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Reply to "rectal bleeding-fissure or cuffitis?"

I would tend to think that this is less about you being a "failure" because this surgeon has a lot of experience dealing with the salvage of failed pouches. Many surgeons, if not most, tend to shy away from complex post op problems, probably due to lack of experience. Not the case in this instance. I would tend to think that this is more about that second opinion, and the possibility that you might favor another opinion over his.

You'd think any highly skilled surgeon that is considered one of the top surgeons in his field would not be threatened by a second opinion, but welcome it. But, it seems there are divas in every field. I guess he has so many patients that demand his attention that he does not need to accept insurance, and it also means he does not need to put up with patients that might question him. Who'd ever think obtaining the best care would be so political?

In my mind, his lack of response makes your decision easier. Good luck with the injections!

Jan Smiler
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