Post surgical pathology report:
Biopsies proved negative for abnormal pathology and endometrial implants!
(NO endometriosis )
Emergency room visit on May 31-97
Deb presented with pelvic pain, nausea, dizziness, abdominal cramping
following her diagnostic laporoscopy of May 5th 1997.
Seen by Dr. Darcy. Pelvic ultrasound ordered:
Results of that diagnostic:
Fluid in pelvic cavity. Suspected small hemorrhagic tissue in
fluid, result of recent biopsy.
(Would be normal following the diagnostic procedure of 5/5/97)
Small ovarian cysts on LEFT ovary..(
Normal findings in an ovulating women.)
NOTE: Uterus IS normal in size! No
mention of deviation to the right, or of right ovary adherent to the uterus!
Endometrial strip ( lining ) IS normal,
you cannot have endometriosis with a normal endometrial lining of the uterus!
Impossible to have endometriosis AND a normal endometrial strip! Cannot
have both at the same time!
Deb states that Dr. Arnold told her and her husband that her pelivic
pain was from endometriosis and she would need a hysterectomy to resolve
her pain. No alternative for her chronic pain was offered to her. A hysterectomy
was scheduled for June 11, 1997.
Deb was 32 years old at this time and two children.
June 11, 1997 Hysterectomy procedure:
Preoperative diagnosis: Endometriosis,
pelvic pain, dysmenorrhea ( heavy menstration )
Postoperative diagnosis: Endometriosis,
pelvic pain, dysmenorrhea
Procedure: Hysterectomy with removal of right
ovary and uterus.
NOTE: Fourth paragraph of operative report
by Dr. Arnold:
The uterine vessels were crossed clamped with bipolar cautery
(burned through ) and coagulated superior to the uterine artery because
of bleeding…( thus the blood supply to the uterus was severed rendering
this organ dead. )
Dr. Arnold then turned his scalpal to the urinary
bladder as he had to spend 1.5 hours to free the uterus from the urinary
bladder due to dense adhesions! You will note that these dense
adhesions were from two prior c-section deliveries.
Note that bleeding was continuing in the pelvic cavity at the end of
the surgery, and try to get an idea of why and how many dense adhesions
that alone would cause Deb to form in the next few days and the suffering
it would once again bring her!
Deb was expecting that this procedure would bring resolution to her
pain and suffering…not that it would bring her even greater suffering in
more ways then physical!
Though her husband had questioned him as to why that hysterectomy took
so long, Dr. Arnold never once mentioned the incidence with the dense adhesions!
First page of discharge summary:
First paragraph reads that the hysterectomy was performed due
to “biopsy proven” endometriosis, and
found during the diagnostic
laporoscopy of 5/29/97!! Both statements are not true at all!
Blatant lies here.
Second paragraph Dr. Arnold states that because
Deb is finished with her childbearing, the hysterectomy route would be
taken. Note that there was no alternatives offered to resolving her chronic
pelvic pain though he highly suspected post surgical adhesions to be the
cause of the uterus deviation and right ovary being adherent to the uterus!!!
1.) Uterus with “weakly secretory phase endometrium”
which is a normal stage of ovulation
in the ovary! In Deb’s case, this stage was being caused by her being
placed on hormone therapy, thus the “ exogenous hormonal therapy effect!”
2.) Inflamed cervix was also due to being on hormone therapy!!
Nabothian cysts are found all the time in females,( they come and go spontaneously,
some may require lancing, but that is few and far between,) Certainly
not a cause for a hysterectomy!!
3.) Fallopian tube “ adnexal cysts ” are again something that
is found in women all the time, they come and go spontaneously. Pathologist
says that a micro section of the cysts must be done to rule out “ endometrial”
tissue being present as no endo tissue is visable. (Tissue from
the strip in the uterus)
4) Ovary (right) with follicle cysts, corpus luteum cyst (all
normal in the ovary )and some bleeding from that biopsy of the ovary 5/29/97..(again
to be expected from the biopsy)
5.) Dysplasia ( abnormal tissue findings ) and malignancy (cancer
cells) are NOT observed on this specimen
Second page of discharge summary:
1. Endometriosis of right fallopian tube and uterus (NEVER
confirmed at all!! )
2. Corpus luteum cyst of right ovary (All
part of the normal function of the ovaries)
3. Follicular cyst of right ovary (A
normal function of the ovary, produces estrogen)
4. Nabothian cyst of cervix (A cyst
that is found in this area, comes and goes all the time in females!!
Not one of these reasons show cause for a
hysterectomy!! Not one of them at all!
Surgical pathology report:
Diagnosis following pathological study of specimens shows first the
“ gross ” study of the specimens, (or visual inspection of the uterus and
fallopian tube and right ovary.)
External inspection of the uterus shows fibrous
adhesions on it.
Microscopic test results of the tissue:
If a pathologist has to search microscopically for endometriosis in
uterine tissue, fallopian tube and ovary tissue, then you can be assured
that a surgeon definitely did NOT see endometriosis in a diagnostic
procedure nor in that hysterectomy!! Impossible! And the microscopic
results are inconclusive at that! (unable to determine if any endo tissue
was in the cysts at all!)
1. Uterus with “weakly secretory phase
endometrium” ( thinner endometrial strip in the uterus that
was caused from hormone therapy! Normal when menstruating or on hormones!
2. Inflammed cervix…(nothing new here)
3. Fallopian tube with adnexal small cysts “ suggesting “ endometriosis/endosalpingeosis
This cannot be determined by this specimen test, a midro tissue lab
test must be done on the tissue to determine IF endo was present in the
4. Right ovary, normal stage of cysts, hemorrage due to biopsy.
Following an adhesiolysis procedure in New York Columbia Presbyterian
Medical Center with Dr. Harry Reich M.D. on April 20, 1999 Debbie
remains productive and has not required any medical intervention for ARD
or urinary tract problems!
Pelvic ultrasound January 12, 1999
Deborah Kreuger once again presents to Dr. Arnold with “ pelvic pain!”
( Gram negative rods mean bacteria without abnormal cells, no infection
Her symptoms were NOT clearly defined, an ultrasound was performed.
Cysts were found on her left ovary, but no mention of surgery to remove
that ovary due to cysts!!
She was tender over her right adnexa ( right pelvic area over where
her right ovary would have been )
She was diffusely tender over her bladder…(where it took him 1.5 hours
to cut through dense adhesions during the hysterectomy!) At no time did
he mention that incidence of having to lyse the adhesions on her bladder
for 1.5 hours to her either!