Missouri Surgeons

Discussion in 'Surgeon Hall of Fame' started by Anonymous, Apr 22, 2004.

  1. Chill374

    Chill374 New Member

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    I just went to see Dr. David Schuval and he does do pit picking and the cleft lift procedure. He suggested doing the pit picking first, in my case, and if it comes back a cleft life. He was super friendly and made me feel very at ease. He had to remove an infected cyst and is going to see me back in 3 weeks to schedule the pit picking procedure.
     
  2. shade17

    shade17 New Member

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    Hi guys - new here. I've been dealing with pilonidal issues since November 2011. I had a lancing back then, and didn't have any more issues until January of this year, when it's come back twice. The first time it burst on its own (gross) and now only a few weeks later it has come back and is much smaller, and less painful, but I'm still worried. I have Health Alliance (of Illinois) and it seems that Dr. Schuval in St. Louis is one of the only doctors who does the cleft lift and is under our insurance provider.

    Chill374, can I ask why pit picking was recommended for you before the cleft lift?
    Has anyone else here had Dr. Schuval do a cleft lift (or any other surgery) on them? How did it go?

    Thanks so much!
     
  3. Chill374

    Chill374 New Member

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    Shade, I highly recommend Dr. Schuval. He put me at ease immediately and was very nice and knowledgeable. He is also a great doctor, the best I have been to for this problem ever. I had been struggling with pilonidal issues for 5 years and seen quite a few doctors/surgeons over that time. The reason the pit picking is recommended before the cleft lift is because it is a much less invasive procedure and has a much faster healing time. Also, no drainage tubes just a small open wound that heals quickly and a few stitches. The way Dr. Schuval explained it is 85% of people who have the pit picking procedure never have a problem again and you didn't have to have major surgery. If it does come back then the cleft lift is recommended. I had my surgery in August 2012 and have had no issues since. What helped me to was to look up Dr. Bascom's (the surgeon who basically invented both surgeries) information on both procedures. I am very happy I got the pit picking procedure done first. I still get tender after sitting for long periods of time but no cysts, no infection, and no pain. I hope this helps. Feel free to ask me anything else!
     
    shade17 found this helpful.
  4. shade17

    shade17 New Member

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    Thanks so much for the info, I'll definitely look into that. Do you know if I need to have visible pits in order to be a candidate for pit picking? (might be a dumb question, lol) I don't see any pits on mine, I'm not positive though. Thanks again for your help!
     
  5. I<3monkeys

    I<3monkeys New Member

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    Did it work?
     
  6. CEOSruinUS

    CEOSruinUS New Member

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    Hi there, thank you for your kind offer to answer questions. I have been looking for a doctor who is willing to do pit picking since most want to jump right to the cleft lift. Have you remained pilonidal free. How large were your pilonidals? I am currently under the impression that some doctors only due picking if they are small holes a few milimeters in size.
     
  7. Chill374

    Chill374 New Member

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    I have remained pilonidal free :D. I still get some pain if I sit for too long or sleep on my back a lot but it is nothing compared to the problems I had before. It is in no way a cyst I think it is just from sitting on the scar tissue. Initially, I had one large cyst right above my butt crack. The first time it ever popped up it was very large and I ended up having cellulitis all over my lower back. I do think you need to have "pits" in order to have this procedure since all they essentially do is cut them out and stitch them closed. My holes were very tiny, like the tip of a pencil, and there were 8 total that he cut out. On me he cut the pits out and stitched the holes closed and then left a 1inch open incision parallel to the crack so that the wound would drain, it closed up pretty quickly. There is someone else on here, I wish I could remember her name she has a few different posts, that had no pits and the first procedure she had done was the cleft-lift because of that. Her procedure went great as well and I believe she is still pilonidal free. The doctor you see can let you know what your best option is. If you are in the area, like I said before Dr. Schuval was great. Let me know if you need any more info!
     
    BrianS found this helpful.
  8. CEOSruinUS

    CEOSruinUS New Member

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    All pilo information at this point is helpful. Thank you for your reply.
     
  9. BrianS

    BrianS Helpful

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    I don't know if you still get on this forum, but I would love to talk to you more about Dr. Schuval. I just went and saw him recently, and I would love to know more about the pit-picking procedure. According to Dr. Schuval, my case is mild compared to some he's seen, but I'd still like to get rid of this thing! I'd also love to hear from anyone else who has seen Dr. Schuval!
     
