Dr. Ralph Layman

Transplant Surgery
Henrico, VA
22 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 29-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Yes: You can be alive even after your entire pancreas has been removed. However, you would have very difficult to control diabetes. Also you would have p... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
It depends: In acute pancreatitis the basic treatment is resting the pancreas, by limiting intake of food. Also you are given IV fluids and pain medication. If ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Pancreas: Well the pancreas for sure! as pancreatitis becomes more and more severe you can develop sepsis and shock. If is happens all of your organs can becom... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Yes: There are a few few places that do living pancreas donation. There have been less than 30 of them done in the US.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Yes: Unfortunately one of the side effects of immunosuppression is the potential to develop certain types of cancers at a higher rate than people do don't... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Symptoms and tests: Pancreatitis is an inflammation of the pancreas. Patients feel pain in the central upper abdomen and back. If you have pain like this further testin... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Sort of: You can get closer to normal after transplant than being on dialysis. Many people go back to work, school, professional level sports. However you wi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
When it can be done: There can't be any evidence of spread of cancer outside the pancreas. Also you have to be able to separate the diseased pancreas from the surrounding... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Yes: If a patient has a working kidney transplant and is not dealing with complications such as infection, rejection etc.. It is no different for them to w... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Forever: If you stop the immunosuppression medicine your kidney will stop working.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Through your genes: You cannot "catch" pancreatic cancer from another person. There are some genetic links to pancreatic cancer but it is not totally understood.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Many things: Initially you will have pain from surgery. You will also experiene side effects of the medication. Some could be mild like nausea & GI upset or more... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Life: A living donor is alive. They donate some or part of their vital organs, recover from surgery and go home. A deceased donor is dead. They passed aw... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Longer life: If a patient is in kidney failure they have few options. One is dialysis and the other is transplant. If you compare longterm outcomes of both optio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Where it started: Cancer that starts in the liver is primary liver cancer. Cancer that started someplace else then moved (metastasized) to the liver is secondary liver... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Depends: Liver tumors in people healthy enough to have them resected are normally recommended resection. People in worse health medically or those with tumors... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Injury: An ERCP is a procedure with some possible complications. These include injury to the oral cavity, esophagus, stomach, duodenum or the biliary tract. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Radiographic tests: Cat scan, ultrasound or MRI can be used to diagnose cysts in the pancreas.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
No/maybe: Cirrhosis of the liver is not reversible. It may not require a transplant though. It depends if you can take measures to keep it from getting worse.
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
No: It is not yet possible to do this.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
No: Colons are not transplanted for one. Second people with a history of colon malignacy must have been completely "cured" survived 5 years after surgery... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Endocrinologist: Discuss this issue with your endocrinologist and see if he can assist with changing the medication to something that will be covered.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Personal resons: Sometimes the patient or family has personal religious or moral beliefs against removing body parts. Sometimes people are angery at the medical syst... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Ask for a referral: It is hard to give good advice without seeing where their tumors are located and whiteout knowing what the pathology is. There may be options for tre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Surgical: There are rises from the surgery. Hernia, bowel obstruction, infection, anesthesia problems, blood clots, bleeding, and very rarely death. There is a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Overall health: Make sure you take your medicine, contact your doctor if anything changes, avoid whatever led to your original kidney faliure. Exercise, keep blood pr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Most likely no: On average kidney donor have no difference in general health and life expectancy when comparing to the general public. There are risks associated wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old male asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Risky: Drinking again could bring on another bout of pancreatitis. Cigars won't.
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Yes: A non-contrast ct would show sever pancreatitis. Do you have a gallbladder? Did you have an ultrasound?
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Depends : This depends on the transplant. For any transplant you have to be deemed healthy enough to live through the operation and to survive for a certain nu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Depends: This depends on your blood type, option for living donation, the region of the country you live in and other medical factors. Your transplant center ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
No: Kidney donors are not required to take medicine indefinitely. If the donor requires medicine for other reasons they will still have to take it. We u... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
In your belly: The kidneys are located in the retroperitoneum. This is a fancy word for the back of your belly. They lay on either side of your spine at about the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Bad things: If you are talking about the immunosuppressive medicines very bad things can happen. If you stop your immunosuppression the organ will be rejected an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
No: The organs don't always work. Sometimes when they do work the patient's other medical conditions get worse and they die. Sometimes a problem with th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Depends: It depends on how severe the cirrhosis is. Some people never need a transplant and they live many years. Others will die within days if they don't h... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
No: Some centers do have upper limits on the age of people they transplant. Other centers base the decision off of the persons overall health. Our cente... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Maybe: Yellowing of the eyes could be a sign of jaundice. Liver problems can cause this. Other medical issues can cause it as well. You should be evaluate... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Immune system: Your white blood cells and their products (antibodies) treat the transplant like any type of foreign material. Just as it would treat an infection or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 51-year-old male asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Yes: If there is no history of liver issues moderate, responsible drinking of alcohol is ok after kidney transplant.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Depends: I would make sure she talks with someone who is experienced with liver tumors. She may be offered surgery or chemotherapy. It would depend on how bi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Not current drinkers: Most centers require a certain amount of time of abstenence from alcohol before liver transplant. 6 months to a year is common.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Healthy people: There is a detailed work-up for potential organ donors. They have to be very healthy, mentally stable and free from any coercion in order to be consi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Infection: Skin infections are commonly caused by staph. Frequent multiple boils could represent a chronic resistant infection. The fact that you are on Imuran... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Many options: There are multiple options to increase donation numbers. Improving access to information for people or families in order for them to be confident wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Exam: Liver donors are evaluated by physical and psychological exam and by blood tests and x-rays. First they must be offering the donation for the right r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
No: The operation itself is not the dangerous part. There is a very small chance of death from the operation but the more important issues is the long te... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Raising awareness: Many organizations are working hard to raise public awareness. The united network for organ sharing has ongoing campaigns to raise awareness. Oftenti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
Liver problems: With primary biliary cirrhosis the small bile ducts in the liver are affected. As time goes on cirrhosis of the liver can result. This results in ja... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Ralph Layman
Transplant Surgery 22 years experience
See a doctor: If you have pancreatitis you should see a doctor. You should be evaluated by a gastroenterologist and/or a surgeon and work up the reason behind the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

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
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