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Dr. Ralph Layman

Transplant Surgery
Henrico, VA
21 years experience male

Locations

Office

Henrico, VA

Address

7611 Forest Avenue, Suite 300, Henrico, VA
Directions

Insurances accepted

Blue cross blue shield

Medicaid

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Transplant Surgery

Doctor Q&A

209 Answers
70 Agrees
The number of answers this doctor has agreed with.
A 45-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Organ failure: If a particular organ no longer works transplantation is an option to fix this problem. Sort of like changing a flat tire.
A 40-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Opinion: This is a matter of opinion and debate. Personally I am in favor of an "opt out" donation strategy.
A 43-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Yes: More people are in need of transplant than there are organs available. My recommendation to people is to make sure your family knows your wishes to b... Read More
A 26-year-old male asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Pittsburgh: I would look into the starzl transpalnt institute at upmc. Drs. Marsh and humar have been doing them for many years. In florida you may want to look... Read More
A 32-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
I am for it: I am for organ donation. If organs are donated after someone passes away there is no cost to the family for the donation. For a living donation the ... Read More
A 20-year-old female asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Several months: The most commonly used dissolvable sutures take 3-4 months to be completely absorbed by the body.
A 43-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
A lot: In the optimal situation surgeons can procure a donor's heart, lungs, liver, kidneys, small intestine, pancreas, arms, face, larynx and abdominal wall... Read More
A 33-year-old female asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Pain: Abdominal pain, especially with eating. You could also have problems with jaundice.
A 31-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Your doctor: Contact your transplant center to help with these issues after liver transplant. It would not harm the transplant but should be done by a gyne familia... Read More
A 44-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Donor or recipient?: Donor will be sore but should be able to have sexual contact after they are released from the hospital (2-5) days for laparoscopic longer for open sur... Read More
A 40-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Use a condom: If you do not have the herpes virus already i would be very cautious. I would definately abstain during acute outbreaks and wear a condom at other ti... Read More
A 40-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Abdomen and back: Pancreatitis is usually felt in the upper mid abdomen, right under the tip of the breast-bone and it goes straight through to the back. Some describe... Read More
A 29-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Multiple steps: First you get evaluated by a transplant center. Then you can have a living donor transplant or a deceased donor transplant. Living donors can be sch... Read More
A 35-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Treat symptoms: For chronic pancreatitis there are a number of steps to take. First you must avoid things that exacerbate the condition. Alcohol, fatty foods, high ... Read More
A 44-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
55-60: I can't give you an exact answer as I am an abdominal organ transplant surgeon in the U.S.. Traditionally though 55 was the upper limit for oht (othot... Read More
A 48-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Depends: This is a difficult question. There are 300-400 liver transplants done in the U.S. Each year for kids under 5 years old. Right now there are just ov... Read More
A 31-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Gallstones, alcohol: In the U.S. The most common causes of acute pancreatitis are gallstones or alcohol. Other common causes are high blood lipids or certain medications.... Read More
A 44-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Deceased donor: You need a deceased donor with a healthy heart. Someone who passed away and decided to give the gift of life by passing on his vital organs to others... Read More
A 29-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Cancer or uncertian: When biopsies are done for pancreatic cancer they are interpreted as either positive for the presence of malignancy or non-diagnostic. In the world o... Read More
A 40-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
They are dead: Legally if a patient is considered brain-dead they are dead. The time for the organ procurment surgery however is based upon resources at the hospita... Read More
A 33-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Yes: There is an indepth review of the recipients overall health and functional level. This consists of cardiovascular work-up, pulmonary work-up. A sear... Read More
A 39-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Surgery: Surgery is the only curative therapy for pancreatic cancer. Usually this will be supplemented with chemotherapy and radiation. In order to have long... Read More
A 51-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Yes: Emergency room doctors are in the business of saving lives. They have no relation to transplant programs. They went into er medicine because they wa... Read More
A 31-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Yes: Nerves that are reconnected grow together very slowly. In VCA transplants (vascularized composite allografts) i.e. Hand transplants. The nerves are sp... Read More
A 24-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Multiple: There are multiple treatments. Liver resection is the traditional approach. Other treatments include ablative destruction of the tumor with heat or ... Read More
A 21-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
No: I am not exactly sure of your question but you do not need a kidney transplant unless both of your kidneys are not working. As long as you have a wor... Read More
A 22-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
