Summary:
Post Uterine Artery Embolization Syndrome (PES)
Medical Consult provided by Dr. Hufnagel

Test Results Date: September 2004
Educational Consult Date: July 2004

Cory Cook
14241 E. First Drive, Unit 306
Aurora, CO 80011
303-366-4343
email: cory.cook@comcast.net
Isis Group Member of Hufnagel Institute




Case Background:


Underwent UAE (uterine artery embolization) for fibroid tumors in 2001 to avoid major surgery and preserve fertility at recommendation of primary care physician.


Within 6 months tumors shrank by 50%, however pelvic pain continued to increase and new areas of pain began in abdominal areas outside of pelvic region. 6 month CT Scan showed no abnormality. One year post UAE, pain and fatigue became overwhelming and OB-GYN performed laparascopy finding extensive abdominal and pelvic adhesions from embolic agents. In addition, substantial endometriosis was found as well as adenomyosis of the uterus. Surgeon removed left ovary, 1 calcified cervical fibroid and excision of endometriosis. Pain continued to increase post laparascopic surgery; OB-GYN recommended 80% chance for relief from pain if supracervical hysterectomy was performed. Supracervical hysterectomy was performed one and a half months later. Pathology of both surgeries showed foreign body giant cell reaction, focal fibrosis, granulomatous inflammation and focal calcification. Surgeon's new resident physician stated there was infection in all pathology at follow-up visit. Surgeon denied this stating the resident physician was new and did not understand that there was not infection, but an adverse reaction indicated in the pathology.

Pain continued to increase alarmingly post two laparascopic surgeries. OB-GYN referred patient out of care and suggested consults with a pain management specialist, a bowel surgeon and a therapist skilled at coping skills for pain. Bowel surgeon had no experience with UAE complications and recommended patient to seek intervention from a tertiary clinic such as the Mayo Clinic or the Cleveland Clinic. Began methodone pain management and weekly therapy sessions while seeking interventional options at the Mayo Clinic. Had to apply for disability benefits through employer, as pain and symptom complex were so disabling that daily life had become a chore; an ordeal to get up every day in horrible pain and fear of permanent disability.

Nearly a year after the last laparascopic supracervical hysterectomy, the Mayo surgeon recommended another laparascopic surgery to determine if patient had gangrenous bowel due to symptom complex (having a case report of another patient post UAE). Surgeon also removed remaining cervical area where much of the embolic material remained due to cervical fibroid embolization. Surgeon found multiple areas of clumps of white embolic foreign body material, which had pooled into clumps throughout abdominal cavity; these were excised (cut out). Surgeon also found additional adhesions from embolic material, which were lysed (released), and a chronically inflamed appendix, which was removed at the stump. The Mayo surgeon could not guarantee that this surgical intervention would get patient well, however was worth performing in an attempt to reduce patient's debilitating and disabling pain threshold.

Educational Medical Consult with Dr. Hufnagel:

After struggling with recovery for over a year post Mayo surgery, and still not getting well, patient consulted Dr. Hufnagel at the Hufnagel Institute for an educational medical consult.

After over 3 years post UAE and 3 interventional laparascopic surgeries in less than a year, it was amazing that in just one hour, Dr. Hufnagel was able to finally give patient definitive recommendations regarding health compromises. Dr. Hufnagel recommended silicone antibody testing, a gallium scan, CA-125 testing, comprehensive blood labs and directed me to find a holistic M.D. to assist me in sorting out the ongoing symptom complex related to PES secondary to UAE. It is important to note that I found Dr. Hufnagel only through exhaustive research on the internet, as 99.99% of UAE websites promote this procedure as a non-invasive non-surgical procedure with very low risk and high success outcomes. She is the only M.D. that understands and treats patients for post embolization syndrome (PES).

