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Welcome to Gallstones

Welcome to Gallstones.

amycjohnson
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Welcome to Gallstones

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  1. Welcome to Gallstones

  2. Welcome to the university. No parents nagging, no attendance slips to have signed, classes are all interesting and fun, life is great because you are sailing your own ship. Life is great except for that pain in your gut. It has been hurting off and on for more than a week now. In fact, at times, it is pretty painful. You decide to go to the health services on campus because you remember reading about health care being included in some package with tuition or something.

  3. The doctor suspects that your condition is caused by gallstones. Studies suggest that as many as one quarter of North Americans/Europeans will develop gallstones at some time in their lives. If you are female, you are 2.5 times more likely to be afflicted than your counterpart. You are referred to a specialist where you will need imaging (CPT code 78223) and follow up depending on the results. You may have several choices.

  4. Which do you choose and what will each choice cost you? • Ignore the pain. Maybe it will go away. (In 1558, the earliest recorded description of gallstone related symptoms, Jean Fernel in Universa Medicina wrote: “Sometimes there is so much surplus bile that the bladder is stretched to an enormous size. If the disease sets in, there arise pressure, pain, and difficulty of breathing; even vomiting, thirst, hotness and restlessness; after a while, pus formation and intermittent fever. Then, the disease becomes serious.”) • Laparoscopic cholecystectomy (CPT code 47562) • Endoscopic lithotripsy (CPT code 43265) • Open cholecystectomy (CPT code 47600) • Oral bile acid dissolution therapy (no CPT code listed currently) • Contact dissolution therapy (no CPT code listed currently) • Clinical trial currently recruiting: “Study of Inborn Errors of Cholesterol Synthesis and Related Disorders.” As part of the study, gallstones will be removed free of charge. In fact, if you qualify, all costs associated with the travel and your subsequent health care as related to the procedure may be completely covered. (See information) http://www.clinicaltrials.gov/ct/show/NCT00046202?order=2

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