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UPDATED POST (at 9:19 am on Friday, October 31, 2008)
I have started a petition called:
Create Endometriosis Awareness & Understanding.
If you click the previous link, you will be routed directly to the online petition. I urge you to sign it!
The goal is to get a show like Oprah or The View to feature a story on endometriosis that explains ACCURATELY how endo is diagnosed, what amount of recovery time is needed, etc.
Please see my post about the petition I created last night:
Friday, October 31, 2008 Endometriosis Blog: Please Sign Petition To "Create Endometriosis Awareness & Understanding"!!!
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Tonight I opened my email and there was a Google alert email on the topic of endometriosis. I get these endometriosis alerts regularly.
I opened the email and found no less than 10 links about endometriosis!! (Generally these endometriosis alerts contain 1-5 links per email). Every single one of the 10 links was about Lacey Schwimmer reporting that she has been diagnosed with endometriosis and/or info about Julianne Hough's endometriosis/surgery.
See my previous post regarding Julianne Hough's announcement that she has been diagnosed with endometriosis.
TUESDAY, OCTOBER 28, 2008 Endometriosis Blog: Julianne Hough Of Dancing With The Stars Reports She Has Been Diagnosed With Endometriosis & Will Have Appendectomy
Here is one of the links from the Google alert on endometriosis:
TransWorldNewsI am puzzled. I read through each of the links with reports of Lacey Schwimmer's announcement that she has been diagnosed with endometriosis.
Lacey Schwimmer was quoted in these reports as saying (press releases dated today), "A few days ago, I started feeling very shaky, very weak, and I had awful cramps... I didn’t really know what was going on. I went to go get checked out today and I actually have the beginning onset of what Julianne has,” Schwimmer told The Insider. “It hurts very bad. Right now I’m insanely weak, and the room is spinning.” She went on to say, “I have medication that is taking care of it. We caught it at a very good time” and that she "will not require surgery".
Here is why I am puzzled... The media reports are saying that she was diagnosed by the same doctor that Julianne Hough was diagnosed by. I am puzzled because she, like Julianne Hough, was diagnosed by her doctor as having endometriosis
despite the fact that she had not had a laparoscopy to diagnose the condition.
According to
The Endometriosis Association, "diagnosis is considered uncertain until proven by laparoscopy, a minor surgical procedure done under anesthesia. A laparoscopy usually shows the location, size, and extent of the growths. This helps the doctor and patient make better treatment choices".
According to
The Endometriosis Research Center "endometriosis can ONLY be diagnosed via surgery; diagnostic tests like MRIs and ultrasounds are not definitive".
So my confusion is how both of these women from
Dancing With The Stars have been diagnosed with endometriosis
prior to having had surgery or without having had surgery???
Those familiar with endometriosis are well aware that it is diagnosed via an outpatient surgical procedure called laparoscopy. I don't understand how the doctor who has diagnosed each of these women is making these diagnoses without the benefit of laparoscopic surgery.
While I understand from news reports that Julianne Hough has a sister and mother who have endometriosis and while endometriosis can be a genetic illness (it runs in my family too), a diagnosis of endometriosis cannot be made based on family history alone.
I understand from news reports that Lacey Schwimmer sought medical attention because she was having similar symptoms to Julianne's. I understand that her symptoms, as described in media reports, are consistent with endometriosis. The thing is that endometriosis cannot be diagnosed based solely on symptoms. There are other illnesses with symptoms that mimic endometriosis.
I am baffled as to how the physician who diagnosed both of these two women did so without performing a laparoscopy to confirm the suspected diagnosis. What about taking a biopsy to verify that the misplaced tissue was, in fact, endometrial tissue??
Laparoscopies are performed for reasons other than diagnosing endometriosis. Wikipedia describes laparoscopies as follows:
Wikipedia entry about laparoscopyI have had endometriosis for 26 of my 39 years. I have attended endometriosis support group meetings at the local levels since my endometriosis was diagnosed in 1992. I had symptoms for 10 years before I was finally diagnosed properly by a
laparoscopy.
I am
not a medical professional. Even if I were, I am learning about these women's diagnoses through media reports. Even if I were sitting in the same room with these two women and I were a doctor, I wouldn't know if they were being properly diagnosed with endometriosis without doing a laparoscopy to find that out.
Endometriosis affects an estimated 5.5 million women in North America and it affects an estimated 89 million women worldwide. So it is certainly conceivable that these two women, who displayed symptoms of endometriosis, (and at least one of whom has a family history)... do indeed have endometriosis.
My concern is that neither of these women was diagnosed by a
laparoscopy and they both appear on a show watched by many, many millions of viewers.
Many of these viewers undoubtedly never even heard of endometriosis before Julianne Hough and Lacey Schwimmer were diagnosed with endo.
My concern is that the general public may be getting misinformation about how endo is diagnosed... based on the news reports of Ms. Hough and Ms. Schwimmer.
Numerous websites imply that Ms. Hough's appendix was removed pre-emptively because cysts might have formed on it at a later date. Huh? Maybe there are some facts that the media is not reporting but that sounded odd to me. Plenty of women with endo hang onto their appendixes unless they become covered in endo.
Julianne Hough announced she was having an appendectomy on the air the night
BEFORE her surgery. News reports also indicate that Ms. Hough had symptoms for 5 years but had
not had a laparoscopy prior to this week. Therefore, the surgeon had (by all accounts) not yet seen her appendix before this week's surgery.
Ms. Schwimmer's diagnosis is described in numerous links as having been "caught early". The way that it is worded implies that because her endometriosis was caught early, she does not require surgery at this time. Fair enough.
She said (as quoted above) that medication is "taking care of it". I don't understand how her endometriosis symptoms are likely being managed well enough to make informed treatment decisions when she just got diagnosed today (if the media has the timeline straight)...
