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Post by aprilfay21 on Oct 21, 2022 18:06:07 GMT
Possible TMI
I'll try to get to the point but I'm wondering where you would start because I've never had any real medical procedures (other than during child birth) and I don't go to the doctor much.
I've had 4 large babies (3 vaginally, 1 emergency section) and I'm currently dealing with DR, possible vaginal and/or bladder prolapse, practically nonexistent PF muscles, umbilical hernia, and in need of a tummy tuck. I'm also, at 40, possible going through the early stages of perimenopause. (My mother was fully menopausal by 45.)
I don't have a PCP since I rarely go, and I hated my OB once I started seeing him with my 3rd(but it was easier to stay with him since he had all my medical history) so I haven't had an OBGYN in 3 years.
I'm hoping to get enough "medical need" for my insurance to cover at least part of my DR surgery. If you were me, would you start with a PT, PCP, OBGYN, or the plastic surgeon? My insurance doesn't usually need a referral.
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Post by rymeswithpurple on Oct 21, 2022 18:16:23 GMT
Would it be possible to start fresh with a new OBGYN? Perhaps collect your medical records from the old offices and start new? I don't know if it's possible, but maybe a new outlook could help?
I would also ensure that for what you're looking to do that you don't need a referral. I know that my insurance also doesn't require me to get a referral for a specialist, but it's always good to be safe. (I took my referral paperwork to a new specialist I started seeing just in the off chance they needed one [they didn't]).
Best of luck!
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gsquaredmom
Pearl Clutcher
Posts: 4,078
Jun 26, 2014 17:43:22 GMT
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Post by gsquaredmom on Oct 21, 2022 18:23:22 GMT
I think you should find a really good internal medicine person who can help you prioritize these issues and help make everything happen. You have a lot going on and a master coordinator would help.
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Post by littlemama on Oct 21, 2022 18:30:06 GMT
I dont know what DR is, but start with a PCP.
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Post by gotranch on Oct 21, 2022 18:43:37 GMT
Yes, I would start with a new OBGYN. In my experience, I prefer female OBGYNs since they relate so much better with those type of issues. They will be able to make any referrals needed for hernia/tummy tuck/etc once the other issues are accessed. You must be miserable. Hope you feel better soon.
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finaledition
Pearl Clutcher
Posts: 4,896 
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Post by finaledition on Oct 21, 2022 19:15:57 GMT
I liked my ObGyn until he moved and I got placed with someone else. She was terrible. So I ended up looking for ones with great reviews and settled on one who just practices gynecology-I was done having kids. It seemed like a good fit to be with someone who specializes in issues we deal with as we age and not managing the obstetrics area. So glad I didn’t waste anymore time with a doctor whom I didn’t like or trust.
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Post by lucyg on Oct 21, 2022 19:32:58 GMT
I would start with a PCP, and I’d also be looking for a different, perhaps female, OB-GYN. I tend to be like you, and I’ve learned that these medical issues we like to ignore can start piling up till you’re completely overwhelmed if you don’t deal with them. So just do it! Also, I’m another one with no idea what DR means.  |
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Post by Zee on Oct 21, 2022 19:44:16 GMT
I'm a nurse and don't know what DR means in this context but I'll probably feel stupid when it's revealed. Lol
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Post by Darcy Collins on Oct 21, 2022 20:08:38 GMT
I think everyone should have a PCP. Now I will say that my GYN is my PCP. She keeps track of all necessary screening, does routine bloodwork etc. So if you find a new GYN that you like, I don't think it's an issue to use her as your PCP. But I think either PCP or GYN should be your initial consultation.
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luckyjune
Pearl Clutcher
Posts: 2,685
Location: In the rainy, rainy WA
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Post by luckyjune on Oct 21, 2022 20:16:05 GMT
I was 50 when I faced several issues all at once. I know how stressful that is. Disappointing too, when you've been healthy as a horse your entire life. The first time I ever went to the hospital for myself was at age 30 when I had twins. In the past four years I've had two surgeries, with three more on the horizon.
I have to see a new doctor next week, as my old one moved. I have several issues to talk about. I have asymptomatic reactions to almost all of of my conditions. Some of them are conditions for people in their mid-to-late 80's...I'm 58. I'm not looking forward to starting all over with a new doc.
I think I'd start with a primary doc and go from there.
I'm right there with you and completely understand.
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scrapngranny
Pearl Clutcher
Only slightly senile
Posts: 4,763
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Post by scrapngranny on Oct 21, 2022 20:48:49 GMT
All your issues are GYN related, so I’d start there. Find one you really like, they would be the one to refer you plastic surgeons if that is needed. If you feel the don’t e afraid to get a second opinion. Good luck. You are way to young to suffer through these issues long term.
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Post by lisacharlotte on Oct 21, 2022 20:53:19 GMT
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Post by Eddie-n-Harley on Oct 21, 2022 20:57:21 GMT
I'n guessing DR= diastasis recti.
