Healthy Living

Surgery to Avoid #5: Lower-Back Surgery

February 25, 2008

by Curt Pesmen
The fifth of 5 operations you don’t want to get—and what to do instead.

Since the 1980s, operations for lower-back pain and sciatica have increased roughly 50 percent, from approximately 200,000 to more than 300,000 surgeries annually in the United States. That rise is largely due to minimally invasive advances that include endoscopic keyhole tools used in tandem with magnified video output.

To its credit, surgery (endoscopic or the traditional lumbar-disc repair) does relieve lower-back pain in 85 to 90 percent of cases, docs say. “Yet the relief is sometimes temporary,” says Christopher Centeno, MD, director of the brand new Centeno-Schultz Pain Clinic near Denver. And that adds up to tens of thousands of frustrated patients who find the promise of surgery was overwrought or short-lived.

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Surgery to Avoid #4: Heartburn Surgery

February 25, 2008

by Curt Pesmen
The fourth of 5 operations you don’t want to get—and what to do instead.

A whopping 60 million Americans experience heartburn at least once a month; some 16 million deal with it daily. So it’s no wonder that after suffering nasty symptoms (intense stomach-acid backup or near-instant burning in the throat and chest after just a few bites), patients badly want to believe surgery can provide a quick fix. And, for some, it does.

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Surgery to Avoid #3: Angioplasty

February 25, 2008

by Curt Pesmen
The third of 5 operations you don’t want to get—and what to do instead.

Every year in the United States, surgeons perform 1.2 million angioplasties, during which a cardiologist uses tiny balloons and implanted wire cages (stents) to unclog arteries. This Roto-Rooter-type approach is less invasive and has a shorter recovery period than bypass, which is open-heart surgery. The problem: A groundbreaking study of more than 2,000 heart patients, just released this year at a cardiology conference and in The New England Journal of Medicine, indicated that a completely nonsurgical method—heart medication—was just as beneficial as angioplasty and stents in keeping arteries open in many patients. The bottom line: Angioplasty did not appear to prevent heart attacks or save lives among nonemergency heart subjects in the study.

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Surgery to Avoid #2: Episiotomy

February 25, 2008

by Curt Pesmen
The second of 5 operations you don’t want to get—and what to do instead.

It can sound so simple and efficient when an OB-GYN lays out all the reasons why she performs episiotomy before delivery. After all, it’s logical that cutting or extending the vaginal opening along the perineum (between the vagina and anus) would reduce the risk of pelvic-tissue tears and ease childbirth. But studies show that severing muscles in and around the lower vaginal wall (it’s more than just skin) causes as many or more problems than it prevents. Pain, irritation, muscle tears, and incontinence are all common aftereffects of episiotomy.

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5 Surgeries to Avoid

January 29, 2008

Maybe I’m the wrong ex-patient to be telling you this: Experimental surgery erased stage III colon cancer from my shell-shocked body six years ago. But even I’ve got to admit that all is not well in America’s operating rooms. Please don’t get me wrong. I’d go back under the scalpel in a minute if I had a gastro-tumor recurrence (like White House press officer Tony Snow did) or some totally unrelated, unforeseen orthopedic emergency (a knee injury, for instance). But at least 12,000 Americans die each year from unnecessary surgery, according to a Journal of the American Medical Association (JAMA) report. And tens of thousands more suffer complications.

The fact is, no matter how talented the surgeon, the body doesn’t much care about the doc’s credentials. Surgery is a trauma, and the body responds as such—with major blood loss and swelling, and all manner of nerve and pain signals that can stick around sometimes for months.

Those are but a few reasons to try to minimize elective surgery. And I found even more after talking with more than 25 experts involved in various aspects of surgery and surgical care, and after reviewing a half-dozen governmental and medical think tank reports on surgery in the United States. Here, what you need to know about five surgeries that are overused, and newer, sometimes less-invasive procedures and solutions that may be worth a look. Read More


My Ovary-Free Life

December 1, 2007

I was 48 hours away from surgery, obsessed with wondering how my life and my body would change, when I was crudely reminded of why having my ovaries removed could be a really good thing. I got my period with the works—bloating, pimples, and cramps. As usual, I subsisted on ibuprofen every three hours. It was strange thinking this would be the last time I’d feel this way. Read More



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