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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Appendix Burst Due To Ovarian Cysts, Recurring Cysts Post Operation. Suggestive Treatment?

I have a couple of questions and wanted to see if they could be answered, and if I could use your answer in a memorandum to my military Commanding Officer. Once answered, can you also tell me what your qualifications are? My fiance underwent an emergency surgery on October 20, 2012. She had severe stomach pain and admitted herself to the Emergency Room on Fort Bragg at Womack Army Medical Center. I was away for training and unable to come home because we are not married yet. It was found that she had three ovarian cysts and they caused her appendix to burst. The surgeon removed the cysts and her appendix. Following the surgery, she has continually had stomach pain on a regular basis. This past week we admitted her to the emergency room again when the pain became too much for her to bear. Following the same tests that she had the originally had, it has been found that she has 3 more cysts on the same ovary in relatively the same spot. So after giving a brief description of her medical history, my question is this.....Would my fiance benefit from having someone around to take care of her medical needs while she is awaiting additional treatment for her ovarian cysts? As of right now, I am required to perform extra duties on base and I am unable to care for her whatsoever. So in your medical opinion, would it be safer and make sense for my fiance to have me around as much as possible to care for her medical needs and take her to her appointments, or to the Emergency Room if necessary instead of her driving herself when her pain becomes too much for her to cope with?
Fri, 28 Dec 2012
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General Surgeon 's  Response
Dear sir, as I understand you want to know is it necessary to be with your fiance while she s having ovarian cyst? Well, you should know that problem comes when ovarian cyst rupture or become torsioned; this will cause sharp pain in lower abdomen and peritoneal inflammation which needs to be treated surgically in most cases. It can rupture today or never. Usually her gynecologist needs to plan her treatment and follow the size of these cysts. If it becomes too large it can be laparoscopicaly removed. So my conclusion is that you dont need to be around her all the time because many women have these kind of cyst and dont even know it. Also every human can have appendicitis at any time without any risk factors so it doesnt mean that every men needs to have someone around him all the time. If she s gonna need the emergency procedure for her disease she will definitely be able to drive or make a phone call. Ovarian and appendix inflammation develops through 6-12 hours or even days...

Wish you good healt,Dr. Ivan Romich
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Appendix Burst Due To Ovarian Cysts, Recurring Cysts Post Operation. Suggestive Treatment?

Dear sir, as I understand you want to know is it necessary to be with your fiance while she s having ovarian cyst? Well, you should know that problem comes when ovarian cyst rupture or become torsioned; this will cause sharp pain in lower abdomen and peritoneal inflammation which needs to be treated surgically in most cases. It can rupture today or never. Usually her gynecologist needs to plan her treatment and follow the size of these cysts. If it becomes too large it can be laparoscopicaly removed. So my conclusion is that you dont need to be around her all the time because many women have these kind of cyst and dont even know it. Also every human can have appendicitis at any time without any risk factors so it doesnt mean that every men needs to have someone around him all the time. If she s gonna need the emergency procedure for her disease she will definitely be able to drive or make a phone call. Ovarian and appendix inflammation develops through 6-12 hours or even days... Wish you good healt,Dr. Ivan Romich