Hope For Adhesion Pain Sufferers

Adhesions - Clear Passage Therapies Natural Treatment

2012-02-09T01:19:00.000-08:00

If you have tried this good or bad, we'd like to hear from you! Please leave a comment! Thank you.

ARDvark Blog Journal of Adhesion Related Disorder: Patient viewpoint on Adhesion Awareness ~ Video by Carly

2012-02-02T02:56:00.000-08:00

ARDvark Blog Journal of Adhesion Related Disorder: Patient viewpoint on Adhesion Awareness ~ Video by Carly

ARDvark Blog Journal of Adhesion Related Disorder: Carly's Awareness of Adhesions ~ Video diary ....but you don't look sick...

2012-02-02T02:53:00.000-08:00

ARDvark Blog Journal of Adhesion Related Disorder: Carly's Awareness of Adhesions ~ Video diary ....but you don't look sick...

ARDvark Blog Journal of Adhesion Related Disorder: U.S. to Force Drug Firms to Report Money Paid to Doctors

2012-01-22T04:24:00.000-08:00

ARDvark Blog Journal of Adhesion Related Disorder: U.S. to Force Drug Firms to Report Money Paid to Doctors

Adhesion Related Disorder International Human Rights Team IHRT: Beware of the Abdo-lift....

2012-01-19T09:32:00.000-08:00

ARDvark Blog Journal of Adhesion Related Disorder: Adhesion related Disorder ~ Adhesion Products Adhesion Reduction Agents

2012-01-17T03:27:00.000-08:00

ARDvark Blog Journal of Adhesion Related Disorder: Adhesion related Disorder ~ Adhesion Products Adhesion Reduction Agents

Asherman’s Syndrome – could it be why you’re struggling to have a baby?

2012-01-12T05:15:00.000-08:00

Asherman’s Syndrome – could it be why you’re struggling to have a baby?
We look at how this condition could be affecting thousands of women in the UK. Find out the causes, symptoms and - most importantly - whether it can be treated.
Posted: 5 January 2012
by Martine Gallie
Have you ever heard of Asherman’s Syndrome? I hadn’t – and I’ve been writing about women’s health, in particular fertility, pregnancy and birth, for about 20 years. I became aware of this condition only when I came across the International Asherman’s Association stall at the Fertility Show in London recently.

I was amazed that a syndrome that potentially affects so many women – and one that can have such devastating consequences for our fertility – isn’t more widely known about.

What is Asherman’s Syndrome?
Basically, Asherman’s is scarring (adhesions) of the uterus. This scarring causes lighter periods or no periods at all and, in almost all women who are affected, infertility.

Click here to read the rest:
http://www.madeformums.com/fertility-problems/ashermans-syndrome--could-it-be-why-youre-struggling-to-have-a-baby/20928.html

Health insurance rescission case upheld by California appellate court - Lexology

2012-01-11T01:49:00.000-08:00

Health insurance rescission case upheld by California appellate court - Lexology

Adhesion Related Disorder International Human Rights Team IHRT: Has wanna be adhesion activist/author Karen Steward made you feel...

2012-01-10T03:23:00.000-08:00

EndoTimes: Endometriosis Linked to IBD

2012-01-02T04:18:00.000-08:00

EndoTimes: Endometriosis Linked to IBD

Breaking News! Adhesions easily visualised with simple Barium Swallow!

2011-12-21T03:50:00.000-08:00

Breaking News!

Adhesions easily visualised with simple

"NONE INVASIVE "

CONTRAST X-RAY BARIUM SWALLOW!

When taking the test, you drink a preparation containing Barium sulfate . The x-ray tracks the chalky like liquid as it makes it way through your digestive system, (inside the organs).....however it also showed what was on the OUTSIDE of the organs of the digestive track, (in the peritoneal cavity within the abdominal cavity!)

The "Contrast Barium Swallow" abdominal x-ray diagnostic was never meant to show anything else, it showed ADHESIONS attaching internal organs in the lower digestive track to the peritoneum and to other organs.

It can also show the "mis-alignment" of intestines from being pulled out of the normal alignment by adhesion attachments!

This diagnostic can also detect bowel obstructions or bowel impactions---and all of this without so much as a surgeons knife!

MORE TO COME
on this magnificent discovery in the world of
ARD!

Maybe 2012 WILL be a year of good for

"Adhesion Related Disorder"
victims!

!!!! Visible Adhesions !!!!!

"MERRY CHRISTMAS"
"HAppy Holidays"
or rather
"THank-God"

!! DEMAND THIS DIAGNOSTIC !!

The "X-Ray Barium Swallow" diagnostic test is NOT used to detect adhesions, or any other "pathological anomalies," OUTSIDE of the organs of the digestive track!

The "X-Ray Barium Swallow" is a diagnostic tool used to solely detect "pathological anomalies, obstructions and/or diseases," WITHIN the organs of the digestive track!

You MUST insist that your attending physician order this diagnostic test if you have had a previous adhesiolysis, or many of them for that matter, and are currently experiencing abdominal/pelvic pain that YOU think is associated with adhesions, or ARD!

Have it ordered for "Pain," as you see listed below!

DO NOT ALLOW YOURSELF

to be denied this diagnostic!

Barium Swallow IntroductionA barium swallow is a test that may be used to determine the cause of painful swallowing, difficulty with swallowing, abdominal pain, bloodstained vomit, or unexplained weight loss.

Barium sulfate is a metallic compound that shows up on x-ray and is used to help see abnormalities in the esophagus and stomach. When taking the test, you drink a preparation containing this solution. The x-rays track its path through your digestive system.

•These problems can be detected with a barium swallow: ◦Narrowing or irritation of the esophagus (the muscular tube between the back of the throat and the stomach)

◦Disorders of swallowing

◦Hiatal hernia (an internal defect that causes the stomach to slide partially into the chest)

◦Abnormally enlarged veins in the esophagus that cause bleeding

◦Ulcers

◦Tumors

◦Polyps (growths that are usually not cancerous, but could be precancerous)

Barium Swallow - Test Results

ALWAYS INSIST YOU RECEIVE A COPY OF THE TEST , BUT MOST IMPORTANT IS THAT YOU SECURE A VISUAL COPY OF THE FILMS OF THE X-RAY ITSELF AS IT IS IN THESE THAT YOU WILL SEE ADHESIONS IF THEY ARE VISIBLE!!!!

The "normal" pathology results your Dr. looks for and will jabber about are listed below here, just listen them out, then make sure you get a visual or the test for yourself! It is imperative that YOU look for your own results and IF adhesions can be seen in these films, you will recognize them!

Usual Test Results:
Ask your doctor for the results of your barium swallow test. You may have to wait a few days until the radiologist (a specialist in x-ray examinations) looks at the x-rays and gives your doctor the final results. Your doctor will recommend a plan of action to you based on the results.

•The x-rays will show the digestive wave (peristalsis) through the length of the esophagus. When barium reaches the end of the esophagus, the barium enters the stomach.
•The barium swallow may reveal problems in the pharynx (the back of the throat), the esophagus, or the stomach. The problems could be narrowing, tumors, polyps, ulcers (erosions), or disorders in moving food through the system. It can also show a hiatal hernia, diverticula (pouches opening along the esophagus), or varices (enlarged veins).

•If the barium swallow test shows any area of concern, your doctor may plan what other tests, procedures, treatments, or medications you may need. The treatment for problems discovered during a barium swallow vary depending on the condition. http://www.emedicinehealth.com/barium_swallow/article_em.htm

A picture is worth a 1000 word...so see for yourselves!

In 2009 a known adhesion sufferer had a GI Barium Swallow for "Chronic Abdominal Pain."

This female suffered "Adhesion Related Disorder" and had undergone multiple surgeries in which abdominal adhesion's were present and lysed in each of her each surgeries. Relief was always fleeting and the pain always returned after each surgery.

When this test was taken in 2009 she was told everything is fine and the test revealed nothing, and it was absolutely right, as long as he made his determination based on what the test was meant to show! She had NO abnormal internal organ pathology showing in this Barium Swallow! The docs said she was just fine and sent her on her way.

She had Cat scans, MRI's every test in the book, you name it and the financial toll was enormous...... and all the doctors said she was fine. They could find nothing wrong and yet she suffered so.
A subsequent surgery was scheduled and records and imagery were sent to the new surgeon.

During pre op...reviews of all the tests...these images below caught the surgeon eye!
The surgeon palpitated each area where adhesions were being visualised on these simple

"Contrast Barium Swallow X-Ray Films."
As an ARD patient advocate watched, knowing what was being seen on the screen in front of them showing what could only be "ADHESIONS," the Dr. asked the patient, "Does it hurt there? Does it hurt here?"

Each time the ARD patient confirmed her pain was exactly where the surgeon indicated it might be in her abdomen. The surgeon then told his surgery team that he wanted these films up on a screen in the operating room during the procedure!

You bet he did!

An IHRT patient advocate was scrubbed up and in the OR with the surgeon.....as you will see below, everywhere the wispy white tendrils appeared...is where he lysed adhesion! He used the images below as a guide to lysing the patients adhesions during the entire surgery. He confirmed this for us all!

After surgery, the patient, the surgeon and IHRT advocate were in somewhat of disbelief at what they had just witnessed, and they knew that these images had guided the way...the surgeon confirmed for us that indeed...this simple test reveled adhesions exquisitely!

We feel that this may finally be the end of expensive testing for adhesion patients....the statement that adhesions rarely if ever show up in any type of imaging is now a myth.
No more "Let's have a surgical look, see" to search for the always elusive adhesions.
Use these images to advocate for yourself. Ask for this simple non invasive, inexpensive test!!!!
It is not in your head....it is right there in black and white for all the world to see.
Removing personal information from these images has been difficult but this most generous adhesion sufferer has had that as her only request.
There are more images still to be placed in this posting and each image will be summarised as to what you are looking at anatomically so please check back! Approx a dozen more images from the same series coming soon!

This news is so wonderful we wanted to get it to you as soon as possible!
We wish all who suffer from adhesions all the best this holiday season and we present you a gift from an anonymous adhesion sufferer.

A simple " Contrast Barium Swallow X-Ray!"

"MERRY CHRISTMAS"
"Happy Holidays"

This first image below ...what do you see in the one o'clock position?

Do YOU think you are correct!
( NO, that is not a fetus, it is a twisted bowel!)

#links

2011-12-16T03:40:00.000-08:00

#links

Adhesion Barrier return on investment

2011-10-27T05:52:00.000-07:00

Tuesday, October 04, 2011
From IHRT

CONFLUENT SPRAYSHIELD MAUDE Adverse Event Report
Oh no! Here we go again! Is it going to be like this? Spraygel A.K.A Spaygel

http://ihrt.blogspot.com/2009/02/scarring-caused-by-surgical-gel-spray.html

http://ihrt.blogspot.com/2009/06/surgical-gel-gets-blame-for-pain.htm

http://ihrt.blogspot.com/2009/04/covidien-has-ce-mark-for-sprayshieldtm.html

Adhesions were named in ancient Greek times, known as Synechiae . Attempts to control or cure them have been going on longer that the Miss Informed Karen Steward may think. Gruesome methods of adhesion control even include placing ball bearings in the abdomen and manipulating them with magnets.

So far the only effective improvement of adhesion related disorder is meticulous surgical techniques. Laprascopic adhesiolysis with a CO2 peritoneum for complete visualization of all areas.
( See Harry Reich surgical technique for adhesiolysis and especially Aquadissection)
http://www.adlap.com/PDF/adhesion.pdf

Read below an IHRT blast from the past as one blogger accurately describes the dangers of falling for the adhesion barrier craze.

Patients across the world owe great thanks to Dr. Hanifa Koya of New Zealand for taking a stand against Confluent after realizing that their anti adhesion barrier Spray Gel was actually CAUSING more scar tissue and subsequent surgeries to remove the crippling adhesions it caused.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Adhesion Barrier return on investment
INVESTORS BEWARE!
reprint from 2/09

As IHRT contemplates the desperation of consumers to have adhesion barriers provided in their surgeries and industries willingness to provide them, we are disheartened.
Patients aware of adhesion barriers or indeed adhesions are a slim minority.
Adhesion Barrier Market to Skyrocket to Over $550 Million by 2013PR Newswire (press release), NY - Feb 2, 20092 /PRNewswire/ -- According to Millennium Research Group's (MRG's) US Markets for Surgical Hemostats, Internal Tissue Sealants, and Adhesion Barriers 2009 ...
As we reflect on this headline, one wonders where this number comes from?
IHRT then looks at the source of this press release.
IRONICALLY, Millennium Research Group is based in Waltham, MA, home of Confluent SprayGel and SprayShield !
If an effective adhesion barrier were found and put into use….the number would be enormous!
Here is an example of a guess on what that number might truly be.
_____
Cesarean Fact Sheet - Childbirth.org
Some facts about cesarean sections from Childbirth.org. ... The latest statistics indicate that 967000 cesareans were performed in the US in 1989. ...www.childbirth.org/section/CSFact.html - 16k - Cached - Similar pages
_______
Lets say each of these c-sections had and adhesion barrier applied at the cost of $200.00 per procedure. We feel that this would be a very conservative estimate. The cost would be $193,400,000 for just one procedure in which the number of c-section has increased dramatically since this statistic was reported…
Take the history of Spraygel to it’s current incarnation as SprayShield TM.
All IHRT can think to say is, “return on investment”.
Here is an example to see.
_____
Tuesday, October 28, 2008
Falling apart over Omrix
When I added Omrix Biopharmaceuticals Ltd. (Nasdaq:OMRI) to my portfolio, tracked by "Globes", I noted that it was a profitable biotechnological company in a most interesting niche - biosurgical sealants for the prevention of hemostasis in surgery - and that it was not an all or nothing company, like Pharmos Corp. (Nasdaq: PARSD), for example, where one failed trial can wipe almost an entire investment.
_____________
The founder of Confluent Surgical knew his product would not pass FDA standards so the product was taken out of clinical trials….
Somehow, with fraudulent information SprayGel got it’s CE mark and was used throughout the world as an anti-adhesion barrier. Those in the United States remained safe.
IHRT was founded by the victims of ongoing study of Spraygel until we realized we were being experimented on and paying for the pleasure. In of all places Germany!
The gig was up and Confluent was sold to Tyco which was then sold to Covidien.
As IHRT continues to watch Covidiens stocks fall we become more concerned about them seeking a quick return on their investment!
_____
Top of Form
COV (Common Stock)
Exchange
NYSE(US Dollar)
Price
$34.46
Change (%)
0.69 (1.96%)
Volume
1,019,293
As of 02/26/09 11:23 a.m. ETMinimum 20 minute delay
Bottom of Form
http://investor.covidien.com/preview/phoenix.zhtml?c=207592&p=irol-alerts
_____
It looks like Covidien may have learned to save money by moving it all offshore just as Confluent did.
Is it the old lets see if it works ON THEM and then go to the FDA?
The same scenario is happening again with of all people, Kruschinski and Mettler. In of all places Germany!
http://www.or-live.com/covidien/2457/Pre-clinical%20Data.pdf
Kruschinski D, Homburg S, D’Souza F, Campbell P, Reich H.
Adhesiolysis in severe and reccurent cases of adhesions related
disorder (ARD) - a novel approach utilizing lift (gasless)
laparoscopy and SprayGel™ adhesion barrier. Surg Technol Int.
2006;15:131-9.

