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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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450<br />

D.C. <strong>Chen</strong> and B.P. <strong>Jacob</strong><br />

dysfunction, and gastritis from the Advil, which Dr. A told me I could<br />

take and did not warn me that high doses could corrupt my stomach.<br />

Though I consulted by e-mail and phone with a number <strong>of</strong> <strong>of</strong>fices all<br />

over the country, I had already learned <strong>of</strong> two surgeons who specialized<br />

in revisional surgery after hernia repair. I very much liked Dr. C. Dr. C<br />

said after viewing new imaging that my mesh was indeed corrupted, that<br />

it had formed a ball—that I had a meshoma —and that in order to excise<br />

it, the procedure would likely include cutting my three important sensory<br />

nerves, called a triple neurectomy . Dr. D made the same diagnosis<br />

but said that the nerves might not need to be cut. Though I preferred Dr.<br />

C due to this doctor’s patience and accessibility, I waited the requisite<br />

six months they had both urged as the “wait-and-see” period for the pain<br />

to go away:<br />

Frightened and depressed…<br />

During that time I also consulted pain doctors. Dr. E, a pain doctor,<br />

decided to do an exploratory block and scheduled me in the OR, as I was<br />

in such discomfort. I was crying all the time, miserable, frightened, and<br />

depressed. I was diagnosed with post-traumatic stress disorder. <strong>The</strong><br />

block did not do much, and so I went ahead and scheduled with Dr. D,<br />

as I was hoping to save my nerves, particularly the genital nerve.<br />

In the meantime, my insurer broke <strong>of</strong>f relations with the Dr. C’s hospital.<br />

Dr. C was most accessible and did not push me in one direction or<br />

another, but gave me information as I requested it. Again at the last<br />

minute, I became afraid and canceled the surgery with Dr. D and<br />

rescheduled with Dr. C. I had to do it within a month, as my insurer<br />

would only cover up to three months.<br />

I had numerous bad side effects from the pain medication. Percocet<br />

was the only thing that helped, but its side effects <strong>of</strong> constipation eventually<br />

took me back to the doctor, to Dr. F, a gastroenterologist who recommended<br />

a diagnostic colonoscopy and some antidepressants. I have<br />

always been afraid <strong>of</strong> antidepressants, and though I filled the prescription,<br />

I could not get myself to take them. I did not proceed with the<br />

colonoscopy. I felt sure that if I could get <strong>of</strong>f the pain m<strong>eds</strong>, I would<br />

return to normal.<br />

Revisional Surgery<br />

I had to move mountains to get the surgery approved with my insurer;<br />

it made everything even more painful and complicated. Finally in late<br />

March, seven months after the original surgery, Dr. C eventually did the

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