Doctor insights on:
Pediatric surgeon (neonatal and or fetal intervention) vs. ob/gyn (perinatology), what's the difference?
Perinatal medicine : Fetal intervention/fetal surgery is performed by an entire team. The team is made up of a pediatric surgeon, Perinatologist, and a neonatolist. The pediatric surgeon is the one who performs the surgery, the Perinatologist manages the patient with the complications that can result from the surgery, such as preterm labor. The neonatologist takes care of the complications that the baby may have. ...Read moreSee 2 more doctor answers
Pregnancy 15 week, ultrasound report.,.. Turner syndrome with cystic hygroma and hydrops fetalis....., your advise required?
Your decision: in the end. These findings in the first trimester usually carry a poor outlook for survival of the baby but there have been many reports of resolution of both cystic hygroma and hydrops as pregnancy progresses. Turner syndrome will always be there. I cannot decide for you but suggest you consider re-evaluating by ultrasound in 3-4 weeks should you decide to continue the pregnancy, you will then know more about the prognosis for the baby and any associated problems such as congenital heart defect etc. see:http://www.turnersyndrome.org/#!child/c4ff ...Read more
Money: Case management is insurers trying to save money;disease management is trying to improve outcomes days, weeks, and years down the road by applying "best , evidence-based practices" to our current treatments.It is not an easy balancing act.We have been surprised more than once in the quest for the "right" treatment for a disease process. ...Read more
Early dx helps: There are no treatments for the congenital defects or brain damage due to fetal alcohol syndrome (fas), but early diagnosis and special education to address the child's specific needs can improve their developmental outcome. The earlier a child with FAS is placed in the appropriate educational class and given comprehensive social services, the more improved their prognosis. ...Read moreSee 2 more doctor answers
Trapped urine.: Severe fetal hydronephrosis is diagnosed when urine is trapped inside the renal collecting system of a fetus with resultant destruction of kidney tissue. It can be due to stenosis or obstruction at various points in the urinary tract and merits postnatal antibiotic uroprophylaxis and imaging. Bilateral severe cases may cause oligohydramnios and fetal lung hypoplasia or demise. Seek mfm care asap! ...Read moreSee 1 more doctor answer
Ob terms: 1st trimester screening are any tests done during a pregnancy during the first 12-14 weeks of pregnancy. This can include ultrasounds. blood tests and others. Maternal fetal medicine is a subspecialty of obstetrics. It's also often called "perinatology". These are obstetricians who go on to do additional training in the management of high risk pregnancies. ...Read more
Pain specialists.: American society of interventional pain physicians defines interventional pain management as a "discipline of medicine devoted to the diagnosis/treatment of pain disorders." interventional pain medicine uses a multidisciplinary approach, in which a team of health care professionals works together, providing a full range of treatments/services for patients suffering from acute and/or chronic pain. ...Read moreSee 6 more doctor answers
Decreased fetal GFR.: Oligohydramnios is a sign of decreased fetal glomerular filtration rate (GFR) in the absence of rupture of amniotic membranes. Preeclampsia can cause placental failure and thus poor perfusion of the fetoplacental unit leading to oligohydramnios. ...Read moreSee 1 more doctor answer
Pain management doctors- what type of interventional treatment do offer to patients with sympathetically maintained pain?
Interventions: Typically, injections such as lumbar sympathetic or stellate ganglion blocks can be used in conjunction with physical therapy and non opioid nerve pain medication. Also, spinal cord stimulation has been used effectively to reduce symptoms if other interventions fail. ...Read moreSee 1 more doctor answer
Pain team: The best pain groups will comprehensively address the history of your chronic pain condition, review diagnostic tests and or order new ones, perform a detailed pertinent physical examination, then design an individualized treatment plan which can include injections, braces, creams, medications, physical therapy and more options. This may also include acupuncture, massage, pain psychology and rehab. ...Read moreSee 2 more doctor answers
Rarely any more: CVP is falling out of favor as a way to manage fluids and volume status. It is only helpful when it rises very high, and is associated with significant risks in its placement and application. Pulse pressure variation (ppv) and stroke volume variation (svv) are less invasive ways to manage fluids and better reflect the response of the heart to changes in hydration. ...Read moreSee 1 more doctor answer
Small catheters: Nurses use small plastic catheters inserted down endotracheal tubes to clear airways of secretions. ...Read more