Mettler L, Audebert A, Lehmann-Willenbrock E, Schive-Peterhansl
K, Jacobs VR. A randomized, prospective, controlled,
multicenter clinical trial of a sprayable, site-specific adhesion
barrier system in patients undergoing
______
Somehow the bogus science in the above studies are being used once again to tout a product and way after the fact are we learning how the bogus studies of SprayGel made thing worse for us for all of us. Victims of this fraud would tell you there are things worse than death....

It is IHRT’s opinion that until there are actually surgeons learned enough to perform an adhesiolysis that needs no barrier, these products are just a panacea…

Skill is what’s needed and compensation for the time it takes to perform a successful adhesiolyis.
Until then we fell everyone’s just kidding themselves and no product can compensate for, quick or ultra conservative surgery.
So think hard and do your research, be careful of patients who claim this is the best or only way.
_____
...and then you have Karen Steward!!!! Beware!
How many doctors (surgeons) encourage those who are sick to contact his former patients? No doubt, Dr. Kruschinski has raised the bar of excellence when it comes to "treating" a patient. See: Patient List

Thanks Dr. Kruschinski. Our daughter has regained her life due to your brilliance, commitment and compassion for those who suffer from this dread disorder.
http://www.adhesionpain.net/2008/09/five-yearsthank.html

This is what IHRT calls “Harvesting” a dreadful practice that can lead a person to an unwanted intervention.
_____
Remember that these biomedical companies and surgeons are expecting a return on their investments and patients are a dime a dozen. We must remember always “people are willing to profit from others pain”. Our capitulation to the adhesion barrier craze just seems to make us “a return on investment”

ARDvark Blog Journal of Adhesion Related Disorder: Adhesion-Prevention Strategy in C-Sections: Focus on Risk Reduction

2011-10-26T02:59:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: Adhesion-Prevention Strategy in C-Sections: Focus on Risk Reduction

Adhesion Related Disorder International Human Rights Team IHRT: Is Kru gonna ditch you?

2011-10-22T03:28:00.000-07:00

Internal Scar Tissue ARD: Surgical Video – Ovarian Torsion with Dense Adhesive Disease

2011-10-21T03:33:00.000-07:00

Internal Scar Tissue ARD: Surgical Video – Ovarian Torsion with Dense Adhesive Disease

ARDvark Blog Journal of Adhesion Related Disorder: Asherman's Syndrome

2011-10-20T02:52:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: Asherman's Syndrome

Adhesion Related Disorder International Human Rights Team IHRT: So you want to go to Germany and have surgery with Kruschinski based on false hopes offered by Karen Steward??

2011-10-13T02:41:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: Intestinal ischemia and infarction

2011-10-13T00:52:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: Intestinal ischemia and infarction

ARDvark Blog Journal of Adhesion Related Disorder: Diagnosis and management of chronic radiation enteritis

2011-10-12T01:46:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: Diagnosis and management of chronic radiation enteritis

Adhesions, and what can be done about them

2011-10-12T01:13:00.000-07:00

Adhesions, and what can be done about them

Pelvic Adhesions

Pelvic adhesions cause many problems for millions of women. From obstructed tubes associated with infertility, to pelvic tenderness, and painful intercourse, to chronic pelvic pain. Curiously, adhesions can be very extensive, yet relatively silent. They may remain silent indefinitely, or long after the causative event, become symptomatic. The causes of adhesions are multiple but basically the tissue irritation that produces the adhesive process arises from an inflammatory event, or from trauma (i.e. post surgical).

Examples of an inflammatory event would be a tubal infection from a sexually transmitted disease (e.g. Gonorrhea), a post surgery infection, or appendicitis. Chronic "irritation" of the pelvic tissues from a common disease process such as endometriosis, may also incite adhesions. A very significant proportion of symptomatic pelvic adhesive disease arises from previous necessary pelvic surgery ( removal of an ovarian cyst would be a good example).

What are "pelvic adhesions" anyway?? In the process of trying to repair injured tissue, a series of normal healing events may cause some structures in the pelvis to become unintentionally "stuck" to another tissue or structure. In a normal healthy pelvis (or the whole abdominal cavity for that matter) this large space is lined with a tissue called peritoneum, which also covers the outside of organs located in the abdomen and pelvis. In an non-injured or irritated state, the peritoneum can be likened to slippery cellophane wrap…. the organs and structures lying immediately adjacent to each other just slip off each other and do not become bonded together. Given a tissue injury, the healing process initiates a sequence of events that can result in a certain tissue becoming "stuck" to its neighbor, and when this happens certain undesirable results occur.

The ovary for example is a very sensitive structure, much like the testis. If as a consequence of an ovarian cystectomy,( the removal of the cyst from the ovary) the ovary becomes "attached' to the pelvic sidewall, or the top of the vagina, the patient may experience persistent pelvic pain and/or painful intercourse. The diagnosis is suspected by a history of ovarian surgery, and subsequent persistent pain or tenderness unrelated to her menstrual cycle.

After a large abdominal incision (e.g. a hysterectomy for large fibroids) the bowel or an associated fatty structure called the omentum may become adherent to the abdominal wall. Adhesions begin to develop within hours of surgery. If by chance it is a loop of bowel, the patient may experience intermittent bouts of crampy pain, perhaps associated with some nausea, bloating, or even vomiting. The intestinal symptoms are related to some degree of bowel obstruction that inhibits the passage of the bowel contents or gas through the partially obstructed area. When the obstruction is severe then the patient will be very ill with nausea, distention and vomiting, and may not be passing any gas rectally. Xray studies may confirm the severe obstruction, and treatment may require decompression of the bowel by means of a tube passed through the stomach to the intestine, or even exploratory surgery.

More often in my experience, the symptoms are troublesome and annoying, and the obstruction is not severe enough to make any of the Xray tests informative. Often the patient will be sent to the gastroenterologist , and endoscopoic evaluation of both the upper and lower bowel will be performed . Frequently, the diagnosis is "irritable bowel syndrome". It should be remembered that intra-abdominal and pelvic adhesions rarely if ever show up on Xray or ultrasound. Unfortunately, every time an abdominal incision is performed, the risk is present for recurrent adhesion problems. The good news is however that most patients will not develop serious post-operative adhesions causing further problems. Those unfortunate to do so may ultimately undergo repeated surgeries, always hoping that "this will do it!!"

Does everybody develop adhesions?? No they do not, but it is not understood why one person develops very extensive adhesions, and the next individual none at all. The nature of the traumatic tissue event, the duration of the inflammatory insult, the nature of the preceding surgery, the operative technique of the surgeon, and the unknown healing characteristics of a given individual all interplay in the final outcome.

What can be done to minimize pelvic adhesions from forming? Early treatment of an infectious process if identified, utilization of safe sex practices to minimize the transmission of sexually transmitted disease, meticulous surgical technique to minimize unnecessary tissue trauma, and perhaps using barrier products where appropriate. The latter may be helpful in reducing the extent or severity of the post operative adhesion development.

What to do if symptomatic adhesions develop, what are the patients options? The first option in any situation is don't do anything. Pain is a relative experience, and the degree of severity will vary from individual to individual. Minor, or even moderately severe discomfort can often be lived with, or controlled by medication, acupuncture, or medical hypnosis. Not infrequently pelvic pain is not helped by conventional treatment such as hormones, pain medicine, or even surgery. In those circumstances, non-conventional treatment with acupuncture or hypnosis can sometimes be very helpful.

Given significant symptomatic pelvic adhesions being suspected from the history and physical exam, a thorough workup is indicated , which may include special xray studies and ultrasound. Ultimately, laparoscopy may be utilized to allow visual inspection of the intra-abdominal organs. What to do surgically depends on the findings. If an ovary is bound down with adhesions from previous surgery, the extent of the adhesive process may indicate a simple cutting of the adhesions or if necessary, removal of the ovary. If the patient has completed her fertility requirements, and if the pelvic adhesive process is very extensive, a complete hysterectomy with removal of both tubes and ovaries may be indicated. Obviously, the patient and her gynecologist need to have had a very comprehensive and detailed discussion about what might be encountered, and what options might be exercised.

What about abdominal wall adhesions resulting from prior abdominal surgery? These can usually be taken down laparoscopically, thus minimizing tissue injury, as opposed to a conventional large incision. Multiple tiny incisions may be necessary in order for the surgeon to see well, and from different angles the area of dense adhesions. Nonetheless, several tiny 1/2 inch incisions are far less uncomfortable than a conventional laparotomy incision.

If the adhesions are extensive, and the patient has undergone previous adhesion surgery that failed, I have taken an unorthodox approach to such individuals. Because adhesions begin to form almost immediately, along with the healing process involving the raw anterior abdominal wall, I have in special situations recommended a repeat laparoscopy in one week. At this point, the "new" adhesions are flimsy, soft, do not contain a blood supply, and can be swept away with minimal tissue injury, compared to a conventional adhesiolysis (freeing the adhesions surgically) of old adhesions that are dense, very adherent, and bloody. This is performed in an outpatient setting, and usually takes but a few minutes, compared to the time involved dealing with extensive, dense old adhesions.

It is important that patients inquire about their surgeon's experience with extensive adhesions, because what might be viewed as "not possible laparoscopically" by one gynecologist, may be very familiar territory for another. Because bowel may be intimately involved with the adhesive process the patient has to be aware that the worst case scenario may require bowel surgery, and a conventional laparotomy incision.

Pelvic adhesions can be a serious detrimental quality of life issue. Some patients are total pelvic cripples because of this problem. Once formed, they do not disappear with time. If you are suffering from some of the medical complaints outlined earlier, do consider a consultation with an experienced laparoscopic gynecologist and hopefully your adhesive problems can be solved.

J. Glenn Bradley, MD

OBGYN.net Correspondent for Laparoscopy and Hysteroscopy and Alternatives to Hysterectomy Advisory Board Member

http://jglennbradleymd.com/body.cfm?id=7&action=detail&ref=6

ARDvark Blog Journal of Adhesion Related Disorder: What you don't know can hurt you: Knowledge is Power in a Doctor/Patient Relationship

2011-10-10T05:24:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: What you don't know can hurt you: Knowledge is Power in a Doctor/Patient Relationship

Hypoxia Upregulates Neurokinin-1 Receptor (NK-1r) Signaling in Rat Peritoneal Mesothelial Cells (Rpmcs): a Key Early Event in Intraabdominal Adhesion Formation

2011-10-09T13:03:00.000-07:00

Hypoxia Upregulates Neurokinin-1 Receptor (NK-1r) Signaling in Rat Peritoneal Mesothelial Cells (Rpmcs): a Key Early Event in Intraabdominal Adhesion Formation
Melanie L. Gainsbury*, Holly K. Sheldon, Somdutta Mitra, Rami Abdou, Daniel I. Chu, Karen L. Reed, Arthur F. Stucchi, James M. Becker
Surgery, Boston University Medical Center, Boston, MA
Introduction: Intraabdominal adhesions are an inevitable consequence of surgery. Despite good surgical technique, unavoidable ischemic and hypoxic events can exacerbate adhesiogenesis. Our laboratory has shown that the NK-1R, its ligand substance P (SP) and decreased peritoneal tissue plasminogen activator (tPA) secretion are correlated with adhesiogenesis in vivo. However, the mechanism by which NK-1R expression is regulated during adhesiogenesis remains unclear. We hypothesized that surgically-induced hypoxia, as a result of tying or clamping off vessels or electrocautery, may be a critical event modulating NK-1R expression and adhesion formation. The aim of this study was to evaluate the effect of hypoxia on NK-1R signaling and tPA secretion in vitro. Methods: Primary RPMCs were isolated 24-hrs after our previously described adhesion-inducing ischemic button surgery. Confluent cells were incubated under hypoxic (1% O2) or normoxic (21% O2) conditions for 24-hrs and exposed to SP (10 and 100 nM), a NK-1R antagonist (NK-1RA; CJ-12,255, Pfizer, Inc.), or SP+NK-1RA. Cells were harvested to assess the upregulation of NK-1R signaling by Western blot for phosphorylated-ERK1/2 proteins, key downstream intracellular signaling molecules in the NK-1R pathway. Media was harvested to measure tPA secretion via ELISA. In addition, rat peritoneal tissue was collected to assess NK-1R expression by immunofluorescence and tissue hypoxia by pimonidazole staining. Results: Pimonidazole staining was increased in peritoneal tissue after ischemic button surgery compared to non-operative controls. Immunofluorescence showed upregulation of the NK-1R in vivo, primarily localized to the mesothelial cell layer on the surface of ischemic buttons within 6-hrs of surgery compared to non-operative controls. In vitro, phospho-ERK1 levels were increased in hypoxic RPMCs by 1.6 fold with both 10nM SP (1.0 vs. 1.66 +/- 0.12; p<0.05) and 100nM SP (1.0 vs. 1.61 +/- 0.43; p<0.05) compared to normoxic controls. Phospho-ERK2 levels were also increased in hypoxic RPMCs by 1.6 fold (1.0 vs. 1.64 +/- 0.22; p<0.05) with 10nM SP and 1.8 fold (1.0 vs. 1.86 +/- 0.24; p<0.05) with 100nM SP versus normoxic controls. NK-1RA attenuated this effect by reducing phospho-ERK1 levels by 54% (1.0 vs. 0.46 +/- 0.13; p<0.01) and phospho-ERK2 levels by 51% (1.0 vs. 0.49 +/- 0.16; p<0.01). SP-mediated tPA secretion was decreased by 45% (100 +/-19 vs. 55.1+/-19, p=0.017) under hypoxic conditions while no significant reduction was seen in normoxia compared to controls. Conclusions: Ischemia, or hypoxia, contributes to adhesion formation through the upregulation of NK-1R signaling suggesting that early hypoxia-induced signaling pathways may be novel targets for adhesion prevention.

