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Doctor insights on: Obstetric Panel

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What should I expect at an obstetric appointment for the first time?

What should I expect at an obstetric appointment for the first time?

Meet your Doc: Usually the first visit is used to gather information that is needed to provide prenatal care. Dates are confirmed to schedule timed genetic tests that are available. Ultrasound is performed if needed or scheduled at 12-14 wks to check nuchal thickness. Rarely is a pelvic exam done on first visit unless you have symptoms of infection or miscarriage. Overall, it's a good time to assess each other. ...Read more

Dr. Rebecca Thibodeau Khan
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Obstetrics (Definition)

Obstetricians are doctors that focus on ...Read more


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Could you tell me how long it takes ursodeoxycholic acid to work when you have obstetric cholestasis?

Could you tell me how long it takes ursodeoxycholic acid to work when you have obstetric cholestasis?

3 weeks : If you take 1gr. A day, usually start working after 3 weeks, improving pruritus, bilirubin and enzymes. Right indication and close follow up necessary. No indicated in the severe acute cholecystitis/cholelithiasis event were surgery may be indicated in the emergency setting. Consult high risk OB and possibly gen surgeon and even anesthesiologist. ...Read more

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What's a good resource for trace elements and heavy metal toxicity?

What's a good resource for trace elements and heavy metal toxicity?

Be VERY careful: Most of the outfits offering "heavy metal testing" are scams, charging outrageous prices for"tests" intended to get you to buy their nutritional supplements, have your fillings removed, and generally suck you into a expensive racket. They exude warmth and this is the one thing that may make you feel better. ...Read more

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Is whipple's disease usually deadly?

Is whipple's disease usually deadly?

No, but must dx & rx: Whipples disease is a very rare condition, often found in middle age men, that is also called lipodystrophy. It a bacterial-caused disease that leads to malabsorption of mostly fats and certain sugars into the bloodstream. It will lead to nutritional deficiencies among other problems. Need rx with antibiotics, usually at least a year, herbs and supplements. If left untreated, it can be fatal. ...Read more

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Painful bumps on both shins. Now one swollen ankle. Had a strange rash a few weeks ago. Dr. Is at a loss. Had a blood panel done. Not abnormal. Help!

Painful bumps on both shins. Now one swollen ankle. Had a strange rash a few weeks ago. Dr. Is at a loss. Had a blood panel done. Not abnormal. Help!

Erythema nodosum????: You need to see a rheumatologist. Looka like- erythema nodosum ( painful bumps), rash, arthritis involving ankle --- several infectious and non infectious diseases can do this. ...Read more

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Hi my gestational age is 7 wks and my obstetric scan is over the result is embryonic cardiac activity present but IRREGULARITY NOTED WITH BRADYCARDIA ?

Hi my gestational age is 7 wks and my obstetric scan is over the result is embryonic cardiac activity present but IRREGULARITY NOTED WITH BRADYCARDIA ?

Too early to worry: At such an early gestational age, it is difficult to assess the significance of heart rate and its predictive value as to the outcome of this pregnancy. The best solution would be to reassess by ultrasound in 1-2 weeks, as there is little to nothing that can be done to change whatever might occur with this pregnancy. ...Read more

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What is an obstetric nurse and what does obstetric nurse do?

What is an obstetric nurse and what does obstetric nurse do?

Helps at birth: An obstetric nurse helps patients and their doctors when women are giving birth or being evaluated for pregnancy related problems. ...Read more

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What have been the biggest advancements in recent obstetrics?

What have been the biggest advancements in recent obstetrics?

Cell-free fetal DNA : The newest advance that i can think of is the development of a test using the mothers blood sample that can tell with >99% accuracy if the baby has certain chromosomal/ genetic defects. It can be done as 10 weeks of gestation to determine if a baby has down syndrome, trisomy 3 or trisomy 18. ...Read more

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At week four..urine and trance virginal scan was positive but now at week 11 and 3 days, obstetric scan says no baby or sac. what could be wrong?

At week four..urine and trance virginal scan was positive but now at week 11 and 3 days,  obstetric scan says  no baby or sac. what could be wrong?

Miscarriage a possib: At 11 weeks there should be no question about being pregnant. If they say there was nothing to see, then it is possible that you had a miscarriage along the way . They could test your blood to see if your dates are off and maybe not 11 weeks. Best to talk to your doctor to get the whole story. ...Read more

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