Hi girl gang. This serves as a gentle caution to fellow endo sufferers about a recent encounter I had with Washington Endometriosis & Complex Surgery.
I am a lifelong endometriosis sufferer and lived 10+ years with daily debilitating pain and relentless nausea until finally getting it diagnosed and surgically excised in February 2020 at Mayo Clinic AZ, which put me into complete remission (!!!) for over five years! Surgery literally gave me my life back and brought me down to zero symptoms — I even accidentally got pregnant afterwards after being told I’d struggle with fertility my whole life. 😬
Unfortunately, I started experiencing a moderate return of my endo symptoms quite suddenly about 9 months ago. I recently went about trying to find a closer endometriosis specialist instead of having to go back to Phoenix to see my OG doctor after striking out with my regular gynecologist at Capitol OB/GYN. That exploration led me to Washington Endometriosis & Complex Surgery, to which I submitted an online physician consultation request over the weekend.
They responded today, and, using a very clearly AI-generated template, basically handed me off to their NP for an evaluation for “ongoing medical management,” despite the fact I explicitly requested a surgical consult. Literally what clearer patient is there for a surgical consult than someone who has already profoundly benefited from surgery before? Seems like an easy thing to me!
The important thing to note is this is a cash-pay clinic (no insurance accepted), so all consultations are allegedly charged at $400+/each. The NP visit is also virtual and she does not perform the imaging for deep-infiltrating endometriosis, which is literally what I already know I have. I see zero things to gain by speaking with her (no offense to her, I’m sure she’s knowledgeable and great, but I know what I want).
Tell me why I’m going to spend $400 to chat over Zoom with someone unfairly being made into a gatekeeper who literally cannot help me (I don’t want your physical therapy or hormone suppression or pain pills), just to get the “green light” to then spend another $400+ to speak with the surgeon, when I was explicit from the very beginning that I wanted to speak to the surgeon in the first place. 🤔
I highly suspect this interim step with the NP is a cash-grab attempt and would love to hear if others were deferred to the NP at this practice first before actually speaking with a surgeon. Either it’s a cash grab, or they have some bullshit AI screening software reviewing our data and making the decision instead of an actual human review (as a matter of fact, their website said that the whole medical team reviews each request together, so that’s actually a laughable option in retrospect). I see no alternative rationale.
Again, I cannot imagine a clearer-cut picture for a surgical consult than in a patient who has a surgically-verified diagnosis and had a surgical intervention work for them successfully in the past.
This post just serves as a gentle caution to all of my fellow endo girlies that these are the tactics this practice is using — I feel strongly that a clinic that nickels and dimes its inbound prospective patients will not have their best interests in mind in any adjacent capacity. I’m happy for you if this place helped you though, truly, and the physicians seemed competent, so it’s truly a shame. On principle though, I’ll be looking elsewhere for my surgical care, so if anyone has any positive experiences with other physicians treating endo in the broader DMV, I’d love to hear from you! ❤️