAPLES Center has distinguished itself as one of the country’s premier sports and entertainment centers, hosting over 250 professional sports, live music, family shows, boxing and special events annually. It is the home of four professional sports teams – the NBA’s Los Angeles Lakers and Los Angeles Clippers, the NHL’s Los Angeles Kings and the WNBA’s Los Angeles Sparks. The arena also serves as the host of several high-profile national and international events, including the GRAMMY Awards 12 of the last 13 years, the NBA All-Star Game, the NHL All-Star Game, the 2000 Democratic National Convention and the 2009 World Figure Skating Championships. STAPLES Center is also the famed venue to host some incredible concerts from music’s biggest names, including Taylor Swift, Beyonce, Justin Timberlake, The Rolling Stones, U2, Paul McCartney, Britney Spears, Jay-Z, Justin Bieber, Kay Perry and more. The Omni Los Angeles Hotel at California Plaza is just minutes away and conveniently located only ten blocks from the STAPLES Center. Our complimentary town-car service can easily drop you off and pick you up from your fun night out.
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Prescott’s preseason plan cloudy as Cowboys bring camp home
FRISCO, Texas (AP) — Dak Prescott’s only chance to play in the preseason will be this week, and the star quarterback of the Dallas Cowboys still isn’t fully cleared after pulling himself from practice at training camp in California on July 28 with a right shoulder injury.
There’s a chance Prescott will go into the opener against Super Bowl champion Tampa Bay without having taken a snap in a game since the severe ankle injury that ended his 2020 season in Week 5.
Before the club’s first camp practice at team headquarters Monday night after three weeks on the West Coast, coach Mike McCarthy said Prescott won’t play in the preseason if he doesn’t get into the home exhibition opener against Houston on Saturday night.
“We’ll see how the week goes, but there’s no urgency from my perspective to see Dak play against Houston,” McCarthy said. “This is more about we don’t want to create a setback possibly.”
Prescott, who signed a club record $160 million, four-year contract in March, is throwing more in practice than he did for the first two weeks after feeling pain in his throwing shoulder while warming up for practice.
The 2016 NFL Offensive Rookie of the Year made about two dozen throws during individual work at the team’s indoor practice facility on Monday before sitting out the 11-on-11 work again.
Prescott had his second MRI over the weekend, and the injury is progressing as planned after the Cowboys consulted the medical staffs of the New York Yankees and Texas Rangers and followed their recommendation of rest.
Before the Cowboys left California, Prescott said he hoped to play against the Texans. That appeared less likely with him still watching team drills Monday.
“I’m a go-go-go guy. I always want to be in the action,” Prescott said last week. “I think the more reps are better, better for me. But something like this you can’t stress it too fast. It’s just the risk versus the reward at this point, and I’ve got to know what I’m playing for, and that’s to be ready for this season.”
Prescott said doctors believe the injury “was a little bit of a freak thing,” although the two-time Pro Bowler also says it could have been an aggressive plan with throwing, including in the early stages of rehab from the compound fracture and dislocation of his ankle that led to two surgeries.
Receiver CeeDee Lamb isn’t concerned about missing quality time with Prescott, who will go at least three weeks without team work in practice. The team changed the schedule for the first week of camp at home and won’t practice Tuesday.
For Lamb, the presence of Prescott matters as much as anything after the injured QB missed most of last season.
“He’s definitely done a great job of just being around us in the locker room,” Lamb said. “His presence is there. His leadership is evident. Everything remains the same. It’s just not having him out here. It’s tough, but I’m sure I’ll see him again soon.”
The first camp practice for fans at home in two years included the return of receiver Amari Cooper, who had offseason ankle surgery. Defensive end DeMarcus Lawrence joined Cooper on the physically unable to perform list at the start of camp and still hasn’t worked back into team drills.
Cooper had one catch in team drills that drew a “Coooooop” call from a crowd that filled about half of the team’s 12,000-seat indoor practice field, which also serves as a high school stadium.
“I know for a fact that he wishes he could be out there in Oxnard also,” Lamb said. “Just going out there, playing for him, playing through him, and whatever he sees, he’ll help me be better.”
NOTES: DT Neville Gallimore and TE Sean McKeon are expected to miss significant time after getting injured in the second preseason game against Arizona. Gallimore dislocated his left elbow, and McKeon has a high ankle sprain.
More AP NFL coverage: https://apnews.com/hub/NFL and https://twitter.com/AP_NFL
Bread box KELA Frisco 11167, Bread boxes, delivery, best prices
1. How does it work?
You place an order on the website or by phone. Your order is assembled by a professional collector, choosing only fresh and high-quality products. The courier brings the order to your home or office.
