How Our Process Works

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If you would like to become a patient at Pacific Endometriosis and Pelvic Surgery, these documents will explain the process, as well as give helpful information for before and after surgery.

Register via the Patient Portal

Within our website you will see a button that says “Patient Portal”. This is a link to the secure connection to our EMR (Electronic Medical Record), and allows us to have 2 way communication between the practice and our patients.  You will first need to register to become a patient, and then once we establish communication, you can fill out the history forms and upload pertinent documents such as operative reports from prior surgeries. We will also ask you to write a narrative summary of your pain journey and where you are now. This doesn’t have to be long, but the goal is to let us know in your own words when your pain started, what you’ve done that’s either worked or not, and how you feel now, with detail of where you feel pain (right or left side, front, back, radiation down legs, etc), what it feels like (sharp, achy, twisting, electric shock, stabbing, etc), and when it happens (only before or during your periods, all month long, only before a bowel movement, etc). These are but a few to get you started, feel free to include as much detail as you think is pertinent.  We will also ask you about your desires for fertility, and if you’ve completed your family and are having uterine symptoms, your feelings about having a hysterectomy. While it is correct that a hysterectomy won’t fix the pain from endo, many women have pain from both their uterus and endo, and optimal pain relief is achieved by addressing all causes of pain.

Out of Town Records Review

For patients who live outside of Western Washington, we offer the option of doing a records review to determine if surgery is necessary, which procedures are recommended, and then scheduling that surgery and your initial consultation 2-3 days apart prior to seeing you in person, such that you only need to make one trip. We recommend that you make arrangements prior to surgery with either your regular GYN or your primary care provider so that if you need emergent care once you return home, they will be willing to see you and communicate with us.  For your scheduled postop care you may either see us, or if you have a physician willing to care for you closer to home, that’s fine too and we will communicate with them so your care will be as seamless as possible.

When your records submission is complete, Dr. Mosbrucker will review it, and we will contact you with her impressions and recommendations. Most of the time Dr. Mosbrucker will be able to get a good idea of how extensive your disease is from your records, and will be able to give you realistic options for surgical or non-surgical management that will be confirmed and refined after your in-person visit.

If her ideas are acceptable to you, the next step is to schedule your surgery and preauthorize it with your insurance. Depending on exactly what surgery you need, you will need to stay in the Puget Sound area for at least 2-3 days postop, and in some cases we recommend 2 weeks (if you require a bowel resection). The postop stay is individualized and we will give you our recommendations when the type of surgery is chosen so that you can plan accordingly. Keep in mind that there may be situations that pop up at the last minute that change how long you should stay close by, so please try to be flexible.

We will see you 1-2 days before surgery for your consult and physical exam, and most often an ultrasound which is done by Dr. Mosbrucker during the exam (see below).

Western Washington Patients

If you live in western Washington, then we prefer to see you in person for your initial visit prior to scheduling your surgery, and we will schedule your postop visits with us at 2 and 6 weeks after surgery.