Testing Results:

Silicone antibody tests came back positive for silicone poisoning, with highest levels in the blood and muscle. This is no joke. Incidentally, these tests were performed by ImmunoSciences Lab, Inc., with high quality control and stringent quality assurance. The Holistic M.D. stated there is still ischemia (lack of oxygen) in my tissues, blood and organs secondary to UAE complications with embolic agent spill into my peritoneal cavity through the fallopian tubes. He said my immune system is compromised with multiple blood markers and that my cells are attacking themselves. They are "nucleolar" with a ratio of 1:1280 when normal is 1:20. I also have a rheumatoid factor, associated with arthritis, of 37 when normal is 0-20. I also have a skin condition typically associated with systemic lupus called livedo reticularis.

In other words, I now have auto-immune disorder secondary to UAE complications, secondary to silicone in the embolic materials. I was 39 when I had the UAE procedure and was very strong physically and very active, having a solid 20 year history of engaging in weight training, yoga and aerobic conditioning activities. I am currently disabled still trying to regain my health through multiple "holistic" approaches including acupuncture, osteopathic manipulation (OMT), histamine drops, blood builder and other food supplements, hormone analyses, nutritional analyses, ion and other testing. All of this has occurred only in the past two months, and only at the recommendation of Dr. Hufnagel. Had I not found Dr. Hufnagel, I would still have no idea why I still have health issues related to UAE post embolization syndrome. Many of the physicians preceding Dr. Hufnagel passed me from one doctor to another, for multiple tests without any of them coming close to putting together any sort of clinical picture based on my "rare complications" from UAE. I was even told by one doctor that I was fixated on the idea of the embolic materials migrating and causing the pain and that they don't migrate.

I'm not proud of the way I look today (below) after all that I have been through, but at least I am beginning to have hope for improvement with Dr. Hufnagel's help.

I have renewed faith that I can recover perhaps more of my health through FRS (female reconstructive surgery), as well as a sense of not being a victim anymore through active participation in my own health care. I am also finally on my way to standing up for myself against the members in the medical community that contributed to my current disability and medically induced loss of health.

Most importantly, I am reaching out to inform other women to beware of the "positive slant" in the marketing of UAE, and to realize that there are significant life-altering complications that can occur as a result of this procedure. It is so important to understand that there are very real complications that have occurred as a result of the UAE procedure, some of which are gangrene, pulmonary emboli, multi-organ failure, non-target embolization (causing temporary and permanent disabilities) and death. Now we must add silicone-related disease to the complication list as a byproduct of "non-target" or "misembolization" in that the embolic agents travelled outside of the targeted uterine arteries. None of these complications will be shared with the woman who is eager to avoid major surgery and thus she may fall prey to UAE's quick fix marketing mentality.

In addition, I am determined to let go of fear (not an easy thing to do when you are not well) and take responsibility toward reporting my adverse health conditions. Conditions caused, and exacerbated by the medical community at large through the substandard care given to me on behalf of certain members in the medical profession. The straightforward approach as to how to do this becomes more clear with each step outlined by Dr. Hufnagel at consult, and with her continued support.

Dr. Hufnagel has given me solid medical direction and emotional support where none could be found before. Dr. Hufnagel also provides a scientific perspective toward approaching not only the medical issues, but also the legal perspective and a sound framework to work within.

This journey I have only just begun, and although I still have much to do, I am incredibly grateful for finding Dr. Hufnagel and other great members of the Isis group to help support me and help to guide me along the way.

If there are any words of wisdom that I could convey to help other women avoid some of the health problems I've encountered, PLEASE do not hesitate to set up an educational consult with Dr. Hufnagel.

She is not only a notably skilled surgeon, OB-GYN, Holistic M.D., female hormone expert and author of many books with critical issues related specifically to Women's health, Dr. Hufnagel is also a very down to earth human being who really cares about what happens to women. Sometimes it is the critical second or third opinion that impacts your health the most. Make it count. You have more options. Your reproductive organs are VERY important. Dr. Hufnagel can help you to keep them safely. She can give you good advice. Don't risk your life and well-being on an what is still an experimental UAE procedure like I did. BE informed.

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