WITHOUT a laparoscopy (considered the means for diagnosing endometriosis definitively by doctors and endometriosis organizations around the globe).
I understand that her interviews repeatedly mention her endo was "caught early". However, in my experience, women who suffer endo symptoms severe enough to send them in to their doctors for answers cannot possibly manage their symptoms within a matter of 24 hours or less from diagnosis... regardless of how "early" it was "caught". Sure, she may have been given a strong painkiller that has alleviated the type of pain that sent her to her doctor. I just don't understand the way her statement to the press was worded.
I
don't mean to sound critical of her (or Julianne Hough) in any way!!! I'm just confused about the wording of things. It may well be that she is quoting her doctor verbatim. I have no clue. My concern is how the public will process these announcements. I am just concerned that the general public may be getting a skewed view of how endo is diagnosed, how it is managed, etc.
The medical condition of these two women is their personal business. Since they have both announced their diagnoses to the world, however, I believe it is important to use this as an opportunity to inform the public about endo. I worry that the media statements that have been made could be giving the public a fuzzy picture, at least, and maybe even a misleading picture, at most, on what sort of impact endometriosis typically has on patients properly diagnosed with it via laparoscopy.
It is very unfortunate that these two women are experiencing such symptoms at all... much less during an intense, physically demanding competition. They may well both have endo.
I just worry that neither one seems to have been diagnosed by laparoscopy. This could confuse the millions of viewers of
Dancing With The Stars.
This is an opportunity to
EDUCATE the public about this illness. I sincerely hope that is what will happen!!!
I'd like to add a comment that was posted on a website by a woman named "Heather". It nicely sums up the opportunity we have for media attention on educating the public about endo. This comment was posted on the following site:
Fancast: Inside TVHeather posted this comment to Julianne Hough:
"I am so sorry to hear that you were diagnosed with Endo. However at the same time you are so very blessed to have been diagnosed at such a young age. I wasn't diagnosed until I was 34 after almost 20 years of suffering with the disease. So many doctor's told me what I was experiencing was just normal heavy painful periods. However my pain was throughout the whole month with also extremely painful ovulations. Unfortunately being that the Endo did not get diagnosed for so very long I am now at stage 4. Endo is on just about every organ. Bladder, liver, ovaries etc..... Thankfully after a few years of trying my husband and help from fertility treatments we conceived our miracle daughter Sophia Izabella who is now 6 years old.
I know you are newly diagnosed but Julianne you have a voice for this disease. So many millions of us women have tried to get the word out about Endo. We want to get the word out about it so, so many teen girls and women don't have to suffer for so many years before getting diagnosed. I have written tons of letters to Oprah, The View and many others in hopes of getting the word out but no one seems to care. It affects millions and millions of teen girls and women. Sadly even my own OB/GYN isn't very educated about it. Pretty much she says all she can do is put me on continous birth control pills to help. Anything you can do to help would be so appreciated. I would be more than happy to help you in anything you can do. Thanks so much Julianne
Posted by Heather | October 28, 2008 4:59 PM
Heather brings up a very good point. High-quality information about endometriosis should be disseminated to the public! Heather mentions having contacted
Oprah and
The View. These shows have predominantly female audiences and would be perfect vehicles for accurate information to be shared with the public. Ideally, the dancer or dancers would be interviewed on air with renowned gynecological surgeons who can speak to how to properly diagnose endometriosis and whether such physical activity is (in Julianne's case) advisable shortly after surgery.
It's enough to make me want to start a letter-writing campaign to
Oprah and
The View requesting that they feature endometriosis as the serious illness it is... and feature experts in the field who can speak to the complexities of this illness which baffles doctors and patients alike.
My acupuncturist tells me that in Traditional Chinese Medicine, "endometriosis" is actually 6 different illnesses. There are many different symptom sets for endo patients. Some women have no pain and discover their endo via a laparoscopy searching for the cause of infertility. Some women suffer debiliating pain. Some women have extreme pain and infertility. Some women with endo are within that spectrum somewhere.
I worry that the sound bites and gossip magazine reports on Julianne Hough and Lacey Schwimmer
may do more harm than good
IF someone respected from the medical community doesn't step up and say things like "diagnosis is considered uncertain until proven by laparoscopy, a minor surgical procedure done under anesthesia. A laparoscopy usually shows the location, size, and extent of the growths. This helps the doctor and patient make better treatment choices" or "endometriosis can ONLY be diagnosed via surgery; diagnostic tests like MRIs and ultrasounds are not definitive".
Or perhaps representatives of
The Endometriosis Association and/or
The Endometriosis Research Center could issue a statement to the press about the importance of laparoscopy in diagnosing endo???
The typical endometriosis patient who is NOT a celebrity could write letters to
Oprah or
The View until the cows come home and may never get endo featured on these shows.
If, however, one or both of these women from Dancing With The Stars were to appear on one or both shows (
ACCOMPANIED BY PHYSICIANS SKILLED AT DIAGNOSING AND TREATING ENDOMETRIOSIS), such a show just might happen.
Short of that happening, I think it would take a massive letter-writing campaign to one or both shows to get proper coverage of this illness. Women with endometriosis suffer so much! They deserve some validation, understanding, compassion, and awareness of endometriosis!!
So if you or a loved one has endo and wants to help me organize a letter-writing campaign, please post your comments here. If we work as a team, we can turn this unfortunate situation for Ms. Hough and Ms. Schwimmer into an opportunity to educate the public and help endo patients!!
I would greatly like to hear from as many people as possible about the letter-writing campaign.
Who's in????????
This article was posted by Jeanne via "Jeanne's Endo Blog" at www.endendoat.blogspot.com.