Susan's Place Transgender Resources

Community Conversation => Transsexual talk => Post operative life => Topic started by: DarkLady on October 19, 2009, 05:29:25 AM

Title: Local GP has the treatment responsibility
Post by: DarkLady on October 19, 2009, 05:29:25 AM
So say the leading plastic surgeon here.
Title: Re: Local GP has the treatment responsibility
Post by: Steph on October 19, 2009, 06:05:01 AM
Care to elaborate?

-={LR}=-
Title: Re: Local GP has the treatment responsibility
Post by: DarkLady on October 19, 2009, 06:06:52 AM
Intravaginal wounds and infections after SRS. Also swelling and increased bleeding when it has been over 6 months from SRS.
Title: Re: Local GP has the treatment responsibility
Post by: Renate on October 19, 2009, 06:08:08 AM
She means that the treatment of the infections in her neo-vagina have been relegated to her local doctor instead of a gynecologist or plastic surgeon.
Title: Re: Local GP has the treatment responsibility
Post by: Steph on October 19, 2009, 06:46:17 AM
Quote from: Renate on October 19, 2009, 06:08:08 AM
She means that the treatment of the infections in her neo-vagina have been relegated to her local doctor instead of a gynecologist or plastic surgeon.

I would thing that would be quite correct.  I really don't see how a OBGYN or surgeon would be needed at this stage other than for post surgical consultation.  I recall that I suffered a massive post surgical infection (My own fault) and my doctor sent me over to Emerg, where an OBGYN examined me while on the phone with my surgeon, to determine the best course of action surgeon don't usually treat infections unless it involves the removal of infected tissue.

-={LR}=-
Title: Re: Local GP has the treatment responsibility
Post by: lisagurl on October 19, 2009, 09:51:52 AM
Granulation tissue is a sometime result of SRS about 1 in 100. Many have to go back to the surgeon to have it fixed if local treatment does not solve the problem. It sounds to me like she is caught in the typical situation that happens with public health care. A bureaucracy is not the way to handle health problems. She needs private help.
Title: Re: Local GP has the treatment responsibility
Post by: Steph on October 19, 2009, 05:59:30 PM
Quote from: lisagurl on October 19, 2009, 09:51:52 AM
Granulation tissue is a sometime result of SRS about 1 in 100. Many have to go back to the surgeon to have it fixed if local treatment does not solve the problem. It sounds to me like she is caught in the typical situation that happens with public health care. A bureaucracy is not the way to handle health problems. She needs private help.

That's strange my public health care system worked fine for me.  What typical situation are you referring to you are being unfairly general in your comments.

-={LR}=-
Title: Re: Local GP has the treatment responsibility
Post by: lisagurl on October 19, 2009, 08:32:10 PM
QuoteWhat typical situation are you referring to you are being unfairly general in your comments.

I have heard from England, Australia, Canada and Finland and they all have problems with public health from TS patients.
Title: Re: Local GP has the treatment responsibility
Post by: Steph on October 19, 2009, 08:47:23 PM
Quote from: lisagurl on October 19, 2009, 08:32:10 PM
I have heard from England, Australia, Canada and Finland and they all have problems with public health from TS patients.

I see, hear-say.  Always a credible source of information.  While bad reports often garner the headlines, more often than not they are not a true reflection.  Stop dwelling on the failures and look at the successes.

-={LR}=-
Title: Re: Local GP has the treatment responsibility
Post by: lisagurl on October 20, 2009, 01:10:25 PM
QuoteWhile bad reports often garner the headlines, more often than not they are not a true reflection

The same could be said about endorsements.
Title: Re: Local GP has the treatment responsibility
Post by: taru on October 31, 2009, 01:55:48 PM
Quote from: DarkLady on October 19, 2009, 05:29:25 AM
So say the leading plastic surgeon here.

And if the local GP has no idea what to do he can refer you further. But some points:
* The plastic surgeons are not experts on treating infections
* The plastic surgeons in question are not familiar with the technique your SRS was performed with

The advice to start from your GP is correct. You might also consider contacting your surgeon.
Title: Re: Local GP has the treatment responsibility
Post by: rejennyrated on November 27, 2009, 02:32:32 AM
Quote from: lisagurl on October 19, 2009, 08:32:10 PM
I have heard from England, Australia, Canada and Finland and they all have problems with public health from TS patients.
Well to be fair England has a regional healthcare system these days and not all regions have problems. It's only in some limited areas of the country where they lack understanding. I've never had an issue or cause for complaint, although it is true that I paid for my SRS privately, but in my experience the NHS does do a reasonably good job over the post-operative care.

The thing is in our system the local GP is the first port of call for ALL healthcare needs from cancer through to being Trans. They have to deal with the most incredibly diverse range of issues and, if like me, you read up on your GP and find out what his or her specialisms are before you register, it is possible to get a really good one. But there are also some who have rather limited experience.