I'd actually probably call around and see who can see me first and start there.
I also wanted to add that my various clinics have usually nurse practitioners and/or physician assistants working with the MDs. I have fortunately liked all of them, sometimes more than the doctor, and they tend to have better availability.
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momto4kiddos
Drama Llama
Posts: 5,151
Jun 26, 2014 11:45:15 GMT
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Post by momto4kiddos on Oct 21, 2022 22:36:59 GMT
If you need no referral i'd start with finding a new ob/gyn. While I never minded a male, I had a lot of issues suddenly in my late 40's and got a referral for a female who I really liked. I'd start there, but also work on finding a primary care you like at the same time. Good luck, hopefully you can start getting some of these issues put behind you soon.
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Deleted
Posts: 0
May 2, 2024 8:35:57 GMT
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Post by Deleted on Oct 22, 2022 1:41:26 GMT
PCP who should be able to direct you to a general surgeon for all the abdominal work (DR, hernia, the DR surg will prob take care of the "need" for a tuck) and then on to a GYN surgeon for the vag work. It might not be suggested in that order, I was just guessing based on the DR being the most pressing issue and probably what's responsible for the hernia and pelvic floor dysfunction. Best of luck to you!
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Post by supersoda on Oct 22, 2022 1:48:42 GMT
I'd find a new gyn. I think they'd be the most clued in on which specialists are the best in the areas you need addressed.
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Post by hmp on Oct 22, 2022 2:51:25 GMT
Please be aware that while your insurance may not require a referral, the specialist might. I’ve worked in a couple of endocrine practices, all of which required referrals from a PCP. No PCP is an automatic refusal of care. There’s a shortage of Endos nationally. We triage patients thru the referrals. Generally only accept 20%.
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Post by aprilfay21 on Oct 24, 2022 14:22:17 GMT
Sorry, everyone. I posted and then got busy away from the office and I hate NSBRing on my phone.
Yes, DR is diastasis recti. I'm pretty sure it's also leading to my chronic back and hip pain. I was leaning toward starting with a new GYN so with your validation, that's where I'll start. I plan to get referrals starting from my initial visit but I won't need one for her.
Regardless, I'll want/need the tuck since I had a c-section with my last and it caused a pretty severe overhang. I'm hoping at the least for my insurance to cover the anesthesia since I'll also have hernia repair. If I can wrap everything in one for the abdominal work it'll save me some money.
Thanks, everyone!
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Post by iamkristinl16 on Dec 1, 2022 23:06:12 GMT
I'm curious what your prolapse symptoms are. I have pretty much all of the things you listed and have been wondering if I have that as well. Lately I feel a "bulging" (best way I can describe it) when on the bike or when I cough, etc.
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Post by Gem Girl on Dec 1, 2022 23:37:11 GMT
If you need no referral i'd start with finding a new ob/gyn. While I never minded a male, I had a lot of issues suddenly in my late 40's and got a referral for a female who I really liked. I'd start there, but also work on finding a primary care you like at the same time. Good luck, hopefully you can start getting some of these issues put behind you soon. I think going to a male for this is like letting a guy who drives a Pinto work on your Porsche.  |
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Post by malibou on Dec 1, 2022 23:39:21 GMT
I'm curious what your prolapse symptoms are. I have pretty much all of the things you listed and have been wondering if I have that as well. Lately I feel a "bulging" (best way I can describe it) when on the bike or when I cough, etc. With how tiny you are, I wouldn't be surprised if you've got some of this going on. I know your boys are big guys now, we're they big babies? |
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Post by iamkristinl16 on Dec 2, 2022 0:18:59 GMT
I'm curious what your prolapse symptoms are. I have pretty much all of the things you listed and have been wondering if I have that as well. Lately I feel a "bulging" (best way I can describe it) when on the bike or when I cough, etc. With how tiny you are, I wouldn't be surprised if you've got some of this going on. I know your boys are big guys now, we're they big babies? They were all right around 8lbs. So not huge, but for someone my height it seemed pretty big.  With my first I had a long labor with 3+ hours of pushing and forceps attempt but ended in a c-section. I had c-sections with the other three as well. |
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Post by wagleg on Dec 2, 2022 0:32:40 GMT
I would definitely female urogynecologist.
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Post by malibou on Dec 2, 2022 1:54:43 GMT
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Post by SallyPA on Dec 2, 2022 2:58:40 GMT
Gynecologist. (Gyne PA here).
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Post by donnab on Dec 2, 2022 3:10:12 GMT
If you have a urogynecologist available I would see them. They can help with your prolapse and your pelvic floor issues. They may be able to do some other repairs as well.
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With my first I had a long labor with 3+ hours of pushing and forceps attempt but ended in a c-section. I had c-sections with the other three as well. 
