I recently had a HIDA Scan which showed that my gall bladder doesn't excrete. In October I had a laparoscopy to remove pelvic adhesions. While the gyn was doing the lap, she told me that my liver & gall bladder were covered with adhesions. So bad that she couldn't even see the organs. Because I had limited her to the laprascope, she couldn't take those adhesions down. When I relayed the gyn's findings to my primary, she said I needed a general surgeon. The general surgeon says that she doesn't take down adhesions without a bowel obstruction, which I don't have. She says she absolutely won't bother the adhesions, and will only bother them (as few as necessary) if they get in the way of her removing my gall bladder laprascopically. She also says that my pain covers a larger area than just from my gall bladder and that for that reason, she's not sure that my gall bladder is the sole (or even a part) source of my pain.
I also gathered from my gyn, that while my adhesions had re-formed, they weren't nearly as severe as they had be during a previous surgery meaning that I didn't get any new ones and that the ones that had grown back weren't as bad as they had been. This gives me hope that if perhaps much care is taken then to remove my adhesions in the upper right quadrant, they won't grow back; and if they do, it won't be as severe. Because I want to avoid having surgery again for as long as possible, I want to have my gall bladder removed as well as having the adhesions taken down. That way, I'm covering all the bases.
I don't have much experience in dealing with insurance companies but I'm wondering how much success I can expect with Cigna (HMO) in getting them to allow me to have 2 surgeries at the same time. Can a gyn remove my gall bladder? Liklihood of getting a gyn & a general surgeon to work together? Can anyone recommend any good surgeons in the Washington, D.C. area? Finally, I've noticed that all of the doctors who seem to care anything about adhesions are gynecologists. Am I imagining that? If not, why are gynecologists the only ones who seem to work on adhesions?