Doctor insights on:
What Do They Mean By Planned Or Elective C Sections
C-section!: 80% of all twins are born via c/s in the us nowadays. The reason is that the second twin has a 20% greater chance of dying at birth compared to the first twin. I recommend prelabor cesarean section for all twins at this time, especially if bilateral tubal ligation is planned - talk to your maternal-fetal medicine specialist to see if that is good option for you. ...Read more
See Link below: The cost is highly variable. The charge for an uncomplicated cesarean section is about $17,859. An uncomplicated vaginal birth costs about $10,657. You can find this data broken down by national average, year and state here: http://transform.childbirthconnection.org/resources/datacenter/chargeschart/statecharges/ Best wishes! ...Read moreSee 1 more doctor answer
C/S Process: In general, an IV is put in a vein and you are given fluids and an antibiotic. You drink an antacid; your pubic hair is shaved; the anesthesia provider injects some anesthetic in your spinal fluid; a foley catheter is placed in your bladder and pneumatic compression devices are placed on your legs. The surgeon confirms that you can't feel the surgery; a time-out is performed and surgery starts. ...Read more
Second opinion: You can ask for a second opinion. Maternal-fetal Medicine doctors manage high risk OB patients. You are entitled to a second opinion. I would ask for one. ...Read more
After 1st C-section do all deliveries have to b via C-section or do u have a chance to deliver vaginally?
No not neccesary: No it is not necessary and these days a vaginal birth after a c section is considered safe and you have the option but it bepends on rason for your first c section and type of incision made on your uterus and other factors in your history.If it was a transverse incision which is used in most c sections these days, makes vaginal delivery more likely to be safe. ...Read more
If you need surgery to remove an ovarian cyst can you do it without general anestegia, such as when you are having a c section? Thanks.
During a spinal surgery, does the surgeon typically look at adjacent levels or solely do what they set out to do? Would they fix other problems?
Depends: In general, particularly in minimally invasive spinal surgeries, we go right for the area of pathology and fix that problem without putting the patient through extra soft tissue dissection and morbidity to "explore" other areas. That being said, sometimes we will see unexpected findings in areas near where we are working that we will then often go on to fix. ...Read moreSee 1 more doctor answer
C/S: Most people are in the hospital about 3-4 days. ...Read more
Sometimes...: C. Difficile, when pathologic, is a bacterial infection that may be accompanied by colonoscopically visible signs of colitis which then warrants specialized antibiotic treatment ; needs documentation of eradication. Often c.Difficile causes only mild irrigation of the colon lining, or no readily appreciable mucosal changes unless biopsies are taken. Sometimes, only stool analysis is diagnostic. ...Read moreSee 1 more doctor answer
Can i totally refuse a forceps/vacuum delivery? I've done myresearch and i don't want them. Prefer cesarean instead. Can doctor override this decision
No, they cannot: But if baby in distress, u wanna take the time for section, minutes make the difference. A kiwi vacuum is easy, not many are doing forceps because of tears and trauma. You can refuse operative delivery but a 1 minute application of a vacuum device could save u from a big surgery or your baby from hypoxia. Good luck. ...Read more
Are vaginal exams necessary if i will elect for a c section? Can i refuse them? Notes:Tokophobia, anxiety, sexual abuse...
Your rights.: You always have the right to refuse a vaginal exam. However, vaginal exam during pregnancy or labor can give the physician a lot of meaningful and needed information to keep you and your baby safe. Even though you elect a c-section, vaginal exam may still be needed to manage your care. Good luck. ...Read moreSee 1 more doctor answer
How do you choose the best route for hysterectomy with a large cystocele? Do you always do cystometrics pre-op? Tvh with ant rep? Sacral colpo? Burch?
TVH/A;P is fine.: Depends of the surgeons comfort and experience with the different techniques. Urodynamics help to evaluate for any sui that my be masked by the cystocele. Sacrocolpopexy is a better choice if the patient has an apical defect and would make more sense to then do some type of laparoscopic hyst. Burch is still a good procedure for sui and also allows laparoscopic access. ...Read moreSee 1 more doctor answer
Are the physicians have an obligation to tell pt why they believe certain condition/injury exit or doesn't exist? If a person asks the physicians why they believe cranial cervical joint dislocation does or doesn’t exist, are they obligated to tell her why
I'm : I'm not sure "obligated" is the best word to use here. Doctors are put in a position to try to help people, but we, too, are human, and are prone to those things that make us humans. We make mistakes, sometimes we're wrong, and while it is certainly unprofessional, we also lose our patience. Sometimes there is just a personality clash that gets in the way of a good doctor-patient relationship. Finding ourselves in the continual position of healing the sick tends to make many of us a bit egotistical too, and we don't like to be challenged. This is wrong, of course. It's always a good idea to explain why you feel the diagnosis is this or that. But sometimes it's complicated, and with healthcare the way it is these days, the explanation is too lengthy and the waiting room is too full. But the short answer is you're right. You deserve a reasonable explanation, and you don't deserve to be judged or get a snotty answer. If you're not satisfied with the attention and answers you're getting from your doctor, it's in your best interest to seek another doctor. I am not an orthopedist or neurologist, and i hope you don't mind my butting in to give an answer you probably heard before. Good luck. ...Read more
I want to get treated with the new for Hep C (genotype 2a) developed by Gileadbut do not have the funds or insurance.What are my options?
Hep c rx: You should try to enter a "trial" at a research center. Call univ med centers. Also look online at various univ med centers. ...Read more
Do a lot of women planic during labor? Also if your pulse goes up to 170 during labor will they do a c section?
Fear of delivery: Most women are nervous when coming to the hospital for delivery, but that's not the same as "planic." there are nurses and doctors in the labor suite to help you, and who know how to use medicines for calming if needed. Please tell your OB about your fears before delivery, so that you receive advance help. C section would not be automatic with anxiety attack. Please ask your own OB about this. ...Read more
Do obstetricians get mad when women refuse pelvic exams or ask for c sections because of previous trauma and sexual abuse?
Refusing exam: You should never be afraid or ashamed to discuss your preferences. When choosing a doctor call and ask about sexual trauma experience / or request a referral from a therapist / rape hotline/support group. Every doctor is different choose one that respects and works with you. Seek counseling about your trauma and how it reframed life, Some procedures are important like PAPs. ...Read moreSee 1 more doctor answer
Are there any risks of doing a feces transplant. Are they successful for c diff? Can u do them yourself?
Doctor oversight: As an infectious diseases specialist, I have performed this procedure successfully. The risks include: unscreened donor stool may have other microbes that can cause disease; perforation of the colon; and unforeseen adverse effects from products produced by the microbes in the donor stool, including an allergic reaction. For these reason, a doctor needs to be involved, for the safety of the pt. ...Read more
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