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Doctor insights on: Zone Delivery Seattle

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What's the best weight-loss home delivery program? Seattle sutton?

What's the best weight-loss home delivery program? Seattle sutton?

Wtloss home delivery: The positives about home delivery are portion control and ease of use.I imagine the companies that deal in home delivery would allow you to purchase a "sample" program to see if the food is to your taste after all, if the food is not to your liking-you will not becommitted to the program. I still advocate one"regular" type family meal per day. Please have your dr evaluate the nutritional content. ...Read more

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Anterior placenta previa with placental lake seen at 28w ultrasound, 2 D&Cs & no c-section hx. Any risk of placenta accreta? Best time to deliver?

Anterior placenta previa with placental lake seen at 28w ultrasound, 2 D&Cs & no c-section hx. Any risk of placenta accreta? Best time to deliver?

Placenta Previa: Placenta previa occurs when the placenta is covering the opening of the cervix. Vaginal delivery is possible in mild cases of previa. Placenta accreta is a different condition where the placenta gets "stuck" to the uterus. While the risk of accreta increases when you have previa, that risk is low if you have never had a c-section before. Follow-up with your obstetrician regarding delivery dates. ...Read more

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Pros/cons of c-section vs. assisted vaginal delivery? Baby persistently locked in posterior position, estimated 8lbs+.

Pros/cons of c-section vs. assisted vaginal delivery? Baby persistently locked in posterior position, estimated 8lbs+.

Depends: That is a decision that would need to be made in the moment. Many women can deliver vaginally with no problem from the occiput posterior position. If the baby can not be delivered with pushing then options of forceps, vacuum and c section should be considered. The size of the baby, the shape of the pelvis, the position of head and the experience of the doctor are all important considerations ...Read more

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Hospital labor & delivery vs birth center. Which is better and why?

Hospital labor & delivery vs birth center. Which is better and why?

Define Birth Center: I deliver at a birth center which has private rooms, newborn rooming, birth plan receptive... But still offer 24/7 epidural service, full or availability in-house for emergencies, full time peds/neonatologist if needed, and full lab & blood bank services. Most hospital l&d units are emulating birth centers & maintain all support services in case of emergencies. Tour & deliver where you feel safe. ...Read more

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Are mobile homes safe in a tornado zone?

Are mobile homes safe in a tornado zone?

They are not safe: Do not seek shelter in a hallway or bathroom of a mobile home. If you have access to a shelter, go there. Do not wait until you can see the tornado. ...Read more

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What is the ideal time for cesarean section in women with central placenta previa ?

What is the ideal time for cesarean section in women with central placenta previa ?

After fetal maturity: The ideal time is when the baby is lung mature and the MD is confident of your gestation age. ...Read more

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Regarding cancer rates. Looking at leukaemia in califnornia vs. Nv. In la county it is 11/100,000. Clark county it is 19/100,000. Is this a big deal?

Regarding cancer rates. Looking at leukaemia in califnornia vs. Nv. In la county it is 11/100,000. Clark county it is 19/100,000. Is this a big deal?

Most likely not: Epidemiology (study of disease in a population) is tricky. Both rates quoted are very small so a doubling is very likely not a concern. Also, when comparing two areas and a very specific disease, you really should adjust for age, gender and ethnicity. Differences in a city's population can dramatically affect the incidence of certain diseases--many diseases occur only in men or women, kids, etc. ...Read more

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Grade 2 anterior placenta at 26 weeks what's the meaning?

Grade 2 anterior placenta at 26 weeks what's the meaning?

US Naming System ...: Study: http://www.Learningradiology.Com/notes/gunotes/placentapage.Htm, anterior means towards front, closer to the abdomen than back. The grades are simply appearance characteristics on ultrasound which may correlate with relative health of placental development, blood supply to fetus and potential fetal health/outcomes. A good OB physician should be able to help you with specifics for individual. ...Read more

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What to expect from marginal zone lymphoma?

What to expect from marginal zone lymphoma?

Indolent, persistent: Marginal zone lymphoma is a form of lymphoma that is of low aggressiveness and "indolent." it refers to the cell of origin of the tumor having come from the "marginal zone" of the lymph node, as opposed to "germinal center cell" or "activated b-cell type" cells which are subtypes of the more aggressive "large cell" lymphoma family. It is slower growing, but may be persistent and tough to "cure.". ...Read more

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Need expert advice. What innovations arose from virginia apgar's invention of the apgar score?

