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Dr. Jeff Arrington, renowned excision specialist and patient advocate, joins Quick Connect to debunk misinformation and empower patients with expert insights on endometriosis care. He breaks down the complexities of excision surgery, the connection between fibroids and endometriosis, and the critical need for proper referrals. Plus, he explains why endometriomas signal deeper disease and why honest surgical discussions are essential.
Send in your questions via the link in this episode’s description, email contact@endobattery.com, or visit endobattery.com.
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Introduction to Quick Connect
Speaker 1
0:00
Life
moves
fast
and
so
should
the
answers
to
your
biggest
questions
.
Welcome
to
EndoBattery's
Quick
Connect
,
your
direct
line
to
expert
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.
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questions
,
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bring
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the
experts
and
in
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five
minutes
you
get
the
knowledge
you
need
.
No
long
episodes
,
no
extra
time
needed
,
and
just
remember
expert
opinions
shared
here
are
for
general
information
and
not
for
personalized
medical
advice
.
Always
consult
your
provider
for
your
case-specific
guidance
.
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a
question
?
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it
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I'm
your
host
,
alana
,
and
it's
time
to
connect
.
Meet Dr. Jeff Arrington
Speaker 1
0:41
Today
I
have
an
incredible
expert
joining
us
Dr
Jeff
Arrington
.
If
you've
spent
any
time
in
the
endometriosis
community
,
you've
probably
heard
his
name
.
Dr
Arrington
isn't
just
an
excision
specialist
.
He's
a
fierce
advocate
for
informed
consent
and
breaking
down
the
barriers
that
keep
so
many
from
accessing
proper
endometriosis
care
.
His
passion
goes
beyond
the
operating
room
.
He's
fighting
for
real
change
,
pushing
back
against
misinformation
and
making
sure
that
patients
have
the
knowledge
and
options
they
deserve
.
Let's
dive
in
.
Can
the
same
provider
address
fibroids
and
endometriosis
and
still
be
considered
endometriosis
specialist
?
Specialists Handling Fibroids and Endometriosis
Speaker 2
1:19
Short
answer
to
that
is
yes
.
I
mean
endometriosis
by
far
is
the
most
difficult
surgery
that
you
know
benign
gynecologists
do
.
Fibroids
are
quite
a
bit
easier
than
endometriosis
surgery
.
I
mean
there
are
a
number
of
us
that
do
both
Honestly
.
Speaker 2
1:34
My
,
you
know
,
I
kind
of
I
personally
approach
fibroids
the
same
way
that
I
would
hope
that
other
doctors
would
approach
endometriosis
.
And
you
know
patients
that
have
complex
endo
and
really
complex
fibroids
like
either
really
big
fibroids
or
multiple
fibroids
,
those
things
I
mean
I
can
do
fibroids
.
But
there
are
doctors
who
do
a
lot
more
fibroid
surgeries
than
I
do
and
probably
do
a
better
job
than
I
do
with
complex
fibroid
removal
.
So
I
know
when
I
was
in
Atlanta
occasionally
we'd
have
a
patient
like
that
and
I
would
team
up
with
Dr
Sawyer
Hawkins
,
who
we
would
just
tag
team
the
surgery
.
You
know
I
think
that
she
had
more
.
She
clearly
has
more
experience
with
fibroids
than
I
do
,
just
because
I
have
such
a
heavy
focus
on
endo
.
Speaker 2
2:17
And
here
I've
got
a
couple
docs
that
do
quite
a
few
fibroids
and
if
needed
I
team
up
with
them
.
Let
them
do
the
fibroid
part
and
I
do
the
endo
.
But
you
know
,
in
cases
where
it
needs
to
be
done
,
I
mean
.
My
training
included
fibroid
removal
and
I
can
do
them
.
I
enjoy
the
endometriosis
more
you
know
.
Short
answer
is
you
know
doctors
can
do
fibroids
and
endo
.
The
main
key
is
being
focused
on
the
endo
and
appropriate
training
and
approach
to
endometriosis
.
And
then
the
fibroids
are
typically
an
easier
part
of
that
.
Endometriomas and Deep Endometriosis
Speaker 1
2:48
Does
having
an
endometrioma
always
indicate
deep
disease
?
Speaker 2
2:52
Always
is
the
key
word
.
It's
not
always
,
but
having
an
endometrioma
I
think
Dr
Charles
Chaperon
out
of
France
years
ago
did
a
study
published
,
a
study
that
looked
at
the
presence
of
an
endometrioma
,
with
pain
,
I
believe
puts
patients
somewhere
between
70%
and
80%
chance
of
having
deep
endometriosis
in
other
places
.
I
mean
it's
extremely
uncommon
to
have
an
endometrioma
and
not
have
endometriosis
in
other
areas
.
I
remember
when
I
first
started
well
,
I
had
been
into
robotics
for
a
little
bit
and
with
intuitive
you'd
have
to
go
out
and
a
new
doctor
would
have
to
be
proctored
.
So
I'd
go
fly
around
different
places
and
proctor
new
doctors
as
they're
learning
their
first
robotic
cases
an
endometrioma
because
they
had
no
idea
what
they
were
getting
into
,
not
even
considering
that
it
could
be
more
than
just
the
endometrioma
,
when
it
almost
always
is
.
So
endometrioma
and
pelvic
pain
together
is
a
really
strong
marker
that
there's
going
to
be
more
advanced
disease
.
Speaker 1
3:54
Yeah
,
and
we
should
consider
,
if
someone
sees
something
on
ultrasound
,
then
finding
an
endometriosis
specialist
right
away
.
Speaker 2
4:03
So
I
think
that
it
ought
to
be
brought
you
know
to
me
.
That
ought
to
be
brought
up
in
the
discussion
with
the
doctor
.
You
know
,
if
they
just
say
you
know
we're
going
to
go
in
and
just
take
the
cyst
out
,
they
should
be
aware
that
there
can
be
more
advanced
disease
.
And
that's
a
discussion
that
hopefully
the
doctor
would
have
with
the
patient
.
To
say
you
know
,
there's
an
endometrioma
there
,
you're
having
pain
,
there's
a
chance
that
there's
probably
deep
endo
in
other
places
,
and
then
just
be
honest
about
their
experience
with
that
deep
disease
.
If
they
do
a
lot
of
deep
disease
,
that's
fine
.
You
know
you
make
a
plan
going
in
,
understanding
that
more
work
could
need
to
be
done
.
If
they
don't
,
I
mean
to
me
that
should
be
presented
to
the
patient
as
an
option
.
We
can
go
in
and
just
focus
on
the
cyst
.
Or
you
know
there's
a
good
chance
that
it's
more
advanced
than
just
that
.
And
you
know
we
can
send
a
referral
if
you
need
one
.
But
I
don't
think
that
happens
very
often
.
Speaker 1
4:51
No
,
not
in
my
experience
.
That's
a
wrap
for
this
Episode Wrap-up and Contact Info
Speaker 1
4:56
Quick
Connect
.
I
hope
today's
insights
helped
you
move
forward
with
more
clarity
and
confidence
.
Do
you
have
more
questions
?
Keep
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coming
,
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.
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.