The usual treatment for abdominal wall nerve pain after you get the correct diagnosis from Carnetts test & a history - is a nerve block after a workup, surgery is a last resort. And Surgery not even 24 hours later, tells you that Mayo is having trouble.
However, at Mayo Clinic in Rochester no one mentions anything except taking you to surgery to fill Dr. Sarrs OR schedule. In between flights out, he has to have a full OR schedule. Literally Dr. Sarr tells you he has a 'sudden' opening, like another place in a gas chamber at Auschwitz, for his experiments, and he'll spend an hour arguing that a resident do the case and you came from Cleveland for him to do the case as Dr. Stellato is stumped. 5 minutes Dr. Sarr.
The Plastics Chief at Mayo - who you had an appointment with - cant be bothered to even see a woman MD patient himself- sends in a FMG with a heavy accent to fumble around - not even a good toucher - just a groper.
However, the problem is the procedure that Sarr does without workup, and that the closure for this laparoscopy is usually a layered closure of just the muscles that needed to be cut or retracted, not cutting an additional muscle to sew them all together causing a deformity. Dr. Sarr uses a common mass closure - cutting every abdominal muscle which will cause pain and weakness for the rest of that woman's life - only does it to women.
Sarr's common mass closure is a rehash of the 1980s through-and-through closure, which never worked, and it's used to save 2 suture packs and training time. To do a layered closure requires a resident, or attending, who can stich not a Dr. Sarr who only pretends to do closures. Anyone in a Surgical Residency in the 1980s, saw this. It was a publication gimmick - like the nerd male Medical School classmate who wrote an article that was published in JAMA about doing CPR with your foot. Common mass closure, like foot CPR, was never meant to be really used - but Dr. Sarr doesn't 'get' that being out-of-it and in-the-air too much of the time.
Abdominal wall pain is Dr. Sarr wanting OR time, preying on women patients without the workup and woman MDs cant always object as strongly as non-medical people; our reactions are graded and you can't 'react too much or you need counseling. It's like in the movie 'Trust' - where the girl is 14 and guy about 35. Women MDs can't always say what they mean, or object as they should - we are sent to counseling that we don't 'go along.' And that has happened to me, and other classmates from CWRU Medical School - where it was common practice. So attendings like Dr. Sarr can 'clean' up on assault and rape (multiple pelvics under anesthesia). That's what women MDs are for - PRACTICE. But Warner Oldenburg MD going along for the Mayo ride?
Common mass closure was a
bad idea from the 1980s, then called through-and-through closure, that was resurrected for CV publications & sloppy quick closures by day-wonder trained techs, medical students with no hands (blacks and the non-interested), or residents from another country not familiar with sutures in the US. Its beneath the Mayo Clinic where all unconsented for closures need to be repaired as requested by patients for years now - Jill Beed-Smith, Esq still has no plan for this.
Women patients are placed under anesthesia with no anesthesia consults, with no asking about medication reactions or thyroid disorders, to assault them with common mass closure. The workup, and differential, is at
http://hcp.obgyn.net/laparoscopy/content/article/1760982/1887231- maybe Dr. Michael Sarr and Warner Andrew Oldenburg could read. The flow chart is at the end - for the Plastics guy with no sense, it nowhere says to 'turf' to General Dysfunctional Surgery. At many institutions, Plastics handles abdominal neuromas or abdominal wall pain - just not at jock-city Mayo Clinic.
Patients with abdominal wall pain should not go NEAR the Mayo Clinic. Warner Oldenburg needs to oversee the undoing of all these unnecessary procedures for the last 10-plus years, with mass common closures, on his woman colleagues at least. He's looked the other way for this closure for about 20 years - it doesn't work. It's one thing to marry for money, but to undo classmates with horrific procedures without consent?
When a woman MD says No to the medical student (black or white), the creepy intern who can't use a scalpel (Dr. Baghai now slashing patients in CA), the anesthesia (drugs + airway Dr. Sarr were refused about 5 times), the muscle or nerve dissection that means No do not touch, and do not let the medical student practice on a closure that then requires years of plastic surgery to undo. The worst nightmare for a woman MD is a male medical student, then a female intern, then a male black medical student out to prove his prowess and testosterone drive - that the woman MD deserves him - and he douses up for this with a whole bottle of black cologne.
Dr. Oldenburg do this on your kids or wife not a medical school classmate. When someone says No that No should be respected or it is assault. Neuromas are common occurrences on General Surgery, Vascular Surgery, Bariatric Surgery, and Endocrine Cancer Surgeries - so all surgeons should know the WORKUP, the differential, the patient options, and SAY them - not just well you need to be in the OR tomorrow and don't argue with me girl = the Sarr attitude. All that Sarr went into a diatribe about was the 'glories' of Mayo Clinic - where the boys do whatever to the women.
Jill Beed-Smith needs to schedule the undoing of all Dr. Sarrs unconsented for procedures - the Chief Counsel is even worse than Sarr ethically.
The worst is when Dr. Sarr brags that he can get away with it that he can operate and do a procedure without consent or discuss and Dr. Oldenburg buys it for his tenure like he bought a marriage of convenience = bottom line.
If Warner, then 'Andy' was good enough, had been around Case Medical School, instead of pleasing his new wife and her family for Mayo recommendations, he would be able to be talked to if he had done the blood drawing, the late night studying, and the student discussions. Dr. Sarr will also file a defamation suit against patients for saying that they did not consent to his procedure; while he admits that he did not discuss or obtain consent - and the lawyer is psychotic.
from http://hcp.obgyn.net/laparoscopy/content/article/1760982/1887231
There are techniques, flow diagram charts as above, so that even a 'jerk' can correctly diagnose abdominal wall pain before scheduling procedures. Dr. Sarr has a special back-alley FMG clearance, does not have to obtain anesthesia consultation, and has no surgical checklists. The powers that be in Cleveland do not know how to do abdominal wall pain either: Ponsky, Stellato, Rosen, Grundfest or Shuck (after 50 years no Rules of Shuck).