New PS wants first PS’s operating notes

Hi there! Ideal Implants placed submuscular via inframammary incision on January 9, 2019. 5’4” 140lb 12BWD 240 saline implant filled to 270cc

 

I have been keeping close contact with my original surgeon (atrocious bedside manner, office staff drops the ball on my scheduling almost every time I see them) regarding my left implant. While my right feels very loose in its pocket, my left has been painful, high, and tight since day one. First he said it was my anatomy and this is my new normal, but I was persistent with my unhappiness. Last month he said I have grade 3 capsular contracture and I need to give him $4k for him to fix it. He said Ideal will reimburse me; I have their extended warranty plan. 
 

I followed my gut and got a second opinion (fantastic bedside manner!!) from another plastic surgeon. She says my capsules are soft and lovely, and that my pocket is under dissected and my implant cannot come down without help. She wants to fix his mistake, and it’ll also cost me $4k. No Ideal reimbursement option for that. 
 

She also said that if we move forward she will be requesting surgery notes from my original PS. Should I tactfully talk my original doctor first about leaving them, or let my new PS handle it all? Is this a normal request? How do surgeons handle losing patients? 
 

thank you so much in advance for your time! It’s so greatly appreciated!!

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  • you can request a copy of your op notes, that's what I did, they emailed them to me. 

    Reply Like 1
      • Melanie
      • Finally doing something for myself!
      • Melanie_c
      • 3 wk ago
      • Reported - view

      Jessica Really? Oh that’s great to hear. I would love to request a copy for my own curiosity sake! 

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      • Jessica
      • jessica_D
      • 3 wk ago
      • 1
      • Reported - view

      Melanie yes ma'am, I did that with both of my surgeons. 

      Reply Like 1
  • I would get a third opinion just to be safe.  $4K is a lot of money and those are two very differing opinions.

     But yes, the new PS should have a form you fill out requesting a copy of your records.  You fill it out and the new PS office typically faxes it over to them so that your records can be sent back.  Otherwise you can just walk in to your current office and request a copy.  You’ll still have to fill out a release of information form.  

    Reply Like 1
      • Melanie
      • Finally doing something for myself!
      • Melanie_c
      • 3 wk ago
      • Reported - view

      GreyRabbit Thank you for the info. I figured there would be another form to fill out. My original PS threw a fit when I wanted my before and after pics, and I had to jump through a couple hoops just for that. They’re about an hour and a half away from me, so hopefully there’s a form they can email me to fill out. 
       

      A 3rd opinion, you say? I hadn’t thought to take it a step further, but that may really answer my questions without a doubt. There aren’t many Ideal Implant surgeons in my area, but at the end of the day an implant is an implant. They can all tell capsular contracture from improper pocket dissection. I’ll look into this-thank you!

      Reply Like
  • The panel has spoken!  I agree with everyone here. A third opinion may be helpful.  I suspect surgeon 2 is correct however.  Capsular contracture isn't something that happens in the very beginning but it is a nice way to get surgery covered by the implant manufacturer (I never thought of that before and it's shady shady). Yes just email office for your op notes and progress notes.  that should be simple.  Best of luck!

     


    I would be honored to see you at my office in Raleigh, NC!
    (Bustmob members get a $500 travel voucher 🙂)

    Reply Like 1
      • Melanie
      • Finally doing something for myself!
      • Melanie_c
      • 3 wk ago
      • 1
      • Reported - view

      Dr. Michelle Roughton Thank you for your response. I’m not really worried about the money, because I don’t want to bank on a reimbursement. I was mostly concerned about my original PS lying to me to salvage his pride, and I know that sounds irrational. But I just don’t feel this is a reimbursement-covered incident. It’s always been painfully tight. Sounds like a third consult is in my near future! Thank you SO much for taking time out of your busy day to answer questions like these! You absolutely rock! 

      Reply Like 1
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