2. How to place an order?
You can make an order:
1. On the website, for this you need:
– by adding items to the cart using the “Add to cart” button, if you want to continue shopping, click “Continue shopping”, if all products have already been selected, click the “Checkout” button “;
– choose a convenient, affordable delivery interval by marking the required time in the “Delivery” subsection;
– correctly fill in the contact information in the subsection “Your contact information”;
– click the “Checkout” button.
2. By phone, with the help of our manager.
3. How is the delivery carried out?
We have our own delivery service and vehicles with built-in equipment to maintain the optimal temperature regime for storing food during delivery.
4. How can I convey to the collector my wishes regarding the goods?
You can leave your comments for the collector under each item. For example: “cut into slices”, “Watermelon no more than seven kilograms.” All your wishes will definitely be fulfilled.
5. Will I receive a quality product?
Our collectors will take into account all your wishes, choose for you the freshest and highest quality products from those that are in the store. You can always refuse the order or part of it upon delivery or contact us with a complaint by using the contacts in the “Warranty” section. The vast majority of our customers receive more than they expect.
6. What if the item I have chosen is not in the store?
In this case, our manager will contact you and agree on the replacement of the selected product with another similar one from those that are available.
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You can order delivery of goods on any convenient day and time. To do this, when placing an order, you need to select the date and time of delivery.
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Your order will be delivered within the time interval selected by you at checkout. If you want to receive your order faster, use the express delivery function.
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The option “My Favorite Products” will allow you to select the products that you regularly buy and have quick access to them when you log in with your account. You will no longer waste time looking for the same products with every purchase, but you can simply add them to your shopping cart.
11. I have a foreign bank card, can I pay for the order?
You can pay for the order with any Visa / Master Card, any bank, regardless of the country or currency in which the card is nominated. The only obstacle may be the restrictions of your bank (for example: “limit on online payments to the Internet”). If there are any, we recommend that you call the bank and withdraw them to make a payment.
12.How to pay for an order immediately after registration?
Place an order on the site (through the “Cart”), click the “Place an order” button in the “Cart”, fill in your details, select the type of payment – “Internet payment …..” (this form of payment requires mandatory registration on the site, which the system will offer you), then click “Place an order”, then the button “Pay immediately”. After these steps, you will be redirected to a secure payment server to make a payment, follow the instructions of the payment system.Rest assured, all online payments are secure and completely secure.
13. How to pay for an order after assembly via an Internet card?
After assembling the order, we will send you a special letter by mail with a list of goods (may differ from the original order due to weight goods and possible replacements) and a special link to go to the payment server. Click on this link and follow the instructions of the payment server. WE RECOMMEND to check the “SPAM” folder.This form of payment requires action on the part of the Buyer within 45 minutes. If you cannot respond during this time, use the “Pay immediately” function after placing your order or contact the call-center.
14. How will frozen and perishable food be delivered to me?
All goods in this category are delivered in special thermo-boxes and auto-refrigerators with full preservation of the properties of the goods and commercial packaging.
15. Am I missing a receipt, poor quality or poor service?
Contact us with a Complaint Statement using the contacts indicated in the “Warranty” section. Describe the problem in detail, indicate the full order number, it is advisable to attach a photograph of the receipt, goods (if necessary). ATTENTION! Complaints are accepted exclusively via e-mail and are not considered for an oral statement via a phone call.The term for consideration of the Complaint Statement is 2-3 working days.90,000 Where are the Volvo S40 rear brake pads. Where is?
Just now a neighbor in the garage was interested in figuring out where the rear brake pads of the Volvo S40 are in the car. Look, I found it! In this video you will find out where the rear brake pads of the Volvo S40 are located.
Comments and clarifications where are the rear brake pads Volvo S40
you yourself are like a jar) commentator from God)
question: how much to tighten the bracket bolts by 18 and the smaller bolts at the pads, do you need to tighten tightly?
… chief mechanic … steering knuckle … hmm … with a hammer on the brake disc, and not destiny to do everything right? No wonder there are 2 bolt holes to remove the disc, and not hammer. Or maybe all the same a trunnion, and not a rotary CAM ?? !!
there were shocks when the reverse gear was turned on. I drove for a very long time. Thanks to the video I did not even climb under the car – I took the cartridge ($ 18) entirely assembled. Today I put it. There is no longer a really terrible shock. I’ll see how long it will last.Thank you
I have already changed 4 phase sensors, the check lights up everything even goes out, the on-board computer writes ‘phase sensor error, incorrect signal’ Help please! All wires are normal.
I join = raven = or don’t you know how, or are you filling up the price?
It’s time for the best engine from Volvo. What do you think is this? period 08-16 years
You just as ordered this video released.On my Grant, the rear brakes were noisy 🙂 Thank you!
Why didn’t waste time on this half an hour of time?