Need expert advice. What innovations arose from virginia apgar's invention of the apgar score?

Apgar's score: The Apgar's score is a way to evaluate effective resuscitation of newborns, based on it asphyxiated (depressed) neonates are diagnosed for many years and most recently for last few years, it has been used with other tools to identify those who are candidates for hypothermia treatment to prevent further brain injury. ...Read more

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Am 5 weeks pregnant, live in east coast. I will be on a 3 wk trip to india in couple of weeks. Is 24 hr flight to & fro, temp diff of 30 fahrenheit ok?

Am 5 weeks pregnant, live in east coast.  I will be on a 3 wk trip to india in couple of weeks. Is 24 hr flight to & fro, temp diff of 30 fahrenheit ok?

No problem: You should have no problems traveling at this stage of your pregnancy. Take the usual precautions as to food and water restrictions and check with the health department concerning immunizations and their safety in pregnancy. The only concern i would have is with the need for possible malaria prophylaxis, again check with the health department. ...Read more

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Where can I obtain intensive sleep retraining therapy in the san francisco bay area?

Where can I obtain intensive sleep retraining therapy in the san francisco bay area?

Stanford, U.C.S.F.: Both medical schools have excellent sleep clinics. Palo Alto Medical Foundation has sleep clinics in Santa Cruz,, Fremont, Sunnyvale,Palo Alto. ...Read more

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UTZ report at uau19 wks 5 days shows fetus in transverse position,placenta posterior grade 2,previa totalis.will this improve? or cs is the option

UTZ report at uau19 wks 5 days shows fetus in transverse position,placenta posterior grade 2,previa totalis.will this improve? or cs is the option

Likely to improve: placenta previa diagnosed in second trimester most often resolves by 3rd trimester. Usually by that time, the fetus is head down and vaginal delivery is an option. Follow closely with ultrasounds this pregnancy to help guide your decision. Unlikely but if the placenta previa persists, then a csection is needed ...Read more

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Any recommendations 4 knowledgeable & caring rheumotalogist & endocrinologist in los angeles area within kaiser permanente network?

See details: Go online to kaiser's website or call them directly. Physician recommendations are not a function of this website. ...Read more

Dr. James Lin Dr. Lin
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U/s @23 weeks placenta 3.8cm from os-trans abdominal full bladder. At 28w different clinic transvaginal -3.4cm from os. Who is right? It's posterior.

Dr. James Lin Dr. Lin
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U/s @23 weeks placenta 3.8cm from os-trans abdominal full bladder. At 28w different clinic transvaginal -3.4cm from os. Who is right? It's posterior.

Here are some ...: Are you suffering from pregnancy-related symptoms or sicknesses? If not, why have you got 2 US for the "same" reason - pregnancy? A comparison should be done the same approach preferably with the same machine by the same tech if possible. So, correlate test result with clinical profile, and I would not dig around with anxiety if you're free of undue pregnancy-related disorders. More? Ask Doc... ...Read more

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U/s @23 weeks placenta 3.8cm from os-trans abdominal full bladder. At 28w different clinic transvaginal -3.4cm from os. Who is right? It's posterior

U/s @23 weeks placenta 3.8cm from os-trans abdominal full bladder. At 28w different clinic transvaginal -3.4cm from os. Who is right? It's posterior

Irrelevant: Transvaginal ultrasounds is the best modality for assessing a placenta that is near the os (previa). However because your placenta is more than three centimeters away from the os on both scans, I would not worry about this finding of a difference as it does not matter. Make sure you don't have any bleeding though. Hope that helps and good luck. ...Read more

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What is the name of a pre-eminent facial plastic surgeon at the U. of Miami hospital system in downtown Miami (want to rid static forehead lines)?

What is the name of a pre-eminent facial plastic surgeon at the U. of Miami hospital system in downtown Miami (want to rid  static forehead lines)?

Only 50 min away!: Forehead lines are most commonly treated with Botox or Dysport, the most common neuromodulator injections. A soft tissue filler can also help. Finally, surgery my be indicated as with a brow lift. There are many qualified plastic surgeons in Miami and south Florida. You can search online, check credentials and patient reviews then schedule an appointment. My office is just short drive north! ...Read more