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Brian P. Jacob, David C. Chen, Bruce Ramshaw, Shirin Towfigh (eds.) - The SAGES Manual of Groin Pain-Springer International Publishing (2016)

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35. Chronic Post-inguinal<br />

Herniorrhaphy <strong>Pain</strong>: A Patient’s<br />

Perspective<br />

<strong>David</strong> C. <strong>Chen</strong> and <strong>Brian</strong> P. <strong>Jacob</strong><br />

Introduction<br />

Patient ZP is an acclaimed writer and columnist. We have asked her<br />

to share her story to illustrate the experience, frustrations, hopes, and<br />

fears from a patient’s perspective. Her story also demonstrates the<br />

importance <strong>of</strong> referral patterns and how physicians themselves should<br />

pay more attention to the skill set <strong>of</strong> their trusted referrals. <strong>The</strong>se<br />

patients navigate a sea <strong>of</strong> doctors, studies, interventions, and surgeries<br />

<strong>of</strong>ten without enough guidance or expertise. <strong>The</strong>ir difficulties finding<br />

adequate care turn lives upside down, and while we can usually ultimately<br />

make patients better, the road is long, and some lives never return<br />

to normal. It is a reminder for all <strong>of</strong> us to try always to do better.<br />

Background<br />

I am a writer by vocation but a dancer by avocation. As someone<br />

whose body is very important to her—not for vanity but for health reasons<br />

and a daily sense <strong>of</strong> well-being—any interruption in that routine has repercussions<br />

beyond the norm. Every day I do something—running, walking,<br />

hiking, Pilates, core conditioning, or dancing—to keep my body and my<br />

brain in shape. Once upon a time I was a Balanchine baby, but most<br />

recently, in the last six years, have been studying flamenco.<br />

About seven years ago, I noticed a tiny bump on my lower right<br />

abdomen, barely visible, close to my pelvic region. I was not in any pain<br />

© <strong>Springer</strong> <strong>International</strong> <strong>Publishing</strong> Switzerland <strong>2016</strong><br />

B.P. <strong>Jacob</strong> et al. (<strong>eds</strong>.), <strong>The</strong> <strong>SAGES</strong> <strong>Manual</strong> <strong>of</strong> <strong>Groin</strong> <strong>Pain</strong>,<br />

DOI 10.1007/978-3-319-21587-7_35<br />

447

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