My friend, judging by the shape of the brake drum, you have non-standard 180 mm. (inner diameter), but as mine is 205mm. I have an accent of 2009 drums already killed in the trash … I can not find drums for my car !!! If you have already changed the drums, tell me which model they fit, I was already advised here from Hyundai Elantra, but one hell did not fit 🙁
Sergey hello as always on top ??? please tell me can I use another scrubber and at what ambient temperature is it best to do it? Thanks!!!???
oooooo very useful)
A worn out wheel is not at all expensive)
It’s time to switch to Longarms!
I’m also in shock, beautiful keep it up! But you don’t have to repair cars.
I put the Flosser halogen on the Focus 295x
Pros were found … then you are shitting here, don’t like it, don’t look.
well, it will sag anyway. will be 3 fingers) the strut rod should stick out from the middle of the nut by 16 mm
Please tell me the name of the music that is from 30 sec. begins. I searched for the name of the music with all track recognizers, but I did not find (
Rubber.Good. Himself on such a hedgehog and also Volvo but 960
I saw an 8-valve engine and immediately became uninteresting. You change it to 16, that’s where … fuck you crawl, the hands found a place for him on the engine!
Guide pins in open brakes, as here, must not be lubricated.
Damn, you explain it so cool! Young fuck! Video bomb!
Replacing the front brake discs Renault Espace.Replacing the front pads Renault Megane II
Comments on the topic Replacing the front brake discs Renault Espace
Hemorrhoids with front brake discs are another thing G)) Tell me there was no such thing in you that the hub would wear out, that is, let’s say it was bent, or I don’t know how to ditch it … I ran into such a problem with the left wheel when installed new brake discs, the right wheel did everything as expected, but the left one turns out when I installed new brake discs and began to put on the suport bracket, the brake disc itself began to push against the bracket, that is, I twist the disc and it wipes over the bracket, so it’s impossible scroll that is, I have not yet come across this… I have already changed the brackets and the discs are still rubbed into the brace. And there are beats in the steering wheel … and I see how it is not evenly the pads are poking up to the brake disc, the upper part is wiped more and the lower part does not want to rub in, that is, there is no evenly poking of the pads to the disk. I think that the hub may be bent or what else can beat already?
Thank you for the spec sheet
on the new Logan, the Pirelli tires are all on the right side, I have a lot of things on the RENOSHKA without front brake discs …
I don’t know about others.But on the front-drive vase, distantly from the supart, unscrew only the lower bolt and turn the support to the top.
your brake discs are wrong – change places!
A friend told me with the front brake discs on the Espace so far without any problems, Do not tell me what kind of sound it might be, it is especially well heard from the 25th second.
As always, truthfully, very good and to the point, thanks Max !!! Love, we have long gone to our auto industry, it’s not ours, to create a car for a massive consumer, a Chinese m like !!! Passed 4.200 on H9, I don’t regret 2.400 for it !!!
a lot of unnecessary work)) There is a lot of information on the front brake discs on the Internet)
In vain you offend people – you call rogues. My friend the bank manager always takes a small car for himself. Big cars piss him off)
I also have takha
I am postponing the question with the front brake discs for now! But what about the hub to clean from rust (
For the future: You shouldn’t name files with Russian letters And keeping the programs themselves in folders, the paths to which have Russian letters, is also not worth it)
Hello! I understand this method is suitable for cars without ABS.Or is there no difference?
Thank you for a good video. It’s not bad if renault would explain in more detail on the front brake discs))
And nothing has been said about the caliper guides yet. About whether or not they can be lubricated. And the system is there ATE, if not right, correct
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frisco Pet Gate 3 Panel Application Manual
Kindly Favorite Drain
Favorite panel 3
INSTRUCTIONS FOR USE
YOURSELF FOR LOVE
Catalog number 250606,
- Modify the drug with mec.Do not use abrasive cleaners or whitewash.
WARNINGS AND CAUTIONS
Praying, read carefully all the warnings and instructions, before bend it.
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- Swing out the directions and crawls with the necessary parts. If the installation is incorrect, the porta may be unstable or displaced from the gate.
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Before the globally, do not take away and identify all the parts, readings in the downstream.
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INSTRUMENT TO WORK
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Comments on the topic A / C belt replacement KIA Bongo
Thank you for the video! Please tell me your set of rubber bands (sealed to her) – some kind of brand or ordered from aliexpress? Thanks for the answer.
With this support there are piles of dust particles like a condom stretching !!! At a speed, it’s interesting to see where
Kannon wrote (a)
about 10 o’clock I change this damn timing belt and has not changed already the head is boiling, then the horseradish belts are loosened, then the horseradish bolts are unscrewed and licked off (pshykal in them already with all kinds of chemistry).And yet such a moment on my timing cover is broken, that is, I don’t need to unscrew the condo, right? you just need to unscrew the pulley and remove the belt and put it back?
when driving on the glory of the 2006 injection year, the check suddenly lights up, the instrument arrows fall and the speed is lost a little, then everything falls into place again everything works I can not understand what is the reason
Chishikova Pobeda wrote
Thanks! Very detailed!