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Back to 2011 Program
http://www.ssat.com/cgi-bin/abstracts/11ddw/P91.cgi

Marinette City Hall Mayham

2011-10-08T06:25:00.000-07:00

Marinette City Hall Mayham

Adhesion Related Disorder International Human Rights Team IHRT: Press Release: Cochrane Collaboration statement on access to clinical trial data

2011-10-08T06:06:00.000-07:00

Adhesion Info: Diagnostic Laparoscopy and Adhesiolysis: Does It Help with Complex Abdominal and Pelvic Pain Syndrome (CAPPS) in General Surgery?

2011-10-07T06:38:00.000-07:00

Adhesion Info: Diagnostic Laparoscopy and Adhesiolysis: Does It Help with Complex Abdominal and Pelvic Pain Syndrome (CAPPS) in General Surgery?

Adhesion Related Disorder International Human Rights Team IHRT: CONFLUENT SPRAYSHIELD MAUDE Adverse Event Report

2011-10-04T12:30:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: The inpatient burden of abdominal and gynecological adhesiolysis in the US

2011-10-04T04:45:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: The inpatient burden of abdominal and gynecological adhesiolysis in the US

ARDvark Blog Journal of Adhesion Related Disorder: Abdominal pain

2011-10-02T13:59:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: Abdominal pain

Internal Scar Tissue ARD: Current management of small bowel obstruction.

2011-10-02T04:40:00.000-07:00

Internal Scar Tissue ARD: Current management of small bowel obstruction.

ARDvark Blog Journal of Adhesion Related Disorder: When a surgoen has a bowel obstruction from adhesions!

2011-10-01T07:47:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: When a surgoen has a bowel obstruction from adhesions!

ARDvark Blog Journal of Adhesion Related Disorder: Adhesions and Fibroid Embolization

2011-09-29T15:30:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: Adhesions and Fibroid Embolization

September is Adhesion Related Disorder Awareness Month

2011-09-29T03:02:00.000-07:00

“LETS SET THE STANDARD!”

GO USA!

http://www.adhesionrelateddisorder.com/ard-awareness-day.html
The “United States of America”
IS the ONLY country in the world to do any type of
Mass Education and Awareness Campaign for ARD!
Lets us set this standard in hopes that education and awareness of ARD
will encompass the world and embrace all who suffer it!

"Adhesion Related Disorder" transends all languages and peoples..

ONE for ALL...All for ONE
UNDIVIDED!

“September 23rd is ARD AWARENESS Day!”
JOIN NOW

“CEA for ARD!”
"Crusade for Education and Awareness of Adhesion Related Disorder (ARD)"
Start NOW to spread the word! Get into the spirit of a just cause…
WE NEED YOUR HELP NOW!
I want to take a moment to ask everyone who visits any ARD web sites to take the time
to join our cooperative efforts to spread the word about Adhesion Related Disorder!
"Crusade for Education and Awareness of Adhesion Related Disorder (ARD)"

If your afflicted with ARD, or know someone who is, or just have it in your heart to help our cause, as with your voice joining ours, we will conquer this disorder and save others from living this life of hell!
WE NEED YOUR HELP NOW!
And here is how you can do that…

To spread the word on ARD, visit" adhesionrelateddisorder.com" and PRINT OUT
the ALL NEW and in FULL COLOR

“ARD Brochure”
Take your copy to printers, a Kinko’s, Office Max or any other place where you can have
copies made at a reasonable price! Some printer’s will print for free, as long as it is for a medical issue, just ask?
(Please feel free to copy ANY material found in adhesionrelateddisorder.com and use it
as you elect to!)
NO COPYRIGHT on material found with in this website as it is YOUR ARD web site!
USE IT, USE IT and USE IT!

“Circulation of ARD Brochures and Information”
Whether you are afflicted with ARD or not, take them to ALL of appointments, be it the hairdresser or surgeon, take them everywhere and hand them out! Ask permission to leave extra copies on offices and medical facilities, local pharmacies, such as in Wal-Mart, and other stores, BIG or SMALL!
Tack the up in the local Laundromats and restaurants that offer bulletin boards, hand it to the waitress, the store clerks at checkouts, driving through a fast food…hand it to the lady in the service window, leave one for the postal worker!! Libraries, Churches, Museums, Dentists are all great places to spread the word!
Call the local schools and business to see if you can drop some off for the faculties and employees! Go through your telephone book to jog your mind as to where you might drop some off…call ahead and ask!
Every place that you see people visiting, place a brochure or two or three or four, as anyone of those people might be the person who life you save because you took that time to share this information!

“Call Your Local Media”
Call your local newspaper and offer to share your walk with ARD, be it your own or a
loved one! Check with your local radio stations, many have “guest spots” in which
persons from the community are invited to share their stories or interests, etc!
Call your local media and tell them that you’re willing to share your story with them as
“September 23rd is ARD AWARENESS Day!”

“Contact Your Government Officials”
Mail the ARD Brochure and any other ARD material, including your personal ARD story or a loved one’s, story to your local, state and national government representatives!
Include the “New York, Louisiana, Wisconsin, Massachusetts and Ohio ARD Resolutions”
Ask YOUR STATE ASSEMBLY Representative to create similar documents for
YOUR state!

Do it for yourself, your fellow ARD sufferers in your state and do it from within the
USA!
You can find these resolutions the protocol outlined in the:
International Adhesion Society:
IAS Campaigns & Projects(http://www.adhesions.org/ )
Adhesion Information Site(http://www.adhesionrelateddisorder.com/ )
Or simply ask for step by step instruction in the
ARDvark Blog http://www.adhesionrelateddisorder.blogspot.com/
or click links below for fast access
New York | Louisiana | Wisconsin | Massachusetts | Ohio |
New Jersey | Pennsylvania |

You can direct all medical questions, enhancements to your interview
and an exclusive interview regarding ARD to:
Dr. Harry Reich, M.D. F.A.C.O.G. 245 N. Memorial Hwy Shavertown, PA 18708
http://www.womenssurgerygroup.com/physicians/HarryReichCV.asp#_Toc26028977
Tel: 570-674-2256
Fax: 570-674-2263
Toll Free: 1-877-527-7874

DR. David Wiseman PhD, MRPharms, Founder: International Adhesion Society
http://www.adhesions.org
6757 Arapaho, Suite 711 Dallas, Texas, 75248.
Tele: 972 931 5596
Fax: 972 931 547
Email: Synechion@aol.com

Be sure to tell your government officials that…
“September 23rd is ARD AWARENESS Day!”

The “Governmental Recognition” protocol was written by:
Augusta Sisler “World Adhesion Foundation”(www.adhesionsfoundation .com)
& Beverly J. Doucette “Adhesion Information Site” (www.adhesionrelateddisorder.com)
and the“Spirit of Awareness” was started by:
Dawn Rose“ARDInteractive Site”(www.ARDchat.com)
http://www.bombobeach.com/communications/spirit%20of%20awareness%20information/Spirit%20of%20Awareness%20Campaign%202003.doc

And it ALL began with:
Dr. David Wiseman Ph.D., M.R.Pharm.S.
International Adhesion Society
http://www.adhesions.org

ARDvark Blog Journal of Adhesion Related Disorder: Adhesion-Related Complications Are Common, But Rarely Discussed in Preoperative Consent: A Multicenter Study

2011-09-29T02:37:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: Adhesion-Related Complications Are Common, But Rarely Discussed in Preoperative Consent: A Multicenter Study

ARDvark Blog Journal of Adhesion Related Disorder: Abdominal/Pelvic Pain Can Occur After Surgery.

2011-09-27T02:22:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: Abdominal/Pelvic Pain Can Occur After Surgery.

EndoTimes: Early-Stage Endometriosis Diagnosis Possible With New Test

2011-09-26T03:50:00.000-07:00

EndoTimes: Early-Stage Endometriosis Diagnosis Possible With New Test

ARDvark Blog Journal of Adhesion Related Disorder: Adhesions, Adhesions-Related Disorder or CAPPS – a way to think about the problem from the patient’s perspective.

2011-09-26T02:41:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: Adhesions, Adhesions-Related Disorder or CAPPS – a way to think about the problem from the patient’s perspective.

ARDvark Blog Journal of Adhesion Related Disorder: Alexis Hauk: Surgical trend a step in wrong direction for women

2011-09-26T02:29:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: Alexis Hauk: Surgical trend a step in wrong direction for women

ARDvark Blog Journal of Adhesion Related Disorder: ¿Cuál es el desorden relacionado las adherencias (ARD)?

2011-09-24T06:25:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: ¿Cuál es el desorden relacionado las adherencias (ARD)?

Adhesion Pain: PAINFUL BONDS - ADHESIONS, ARD AND THE IAS ARE The Focus

2011-09-24T05:03:00.000-07:00

Adhesion Pain: PAINFUL BONDS - ADHESIONS, ARD AND THE IAS ARE The Focus

Adhesion Related Disorder International Human Rights Team IHRT: Karen Steward writes "Autobiography" Is she confessing her love with Dr. Kruschinski after all?

2011-09-24T04:04:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: From Clinical Trails.Gov

2011-09-23T05:03:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: From Clinical Trails.Gov

ARDvark Blog Journal of Adhesion Related Disorder: “September 23rd is ARD AWARENESS Day!”

2011-09-22T05:04:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: “September 23rd is ARD AWARENESS Day!”

Karen Stewards tries to shut down adhesion web site!

2011-09-21T13:32:00.000-07:00

Wednesday, September 21, 2011

Karen Stewards try to shut down adhesion web site!

Karen Steward's attempt to shut down ARD web sites FAILS again!

Year after year Karen Steward "stews" and "obsesses" over ARD web sites that provide beneficial information to persons afflicted with Adhesion Related Disorder.

Her problem? These web sites make it hard for Karen and her cohort, Con Doc. Daniel Kruschinski to profit on the pain of those who are afflicted with ARD!

No ifs, ands or buts about it, in our opinion and experience, this is the reason behind her "attacks"on ARD web sites!

For years Karen has attempted to capitalize on ARD victims with items for sale, and soliciting the sale of a book she wrote about Con Doc Kruschinski, of Germany! Karen paid to have this book published, and it bombed right off the press losing her money spent on it!

Since then Karen seeks any means necessary to recoup her losses, and YES, she will take advantage of vulnerable victims of ARD and have no problem making them victims of her greed as well!

"Steward ARD Merchandise being sold in India by Doc Kru!

Karen has been saying for years that "she, and Doc Kru" were going to shut down the following web site http://www.adhesionrelateddisorder.com/" & "http://www.ihrt.com,/" among other ARD web sites. To date, they have not been successful!

The reasons they have always bombed was that the alleged complaints by them were always found to be invalid! For the past 10 years Karen and Kru have banded together in their attempts to corner the market on ARD, be it ARD web sites or those afflicted with ARD, in their attempts to cash in on ARD!

You will see here in this post in an ARD web site that the web site one of Karen's "competition" is scratched out! Not to proffesional, but hey, neither is Karen or Kru in our opinion!

The good news in Karen Steward making all these petty contacts as seen below, is that every time she does something underhanded and immoral like this, in our opinion, she feeds IHRT enough material showing exactly what type of person SHE is!

Karen is trying to paint others in a bad light, and sell her ARD loot, but all she succeeds in accomplishing is to show what she is made of.

Smells like some "Something Evil" is blowing out of Wetherford, Texas, and it reeks of a stinky Steward!!

Pssssst, some Steward facts: Karen Stewards daughter made more then one trip to Doc. Kru as did many others, some as many as 6 trips, and yes, paying cash to Kru each time!
Karen, if you think this is not a true statement, go read your book, as it says in there Melissa went to Kru more then once for surgery! Perhaps YOUR book is not truthfull????

(We will bring you more "Steward facts" in the future, so stop back if you want the truth!)

ENJOY the 2011 Rants of Karen Steward......

-----Original Message-----
From: abuse@hostway.com [mailto:abuse@hostway.com]
Sent: Wednesday, August 17, 2011 12:43 PM
Subject: (HW#14378200) Defamation of Character Complaint: adhesionrelateddisorder.com

Dear Customer,

We have been made aware of a defamation of character complaint against your web site adhesionrelateddisorder.com. The content in question is hosted at the following location:

http://www.adhesionrelateddisorder.com/BJD-Picture-Trail-pg2.html

Please review the complaint provided below. We request that you voluntarily remove the content or contact the complainant directly to resolve the matter. If you have any questions regarding defamation complaints, please contact legal@hostway.com. Feel free to let us know if you require any further assistance.

Thank you,

Abuse Department

Hostway Corporation

From: karen steward [karensteward@mac.com]

Dear Sirs,

The ip address above is the one found when I check this url:

http://www.adhesionrelateddisorder.com

The name of the person behind this website is Beverly Doucette of

Marinette , Wisconsin. This website is a front used solely for the

purpose of libeling numerous people across the world, myself

included. I, along with several other people, were successful in getting

this site taken down several years ago when Beverly was hosted through Bravenet.

Though the majority of the libel is written at http://www.ihrt.blogspot.com,

the url http://www.adhesionrelateddisorder.com is the

active springboard to the libelous blog.

I have contacted everyone from the FBI, to Beverly 's local police,

Wisconsin 's attorney general, etc. They all tell me to contact her

hosting, as she cannot achieve this evil without an available host.

