 [ Symptoms ] a doctor diagnosed my mother with an enflammed appendix yet sent her home wout surgery why  she went to see her primary care doctor for all thge systems of appendicitis except fever her doc sent her straight to the hospital after a ct scan revealed an enlarged appendix the hospital keep her overnight and did not do surgery to remove the appendix the doctor at the hospital said it was enlargedinflamed yet sent her home why would they not do surgery if its enlarged and inflamed [ Disease ] i do not know i would need to know your medical history age blood pressures hx of stds etc in our office you do not need an annual pap smear in most cases but each medical practice sets their own parameters birth control pills may be over the counter in a few more years but now you need the okay from your medical provider to get a refill