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Finally, three weeks before admission, a hysterectomy was performed. Several days after this, when the sister-in-law visited her, the patient begged her to take her home, said the doctor wished to shoot her and to give her poison. Later the patient confirmed this, saying that she thought they wanted to give her saltpeter, and that she heard them say they wanted to shoot her.
Menstruation after hysterectomy and ovariotomy has been attributed to the incomplete removal of the organs in question, yet upon postmortem examination of some cases no vestige of the functional organs in question has been found. Hematemesis is a means of anomalous menstruation, and several instances are recorded. Marcellus Donatus and Benivenius exemplify this with cases.
The doctor offered to try hormonal manipulation and if this proved unsuccessful, offered a hysterectomy. That would certainly eliminate the symptoms! But Elsie did not wish to eliminate her ability to have children and preferred not to risk throwing her hormones off balance. So she came to me. My analysis showed that she had weak ovaries and weak uterus.
In the repair of such a case after a vaginal hysterectomy Mayo reports a successful reimplantation of the ureter into the bladder. Stricture of the ureter is also a very rare occurrence except as a result of compression of abdominal or pelvic new growths.
That would be trauma- induced schizophrenia that would not be attributed to a manic-depressive who was being prescribed lithium. She claimed to have had a hysterectomy although neither childhood molestation nor cancer was claimed as the culprit. Gabriele thought that having advised Rita to go to a gynecologist once a year for a checkup might have brought on this comment.
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