I do have a case file with the FTC, as the purpose of adhesionrelateddisorder

is to monopolize a market of medicine, specifically, adhesions.

The man safely hidden behind Beverly 's skirt, is David Wiseman of

Dallas , Texas . In the link below, you will see that Beverly is tied to

David Wiseman and is the puppet in his diabolical crime of libeling

many innocent people across the globe.

http://www.adhesionrelateddisorder.com/BJD-Picture-Trail-pg2.html

The purpose of my email is to find out if you can help me in removing

this website from the internet since you are the host.

One man has committed suicide due to Beverly 's

libel against him and his wife. Beverly successfully destroyed his

online retirement internet business by her crude, libelous postings.

Their crime? His wife had gone to Germany for adhesions surgery and

innocently posted on the internet her joy at becoming well. The man,

nor his wife, knew David Wiseman of Beverly Doucette prior to the

attacks upon them. The same holds true for all of us who are

being libeled by these people.

Thanks for any help you can offer,

Karen Steward

Beverly Doucette's response to Hostway...

Subject: RE: (HW#14378200) Defamation of Character Complaint: adhesionrelateddisorder.com

There is no defamation, nor libel or slander in this web site. The entire contents is 100% validated and proven to be true as printed. http://www.adhesionrelateddisorder.com/

Material found in this web site absolutely exposes persons for criminal activity at national and International levels, however, all material within this web site is validated and true as stated. Some of the content is our opinion, and it is stated as just that, “Our opinion.” Mrs. Steward uses the word, “crime” three different times in her email to you, and accuses Beverly Doucette, AND Dr. David Wiseman of criminal acts, of defamation, which in my estimation tells me that she is angry with both of us, and though Dr. Wiseman has never once blogged or placed material in the web site which the complaint is being made against, she includes him in her accusations.

We could go tit for tat for years as to the reasons Mrs. Steward decided to send a complaint to your service, but I am far to busy for that, and not interested in all of this as for years, as she states, she had had a personal vendetta against Dr. Wiseman and myself thinking that she was left behind when we each choose this venue to educate and inform persons with ARD. She wrote a book about ARD, and she has stated before that it will not sell if web sites offer the same material in their web sites, though these web sites were up well before she came on the scene. ( Simple way to validate that is to look at the date of publication of her book and the dates our web sites first appeared in the Internet. She will continue to try to get ever ARD web site off the Internet if she could thus her book might sell. Simple fact.

Prior to placing material on this public web site we involved an attorney to proof material that is controversial, none was shown to be of a nature that would, nor could, prove to be considered libel, slanderous or defaming in nature.

The reason Mrs. Steward has been unsuccessful in having this web site removed after she had it investigated by all those she listed as contacting, is because there is nothing in it that constitutes breaking a law of any sort.

Though you state that you were "made aware of a defamation of character" located in this web site, you do not show where this defamation occurs within the site, nor do I know of any such defamation. If there is a specific portion within this web site that this woman deems is defaming, it would be more advantageous to direct your attention(and mine)to that particular material and location of it in the web site, which if proven to be of an illegal nature, will then be removed by me immediately. If you deem the web site to be improper, contact me with specific reasons for the action, and to give me the chance to rectify any errors. I will also seek legal advice prior to any changes I will allow to be made in the services I paid for. The email sent to you by Mrs. Steward does not contain anything that validates any action against the web site http://www.adhesionrelateddisorder.com by your team.

The material in this web site has at no time caused any person to "kill themselves," and though I am aware of this claim against the web site, upon investigating the person who supposedly killed himself due to my web site in fact had been dealing with depression and severe financial issues, and did not commit suicide, but rather appeared to have had a long term health/psychological issue. The most important thing here is that at no time did I ever mention this person, and had never heard his name prior to Mrs. Steward's accusation. Simply was not a true accusation, and there is nothing in this web site that even mentions this person. Note she does not offer up that name or dates for you to investigate prior to taking any action to remove this web site let alone accept her comments without validating them.

The web site link as seen here is located on many, many links within the Internet, http://www.adhesionrelateddisorder.com not just in this link.

http://www.ihrt.blogspot.com/. If there was any criminal material in the IHRT link, Google would remove the web site, however, none was ever found in the IHRT web site. Google did however remove a web site owned by Mrs. Steward. No matter what Mrs. Steward thinks of the IHRT blog, it has nothing to do with the allegations she is making against my web site and thus cannot be used as a reason to remove my web site..

Any associations I have with anyone does not a defamation make. Nor does having acquaintances' create libel, or slander, or anything else for that matter. It appears that Mrs. Steward doesn't care for my acquaintances, however her dislike of my associations have no bearing on her accusation as submitted to you. (Unless you can show me just cause that person's I associate with is validation of her accusations of defamation, even IF defamation is found to exist within this web site, my acquaintances would absolutely have no bearing on it. Mrs. Steward says” “In the link below, you will see that Beverly is tied to David Wiseman and is the puppet in his diabolical crime of libeling many innocent people across the globe.”

The date of this complaint must be taken into consideration as to why now is Mrs. Steward choosing to bring this to your attention when this web site has been up for a number of years without change. Another interesting caveat here is that Mrs. Steward seems to be confused as to whom she is accusing of the defamation complaint. Is it me, Bevery Doucette, or is it the “diabolical Dr. Wiseman” who she is accusing of the crime of libel? Isn’t Mrs. Steward committing defamation of Dr. Wiseman in her statement regarding him? (The answer is NO, though she is not stating it is her opinion, she is actually making the claim that “David Wiseman is diabolical and involved in the crime of libeling many innocent…etc,” however, unless comments made against another causes them to lose money and reputation in a court of law, there is no defamation. Also, once someone is deceased, they have no rights, thus anything said about them cannot be deemed anything! ( Though at no time has material in this web site defamed a person.) Mrs. Steward is again using the word crime when speaking of this person, "One man has committed suicide due to Beverly 's libel against him and his wife. “ Beverly successfully destroyed his online retirement internet business by her crude, libelous postings. Their crime?”

If there is anything even remotely of a defaming nature in this link, it shall be, or can be, removed, however, I see nothing of that nature in this link. I was at these congress’s not Mrs. Steward, and every word in this link is absolutely fact. As for the pictures, they speak for themselves! I too encourage you to visit the link as submitted by Mrs. Steward as it does validate the validity that the web site is geared to educate and inform persons with ARD how best to “Be Their Own Dr.”
http://www.adhesionrelateddisorder.com/BJD-Picture-Trail-pg2.html

Next “his accusation of “monopolizing a market of medicine, specifically, adhesions”
is very easy to rule out in the http://www.adhesionrelateddisorder.com/BJD-Picture-Trail-pg2.html by visiting Mrs. Stewards web site, which is also an education and information web site for those who are afflicted with ARD. In fact, the ONLY people making money on ARD with the
"www.adhesion relateddisorder.com" web site is Hostways being paid each year to host it!

There exists many, many web sites offering the same material that you will find in the ARD web site and Mrs. Stewards web site. http://www.karensteward.com/
Simply take a look at her web site if you want to see someone trying to corner the market on ARD! And for profit no less!

You will never fund that existing in any of the ARD web sites I am associated with! Absolutely not!

If the following charge were true in this statement by Mrs. Steward, I am certain one of the agencies she contacted would have contacted you with a legal notice to have this link removed from the Internet, and they would not have asked that of you, they would have directed you to do it based on law!

“The man, nor his wife, knew David Wiseman of Beverly Doucette prior to the attacks upon them. The same holds true for all of us who are being libeled by these people.” I am of the opinion that Mrs. Steward file a class action against me using her accusations as stated to you in her email. I am certain that if there is actual defamation in the web site, any literate Atty. Could locate it and manage a class action. I do know that she has made claims of doing this, but like the other contacts, she was informed that no criminal activity is taking place in my web site, and her opinion or the web site nor her dislike of me and others she is accusing, doesn’t make her accusations fact. She needs to prove her accusations, as does your team before taking any actions against it,and an investigation of your team would be of benefit to me as this lady will continue to seek ways to shut other “ARD” websites down , and her agenda is a personal as her book is not selling, from what I hear.

You will not find one single word of defamation, slander or libel in the following link, nor within the contents in any of it. http://www.adhesionrelateddisorder.com/BJD-Picture-Trail-pg2.html

I would expect a thorough investigation from your legal team to show just cause for any changes in your services of hosting the web site AdhesionRelaterDisorder. In the event you do not, or will not, put forth an effort to prove or disprove the allegations made against the web site, I would expect that you considered my explanations as presented here to be fact, thus closing the issue.

The fact of the matter is that I have not edited material to the web site and the web site manager relocated years ago thus rendering it in a state of inactivity and usable by me.

Please indicate to me as to any other action you wish from me regarding this communication in the event I misunderstood your directions.

Thank-you for informing me of this matter,
Beverly Doucette

"Okay then, THIS bombed! What do will Karen do next to corner the ARD market to sell her ARD loot?

We never could figure out the obsession, in our opinion, is between Kru and Karen,

and we still don't!

What could it be between these two after all these years???

"GINGIRL"

Lets get to know Doc Kru a little better now that Karen brings this up again!

SLUMDOG "SUGAR DADDY" Dr. Daniel Kruschinski

The OSCAR goes to......

"SLUMDOG DOCTOR in GERMANY"

In the latest escapades out of Endogyn, IHRT cought SLUMDOG "SUGAR DADDY" Dr. Daniel Kruschinski slumming with his NEW and IMPROVED "DADDY'S GIRL" after meeting her through "XING.com! Here you will see the NEW "Endogyn" infrastructure Con Kru has in India!

Complete with the "Abdolift" exclusive to his surgeries!

Only in IHRT will you find the facts as "Dr. Daniel Kruschinski – Endogyn, Germany" reveals his “perverted” side for all the world to see, and it appears to be without shame!

https://www.xing.com/app/profile?op=contacts&name=Daniel_KruschinskiDr

!!!!!CAUTION…BEWARE… CAUTION…BEWARE…!!!!!

PORNO MATERIAL WILL TAG YOUR PC AT THE ABOVE WEB SITE

(IHRT cautions you that going into these web sites, your PC WILL get porno pop ups, curtsey of Kruchsinski! Even if you use a different email address, the PC going into these web sites WILL get tagged!)

><><><><><><><><><><><><><><><><><><><><><

*** FACES OF A PERVERT ***

DR. DANIEL MARIAN KRUSCHINSKI lives life on the shady side with his new "Daddy's Girl" as he slums with her all over Germany after meeting her in "XING.com"... (Ouch!)

Seems they now run a web site that assists "Young Girls" to meet "Old Men!" (Yuck!)

Looks like the "OLD USED UP" Mistress Micheala Katzer is OUT of a "Sugar Daddy" and the "YOUNG SEXY" Janine Gessner is IN with a new "Sugar Daddy!"

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>

Meet the "NEW FACE" in Dr. Daniel Kruschinski's life......“Janine Gessner"

><><><><><><><><

"Hi, DANNY BOY" .........

Janine seems to be saying to her new "Sugar Daddy..
(Wait until she finds out her DOCTOR is really nothing but a bankrupt, lying, washed up, smelly alcoholic, married OLD perverted fart..oh, IHRT forgot that Kruschinski is GAS-LESS, at least Janine has THAT going for her! (LOL! LOL!)

https://www.xing.com/profile/Janina_Gessner

<<<<<<<<>>>>>>>>

B.Z. stellt die speziellsten Flirtseiten im Internet vor Für reife Männer - Frauen, die graue Schläfen lieben, finden hier ihr Objekt der Begierde. Als eines von 2500 Mitgliedern muss man als Lady unter 30, als Mann über 40 Jahre alt sein:

http://www.reif-trifft-jung.de/
Janina Gessner Premium-Mitglied
CRM work Firma:(sichtbar nur für registrierte Mitglieder)
10587 Berlin, Deutschland

<><><><><><><><><><>

Über michBerliner Zeitung

Dass ältere Herren oft ein Faible für wesentlich jüngere Damen haben, liegt in der Natur der Sache. Viele Promis über 40 "schmücken" sich mit Schönheit und Frische solcher Grazien. ... Auch für den Durchschnittsbürger gibt es Möglichkeiten, ohne Millioneneinkommen und Promibonus mit jüngeren Frauen anzubandeln. Vielen Frauen ist ein erfahrener Partner lieber, da er über eine gewisse Lebenserfahrung verfügt und Sicherheit sowie Geborgenheit symbolisiert. Spezielle Wünsche, besondere Börsen So verwundert es nicht, dass es sogar Kontaktbörsen für diese spezielle Beziehungskonstellation gibt... Eine dieser Börsen ist "Reif-trifft-Jung.de": Über 1000 Damen zwischen 18 und 30 sind hier bereits registriert und schauen sich nach einem erfahrenen Partner von 40 Jahren und älter um. Eine solche Kontaktbörse bietet für eben diese Partnerkonstellationen eine gute Möglichkeit zum Kennenlernen. Denn hier suchen und finden sich junge Frauen und ältere Männer... [Quelle: Hombrero.de v. 8.1.2008]

<><><><><><><><><>

Babel Fish Translation….

Ripely young meets The fact that older gentlemen have often a Faible for substantially younger ladies lies in the nature of the thing. Many Promis over 40 " schmücken" itself with beauty and freshness of such Grazien. … Also for the average citizen there are possibilities, without million-incomes and Promibonus with younger Mrs. anzubandeln. Many women is rather an experienced partner, since it symbolizes security as well as security had a certain life experience and. Special desires, special stock exchanges Thus it does not surprise that there are even contact contacts for this special relations constellation… One of these stock exchanges is " Hoar frost meet Jung.de": Over 1000 ladies between 18 and 30 are registered here already and look themselves after an experienced partner of 40 years and older over. Such a contact stock exchange offers a good possibility for evenly these partner constellations to becoming acquainted with. Because and are young women and older men search here…[Quelle: Hombrero.de v. 8.1.2008]

GAME ON KAREN..TAG YOUR IT!

adhesions, ARD, ELM, endogyn, hope for adhesion pain, Karen Steward, kruschinski, Pain, scar tissue

ENDOGYN, abdolift, gasless, abdominal pain, debilitating, hidden disorder, enslaving, ARD awareness, hopelessness,

ARDvark Blog Journal of Adhesion Related Disorder: Karen trying to corner the market on ARD

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Tuesday, September 20, 2011

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The truth about Gas less laparoscopy and Dr. Kruschinski

Translation from German to English by Babelfish

“gasless” Laparoskopie

Gas lots Laparoskopie is (was) a special form of the Laparoskopie, with which one can operate without the expensive special instruments without body cut (could). The method requires (e) less exercise and fate than genuine endoscopic operating.

