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HomeTestimonials Decision MakingBringing Clarity In A Time Of Need

Bringing Clarity In A Time Of Need

Ms Cheung is a middle-aged lady who approached Medix after receiving conflicting diagnosis from two separate local gynecologists and was having trouble making sense of her situation

When and how did you first notice that you had a medical condition and what did you do about it?


Ms Cheung – “In 2006 I was diagnosed with abnormal cells that were found on the surface of my cervix, and I subsequently had a partial removal of the cervix. Since then I have undertaken annual checkups.


In 2016, I had abnormal heavy menstrual bleeding and when I went to see an obstetrician gynecologist for my annual checkup the bedside ultrasound showed an ovarian cyst. I was referred to another obstetrician gynecologist to confirm the diagnosis and for further investigation.

While I was waiting for the appointment I consulted with a third gynecologist that was recommended to me by a friend. She found the shadow of the cyst to be 5-6cm and suggested that it be surgically removed.


I then had my original appointment with my referral gynecologist and she found the shadow of the cyst to be 2cm and 2 uterus fibroids and suggested conservative management (that means no surgery) to monitor the size of the cyst.”


What was your reaction when you were given the original diagnosis?


Ms Cheung – “I was quite confused. I knew both of the obstetrician gynecologists were very experienced and I did not know whose advice to follow. Surgery or continued monitoring” 


How did you find out about Medix? What made you seek personal medical case management?


Ms Cheung – “I received two conflicting opinions and was confused and did not know what I should do. My insurance agent referred me to Medix for Personal Medical Case Management and assured me that Medix would be able to guide me and bring clarity to my situation”


What were Medix’ process, diagnosis and recommendations?


Medix sent the case for gynecology consultation who suggested to have uterine curettage and endometrial biopsy to evaluate the endometrium and also recommended further blood tests, in addition to monitor her ovarian cyst.


After the Personal Medical Case Manager (PMCM) explained the expert suggestion the Case Coordinator Nurse helped Ms Cheung to arrange an appointment with their recommended gynecologist. The biopsy confirmed that endometrium showed no malignant suspicion for her irregular bleeding, as a result no immediate cancer treatment would not be necessary. However further surgery to remove the cyst may be considered in the future if the bleeding persists.

The Medix gynecologist recommended continued monitoring of the cyst and the symptoms and to revisit the need for surgery after three months.


What is the patient’s current status?


Ms Cheung recently has improved with less abdominal pain and prefers to avoid surgery at this moment and continue following up with her gynecologist.


‘Thank you for all the advice and assistance. It is very helpful and gives me a better idea how it works and more details of my situation.’ – Ms Cheung, 2017

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