Good afternoon, can you change the valve that turns on the compressor without removing the compressor from the car ???
some kind of crap I can’t watch the video I have to download
I also crack when driving, I can’t understand that
I have an Opel Vectra b with a kondey, but since it does not work, will the belt from a car without a kondeya fit, since without it it changes much faster and easier
William wrote (a)
and what to do with plastic anthers – customers really love them)
A good specialist, he does as he does, there would be more of them! And in which city do you live?
What kind of music is playing? awesome track
Oil pump along the way not from this engine, but from g4kd.This engine should have an oil pump with balancers.
Sanchenko Spas wrote
Roman throw off your number
Hello, tell me what kind of thread on the tension roller?
Storme wrote (a)
What is most interesting, there is an M9 bolt, yesterday a turner carved such a bolt for me, but no matter how much I tried, I could not cut such a thread. I made a 3 mm washer as a limiter so that the pulley would not be overstretched…but alas, there is no such bolt …
Lolo Lipovich wrote
Hello. Have you solved the problem?
nothing complicated … if you are in the yard in summer, but try in the field in winter) but thanks for the video)
mator 1.6 floor.
Thank you, well done, clearly explained, without unnecessary introductions !!! Good luck!!!
Frisco Goryanoy wrote
Thanks for the video! I would have looked earlier – I would have been ‘armed’ =) And I had a similar problem while fishing.While my wife was fishing – I changed the belt =) And the problem turned out, as I think, in the eaten splines on the crankshaft pulley. And since I have little experience, I didn’t figure it out right away, I look – the belt is standing, I’m looking for it – it won’t start … from the passenger compartment I did not see that the belt was in place =) And I have a 1.3L engine with all that it implies … Here is a photo there is anyone interested in
Cornelius wrote (a)
And on a Mitsubishi Colt starter, too, do not disrupt ???
Toyota Innova camshaft sensor replacement.I will subdue and go!
Variable Valve Timing Code p0011 p0010 p0012 p0013 p0014 p0028 (Don’t Waste Money)
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Comments on the topic Replacing the camshaft sensor Toyota Innova
ohhh krasava !!! and I’m breaking my head and got advice)
Is this the readings of the plate for all dmrv?
I also had a problem with the armor wires. Look if the air supply sensor is native.My son-in-law stood from the Russian top ten, changed the air sensor, everything went away. Think once you have a twist and the shrinkage of the plant can punch.
Yes, is the answer to the money question. However, adaptive re-learn is needed for the following. As sensor wears, ECM remembers its wear pattern. Also, when sensor is new, each one has a specific peculiarity, same year, make and model sensor. Most makes you erase and disconnect ECM to erase adaptive memory. Others require a scan tool.All this is covered on my Automotive Sensors. Thanks for posting.
Let me tell you a secret, it is not necessary to snap off the bracket from the chip that you want to remove, just click on it in the middle and pull the chip. Itself recently cleared, it turns out everything is much simpler)
I also have a problem call
I don’t know without offense, of course, but all this reminds me of the expulsion of the evil one and the beating of a tambourine.Little effective.
is idle speed sensor 100%
Acquired a similar one) 98 year, color, units
Twisted so much for a long time would have filled a candle …
Thank you very useful video
hello, not only the speed is floating, but it also became bad to start on a cold one, maybe also from this sensor?
Would that fix the p1259 code.
No, not interesting, NECESSARY.
luxe oil g11 normal which you filled in?
No matter how advance the new internal combustion engine still it is NOT the future of modern vehicle. It has carbon emission that cause air pollution that can cause sickness. Carbon emission slowly detroying our ozone layer that could cause climate change and global warming. ICE vehicle will be obsoleted in the future because fossil fuel is not renewable soure of energy and it will be depleted in the future, so it is useless to have an engine without fuel.So we must all switch to electric vehicle. Electric vehicle technology is rapidly improving, zero carbon emission and low maintenance are advantanges, it also using a smart driving system to decrease the rate of car accident like automous driving system that can drive you home when you are drunk and advance sensor for automatic stop when someone cross the street. Super Fast charging and long range travel are now achievable. Specialy once the graphene super capacitor would be us a replacement of the lithuim battery that will give more energy for long distance travel and super charging.Graphene super conductor will be used also to replace the copper wire of the electric motor to improve performace and avoid overheating since super conductor dose not generate heat while being use for a long period of time. So electric car is the future of modern vehicle. But the problem is the price it is expensive and the maintenance cost is also expensive but hoping that the price will be reduced due to competing since they’re many car manufacture are making electriv vehicle now. The point is not whether we like it or not we can not electric vehicle from dominating in the future
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