I.

II.

Introduction
a. What is endometriosis ?
i. What is the medical or clinical definition of
endometriosis?
ii. What are some facts concerning patients including
symptoms, statistics of afflicted patients, and
anatomy of the abdomen and female reproductive
system?
iii. Why did I choose this topic? How does it affect me?
b. Introduction of:
i. Doctor/Patient Relationships- How do this determine
the patients experiences during the period of
affliction?
1. Why do positive, warm relationships affect
patients and their pain/symptoms in a positive
way?
2. Why do negative, cold, professional
relationships affect patient and their
pain/symptoms negatively?
ii. What pain management is recommended for pelvic
pain patients?
1. Is there a stigma assigned to chronic pain
patients?
2. What are the drug laws that were recently
passed and how do they make prescribing and
obtaining prescription medication more difficult
than before?
Main body
a. How is endometriosis diagnosed and treated? How does it
affect patients lives?
i. How many women are diagnosed with this per year?
ii. Why is the disease so difficult to diagnose?
iii. How has knowledge of this disease changed over
time? What treatments are now available?
1. What are treatment options?
a. How effective are different treatments?
b. What is the DaVinci robotic system?
c. What is the Firefly technology?
d. What is the cure rate when the DaVinci
robotic system (resection of adhesions,
cells, and scar tissue) and the Firefly
technology are used separately?
e. What is the cure rate when the DaVinci
robotic system and the Firefly technology
are used in tandem?

III.

iv. Why is there no direct correlation between the stage

of endometriosis and symptoms (including pain)?
v. How does endometriosis affect not just the patients,
but their friendships and familial relationships?
vi. Where are the most successful research studies
performed, and why?
1. Who are the leading experts in the United
States?
2. Who are the leading experts in the world?
vii. How do doctor-patient relationships affect the
patient?
viii. What kinds of relationships are there between the
physician and patient?
1. Active-passive
2. Guidance-cooperation
3. Mutual participation
4. Dysfunctional
ix. How do my doctor-patient relationships affect me?
1. Who are my physicians and what has our
relationship been like?
a. Dr. Marc K Dy- Family Medicine
b. Dr. Glen Powell III- OB/GYN
c. Dr. Elizabeth Morgan- Endometriosis
specialist
d. Dr. John Hoppenfield- Pain Management
physician
e. Dr. Keisha Young- Primary Physician
f. Dr. Grant Campbell- Endometriosis
surgeon
b. What pain management options are available for women
with endometriosis (undiagnosed and diagnosed)?
i. How does the stigma affect treatment of symptoms
for women who have endometriosis?
ii. What are treatment differences for chronic pain
patients vs one-time pain patients (ie. Broken bones,
bacterial infections, etc)?
iii. What are the drug laws that specifically impact all
pain patients, both chronic and one-time?
Conclusion
a. How does endometriosis affect lives?
b. What is the most effective treatment?
c. What can physicians do to improve their relationships with
their patients? What can patients do to improve their
relationships with their physicians?
d. What drug laws need to be altered to provide better pain
management?