How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 44340
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

Last November I was told I needed

Resolved Question:

Last November I was told I needed surgery for an Anal Fistula, and was put on the list. I had a date for surgery March 28th. I was cancelled a week before. I was given another date 2nd July. It was cancelled on the 1st july. I amd 76 and have had Crohans for about 20yrs. How many times can the NHS keep cancelling. I can only have surgery at one hospital (Watford) because I have an extra heart beat which makes me high risk. Is it because I am old and its not worthwhile. I'm in good health otherwise. Thankyou for your time Mrs Brenda XXXXX

Submitted: 2 years ago.
Category: Medical
Expert:  Dr. David replied 2 years ago.
Dr. David :

This is Dr. David

Dr. David :

I am sorry the NHS keeps canceling your anal fissure surgery.

Dr. David :

this is really unfortunate.

Dr. David :

when is your surgery scheduled for now?

Dr. David :

are you willing to see another surgeon in your area?

Dr. David :

crohn's can definitely cause anal fissures.

Dr. David :

are you bleeding through your anal fissure?

Dr. David :

is the area painful?

Customer:

I bleed sometimes but not a lot. It is uncomfortable as I get a discharge and have to use liners in my underwear. I haven't even been told what the surgery entails, or what to expect afterwards. I would be pleased to see any other doctor, so long as I could keep a surgical date instead of being cancelled each time.I am told however that only Watford general has the facilities for if my heart gave them trouble. And the department that deals with my problem unfortunatly is the one that deals with bowel cancer, and that must take priority. Thank you for your advise ***** *****

Dr. David :

I see.

Dr. David :

I would keep at it and keep pressing for that surgery to be done as soon as possible.

Dr. David :

sometimes the squeaky wheel gets the oil.

Dr. David :

you might have to complain to hospital administration

Dr. David :

or complain to higher levels up in the NHS to get more attention to your case.

Dr. David :

do you have atrial fibrillation of your heart?

Dr. David :

the codeine can often cause constipation which is good for loose stool, but you don't want to get too constipated if you have an anal fissure which can be very painful to have bowel movements with large hard stools.

Dr. David :

hello?

Customer:

I was sent to a cardiac consultant who recommended a pacemaker, but it had to go to a committee who would make the final decission. they did, 5 weeks later. The answer was no, but that i must go to a hospital with cardiac facilities and an ITU.I am careful only to use codine one per day.for the very reason you spoke of. When I said 'loose bowels' I mean literally water. My food does me no good at all because it goes straight through me. The crohans is untreated and won't be until the fistula is treated. A vicious circle. i called the hospital after speaking to you, and they said the have had a word with the appointment department. I can't wait !!!.

Dr. David :

I'm sorry.

Dr. David :

this sounds like unnecessary waiting.

Dr. David :

I wish I could get them to do the surgery sooner.

Dr. David :

do you have any other questions I can help you with?

Dr. David :

another option is that you can try to obtain a solicitor there to represent you to try to get your surgery performed sooner.

Dr. David :

hello?

Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 44340
Experience: Board Certified Physician
Dr. David and other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions