| Fifty-Seven
                          Fibroid Tumors Later
 
 
 This is not a misprint or a
                              “typo” in the title. I was diagnosed with
                              fibroid tumors in 2000 and was advised that they were
                              ''not serious and we'll just keep an eye on them."
                              Six years later in what should have been a routine
                              two and a half hour surgery lasted almost five and
                              one half hours.
                               MENSTRUAL
                            PAINSEvery since my late teens,
                              my menstrual pains have been almost unbearable. I
                              had heavy bleeding, severe cramps and began to experience
                              discomfort in my lower stomach. My OB/GYN suggested
                              that birth control would be the best route to take
                              in order to manage the bleeding and cramps somewhat.
                              Upon my next visit (a year later) that discomfort
                              in my lower stomach turned out to be fibroid tumors.
                              It was during this routine checkup that I was advised
                              that the fibroids were "not serious and we'll
                              keep an eye on them."
 In 2003 I moved
                            to southwest Florida and the discomfort in my lower
                            stomach grew worse. A family member recommended that
                            I see Dr. Blaise Kovaz.   After
                            a routine checkup and some ultrasounds, it was concluded
                            that my fibroids were growing at a rapid rate. Turns
                            out that the prescription birth control may have caused
                          the swelling and growth of the fibroids. Dr. Kovaz said the
                            ultrasounds showed about ten fibroids, some as large
                            as a baseball. The only real option was surgery, especially
                            if I had any desire of bearing children. From there
                            he suggested I see a specialist, Dr. Craig Sweet,
                            a specialist in Reproductive Medicine and Surgery.
 MY ONLY OPTION
 Dr. Sweet examined my situation, and could only recommend
                            surgery because of the size of the fibroids. The option
                            of not having surgery meant no chance of having children,
                            problems later on down the road and a possible hysterectomy
                            at a later age. Being upset and a bit nervous with
                            the thought of surgery, I went back to Dr. Kovaz and
                            asked him for a second opinion. He recommended Dr.
                            Jacob Glock.
 
 Dr. Glock reaffirmed what Dr. Sweet suggested. He
                            did explain that I could undergo a series of shots
                            over a period of six months to help shrink the fibroids,
                            but it would still an operational procedure to get
                            them out.
 
 After discussing the pros and cons with my boyfriend
                            and family, I made the decision to bypass the shots,
                            and just get the surgery. I wanted nothing more than
                            to have this over and done with.
 
 For the next two months prior to my surgery date,
                            I began reading books, searching the Internet and
                            talking with other women who had fibroid surgery.
                            It was a long two months, but a bit comforting to
                            learn and correspond with many women who have been
                            through this procedure.
 
 APRIL 11, 2006 –
                              SURGERY
 My boyfriend took time off work and drove me to Health
                            Park, a highly recommended hospital in Fort Myers.
                            At my request, both Dr. Sweet and Dr. Kovaz were to
                            be in the operating room.
 
 After filling out some more forms, and having my vital
                            signs checked again, I was walked into the prep room
                            where they began my IV and the anesthesiologist gave
                            me something to relax myself. From there I was wheeled
                            into the operating room. The last thing I can recall
                            was that the room was ice cold and I was staring at
                            the light and then I was out.
 
 I had asked Dr. Sweet prior to my surgery what was
                            the most fibroids you ever removed from someone. He
                            said 36. Five and one half hours later that record
                            was broken as he removed 57 fibroids from me. They
                            ranged is size from a softball down to popcorn.
 
 As the surgery went on well past the predicted two
                            and half hours, my boyfriend was sent home. The following
                            day Dr. Sweet met with my boyfriend and told him the
                            news that the dozen or so fibroids were actually 57,
                            therefore the longer surgery and longer recovery now
                            necessary.
 RECOVERYI slept little during the night, as the nurses kept
                            taking all my vitals and the anesthesia wore off.
                            When I awoke the next day I was in tremendous pain.
                            As soon as a nurse came in the room I asked her, "Do
                            I still have my uterus?" She checked my chart
                            and with a polite smile replied, "Yes, you still
                            have your uterus."
 
 My mother flew down from Connecticut, and for the
                            next few days she and my boyfriend were at my side
                            in the hospital. Dr. Sweet encouraged me to get up
                            and start walking a bit, warning that it will be painful,
                            but necessary. He was right on both accounts. He also
                            told me that he did not even remove all of the fibroids
                            as there was too many and they were not prepared for
                            such a lengthy surgery.
 
 My diet went from liquid, to soft food, to hard food
                            in the matter of a week and I lost 20 pounds. After
                            coming down off all the painkillers and medications,
                            I got sick a few times and twice ran a high fever.
                            But once my fever broke and settled I was finally
                            allowed to go home.
 
 For the next six weeks I slowly gained my strength
                            back, and built up a regular appetite. The obvious
                            decision I made was not to go back on the pill, but
                            to use an alternative birth control method. Needless
                            to say my menstrual cycle is not as heavy and a lot
                            less painful, minus a serious cramp only now and then.
                            Also, if the fibroids should start to grow, at least
                            this time I know enough not to "keep an eye on
                            them," but to take preventive measures and get
                            rid of them using a non-surgical procedure.
 
 
 Dr. Sweet’s Comments:This patient is memorable
    for a number of reasons. The first was that the uterus
    was really quite large. The top of the uterus actually
    reached the belly button, what we commonly call 20
    weeks gestational age (i.e., the size of a singleton
    pregnancy at 20 weeks gestational age). Since L.P.
    had not had children yet, she wanted conservative
    treatment. While I try not to discuss surgery on the
    first visit (I would think it would scare most patients),
    there were really very few options available. Hysterectomy
    or myomectomy and keep the uterus.
 
 The surgery was a true marathon, one of my longest.
    I had to use just about every trick I could to remove
    them quickly. The blood loss was amazingly low (500
    cc) we never entered the cavity or seemed to damage
    the insertion of the tubes into the uterus. I recall
    removing almost all of them. With a quick calculation,
    I spent about six minutes per fibroid which is generally
    as quick as I can go. I finally had to let Dr. Kovaz
    go so he could see patients as none of us were expecting
    a five+ hour case.
 
 I am concerned that it is quite likely that some new
    fibroids will form soon. I haven’t seen her
    back for a while and I hope she is well. This is also
    a surgical record (57 fibroids) I would prefer to
    never to break again!
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