No: Pancreatic cancer is not transmitted by person to person contact of any kind.
A 25-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
A little: The hd catheter insertion thru the jugular stings a little. You usually get sone Lidocaine and sedation to put it in. It is like a big IV line.
A 39-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Your options: Your options for failed kidneys are few. One is to do nothing. However if you do nothing you will die without working kidneys. Therefore the other o... Read More
A 37-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Stability: Most patient i treat that do daily home hemo have more physical stability, less complications and a better quality of life. It is rather labor intens... Read More
A 39-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Yes: You can be listed at as many centers as you want. You may have some issues with insurance so you will have to contact your insurance company. Also l... Read More
A 27-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Several: Ultra sound, fistula grams, physical examinations. It depends on what you would like to know about the access.
A 38-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Yes: I usually suggest that my patients have someone else clean the litter box but it is ok to have cats in the home.
A 38-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Graft survival: Over all graft survival at 3 months is 85%, 1 year is 77%, 5 years is 54% and 10 years is 36%. These don't mean all were rejected. They could stop ... Read More
A 23-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Sort of: You can discuss the 2 types of valves with your surgeon and even tell them what your preference is. If the surgeon disagrees you can see a different ... Read More
A 25-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Not usually: Part of the heart matching is based on size. It would depend on the size of both the donor and recipient.
A 33-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Yes: Some centers will take the cells out of a pancreas transplant them into a patient. There are also a very limited number of programs working on living... Read More
A 45-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
It is not incurable: Sometimes it is curable. It depends on what type of cancer it is (some have a better cure rate than others) also it depends on the location of the c... Read More
A 41-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
No: There is no reason to transplant a pancreas if you had part of yours removed. You will still have pancreas function with part of a pancreas. Also si... Read More
A 50-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Overall health: There is no special diet a kidney donor has to follow. I recommend common sense and overall health maintainence. Don't put yourself at risk for kidn... Read More
A 25-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Stage at diagnosis: Pancreatic cancer is oftentimes incurable becase it has spread at the time of diagnosis and has become unresectable. Depending on where in the pancre... Read More
A 46-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Recipient: I am assuming you mean who pays if you are the live donor. All of those costs are billed to the insurance of the person who receives the organ.
A 30-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
We working on it: These are more rare types of transplants with varying success rates. These have been done at select centers and they are done as part of an arm trans... Read More
A 37-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Sometimes: If you and your family agrees that you do not want to live in you current state and your medical condition is considered terminal and you meet other c... Read More
A 41-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
No: Marijuana is not good for people with any kind of transplant. There is no regulation and therefore there is a risk of impurities. Tis is especially ... Read More
A 37-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Need>>supply: There are more people with the diseases that need organs than there are available organs. It is that simple. There are fewer "healthy" people dying ... Read More
A 33-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Multiple steps: Hand transplants are done attaching the donor bones (usually at the midpoint of lower arm) to the patient bones with plates just as broken bones are t... Read More
A 38-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
8 or more: 1 heart 2 kidneys 2 lungs 1 liver 1 pancreas 1 intestine possible more if the liver is split between a child and adult.
A 34-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Poor absorbtion: Short-gut or short bowel is the most common reason for children needing bowel transplants. Commonly this can be a result of nec necrotizing enterocol... Read More
A 43-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 21 years experience
Find a center: First you must be evaluated by a transplant center. A referral can be made by your primary doctor or hepatologist. You could also contact them direc... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
385
Thank you notes
Oct 23, 2013
Fast, Fantastic answers to often complex questions, truly an asset to the Medical Community. A true national leader in transplant surgery
HealthTap member
Mar 30, 2015
Dr. Layman is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Layman is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
I was told my pancreas can't be taken out..I've had chronic pancreatitis for 10 years. I'm admitted 3 to 5 times a month..I need help despe
HealthTap member
Thank you so much indeed. I am hugely indebted to you for your precise recommendations. Thanks again !
HealthTap member
This saved my life. Thank You! My grandmother had it and she died. I am sad but happy that she is wit

Education & Training

Medical/Graduate school

University of Chicago Pritzker School of Medicine, IL
Graduated 2001MD

Awards

Top Transplant Surgeon , Second Place, National - Winter
2013
Top Transplant Surgeon , Third Place, National - Summer
2013
HealthTap Founding Doctor
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less