Northwest Endometriosis and Pelvic Surgery

28/02/2025

We have a few openings in March to fill!

13/01/2025

Endo. They keep makin’ it, we keep resectin’ it.

07/01/2025

In shameless self promotion of my daughter’s business….

My 11 year daughter Azalea is a talented artist and has launched an Etsy for single line style pet portraits. Only $15 and based on what she’s done so far will be quite good!

Link in first comment.

03/01/2025

The final product. Complete excision with wide margins, the ‘gold standard’ as some like to say.

03/01/2025

Same pelvis, right cul de sac. Lesions like this will cause severe pelvic pain, pain with defecation, and pain with in*******se.

03/01/2025

Endometriosis of the clul-de-sac and right uterosacral ligament in a patient with pain and unexplained infertility.

Not unexplained anymore. Endo is very inflammatory and creates a pelvic environment inhospitable to the egg and / embryo, leading to failed fertilization and implantation. In a patient with intact tubes and healthy ovaries, excision surgery make a big difference in the chance of successful pregnancy.

20/08/2024

I think this is a good reminder that endometriosis can be found outside the pelvis and painfully impact lives. It was an honor to do this podcast and an honor to care for this young woman.

“I'm 31 and feel better than I’ve felt since I was 14. There is hope for you to feel better.” - Camille Dollins[TRIGGER WARNING: Suicidal ideation]✨ Outsmart...

08/07/2024

Surgery is as much art as science. has his Rolling Stones, I have painting my little game figures. This is the last week’s production. I know at least a couple of patients would get a kick out of them.

04/06/2024

Early deep infiltrating endometriosis of the cul-de-sac and uterosacral ligaments. These are quite small, really only a few mm in size, but can still cause a lot of pain and inflammation. If you have a hot coal in your shoe, does it matter how big it is?

31/05/2024

This is what total peritoneal excision of the posterior compartment looks like when it’s done. There is some debate as to whether we should just remove all the peritoneum on endo patients whether it looks normal or not, based on the idea that there could be some small lesions that are not completely visible. Redwine believed that all endo is visible, and maybe thats true, but I have seen positive path on things that were ‘barely abnormal’. My practice had generally been to take wide margins around any lesions I find. In practice, if the lesions are widespread, it ends up being TPE by the time I am happy with the margins.

These sorts of questions are in the art of medicine. It’s very difficult to do a randomized study on the question of TPE vs wide excision. Not impossible, but takes a lot of long term followup which is expensive and difficult, with no industry support most likely.

Sorry haven’t posted much recently - I’ve been sick but am mostly better now. For awhile I had no voice!

25/05/2024

NWEPS is looking for a full time in office medical assistant / patient care coordinator! We are a small office that provides world class care to patients with endometriosis and pelvic pain, from Portland and from around the country and world as well.

The right candidate has at least 2 years of experience in outpatient medicine and familiarity/skill with some or all of the following:

insurance verification
medical office scheduling
operating room case scheduling
familiarity with medical billing
use of computers / EMR systems / etc
light medical assisting
phlebotomy

Requirements:
Ability to work 5 days a week in downtown Portland
Professional dress
Compassion for the endometriosis patient population

Benefits:
A great work environment with great colleagues in a beautiful office!
Competitive pay depending on qualifications and experience mid to high 20s / hr with upward potential
Full paid Gold Regence BC/BS medical after 3 months, can pay for family / dependents. Fully paid vision / dental after 3 months.
401k available after 1 year service, 3% additional contribution from company
Annual profit sharing after 1 year of service (vests in 401k over 3 years)
Annual cost of living / merit wage increases

If interested please email nfogelson@nwendometriosis.com

14/05/2024

Dr Zarya Rubin talks about burnout in her recent TEDx talk! Dr Rubin is a functional medicine physician and NWEPS staff member, who works with many of our patients on inflammation, diet, and a variety of other issues.

Check out this important talk! Link in comments