  10. NinjaPixie

    NinjaPixie New Member

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    Hello!
    I've followed this forum for a few months now and have decided to put in my two cents on the ever lovely pilonidal issue- to be frank, it sucks... but, after going to a General Surgeon (warning- avoid at all costs, my first issue two years ago resulted in an open wound healing experience from hell- he told me that if I had a higher pain tolerance this wouldn't matter) I finally found a super awesome female surgeon in St louis! Dr Elisa Birnbaum of Barnes Jewish/Washington University. I saw her just as awesome associate for a few months prior to seeing Dr Birnbaum, and when issues did not resolve, we opted for a CLEFT LIFT (and yes I put that in caps, I almost cried with joy when I heard it). Dr Birnbaum said that she had previously done open excision but had finally decided to change it up to cleft lifts. I just had mine done on Wednesday and it seems to be healing beautifully. I'll update later as it heals, but until then, here is her info-

    1040 N. Mason Road
    Creve Coeur, MO 63141


    Office Phone: (314) 454-7177

    Best if luck!
    -Ninjapixie
     
  11. Mohammed Khan

    Mohammed Khan New Member

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    Hello Ninjapixie,


    I am about to see Dr.Birnbaum or Dr David Schuval in St.Louis, Can you please share your experience how's your cyst doing now after the cleft lift procedure?

    Thank you
     
  12. Mohammed Khan

    Mohammed Khan New Member

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    I have excision surgery or patch up with stitches performed under the instructions of Dr.Eisen Arthur including SCHAFFER MD,ANDRAS at Barnes Jewish Hospital in 5/18/2015, the cyst went away but after 10+ months it's back 4/2/2016 and from last two days I've been dealing with excruciating pain, I can't drain the abscess because of my previous closed excision.

    So, I called Barnes Jewish in STL but they are quite busy then I have to find an alternate doctor I found Dr David Schuval in St Louis to cut&drain my abscess as it's giving me severe pain.

    Here's the outcome:
    1) scheduled the appointment(receptionist told me to fill the paperwork and come before 30mins with ID & insurance details)
    I finished the paperwork and waited for the doctor.

    Dr David is a nice person who took time to listen and talk with you for the first 5 min to understand the history of what/how questions.
    David used anesthesia after I described him the history of my cyst and cut the skin(my previous excision) area to drain the blood and puss. it was very painful then he put the gauze over the wound.
    He also prescribed me medications which help to keep the infection/fever away.


    Tips for others: Change the gauze after 8-12 hours otherwise it will stick with the wound and hard to come out. I even took warm shower but that's not going to help always.
     
    Last edited: Apr 22, 2016
  13. Tageslicht

    Tageslicht New Member

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    What have your experiences been with Dr. Bruce Graham (KC area), Dr. David Schuval (St. Louis), and Dr. Elisa Birnbaum (St. Louis)?

    I'm in Kansas City, so obviously Bruce Graham would be a convenient choice, but on this forum someone didn't seem to care much for him.

    Anyone else have better luck with him? Or would it be worth it to drive to St. Louis?
     
  14. Mohammed Khan

    Mohammed Khan New Member

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    Hello Tageslicht

    I initially went to Dr Eisen Arthur but after few years taking shots and an excision, It didn't worked for me
    and he recommneded to do lancing which I didn't agreed.

    I never went to Dr.Bruce, but have been to Dr.Elisa and Dr.David both are good.
    I will recommend you take appointment with DR.ELISA as she work only few days in a week and she did cleft lift before not sure david do that
    hard to get hold of Elisa and go only when you have flare up. (don't go if you don't have flareups as she will ask you to come again)

    You can also see Dr.David if you want Pit picking process.(if you have any)


    Few Ideas:
    1) write info about flareup's(bad/medium/etc in a word/notepad doc along with dates) to help you
    track how bad your infection is and to have a record which you can take it to the doc along with all the images.


    2) I also took IdealImage Laser Hair removal course which is not a bad deal at all.
    you can pay around 6-700$ for 18 months course I think 15-18 visits
    or pay 200$ and get 4-6 visits (I have avg hair but still I want to take precautions and to keep the area clean, avoid any more hairs in that area)

    Let me know if you have more questions.
    Thank you
     
  15. Tageslicht

    Tageslicht New Member

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    Hi, thanks for your input. I don't know if what I have right now is considered a "flare up" or not. I have had pain several times over the past few years but I had an infection with the bleeding, oozing, etc about two weeks ago for the first time.

    I took antibiotics and now that's cleared up but I still have some discomfort when sitting and when I saw my Primary Care physician she is the one who diagnosed me. Maybe Dr. Elisa wouldn't be right if I have to "have a flare up" and I am so far away.
     
  16. Mohammed Khan

    Mohammed Khan New Member

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    Antibiotics will never work for pilonidal disease, It work for temporary period of time, Doctors are not gods so don't blindly trust on anyone esp primary care physician. I have wasted two years running to dermatologist office only to learn that every doctor not aware of every problem, finally I learn that It's the colorectal surgeons who do surgery, There's tons of valuable information on this site and very helpful people, check that out.. If I was you I will go to the right doctor as I never want the infection to tunnel around.

    you got Charles E. Van Houden or Bruce D. Graham in KS area.
     
    Last edited: Nov 30, 2016
  17. Tageslicht

    Tageslicht New Member

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    Oh, yes I'm definitely going to get it taken care of sooner rather than later! I am seeing Dr. Van Houden on Wednesday for hopefully a pit-picking but I don’t think he does Cleft Lift, so then I would probably make an appointment with Dr. Graham. Thank you!
     

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