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General Surgery/mirena iud surgical removal


I went to my obgyn to have my mirena iud removed after its insertion 5 years ago. She was not able to find the strings or get it out on the first appointment. I had to make a second appointment and wait a month to see her. They performed a sonogram to verify that it was still there, which it was. It has migrated up in the uterus and they were still not able to get it out, even after prescribing misoprostol to help her get it out. My insurance will not cover it because it is considered an elective procedure. My obgyn will not schedule the surgery until I am able to pay the full amount up front. I have called several other obgyn offices looking for a doctor/hospital that will work with me on a payment plan because I can not afford to pay for the surgery up front. Meanwhile this iud is causing severe abdominal pain and headaches. What else can I do to get this thing out? Help!

Dear Heather,

Your gynecologist needs to do a Peer-to-Peer review with the insurance company's medical professional. This is not an elective procedure, this can turn into a medical emergency. Your gynecologist needs to advocate for you. Call the office and demand that they do what is necessary to properly manage your care. Their answer to you, is unacceptable. Please get back to me if you still find yourself without any answers.  

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Dr. Pamela M. Cipriano, DNP, ACNP-BC


GENERAL SURGERY Intestinal obstructions; Perforations; Ostomy; End ileostomy; Hemicolectomy; Take down ileostomy; Ostomy reversals; Diverticulitis; Chrohns Disease; Appendectomy; Cholecystectomy (gallbladder); Ventral hernia repair; Inguinal hernia repair; Umbilical hernia repair; Chest tubes; Pleurex catheters; Lobe-ectomy; Pneumonectomy; Thoracotomy; Pleuradesis; Thyroid surgery; Mastectomy; Lumpectomy LAPAROSCOPIC - LAPAROTOMY - LAPAROSCOPIC ASSISTED


My name is Dr. Cipriano. I am a Hospitalist on the Medical Staff. I round, admit, discharge, consult and assist with surgeries in the OR. I manage patients in the ICU and Med/Surg floors. I also work in the emergency department. I am certified critical care nurse (CCRN). And ACLS certified. I

Society of Hospital Medicine American College of Nurse Practitioners Connecticut Advance Practice Registered Nurse Society

Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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