Petitioning ACOG to Change the Standards of Care for Endometriosis Patients

The American Congress of Obstetricians and Gynecologists is being challenged by members of the endometriosis community, both patients and excision surgeons alike, in a new petition this week written by Casey Berna, a social worker, and patient advocate. Delays in diagnosis, ineffectual and impartial treatments of the disease, and a failure to update coding to include excision techniques, create unnecessary suffering for patients. In his March 2017 article, ACOG’s Tom Gellhaus, MD shared that up to “63 percent of general practitioners feel uncomfortable diagnosing and treating patients with endometriosis, and as many as half are unfamiliar with the three main symptoms of the disease.” This is a systemic problem.

Dr. Tamer Seckin has been an outspoken advocate for patients when it comes to changing the standards of care for endometriosis. He feels that part of the issue is that “ACOG is financed by drug companies.” ACOG admits on their website that “Developers and manufacturers of pharmaceutical agents and medical devices assist physicians in the pursuit of their educational goals and objectives through financial support of various medical, research, and educational programs.” They go on to say that “Physicians have a primary responsibility to act as protectors of the interests of their patients.” As many practitioners push palliative hormone treatments over excision surgery, the complete removal of endometriosis lesions, the question that must be answered is why? Do pharmaceutical interests outweigh the best interest of endometriosis patients?

ACOG very much focuses on obstetrics. They focus much less on preparing practitioners to do minimally invasive gynecologic surgery, never mind supporting the extensive training needed to perform endometriosis excision surgery. It is important to focus on training doctors to provide early diagnosis and advocating complete excision of the disease that is then sent to pathology to be verified.”
-Dr. Seckin
Co-founder of the Endometriosis Foundation of America

Dr. Seckin feels strongly that, “ACOG very much focuses on obstetrics. They focus much less on preparing practitioners to do minimally invasive gynecologic surgery, never mind supporting the extensive training needed to perform endometriosis excision surgery.” He goes on to say that “it is important to focus on training doctors to provide early diagnosis and advocating complete excision of the disease that is then sent to pathology to be verified.”

If patients, advocates, and surgical experts are calling for change, it is hoped that ACOG can make further improvements to ensure that patients suffering from endometriosis can better receive the minimally invasive treatment that they both need and deserve. Dr. Seckin remembers a time when laparoscopic surgery was considered too experimental by leaders in ACOG. While that has since changed, it wasn’t easy. In an article dating back to 2008, former SLS President William Kelley Jr., MD, wrote, “Authoritative institutions must be convinced of the safety and efficacy of the changes relative to the comfortable status quo. Momentum always favors inertia. Fears must be overcome: fear of making mistakes, fear of failure, fear of established procedures becoming obsolete, and fear of established authorities losing control. Successful change requires timing and a force more powerful than the status quo.” [Kelley, William E. (2008) The Evolution of Laparoscopy and the Revolution in Surgery in the Decade of the 1990s JSLS. 2008 Oct-Dec; 12(4): 351–357].

Be the force. Break the status quo.

Click here to sign the petition.

 

 

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Patient Reviews

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  • Megan Rafael Moreno

    I was in pain for 2 years. I was getting no answers, and because dr Goldstein and dr seckins were willing to see and treat me I'm finally feeling almost back to normal. They were very down to earth and helpful in my time of need. Dr Goldstein was easy to talk to and caring, she took care of me…

  • Nancy Costa

    Dr. Seckin is one of the best endometriosis surgeon. Every time I go to the office, he really listens to me and is always concerned about my issues. Dr Seckin's office staff are a delight and they always work with me. I feel I can leave everything to them and they will take care of it. Thank you to the…

  • Rebecca Black

    Fast forward 5 years to find out incidentally I had a failing kidney. My left kidney was only functioning at 18%. During this time, I was preparing all my documents to send to Dr. Seckin to review. However, with this new information I put everything on hold and went to a urologist. After a few months, no one could figure…

  • Monique Roberts

    I'll never stop praising Dr. Seckin and his team. He literally gave me back my life.

  • Erin Brehm

    I had a wonderful experience working with Dr. Seckin and his team before, during and after my surgery. I came to Dr. Seckin having already had laparoscopic surgery for endometriosis 5 years prior, with a different surgeon. My symptoms and pain had returned, making my life truly challenging and my menstrual cycle unbearable. Dr. Seckin was quick to validate my…

  • Anita Schillhorn

    I came to Dr. Seckin after years of dealing with endometriosis and doctors who didn't fully understand the disease. He quickly ascertained what needed to be done, laid out the options along with his recommendation and gave me the time to make the right decision for me. My surgery went without a hitch and I'm healing very well. He and…

  • Nicholette Sadé

    Dr. Seckin brought me back to life! I am now 3 weeks into my recovery after my laparoscopy surgery, and I feel like a new and improved woman! Being diagnosed with Endometriosis, then 25yrs old in 2015, and discovering the severity of my case being stage 4, made me devastated. Dr. Seckin's vast knowledge of the disease, sincere empathy, and…

  • Jason Curry

    My wife had her laparoscopic excision surgery to remove endometriosis with Dr. Seckin on Jan 30, 2014. She doesn't write online reviews so I'm writing this on her behalf. I accompanied her with each office visit she had. The staff--Lucy and Kim, are very friendly, warm and professional. Dr. Seckin was excellent in every capacity. He spent a lot of…

  • Liz Filippelli

    He is an awesome doctor who saved my daughters life from debilitating endometriosis..she knew instantly upon awaking from surgery that she was better..that wad May and no complaints only praises for Dr. Wonderful Seckin!!

  • Karen N

    I was diagnosed with Endometriosis at 19. I saw several Endometriosis "Specialists" since then, had a few laproscopic surgeries to "remove" the endometriosis and continued to be in pain. I had a hysterectomy in 2012 and was told this would stop the pain once and for all. No such luck! Tired of spending days in bed with a heating pad,…

  • Lauren Rodriguez

    I researched and found Dr. Seckin after dealing with years of doctors who couldn't help me or refused to go the extra mile for their patients. I have to say I am truly blessed to have found such a compassionate and talented doctor. He is exquisite with everything he does, and both his team at the office and surgical team…

  • Kellya Vespa

    Dr. Seckin is a very skilled surgeon. There are not many doctors like him that truly understand the effects of endometriosis. I am lucky to have found him. The staff is wonderful too.

  • Meg Connolly

    Dr. Seckin truly LOVES what he does and cares about his patients from the bottom of his heart. My life has already changed in 3 weeks and I couldn’t be more grateful. Should I ever need another operation for endometriosis, Dr. Seckin will be the one to do it. I recommend him to anyone I come across with similar problems…

  • Elisandra O

    Dr. Seckin is an amazing Doctor he is very compassionate, caring and he will be honest with you. He's been my doctor for 19yrs and I am so grateful to have someone taking care of me that knows what he is doing and knows the best way to treat each and every situation. I would definitely recommend him and his…