(The following text is co-ordinated with the president of the working group gynäkologische Endoskopie of the German society for Gynäkologie and birth assistance).

“Gas lots “Laparoskopie = spatial air Laparoskopie

This method finds in our region still isolates application. We are addressed on that occasionally by female patients.

The so-called “Lapro elevator” was developed at the beginning of the 90's of Jörg saucy stone (Austria, at that time upper physician at the University of Ulm). Saucy stone does not use the technology today any longer.

The manufacturer, the company STORZ in Tuttlingen, took the Lapro elevator in the year 2006 again from the market.

This concerns a simple variant of the Laparoskopie, which obtained attention for the first time in the 90's in Germany, however contrary to the standard Laparoskopie neither in the subject surgery nor in the subject Gynäkologie to become generally accepted could.

The name expresses that with this technology no medical CO2-Gas is introduced into the abdominal cavity around the abdominal cavity to unfold and place for the operational interference to create. Instead after opening of the abdominal cavity at the navel a handle is introduced and the abdominal wall is pulled up. It flows normal air with room temperature into the abdominal cavity. Air is definitv a gas. Thus the question arises whether the term is not unfortunately selected and/or misleading.

In the work community Gynäkologi Endoskopie of the German society for Gynäkologie and birth assistance (AGE) is therefore alternatively the term “spatial air Laparoskopie” common (Professor Leo De Wilde, Oldenburg, president of the AGE.)

If air arrives over open veins with an operation into the Blutkreislauf, it causes clearly more easily a lethal Embolie than CO2, which ent always as product of the respiration in low concentration in the blood and can over the lung be abgeatmet. Also from the abdominal cavity air is only very slowly eliminated by the organism, which is less important however.

Why thus at all “gas lots Laparoskopie”

Around to understand one must develop little conception gift as a layman: With the standard Laparoskopie must be worked against to escaping the Aufdehnungsmediums with valves, so that the development of the abdominal cavity remains keeping upright. With the gasless technology one can save this expenditure. The raising of the abdominal wall guarantees the hook elevator by course at the navel. One can make and leave as many as desired and of any size holes open into the abdominal wall. Simple rubber cases replace expensive valve cases. One knows logical way any instruments of the open belly surgery by these openings would bring in. A hospital can here evt. much money save, because this equipment is usually already present. With the standard Laparoskopie cannot be done that. Instruments must be exactly co-ordinated with the valve cases. One needs expensive special instruments and this depending upon OI spectrum evt. in large number. Because of the cost advantages the gasless Laparoskopie is naturally in poorer countries likes.

For an operating surgeon trained in conventional surgery the conversion is not more simply, there it the handling of the delicate, different Laparoskopie instruments to learn must. To that extent the gasless Laparoskopie makes endoscopically ungeübten surgeon possible a simplified entrance into the Laparoskopie.

Also from view of the Anästhesisten (Narkoseärzte) it gives to laproskopieren reasons “gasless”. The renouncement of CO2-Gas and the proportioned positive pressure in the abdominal cavity has advantages for certain risk female patients, essentially older humans. They can be endoscopically operated if necessary without body cut, although a standard Laparoskopie for them would not be possible.

Problems:

One wants the clearly rougher conventional instruments and staunching of bleeding methods (Tupfer!) uses, needs one clearly larger wounds in the abdominal wall. The cosmetic result is then accordingly more unfavorable. The wound in the navel region must offer place not only for the hook elevator mechanism but also for the optics system. The necessary Wunddurchmesser amounts to about 20 mm. (Standard Laparoskopie to the comparison 5 - 11 mm.)

The effectiveness of the belly development is more unfavorable, than with the CO2-Laparoskopie, since the rise takes place only at one point. The result is a conical figure with the highest point at the navel. The operating surgeon needs most place however within the basin range. That succeeds with the even Aufdehnung with exactly proportioned CO2-Gasdruck more effectively. This is for us a operation-technically important point. The punctual pressure is not favorable on the fabric by the hook construction with long operations. The rough elevator construction is natural the operating surgeon and the assistant when operating in the way.

The spatial air cannot be warmed up. It prevails during the “gasless” OI in the abdominal cavity a lower temperature than with the CO2-Laparoskopie with body-warm gas (for this special devices are available.) The sinking of the fabric temperature has some important unfavorable metabolic effects (see below).

Our result: The “gasless” spatial air Laparoskopie takes a central position between body cut and belly reflection for us. It has elements of both.

Naturally a OI team equipped well for the standard Laproskopie could use its fine instruments also by gasless spatial air Laparoskopie. Then at least the wounds would be in the abdominal wall alike. Also those captivatingly precise Microchirurgie with miniaturized equipment under strong picture enlargement would be realizable. Disadvantages remained the worse development of the abdominal cavity and the missing possibility of the heating up of the belly by the warm gas. Waste of the Körpertemperatur changed among other things the Pharmakokinetik, increases the Sauerstoffverbrauch by cooling trembling, strengthens subjective measurement feeling, worsens the immune defense, increases the muscle strain (and with it the pain feeling). The blood clotting is affected unfavorably. (Literature: Gabriele Depenbusch: Be called hints against cool cases - Perioperative heat measures for patients still more effectively used. Intensively 2002; 10:165 - 174 George Thieme publishing house)

We decided in the OPZ Hürth so far against the introduction of the spatial air Laparoskopie with the elevator technology. We would see the sense of the procedure only with completely special female patients, whom we cannot operate usually ambulatory, to e.g. older humans.

Wrong conceptions to the “gasless” spatial air Laparoskopie

The gasless Laparoskopie does not permit more precise operating.

The production of the entrance to the abdominal cavity effected with the gasless Laparoskopie on less dangerous art. one does not have to dot the abdominal cavity for the execution of a CO2-Laparoskopie not “blindly” with a Kanüle and not to also in-sting the Trokarhülsen “blindly”. One can use problem-free the “open” technology and manufacture the entrance under view. (Literature A. Maucher (1990), open Laparoskopie. gynäkol prax 14, 741-746, Hans Marseille publishing house Munich) S. also for this the chapter “open Laparoskopie” on this homepage. The entrance technology furthest common with distance is however the “Blindpunktion)
The OI times are not shorter. Patients do not recover faster. The pain after the interference is not smaller. The medicine need is not smaller.
The results of the operations are better in no aspect, than with the CO2-Laparoskopie. The resulting scars are not cosmetically more favorably but clearly larger.
„The gasless “Laparoskopie does not permit operational treatment, which one can realize not with the standard Laparoskopie. (Also the standard Laparoskopie permits surgical sewing, even with micro-surgical seam material under up to twenty-way picture enlargement).

The “gasless Laparoskopie” does not accompany with a lower total complication risk. The Embolie and Thromboserate are not lower. The Narkosetechnik differs not from the normal Laparoskopie.

http://www.opz-huerth.de/index.php?menue=m3_&sm=21

Gaslose Laparoskopie ist (war) eine Sonderform der Laparoskopie, bei der man ohne die teueren Spezialinstrumente ohne Leibschnitt operieren kann (konnte). Die Methode erfordert (e) weniger Übung und Geschick als echtes endoskopisches Operieren.

(Der nachfolgende Text ist mit dem Präsidenten der Arbeitsgemeinschaft gynäkologische Endoskopie der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe abgestimmt).

"Gaslose“ Laparoskopie = Raumluft-Laparoskopie

Diese Methode findet in unserer Region noch vereinzelt Anwendung. Wir werden gelegentlich von Patientinnen hierauf angesprochen.

Entwickelt wurde der sog. "Lapro-Lift" zu Beginn der 90er Jahre von Jörg Keckstein (Österreich, seinerzeit Oberarzt an der Universität Ulm). Keckstein selbst verwendet die Technik heute nicht mehr.

Der Hersteller, die Firma STORZ in Tuttlingen, hat den Lapro-Lift im Jahre 2006 wieder vom Markt genommen.

Es handelt sich um eine einfache Variante der Laparoskopie, die in den 90er Jahren in Deutschland erstmals Aufmerksamkeit erzielte, sich aber im Gegensatz zur Standard-Laparoskopie weder im Fach Chirurgie noch im Fach Gynäkologie durchsetzen konnte.

Der Name bringt zum Ausdruck, dass bei dieser Technik kein medizinisches CO2-Gas in die Bauchhöhle eingeführt wird um die Bauchhöhle zu entfalten und Platz für den operativen Eingriff zu schaffen. Statt dessen wird nach Eröffnung der Bauchhöhle am Nabel ein Bügel eingeführt und die Bauchwand hochgezogen. Es strömt normale Luft mit Zimmertemperatur in den Bauchraum. Luft ist definitv ein Gas. Es stellt sich also die Frage, ob der Begriff nicht unglücklich gewählt bzw. irreführend ist.
In der Arbeitgemeinschaft Gynäkologische Endoskopie der Deutschen Gesellschaft für Gynäkologie und Geburtshilfe (AGE) ist deswegen alternativ der Begriff "Raumluft-Laparoskopie" gebräuchlich (Prof. Leo De Wilde, Oldenburg, Präsident der AGE.)

Wenn Luft über offene Adern bei einer Operation in den Blutkreislauf gelangt, verursacht sie deutlich leichter eine lebensgefährliche Embolie als CO2, das als Produkt der Atmung immer in niedriger Konzentration im Blut anwesend ist und über die Lunge abgeatmet werden kann. Auch aus dem Bauchraum wird Luft vom Organismus nur sehr langsam eliminiert, was aber weniger wichtig ist.

Warum also überhaupt "Gaslose Laparoskopie"

Um das zu verstehen muss man als Laie ein wenig Vorstellungsgabe entwickeln: Bei der Standard-Laparoskopie muss mit Ventilen einem Entweichen des Aufdehnungsmediums entgegengewirkt werden, damit die Entfaltung des Bauchraumes aufrecht erhalten bleibt. Bei der gaslosen Technik kann man sich diesen Aufwand ersparen. Das Anheben der Bauchdecke stellt der Haken-Lift durch Zug am Nabel sicher. Man kann beliebig viele und beliebig große Löcher in die Bauchdecke machen und offen lassen. Einfache Gummihülsen ersetzen teure Ventilhülsen. Logischerweise kann man jegliche Instrumente der offenen Bauch-Chirurgie durch diese Öffnungen einführen. Eine Klinik kann hier evt. viel Geld sparen, weil dieses Instrumentarium in der Regel bereits vorhanden ist. Bei der Standard-Laparoskopie geht das nicht. Instrumente müssen genau auf die Ventilhülsen abgestimmt sein. Man braucht teure Spezialinstrumente und dies je nach OP-Spektrum evt. in großer Zahl. Wegen der Kostenvorteile ist die gaslose Laparoskopie natürlich in ärmeren Ländern beliebt.

Für einen in konventioneller Chirurgie ausgebildeten Operateur ist die Umstellung einfacher, da er nicht die Handhabung der zierlichen, andersartigen Laparoskopie-Instrumente erlernen muss. Insofern ermöglicht die gaslose Laparoskopie endoskopisch ungeübten Chirurgen einen vereinfachten Einstieg in die Laparoskopie.

Auch aus Sicht der Anästhesisten (Narkoseärzte) gibt es Gründe "gaslos" zu laproskopieren. Der Verzicht auf CO2-Gas und den dosierten Überdruck im Bauchraum hat Vorteile für bestimmte Risiko-Patientinnen, im wesentlichen ältere Menschen. Sie können ggf. ohne Leibschnitt endoskopisch operiert werden, obwohl eine Standard-Laparoskopie für sie nicht möglich wäre.

Probleme:

Will man die deutlich gröberen konventionellen Instrumente und Blutstillungsmethoden (Tupfer!) einsetzen, benötigt man deutlich größere Wunden in der Bauchdecke. Das kosmetische Ergebnis ist dann entsprechend ungünstiger. Die Wunde in der Nabelregion muss Platz nicht nur für die Haken-Lift Einrichtung sondern auch für das Optiksystem bieten. Der erforderliche Wunddurchmesser beträgt etwa 20 mm. (Standard-Laparoskopie zum Vergleich 5 - 11 mm.)
Die Effektivität der Bauchentfaltung ist ungünstiger, als bei der CO2-Laparoskopie, da die Anhebung nur an einem Punkt erfolgt. Das Ergebnis ist eine kegelförmige Figur mit dem höchsten Punkt am Nabel. Der Operateur benötigt den meisten Platz aber im Beckenbereich. Das gelingt bei der gleichmäßigen Aufdehnung mit genau dosiertem CO2-Gasdruck effektiver. Dies ist für uns ein operationstechnisch wichtiger Punkt. Nicht günstig ist bei langen Operationen der punktuelle Druck auf das Gewebe durch die Hakenkonstruktion. Die grobe Lift-Konstruktion ist dem Operateur und den Assistenten natürlich bei Operieren im Weg.
Die Raumluft kann nicht angewärmt werden. Es herrscht während der "gaslosen" OP im Bauchraum eine niedrigere Temperatur als bei der CO2-Laparoskopie mit körperwarmem Gas (hierfür stehen spezielle Geräte zur Verfügung.) Die Absenkung der Gewebetemperatur hat einige wichtige nachteilige Stoffwechseleffekte (s. u. ).

Unser Fazit: Die "gaslose" Raumluft-Laparoskopie nimmt für uns eine Mittelstellung zwischen Leibschnitt und Bauchspiegelung ein. Sie hat Elemente von beiden.

