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Doctor insights on: Tandem Ob Medication

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Is it safe to tandem skydive from 14, 000 feet if you donated blood 2 weeks ago and have hypertension that is under control with medication?

Is it safe to tandem skydive from 14, 000 feet if you donated blood 2 weeks ago and have hypertension that is under control with medication?

Yes and No: For your question specifically - the answer is 'Yes' - you can go about ordinary functioning 2 weeks after donating blood and keeping on track with your medicine for hypertension. BUT, jumping out of a plane seems extreme!! I suppose if it's on your bucket list, then you can go ahead - I just think it's a bit insane personally. If it was me, I wouldn't do it... Sorry to rain on your parade! ...Read more

Dr. Rebecca Thibodeau Khan
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What are the negative consequences of taking metformin in tandem with exercise?

What are the negative consequences of taking metformin in tandem with exercise?

Possibly: Both exercise and metformin reduce blood sugar. It is possible when used in close tandem, hypoglycemia may result. ...Read more

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Is it ok to take letrozole 2.5mg in tandem with gh therapy?

Is it ok to take letrozole 2.5mg in tandem with gh therapy?

Yes: I think that the two medication should not have harmful interactions. The bigger question is whether growth hormone is proven to benefit fertility. It has come and gone and come back again. I suggest a chat with your doc to discuss which combination of meds would best help you. ...Read more

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Had tremendous adrenaline with recent tandem skydive before and after for many hrs on both ends. Can I get this feeling often naturally. Felt high!

Had tremendous adrenaline with recent tandem skydive before and after for many hrs on both ends. Can I get this feeling often naturally. Felt high!

I'm really glad: I'm a longtime skydiver and there is no reason you cannot continue in the sport as long as your neck injury permits. A mainstay of treatment for fibromyalgia is intensive, frequent aerobic exercise as you can handle; swimming or running hard to the point of reaching an endorphan high is supposed to be specific Rx. It would take courage and start as pain, but this may be just what you need most. ...Read more

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I have multiple myeloma. How soon after the first transplant do you advocate doing the second transplant? What is the success rate for the tandem transplants?

I have multiple myeloma. How soon after the first transplant do you advocate doing the second transplant? What is the success rate for the tandem transplants?

It depends: I am not a "transplanter", but I would not word your question the way you have.
Some mm patients benefit from a second (tandem) autologous sct.
This is something that needs to be discussed with the transplant team and I don't think is amenable to a generic answer. ...Read more

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Rapid onset adult amblyopia. Vision worsening, mostly due wandering eye that seems impossible to keep in tandem. Did patch method 4mo. No change. Causes?

Rapid onset adult amblyopia. Vision worsening, mostly due wandering eye that seems impossible to keep in tandem. Did patch method 4mo. No change. Causes?

Puzzling assumption: Vision worsening because of wandering eye is expected, but often the wondering is triggered by other eye or eye muscle issues. If alignment cannot be maintained the brain will deny input from one eye=amblyopia. Get the best evaluation by an ophthalmologist you can and hope for the best. ...Read more

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I am going to undergo removal of malignant 0.7cm nodule along with the surrounding tissue followed by the reconstruction of one breast. Should I get one anaesthesia with both surgeries in tandem or get the removal done and wait for a few weeks for the rec

I am going to undergo removal of malignant 0.7cm nodule along with the surrounding tissue followed by the reconstruction of one breast. Should I get one anaesthesia with both surgeries in tandem or get the removal done and wait for a few weeks for the rec

For a breast: Reconstruction after a total modified radical mastectomy a tissue expander can be placed immediately after the surgery by the plastic surgeon. But, the plastic surgeon will expand later and you will need another surgery to finished the process of reconstruction. Consult with your surgeons for specifics for your case. ...Read more

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Can my mother tandem skydive with fibromyalgia and rheumatoid arthritis?

Can my mother tandem skydive with fibromyalgia and rheumatoid arthritis?

Probably yes: Fibromyalgia is not a problem. If her upper cervical spine is not involved by her disease, and she does not have severe osteoporosis, she should be fine. Her rheumatologist will know. Quadriplegics have made successful tandem skydives. Expect an impact about equal to jumping off the tail gate of a truck, or less. ...Read more

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Tinglings, numbness in arms. Fatigue and dizzyness. Hands pronation in mingazzini1, asymmetrical smile, abnormal"tandem gait"are pathologic due to obesity?

Tinglings, numbness in arms. Fatigue and dizzyness. Hands pronation in mingazzini1, asymmetrical smile, abnormal"tandem gait"are pathologic due to obesity?

No: What you are describing certainly is not related to obesity alone and is definitely not normal. You need to see a neurologist as soon as possible and probably an MRI of the brain among other tests to establish the diagnosis. ...Read more

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The medication methergine (methylergonovine) --ob uses and side effects?

The medication methergine (methylergonovine) --ob uses and side effects?

Methergine (methylergonovine): Dr Zacharias already covered OB uses. Methergine
potential side effects include: nause, vomiting, loose stools, cramping, dizziness, pulmonary hypertension, severe hypertension, convulsion. Over dosage can lead to coma & respiratory depression. ...Read more

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Doc I have visited my ob and it was find out that I have pcos, the doctor prescribed metformin as medication. Is it effective doc?

Doc I have visited my ob and it was find out that I have pcos, the doctor prescribed metformin as medication. Is it effective doc?

Yes: Pcos can be associated with Insulin insensitivity and metformin is an excellent choice to treat this aspect of your condition. Also as a side effect many people lose weight on it and this can also help the pcos. ...Read more

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Can ob/gyns test for illegal drugs during routine, prenatal visits?

Can ob/gyns test for illegal drugs during routine, prenatal visits?

Healthy baby: If mom's goal is to have the obstetrician have her help to have a healthy baby then she would need to disclose legal and illegal medications/drugs that she is taking during pregnancy. ...Read more

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Married since 6 years. Having 1still birth also diabetic. My ob put me on drugs for pg but no success. Now she diagnose me ovarien cyst on left overy?

Married since 6 years. Having 1still birth also diabetic. My ob put me on drugs for pg but no success. Now she diagnose me ovarien cyst on left overy?

Time for consult: Diabetes & ovarian cysts are both a common issue today & many are successful at having kids. If you have been trying for a few years without success a trip to a fertility center may provide more answers. You and your partner both need a look over. ...Read more

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When should my first ob appointment be?

When should my first ob appointment be?

Early: Some docs won't schedule the initial OB appt prior to 8-10 weeks and then some don't actually see the patient on that initial visit-- they rely on nursing staff to collect history information and perform initial blood work. My personal preference is to see the patient when she discovers she is pregnant and establish care as early as possible. If complications arise, care is already established. ...Read more

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How do you go about choosing your ob/gyne?

How do you go about choosing your ob/gyne?

Ask family & friends: Ask around. Those "top doctor" awards can only go so far. So ask your family & friends who they like. Also know what you need from your ob/gyn. If you just need well woman "stuff", family physicians like myself are trained to provide that (some still deliver babies!). If you need surgery, then ask your family doc who s/he would recommend. Bottom line, ask around! Good luck! ...Read more

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Were you and your husband ever greeted warmly by an ob?

Were you and your husband ever greeted warmly by an ob?

Hope so: Doctors are individuals with distinct personalities regardless of specialities. Hopefully you are treated well with your OB but if you do not both feel comfortable seek another. ...Read more

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Is there something wrong with me? My ob is sending me to mfm.

Is there something wrong with me? My ob is sending me to mfm.

Ask your OB: Many times you're sent to high risk specialist for a higher level ultrasound, to address genetic concerns, or to follow up on a possible abnormality on a previous lab test or ultrasound. Some obs send patients for routine evaluations of advanced maternal age (ama), hypertension, diabetes, or if on chronic medications. Ask your ob, it may be routine for their office. Good luck & enjoy your baby. ...Read more

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Does pleurisy be seen ob xrays?

Does pleurisy be seen ob xrays?

No: It is a clinical symptom/diagnosis but sometimes the cause can be seen on x-ray. ...Read more

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What can I expect on the third ob visit?

What can I expect on the third ob visit?

OB Visits: What goes on during the 3rd OB visit depends on when you started prenatal care. Usually on the third visit, the doctor will weigh you, take your blood pressure, check your urine and depending on your gestational age, will draw blood tests or do an ultrasound.
Your OB doctor should talk to you about whether or not you have any questions or concerns about your pregnancy. ...Read more

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Is 20 weeks too late for my first ob appointment?

No: The earlier you seek prenatal care the better. If you have put off your first visit though now is the time. It is never too late. ...Read more

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How can I find ob doctors if there is a problem when I travel?

Emergency room: I would suggest that if you experience any problems while travelling that you go to an er where the staff OB can attend to you and whatever issue that you may be experiencing. ...Read more

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I think I have endometriosis but my ob won't test me for it even tho I have all the signs. What should I do?

I think I have endometriosis but my ob won't test me for it even tho I have all the signs. What should I do?

Get 2nd opinion: There is nothing wrong with getting a second opinion. You must realize, however, that a diagnosis of endometriosis would ultimately require a laparoscopy (surgical procedure). ...Read more

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Hi drs ivisited my ob gyne he told that placenta is abit dry. Could that hurt the baby? Am 8 months tow weeks now.

Hi drs ivisited my ob gyne he told that placenta is abit dry. Could that hurt the baby? Am 8 months tow weeks now.

????: I have been doing OB for many yrs but do not know what that term means I have never used that term, is he talking about the placenta is too small or has calcifications, or u have too little amniotic fluid, u have to be a little bit more specific and then I can answer, but if anything is out of the ordinary u need to have increased monitoring until u deliver with us and bpp and nsts ask your doc. ...Read more

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I have severe back pains after my old ob put the IUD which caused major problems an refused to treat me. What can it be?

I have severe back pains after my old ob put the IUD which caused major problems an refused to treat me. What can it be?

Well: The chances of it being directly from the iud is low. Do you have insomnia? Do you clinch your teeth at night? Have u a hx of back pain? Chronic back pain in someone your age can be a treatment problem. Avoid full opiods if u can, see another doc, tramadol 50 mg 3 x a day can help pain and mood and is not controlled. It is a partial opiod stimulator and helps mood when u get to 150 mg. Gd luc. ...Read more

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Is it normal to see empty sac @ 5 weeks? ER scan, going to OB day after tomorrow. Should I be worried or do I just need more time. HELP

5 weeks: At this point in pregnancy it is common to see a sac but no embryo since it is very small. The embryo will be visible in 1-2 more weeks so so not worry I hope this helped ...Read more