Natürlich könnte ein für die Standard-Laproskopie gut ausgerüstetes OP-Team seine feinen Instrumente auch per gasloser Raumluft-Laparoskopie einsetzen. Dann wären zumindest die Wunden in der Bauchdecke gleich. Auch die bestechend präzise Microchirurgie mit miniaturisiertem Instrumentarium unter starker Bildvergrößerung wäre realisierbar. Nachteile blieben die schlechtere Entfaltung des Bauchraumes und die fehlende Möglichkeit der Erwärmung des Bauches durch das warme Gas. Abfall der Körpertemperatur verändert u. a. die Pharmakokinetik, erhöht den Sauerstoffverbrauch durch Kältezittern, verstärkt subjektives Missempfinden, verschlechtert die Immunabwehr, erhöht die Muskelanspannung (und damit das Schmerzempfinden). Die Blutgerinnung wird ungünstig beeinflusst. (Literatur: Gabriele Depenbusch: Heiße Tips gegen coole Fälle - Perioperative Wärmemassnahmen für Patienten noch effektiver eingesetzt. Intensiv 2002; 10: 165-174 Georg Thieme Verlag)

Wir haben uns im OPZ-Hürth bisher gegen die Einführung der Raumluft-Laparoskopie mit der Lift-Technik entschieden. Wir sähen den Sinn des Verfahrens nur bei ganz speziellen Patientinnen, die wir meist nicht ambulant operieren können, z. B. älteren Menschen.

Falsche Vorstellungen zur "gaslosen" Raumluft-Laparoskopie

Die gaslose Laparoskopie erlaubt kein präziseres Operieren. .
Die Herstellung des Zugangs zur Bauchhöhle erfolgt bei der gaslosen Laparoskopie nicht auf eine weniger gefährliche Art. Man muss zur Durchführung einer CO2-Laparoskopie nicht die Bauchhöhle "blind" mit einer Kanüle punktieren und die Trokarhülsen auch nicht "blind" einstechen. Man kann problemlos die "offene" Technik einsetzen und den Zugang unter Sicht herstellen. (Literatur A. Maucher (1990), Offene Laparoskopie. gynäkol prax 14, 741-746, Hans Marseille Verlag München)s. hierzu auch das Kapitel "offene Laparoskopie" auf dieser Homepage. Die mit Abstand am weitesten verbreitete Zugangstechnik ist allerdings die "Blindpunktion)
Die OP-Zeiten sind nicht kürzer. Patienten erholen sich nicht schneller. Die Schmerzen nach dem Eingriff sind nicht geringer. Der Medikamentenbedarf ist nicht geringer.
Die Ergebnisse der Operationen sind in keinem Aspekt besser, als bei der CO2-Laparoskopie . Die resultierenden Narben sind nicht kosmetisch günstiger sondern deutlich größer.
Die „gaslose“ Laparoskopie erlaubt keine operative Behandlung, die man nicht mit der Standard-Laparoskopie realisieren kann. (Auch die Standard-Laparoskopie erlaubt chirurgisches Nähen, sogar mit mikrochirurgischem Nahtmaterial unter bis zu 20-facher Bildvergrößerung).
Die "gaslose Laparoskopie" geht nicht einher mit einem niedrigeren Gesamt-Komplikationsrisiko. Die Embolie- und Thromboserate ist nicht niedriger. Die Narkosetechnik unterscheidet sich nicht von der normalen Laparoskopie.

If this really was the way to have an adhesiolysis then all the world would be clammoring at Kruschinskis door! All he has is "advertising" and no hard facts about his claims. The Endogyn "parrots", those endeared to Kruschinski are common lay people who will happily explain TO ANYONE WHO WILL LISTEN about the deletirious side effects of carbon dioxide and reel in another sucker to a very questionable surgery.
See the skeptisism in the forum below....first translated to English then in the originional German.

It is a far cry from what Karen Steward of Texas espouses!

Babelfish translation from German to English

Dr kurschinskie, EndyGyn = Risko growing together smaller
becci mouse
Mo, 07/06/2010 - 14:14hello it love,

since the contribution is already somewhat older, I open from there new post office and would like to ask, who already made thereby experiences, who there was in practice. with you actually fewer growing together, did you did develop have make again to let a OI? did someone use the possibility without full arcose to be operated???

since practice is far for many away, depending upon residence, I would know also gladly, how the contact came to conditions, how discussions ran, reliably by telephone/mail I take to? is one at all well advised and examined, if one only one day before the OI travels? can local physicians which with found at all begin or do have one to re-examinations again and again? for me some hundreds km, if I carry then however fewer growing together off and I have the chance, would be to be healed, take I gladly in purchase… from there completely urgently please to communicate to me many tips and experiences completely. sone fear of the OI has and is already correctly depressive, because I in the Internet horrogeschichten myself and risks read and see only black: (

and the latter asks: how did it run off with the assumption of the costs? I am private, but white not whether soetwas one takes over, if one drives etc. into another place.

are strained and wait longingly for answer, lg becci

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Hello becci, I has

DanH

Mo, 07/06/2010 - 18:59Hello becci,

I read not all your contributions, therefore I do not know your diagnosis/complaints.

Would like to mean you however (even if only volatile) impression of Dr. Kruschinski to describe. I had times at the telephone. It was before the diagnosis Endo, at that time a general physician the suspicion also growing together and possibly “which gynäkologisches”… and with to be googled is I evenly over it had tripped and have nen date made the telephone consulting hour. My impression was not the best one: We talked no 10 min, I to it completely scarcely my complaints and the suspicion let us describe and already had I nen OI date. I found that in such a way… naja. And the cash hätt's anyway not paid.

He works with this elevator method, as you writes without gas. And as growing together barrier it works with a kind spraying gel which I from otherwise no hospital knows (clearly, he has probably a patent drauf). (IHRT ~ Nah thats just what he wants you to think)

But is ob's good or bad.??? Does someone know relevant studies? I do not know so quite, but wenns the miracle drug against growing together would give nevertheless, then we would not have nevertheless all, or? That is only my completely personal opinion, and I white that female patients by him were operated on it to swear.

Love of greetings

Daniela

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Rear Becci, too doc

Erdbeere23

Mo, 07/06/2010 - 20:12Rear Becci,

too doc kruschinski gabs here already some discussions.

fact is: it is endometriosespezialist and still on NO advanced training or meeting about endometriose, also of endometrioseverband Germany, was seen none (to these meetings endometriosespezialisten, which train themselves further regularly, all go). alone to me would already signal to go there not.

besides it operates in a private hospital and describes on its homepage in my opinion fell so praising mark “which has I there again wonderful mad carried out” that I have the feeling, it goes over to be ego and, above all, around its money.

surely that sounds everything for someone, which hurts degrees has, in emergency feels, also psychologically possibly quite to ends is total (like most women, who look for nem endoarzt), like the rescue and super. BUT: on it the offer aims exactly, aims the way of the advertisement off! it is made, because in this way women, who are weak degrees, an alleged rescue anchor been enough and in addition properly into the bag reached. (IHRT ~ this really hits the nail on the head huh)

I würd there never probably go ...... to decide must that everyone. in a phase, where I was in emergency, I times contact there had, and even said, if I pay the OI and come, me as free achievement (further LOCK means) the preliminary investigation is given to me.

besides several said to me spezis the fact that my small endometrioseherde with the elevator method does not see and thus no comprehensive view can get (also different one spezis to work with elevator, but not at endo…). And: The complaints (muscular strain etc.) are also not better after that elevators than according to the method with gas.

I go rather to one endospezi, which is exactly specialized in endo, continues to form and to growing together one prevents also there.

LG

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I must agree you

DanH

Mo, 07/06/2010 - 20:16I must agree you strawberry.

Wenn's around Endometriose does not go is it already times at all the correct partner!!!! I thought it went around growing together.

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I do not know the physician,

EndotanteIV

Di, 08/06/2010 - 09:05
I do not know the physician, but I can only say, I am condemned glad, which was invented the full arcose! Never voluntarily I would like life received by this OP´s somewhat! Before the anaesthesias have I meanwhile no more fear… And I am gone until one year ago only under obligation to the blood removing…

LG Daniela

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hello daniela, with me goes

becci mouse

Di, 08/06/2010 - 14:49hello daniela,

with me it concerns the suspicion on endometriose. large fear has before intervened, first OI in full arcose and before the diagnosis, the risks of renewed growing together etc.

I found its homepage also not good in the first moment very and in my emergency know I, I whom was to believe, has already grant investigated, to each physician says something else, it gives those, which swear on the gasless and those, which gives preference to the classical method, gives it. report and opinions are only unfortunately always very on one side and each speaker make evenly only the contrary operation method totally bad, everything sound plausible and also widerum not.

me can someone help, has someone possibly well-founded studies or per/versus arguments for me? are already again drauf and to call off the OI: (

lg becci

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hello strawberry, you has completely

becci mouse

Di, 08/06/2010 - 15:00hello strawberry,

you have quite right with yours state: I despaired to degrees totally weakly, fearfully, panisch…: (

from where does one know that he was so far on no such studies and advanced training? how did you have contact to the hospital, by telephone?

relative this sprays: as it on the homepage is praised, is it the growing together means absolutely, in America is that course and give. I found that very logical everything, since the liquid, which is used with the classical OI method, remains clinging not on the wounds like this spray. there it, the scars meant were less with the gasless OI, belly cuts can be avoided. then is talks there about second look, thus a control OI, in the growing together, which grant themselves within 3 after the first OI form, to be solved can… and and… then with the regioanlanästhesie, has nevertheless such fear of a full arcose…

white further, today unfortunately a very short discussion by telephone with my COMPANY spoke, and this meant also that with the gasless OI less precise herd be found can, which is risks the same growing together also occur can… must one know that she transferred me to Dr. Ebert, therefore her surely not completely different physician then would particularly praise (to make we us anything forwards, ALL physicians do not want to earn, then unfortunately is that)

if jnd still more has information, opinions or experiences, please to write the text completely urgently here, are so down: (

lg

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Dr. Kruschinski

Schnecke83

Di, 08/06/2010 - 16:07Hello together,

only once I would like to say that everyone of the OI method must be convinced, it must let which be issued over itself!

If that is not the case, I would always call a OI off.

One must with itself in pure ones to be, because with the result, no matter how it goes out, one must to live be able.

Now to Dr. Kruschinski:

Is interesting, as much bad criticism it must put in and over it is written, although degrees those were never operated by it… (IHRT ~ Ummm I was)

I was operated one week ago by him! Head OI and some days after Second look.

Z.Zt. still am I in the hospital. After both interferences I knew immediately which thing am, have some pictures received, so that I knew exactly, what it there with me down “employed” have!

In a KH I would have gotten a belly cut, would have been said at that time me with the first BSP. I did not want to have these with nearly 27 years however, therefore I had decided against it. Now I lasted a breath of larger cuts as with normal EX. my considerations and research up to OI having a half year!

And why it to recruit must: It operates in a private hospital! There everyone can go without a transfer, says I now times so casually. And it must constantly fight for it and justify itself for its method. Is that fair? Or is it envy of the others? (IHRT ~ haw haw haw haw)

The SprayShield I got also, over experiences can I naturally only think I in some weeks for speaking and like it with the pain look!

I learned it to know now personally and from there can I now a judgement afford!

Which all patients say are: It seems to be always on the escape…

But: It is each day in the hospital, answers even at Easter and at night to my emails!!!

He says even it is its appointment and gives everything for it… from there suffers badly his family life under it. ( IHRT, This is the understatement of the century!)

Now, I know for me, if further OPs lines up, I will come always ago. My travel time: approx. 4 autohours

And I am not private, but the BKK health takes over the costs. Only the gel and the remainder of the stay one must pay.

To further questions simply announce

Love of greetings

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Hello becci, I became

DanH

Di, 08/06/2010 - 16:09Hello becci,

I would never go with a Endomoetrioseverdacht to him! Simply so from the feeling. In no technical periodical, on no congress of the Endovereinigung or hears one reads something of him in connection with Endo. With Endometriose you belong into the hands species! And Kruschinski is in my opinion only self-appointed which growing together bellies concerns.

Here times a beautiful text to the gasless Lap: http://www.opz-huerth.de/index.php?menue=m3_&sm=21

I had heard of it already, also of many disadvantages, and that I now found. How in the text by the way descriptive is developed by saucy stone - > and no more does not use! That says some nevertheless already…

LG

Daniela

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Left thank you

nela

So, 13/06/2010 - 16:42 Hello Daniela, thank you for the left and your open comment! I find it very courageous by you that you take here so openly position. I reacted it experienced as it to criticism. It feels asked already insulting if it for it we whether it at all a practice has. Also I go actually proving only to a physician to that me can in appropriate advanced training measures have participated, and/or in technical periodicals is represented. Which does not concern Schneck83 so would like I anybody too close to step however one could nearly believe that this is a kind advertisement. Which Doc omits itself already with a female patient over its family life. It should nevertheless the patient and not around the physician concern here. In addition which many bad criticisms? Criticism at it nevertheless nearly not only always exists these miracle stories. Endo is a hard fate and no place for physicians, who are already insulting if her are not praised.

LG Nela

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Hello Nela that with its

Schnecke83

So, 13/06/2010 - 18:24Hello Nela,

that with its family life does not have it me also told, I “snapped open” in the hospital only!

It changed with me no private word, everything had with me to do, thus for the patient.

Greetings

To write announcing or registering around comments

Hello Schnecke83, are you

DanH

So, 13/06/2010 - 18:38Hello Schnecke83,

were you operated by Dr. Kruschinski because of Enometriose?

LG
Daniela

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Hello Daniela, I has

Schnecke83

So, 13/06/2010 - 19:03Hello Daniela,

yes, I have Endo degree of 3 with strong growing together and an inclination to the Zystenbildung at the ovaries.

My was already again 8 cm large: - (

Between intestine and the Gebärmutter I have still Endo, which he has however for the time being leaves, there it a piece intestine to remove would have had and then get one an artificial intestine exit for 3 months, so that the two intestine ends can grow together.

Oh, always these OI `s, as good that one does not have white how often one still so in its life therefore under measurers.

LG

Origional German text

http://www.endometriose-liga.eu/node/26625

Dr kurschinskie, EndyGyn = Risko Verwachsungen geringer
becci-maus
Mo, 07/06/2010 - 14:14hallo ihr lieben,

habe soeben in einem älteren beitrag von dr kurschinski in braunschweig gelesen und bin total geschockt, aufgeregt und erfreut. habe mir sogleich dann seine homepage angeguckt und dort von seinen neuartigen op-techniken gelesen, die die risiken von verwachsungen eindämmen sollen, auch wird gaslos operiert, was insg auch weniger risiken birgt, außerdem gibt es dort auch die möglichkeit, ohne vollnarkose diesen eingriff vornehmen zu lassen, was mich total neugierg macht. denn ich habe schreckliche angst vor meinem op termin in berlin und würd am liebste absagen, wenn ich über die risiken lese und auch hier im forum wird deutlich, dass immer wieder verwachsungen über die jahre entstehen, die sicher nicht durch die endo, sondern durch BS / oder Bschnitte entstanden sind.

da der beitrag schon etwas älter ist, mache ich daher einen neuen post auf und möchte fragen, wer damit schon erfahrungen gemacht hat, wer dort war in der praxis. sind bei euch tatsächlich weniger verwachsungen entstanden, musstet ihr erneut eine op machen lassen? hat jemand die möglichkeit genutzt, ohne vollnarkose operiert zu werden???

da die praxis ja für viele weit weg ist, je nach wohnort, würde ich auch gerne wissen, wie der kontakt zu stande kam, wie besprechungen verliefen, sicher per telefon/mail nehme ich am? wird man überhaupt gut beraten und untersucht, wenn man erst einen tag vor der op anreist? können hiesige ärzte was mit den befunden überhaupt anfangen oder muss man zu nachuntersuchungen immer wieder hin? für mich wären das einige hunderte km, wenn ich dann aber weniger verwachsungen davontrage und ich die chance habe, geheilt zu werden, nehme ich das gerne in kauf...daher ganz dringend die bitte, mir ganz viele tips und erfahrungen mitzuteilen. habe sone angst vor der op und bin schon richtig depressiv, weil ich mir im internet horrogeschichten und risiken durchlese und nur noch schwarz sehe :(

und die letzte frage: wie lief es denn mit der kostenübernahme ab? ich bin privatversichert, aber weiß nicht, ob soetwas übernommen wird, wenn man in einen anderen ort fährt etc.

bin gespannt und warte sehnsüchtig auf antwort, lg becci

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Hallo becci, ich habe
DanH
Mo, 07/06/2010 - 18:59Hallo becci,

ich habe nicht alle deine Beiträge gelesen, also kenne ich deine Diagnose/Beschwerden nicht.

Möchte dir aber meinen (wenn auch nur flüchtigen) Eindruck von Dr. Kruschinski schildern. Ich hatte den mal am Telefon. Es war vor der Diagnose Endo, damals hatte ein Allgemeinmediziner den Verdacht auch Verwachsungen und evtl. "was gynäkologisches"...und beim googeln bin ich eben über ihn gestolpert und hab nen Termin zur Telefonsprechstunde gemacht. Mein Eindruck war nicht der Beste: Wir haben keine 10 min geredet, ich hab ihm ganz knapp meine Beschwerden und den Verdacht geschildert und schon hatte ich nen OP-Termin. Das fand ich so...naja. Und die Kasse hätt's ohnehin nicht gezahlt.

Er arbeitet ja mit dieser Lift-Methode, wie du schreibst ohne Gas. Und als Verwachsungsbarriere arbeitet er mit einer Art Sprühgel was ich aus sonst keiner Klinik kenne (klar, er hat wohl auch ein Patent drauf).

Aber ob's gut oder schlecht ist..??? Kennt jemand relevante Studien? Ich weiß nicht so recht, aber wenns doch DAS Wundermittel gegen Verwachsungen geben würde, dann hätten wir doch alle keine, oder? Das ist nur meine ganz persönliche Meinung, und ich weiß das Patientinnen die von ihm operiert wurden darauf schwören.

Liebe Grüße

Daniela

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Hi Becci, zu doc
Erdbeere23
Mo, 07/06/2010 - 20:12Hi Becci,

zu doc kruschinski gabs hier schon einige diskussionen..

fakt ist: er ist kein endometriosespezialist und wurde noch auf KEINER fortbildung oder veranstaltung zum thema endometriose, auch vom endometrioseverband deutschland, gesehen (zu diesen veranstaltungen gehen endometriosespezialisten, die sich regelmäßig fortbilden, alle hin). das allein würde mir schon signalisieren, da nicht hin zu gehen.

zudem operiert er in einer privatklinik und schildert auf seine homepage meiner meinung nach die fälle so selbstlobend marke "was hab ich da wieder wundervolles tolles geleistet", dass ich das gefühl habe, es geht um sein ego und, vor allem, um sein geld.

sicherlich klingt das alles für jemanden, der grad schmerzen hat, sich in not fühlt, auch psychisch evtl ziemlich am ende ist (wie die meisten frauen, die nach nem endoarzt suchen), wie die rettung und total super. ABER: genau darauf zielt das angebot, zielt die art und weise der werbung ab! sie ist gemacht, weil auf diese weise frauen, die grad schwach sind, ein vermeintlicher rettungsanker gereicht wird- und dazu ordentlich in die tasche gegriffen.

ich würd da niemals hingehen......entscheiden muss das wohl jeder selber. in einer phase, wo ich in not war, hab ich da mal kontakt hin gehabt, und mir wurde sogar gesagt, wenn ich die op zahle und komme, wird mir als gratisleistung (weiteres lockmittel) die voruntersuchung geschenkt.

zudem haben mir mehrere spezis gesagt, dass mein kleine endometrioseherde mit der liftmethode NICHT sieht und somit keinen umfassenden einblick bekommen kann (auch andere spezis arbeiten mit lift, aber nicht bei endo...). Und: Die beschwerden (muskelkater usw) sind nach dem liften auch nicht besser als nach der methode mit gas..

ich geh lieber zu einem endospezi, der auf endo genau spezialisiert ist, sich weiter bildet und auch dort wird verwachsungen vorgebeugt..

LG

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Ich muss dir zustimmen
DanH
Mo, 07/06/2010 - 20:16Ich muss dir zustimmen Erdbeere.

Wenn's um Endometriose geht ist er schon mal gar nicht der richtige Ansprechpartner!!!! Ich dachte es ging um Verwachsungen.

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Ich kenne den Arzt nicht,
EndotanteIV
Di, 08/06/2010 - 09:05

Ich kenne den Arzt nicht, aber ich kann nur sagen, ich bin verdammt froh, das die Vollnarkose erfunden wurde! Niemals freiwillig möchte ich von diesen OP´s etwas life mitbekommen! Vor den Narkosen hab ich mittlerweile keine Angst mehr... Und ich bin bis vor einem Jahr nur unter Zwang zum Blutabnehmen gegangen...

LG Daniela

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hallo daniela, bei mir geht
becci-maus
Di, 08/06/2010 - 14:49hallo daniela,

bei mir geht es um den verdacht auf endometriose. habe ja große angst vor dem eingriff, erste op in vollnarkose und vor der diagnose, den risiken erneuter verwachsungen etc.

ich fand seine homepage im ersten moment sehr gut und in meiner not weiß ich auch nicht, wem ich glauben soll, habe bereits stunden recherchiert, jeder arzt sagt etwas anderes, es gibt die, die auf die gaslose schwören und es gibt die, die der klassischen methode den vorzug geben. nur leider sind die berichte und meinungen immer sehr einseitig und jeder sprecher macht eben nur die gegenteilige operationsmethode total schlecht, alles klingt einleuchtend und auch widerum nicht.

kann mir denn jemand weiterhelfen, hat jemand evtl fundierte studien oder pro/contra argumente für mich? bin schon wieder drauf und dran, die op abzusagen :(

lg becci

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hallo erdbeere, du hast ganz
becci-maus
Di, 08/06/2010 - 15:00hallo erdbeere,

du hast ganz recht mit deiner aussage: ich bin grad total schwach, ängstlich, verzweifelt, panisch...:(

woher weiß man denn, dass er bisher auf keinen solchen studien und fortbildungen war? wie hattest du denn kontakt zu der klinik, per telefon?

bezüglich diesen sprays: so wie es auf der homepage gepriesen wird, ist es DAS verwachsungenmittel schlechthin, in amerika sei das gang und gebe. ich fand das alles sehr logisch, da die flüssigkeit, die bei der klassischen op-methode verwendet wird, nicht auf den wunden haften bleibt wie dieses spray. dort hieß es, die narben seien mit der gaslosen op weniger, bauchschnitte können vermieden werden. dann ist da die rede von dem second look, also einer kontroll-op, in der verwachsungen, die sich ja innerhalb 3 stunden nach der ersten op bilden, gelöst werden können...und und und... dann das mit der regioanlanästhesie, hab doch solche angst vor einer vollnarkose...

weiß nicht weiter, habe heute mit meiner FA gesprochen, leider ein sehr kurzes gespräch per telefon, und diese meinte auch, dass mit der gaslosen op weniger präzise herde gefunden werden können, die risiken die gleichen sind, verwachsungen auch auftreten können...aberdazumuss man wissen, dass sie mich zu dr. ebert überwiesen hat, also würde sie sicher nicht einen ganz anderen arzt dann besonders loben (denn machen wir uns nichts vor, ALLE ärzte wollen verdienen, so ist das leider)

wenn jnd noch mehr infos, meinungen oder erfahrungen hat, bitte ganz dringend hier texten, bin so down :(

lg

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Dr. Kruschinski
Schnecke83
Di, 08/06/2010 - 16:07Hallo zusammen,

erst einmal möchte ich sagen, dass jeder von der OP Methode überzeugt sein muss, die er über sich ergehen lassen muss!

Wenn das nicht der Fall ist, würde ich eine OP immer absagen.

Man muss mit sich im Reinen sein, weil mit dem Ergebnis, egal wie es ausgeht, muss man leben können.

Nun zu Dr. Kruschinski:

Interessant ist, wie viel schlechte Kritik er einstecken muss und über ihn geschrieben wird, obwohl grade diejenigen nie von ihm operiert wurden...

Ich wurde vor einer Woche von ihm operiert! Haupt-OP und einige Tage danach Second look.

Z.Zt. befinde ich mich noch in der Klinik. Nach beiden Eingriffen wusste ich sofort Bescheid was Sache ist, habe etliche Bilder erhalten, so dass ich genau wusste, was er dort bei mir unten "angestellt" hat!

In einem KH hätte ich einen Bauchschnitt bekommen, wurde mir damals bei der ersten BSP gesagt. Diesen wollte ich mit fast 27 Jahren aber nicht haben, deshalb habe ich mich dagegen entschieden. Nun habe ich ein Hauch größerer Schnitte wie bei einer normalen BSP. Meine Überlegungen und Forschungen bis hin zu OP haben ein halbes Jahr gedauert!

Und warum er werben muss: Er operiert in einer Privatklinik! Dort kann jeder ohne eine Überweisung hin gehen, sage ich jetzt mal so salopp.. Und er muss ständig dafür kämpfen und sich für seine Methode rechtfertigen. Ist das fair? Oder ist es Neid von den Anderen?

Das SprayShield habe ich auch bekommen, über Erfahrungen kann ich natürlich erst denke ich in einigen Wochen sprechen und wie es mit den Schmerzen aussieht!

Ich habe ihn nun persönlich kennen gelernt und daher kann ich mir nun ein Urteil leisten!

Was alle Patienten sagen ist: Er scheint immer auf der Flucht zu sein...

Aber: Er ist jeden Tag in der Klinik, antwortet sogar an Ostern und nachts auf meine E-Mails!!!

Er sagt selbst es ist seine Berufung und gibt alles dafür...daher leidet arg sein Familienleben darunter.

Nun ja, ich für mich weiß, falls weitere OPs anstehen, werde ich immer her kommen. Meine Fahrzeit: ca. 4 Autostunden

Und ich bin nicht privatversichert, aber die BKK Gesundheit übernimmt die Kosten. Nur das Gel und den Rest des Aufenthaltes muss man selbst zahlen.

Bei weiteren Fragen einfach melden

Liebe Grüße

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Hallo becci, ich würde
DanH
Di, 08/06/2010 - 16:09Hallo becci,

ich würde mit einem Endomoetrioseverdacht niemals zu ihm gehen! Einfach so vom Gefühl her. In keiner Fachzeitschrift, auf keinem Kongress der Endovereinigung liest oder hört man etwas von ihm im Zusammenhang mit Endo. Mit Endometriose gehörst du in die Hände eines Spezies! Und Kruschinski ist meiner Meinung nach nur ein selbsternannter was Verwachsungsbäuche angeht.

Hier mal ein schöner Text zur gaslosen Lap: http://www.opz-huerth.de/index.php?menue=m3_&sm=21

Ich hatte davon schon gehört, auch von vielen Nachteilen, und das hab ich nun gefunden. Wie im Text übrigens beschrieben ist von Keckstein entwickelt -> und nicht mehr verwendet! Das sagt doch schon einiges...

LG

Daniela

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Link Vielen Dank
nela
So, 13/06/2010 - 16:42Hallo Daniela, vielen Dank für den Link und Deinen offenen Kommentar! Ich finde es sehr mutig von Dir, dass Du hier so offen Stellung beziehst. Ich habe es selbst erlebt wie er auf Kritik reagiert. Er fühlt sich schon beleidigt wenn er danach gefragt wir ob er überhaupt eine Praxis hat. Auch ich gehe nur zu einem Arzt der mir tatsächlich nachweisen kann an entsprechenden Fortbildungsmaßnahmen teilgenommen zu haben, bzw. in Fachzeitschriften vertreten ist. Was Schneck83 betrifft so möchte ich niemandem zu nahe treten aber man könnte fast glauben, dass dies eine Art Werbung ist. Welcher Doc lässt sich schon bei einer Patientin über sein Familienleben aus. Es sollte hier doch um den Kranken und nicht um den Arzt gehen. Außerdem welche viele schlechte Kritiken? Kritik an ihm existiert doch fast gar nicht bloß immer diese Wundergeschichten. Endo ist ein hartes Schicksal und kein Platz für Ärzte, die schon beleidigt sind wenn sie nicht gelobt werden.

LG Nela

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Hallo Nela, dass mit seinem
Schnecke83
So, 13/06/2010 - 18:24Hallo Nela,

dass mit seinem Familienleben hat er mir auch nicht erzählt, habe ich in der Klinik nur "aufgeschnappt"!

Er hat mit mir gar kein privates Wort gewechselt, alles hatte mit mir zu tun, also dem Patient.

Grüße

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Hallo Schnecke83, bist du
DanH
So, 13/06/2010 - 18:38Hallo Schnecke83,

bist du von Dr. Kruschinski wegen Enometriose operiert worden?

LG

Daniela

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Hallo Daniela, ja, ich habe
Schnecke83
So, 13/06/2010 - 19:03Hallo Daniela,

ja, ich habe Endo Grad 3 mit starken Verwachsungen und eine Neigung zur Zystenbildung an den Eierstöcken.

Meine war schon wieder 8 cm groß :-(

Zwischen Darm und der Gebärmutter habe ich noch Endo, die hat er aber vorerst belassen, da er ein Stück Darm hätte entfernen müssen und dann bekommt man einen künstlichen Darmausgang für 3 Monate, damit die zwei Darmenden zusammen wachsen können.

Ach ja, immer diese OP`s, wie gut, dass man nicht weiß wie oft man noch so in seinem Leben deswegen unters Messer muss..

LG

If you need friends bad enough to hang with the likes of Dr Daniel Kruschisnki and Karen Steward than we pray God keep you safe through your ordeal. Wouldnt facebook be a safer bet?

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Predator Alert: Karen Steward and her "Business Prospects" on Facebook

2011-09-21T03:36:00.000-07:00

Predator Alert: Karen Steward and her "Business Prospects" on Facebook

ARDvark Blog Journal of Adhesion Related Disorder: Performing clinical studies involving hernia mesh devices: what every investigator should know about the FDA investigational device exemption (IDE) process.

2011-09-21T03:20:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: Performing clinical studies involving hernia mesh devices: what every investigator should know about the FDA investigational device exemption (IDE) process.

Uterine peaking - sonographic sign of vesico-uterine adhesion.

2011-09-21T03:16:00.000-07:00

Ger Med Sci. 2011;9:Doc24. Epub 2011 Sep 13.

Uterine peaking - sonographic sign of vesico-uterine adhesion.

Walid MS, Heaton RL.

Source

Heart of Georgia Women's Center, Warner Robins, GA, USA.

Abstract

Objective: In this paper we present our observation of a specific sign on transvaginal ultrasound that may help basic minimal invasive surgeons diagnose vesico-uterine adhesions preoperatively.Methods: The ultrasound images of the latest eleven patients who were preoperatively diagnosed with vesico-uterine adhesions using transvaginal ultrasound were compared with their intraoperative findings.Results: Ultrasonography showed a spectrum of changes from obliterated anterior cul-de-sac to dense fibrosis between the lower uterine segment and cervix with the bladder. Horn- or beak-shaped streaks of tissue with the same density of uterine myometrium is a sign of fundal attachment of vesico-uterine adhesions or of complete anterior cul-de-sac obliteration with adhesions going between the uterus and the anterior abdominal wall. Fine papillary peaking is seen in cases of dense lower uterine segment and cervical fibrosis without fundal involvement. These signs combined with limited mobility of the cervix and bladder base correlated with the presence of dense vesico-uterine adhesions.Conclusion: The described sonographic signs, two static and the other dynamic, may help basic minimal invasive gynecological surgeons who do not have advanced laparoscopic skills and do not feel comfortable dealing with an obliterated anterior cul-de-sac or dense vesico-uterine space fibrosis predict the presence of dense vesico-uterine adhesions allowing them to choose another route that they may be more comfortable with such as vaginal or abdominal hysterectomy or request assistance from a more experienced colleague.

PMID:: 21921998; [PubMed - in process]
PMCID: PMC3172722

Free full text

http://www.ncbi.nlm.nih.gov/pubmed/21921998

ARDvark Blog Journal of Adhesion Related Disorder: Adhesions, Adhesions-Related Disorder or CAPPS – a way to think about the problem from the patient’s perspective.

2011-09-21T03:03:00.000-07:00

ARDvark Blog Journal of Adhesion Related Disorder: Adhesions, Adhesions-Related Disorder or CAPPS – a way to think about the problem from the patient’s perspective.

Do Men Get Adhesions?

2011-09-21T02:58:00.000-07:00

David Wiseman PhD, MRPharmS, Founder, International Adhesions Society

It is a common myth that only women are prone to adhesions. While it is

certainly true that women have more “internal parts” that require surgery, which

inevitably leads to adhesions, men are not excluded from the problem of

adhesions.

A simple look at the national statistics collected from hospital discharges (ICD9

codes) from the most recent data available (2001-2005) reveals the following:

of peritoneal adhesions (568.0), accounting for 28% of such diagnoses,

compared with 72% for women.

Over 50,000 men were discharged from hospital in 2005 with a diagnosis

the specific diagnosis of intestinal adhesions with (ie causing) bowel

obstruction (560.81). This number accounts for 38% of cases, compared

with 62% for women.

Over 37,000 men were discharged in 2005 with a diagnosis that included

opposed to an incidental diagnosis) was intestinal adhesions with

obstruction (560.81). Their length of stay was slightly higher than that of

women in 3 of the five years studied and their hospital charges exceeded

those of women in every year by as much as $2500.

Men also accounted for 37% of discharges with a principal diagnosis (as

adhesions with obstruction, representing about 3% of the total discharges

with that diagnosis. The contribution of males to this death rate was in

every year slightly higher than that of women in proportion to their

discharges, by 10-15% in the years 2002-2005, and about 2% in 2001.

Overall discharges for men and women have been climbing at the same rate over

the five year period studied.

CONCLUSION

Peritoneal adhesions afflict, conservatively over 50,000 men each year, with over 27,000 men

having adhesions with obstruction. A man with a diagnosis of adhesions with intestinal

obstruction has a slightly higher risk of dying than a woman, as well a slightly higher of

hospitalization, approaching some $48000.

Adhesions are a significant clinical problem for men and women. Although we have focused on

only one consequence of adhesions, bowel obstruction, it is likely that the trends observed here

will be observed for other consequences of adhesions, namely pain and other bowel disturbances.
Click here to read the graph:
http://www.adhesionrelateddisorder.com/DoMenGetAdhesions.pdf

Please visit the International Adhesion Society to learn more about adheiosn related disorder
http://www.adhesions.org/ Over 2000 men and women died every year with a diagnosis of intestinal

September is Adhesion Related Disorder Awareness Month

2011-09-20T03:59:00.001-07:00

September is Adhesion Related Disorder Awareness Month

http://www.prweb.com/releases/2005/09/prweb279356.htm

September is Adhesion Related Disorder Awareness Month. Find out about ARD before you have any surgery.

Email PDF Print

(PRWEB) September 2, 2005

Adhesions are internal scars that bind organs and tissues that are not normally connected. Adhesions form as a result of trauma due to surgery, infection, disease or other injury. Adhesions can distort and disturb body functions and cause pain, intestinal obstruction and infertility, giving rise to a complex of problems, collectively termed "Adhesion Related Disorder (ARD)" - Dr. David Wiseman, founder International Adhesion Society
The rate of adhesion formation after surgery is surprising given the relative lack of knowledge about ADHESIONS among doctors and patients alike. From autopsies on victims of traffic accidents, Weibel and Majno (1973) found that 67% of patients who had undergone surgery had adhesions. This number increased to 81% and 93% for patients with major and multiple procedures respectively. Similarly, Menzies and Ellis (1990) found that 93% of patients who had undergone at least one previous abdominal operation had adhesions, compared with only 10.4% of patients who had never had a previous abdominal operation. Furthermore, 1% of all laparoscopies developed obstruction due to adhesions within one year of surgery with 3% leading to obstruction at some time after surgery. Of all cases of small bowel obstruction, 60-70% of cases involve adhesions (Ellis, 1997).
Lastly, following surgical treatment of adhesions causing intestinal obstruction, obstruction due to adhesion reformation occurred in 11 to 21% of cases (Menzies, 1993).
Between 55 and 100% of patients undergoing pelvic reconstructive surgery will form adhesions.
Recent analysis of the latest US health statistics by the International Adhesions Society (IAS) (http://www.adhesions.org/) reveals that over 2200 people died in 2001 with a diagnosis of intestinal obstruction due to adhesions. This number has been consistent for five consecutive years with between 2100 and almost 2500 deaths per annum. Women account for a 60% majority of these deaths.
In 2001 there were over in-patient 67,000 discharges with a primary diagnosis of adhesion-related obstruction, with an average length of hospitalization of 9.8 days. With an average charge of some $32,000, this represents a cost to the economy of $2.15 Billion. About two-thirds of these costs were borne by Medicare and Medicaid.
But this is just the tip of the iceberg. When other inpatient diagnoses of peritoneal and pelvic adhesions are added, the cost easily exceeds $5 billion, and that is before out-patient costs and loss of work are considered.
Nearly 30% of the hospital discharges for adhesion-related obstruction occurred in the 45-64 age range, and 53% occurred in the 65+ age range. The most deaths (1196) occurred in the 45-64 age range, but as a percentage of the hospitalizations, the greatest risk of death (10%) occurred after age 85.
To our knowledge this is the first report to document the number of deaths related to adhesions, and serves to highlight the extent of an under-appreciated problem. Others have previously reported that a patient undergoing pelvic or abdominal surgery will be readmitted twice in the next 10 years for a problem related to adhesions, or for a procedure that could become complicated by adhesions.
Given the extent and severity of ARD it is surprising that few people have heard of the condition. In a recent survey conducted by the IAS, patients reported that they were told about adhesions in only 25% of procedures they underwent. This number dropped to only 10% when procedures not known to involve adhesion surgery were considered.
The IAS strongly urges all patients to ask their doctors about ARD before undergoing surgery. The IAS also urges hospital and public health officials to ensure that adhesions are discussed as part of the informed consent procedures. By engaging in this discussion doctors will want to consider options for reducing the risks to the patient of post-operative adhesions. This will benefit not only patients, also the doctors who are faced with the sequelae of ARD.
For more information please contact:
Dr. David Wiseman, Founder, International Adhesions Society
6757 Arapaho Road, Suite 711-238, Dallas, TX 75248
972 931 5596
david.wiseman@adhesions.org
NIDDK recognizes "Adhesion Related Disorder"
DEPARTMENT OF HEALTH AND HUMAN SERVICES
NATIONAL INSTITUTES OF HEALTH
National Institute of Diabetes and Digestive and Kidney Diseases
FY 2006
Join the campaign of ARD awareness and know the consequences you face from common surgeries like C-Sections, Hysterectomies, Appendectomies, Heart Surgery, and Gallbladder Surgery.

Profiting from Pain: Adhesion Related Disorder ~ Stay safe

2011-09-20T03:53:00.001-07:00

Profiting from Pain: Adhesion Related Disorder ~ Stay safe

2011-09-20T03:53:00.000-07:00

Profiting from Pain: Adhesion Related Disorder ~ Stay safe

Adhesion Related Disorder International Human Rights Team IHRT: Endogyn Update: Attention Dr. Kruschinski Creditors! Cold hard cash and lots of it!

2011-09-20T03:45:00.000-07:00

Adhesion Related Disorder International Human Rights Team IHRT: The truth about Gas less laparoscopy and Dr. Kruschinski

2011-09-20T03:40:00.000-07:00

Kruschinski Alert: The Brainwashing of the innocent by Dr. Kruschinski

2011-09-17T08:54:00.000-07:00

Kruschinski Alert: The Brainwashing of the innocent by Dr. Kruschinski

Profiting from Pain: Karen Steward Profiting from Pain

2011-09-17T07:09:00.000-07:00

Profiting from Pain: Karen Steward Profiting from Pain

Gastroparesis

2011-09-17T04:51:00.000-07:00

http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001342/

Gastroparesis

Gastroparesis diabeticorum; Delayed gastric emptying

Last reviewed: November 11, 2010.

Gastroparesis is a condition that reduces the ability of the stomach to empty its contents, but there is no blockage (obstruction).

Causes, incidence, and risk factors

The cause of gastroparesis is unknown, but it may be caused by a disruption of nerve signals to the stomach. The condition is a common complication of diabetes and can be a complication of some surgeries.
Risk factors for gastroparesis include:

Diabetes
Gastrectomy (surgery to remove part of the stomach)
Systemic sclerosis
Use of medication that blocks certain nerve signals (anticholinergic medication)

Symptoms

Abdominal distention
Hypoglycemia (in people with diabetes)
Nausea
Premature abdominal fullness after meals
Weight loss without trying
Vomiting

Signs and tests

Esophagogastroduodenoscopy (EGD)
Gastric emptying study (using isotope labeling)
Upper GI series

Treatment

People with diabetes should always control their blood sugar levels. Better control of blood sugar levels may improve symptoms of gastroparesis. Eating small meals and soft (well-cooked) foods may also help relieve some symptoms.
Medications that may help include:

Cholinergic drugs, which act on acetylcholine nerve receptors
Erythromycin
Metoclopramide, a medicine that helps empty the stomach
Serotonin antagonist drugs, which act on serotonin receptors

Other treatments may include:

Botulinum toxin (Botox) injected into the outlet of the stomach (pylorus)
Surgical procedure that creates an opening between the stomach and small intestine to allow food to move through the digestive tract more easily (gastroenterostomy)

Expectations (prognosis)

Many treatments seem to provide only temporary benefit.

Complications

Persistent nausea and vomiting may cause:

Dehydration
Electrolyte imbalances
Malnutrition

People with diabetes may have serious complications from poor blood sugar control.

Calling your health care provider

Apply home treatment such as managing your diet. Call your health care provider if symptoms continue or if you have new symptoms.

References

Koch KL. Gastric neuromuscular function and neuromuscular disorders. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 9th ed. Philadelphia, Pa: Saunders Elsevier;2010:chap 48.

: Review Date: 11/11/2010.
Reviewed by: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and George F. Longstreth, MD, Department of Gastroenterology, Kaiser Permanente Medical Care Program, San Diego, California. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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