tag:blogger.com,1999:blog-20642800.post1862593181177393971..comments2024-03-05T11:36:50.299-05:00Comments on Stand and Deliver: A tale of two doctorsRixahttp://www.blogger.com/profile/07908864785513937876noreply@blogger.comBlogger23125tag:blogger.com,1999:blog-20642800.post-19343618762646505132011-06-05T22:55:05.088-04:002011-06-05T22:55:05.088-04:00LMAO!!! Acute distress puts you on the ventilator....LMAO!!! Acute distress puts you on the ventilator... not in compression hose. What an idiot.Katehttps://www.blogger.com/profile/01598524571479954748noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-20181920949350777982010-01-31T19:04:48.328-05:002010-01-31T19:04:48.328-05:00Dr. W knew I was nursing and would still be if I h...Dr. W knew I was nursing and would still be if I had the sclero/EVLT done, and he said nothing about the sclero negatively affecting breastmilk. I think the sclero uses a saline solution, which wouldn't be harmful for a breastfeeding relationship.<br /><br />None of the people I've seen have suggested heparin. Superficial clots are painful and obnoxious, but not dangerous like deep vein thrombosis.Rixahttps://www.blogger.com/profile/07908864785513937876noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-17657537043609098972010-01-28T12:57:26.347-05:002010-01-28T12:57:26.347-05:00Wow. It sounds like we have a lot of similarities...Wow. It sounds like we have a lot of similarities. I went to a dr who had a similar opinion to Dr. W. I think our clots were even in the same spot. I was wondering if you have gotten pregnant again and if they have put you on any low molecular weight heparin? I am nervous about getting pregnant again. I have to 2 amazing kids and have always wanted 3 but don't want to ...not to be overly dramatic... leave them too early in effort to get a third when I should have just been happy with the wonderful two I had.Brendanoreply@blogger.comtag:blogger.com,1999:blog-20642800.post-48685477365528502562010-01-21T09:31:20.363-05:002010-01-21T09:31:20.363-05:00I have a 9 month old daughter (4rth child) th...I have a 9 month old daughter (4rth child) that is on 100% breastmilk and I just saw a doctor this week about the same procedure. The problem is NOT with the anesthesia (as the doctor misinformed) but with the chemical used for the scelerotherapy. No one knows the affects of that chemical or how it could affect the milk. I can't find any info out there about it except that it is not recommended during breastfeeding. I am at a loss of what to do because I don't want to stop breastfeeding so soon but I am not sure if pumping and dumping milk for some length of time will be safe enough.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-20642800.post-8702984289213003882009-11-03T19:37:01.319-05:002009-11-03T19:37:01.319-05:00Was the report typed or handwritten? I am a medic...Was the report typed or handwritten? I am a medical transcriptionist, and it is a very common error in text expanding for the MT to mix up "in no acute distress," which is a very, very common medical term, most likely said in every consultation report, and "in acute distress," which is very rarely said. Sometimes what is in the report can be an error in the dictation/transcription process.<br /><br />Good for you getting a second opinion!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-20642800.post-73655163439779804162009-11-03T13:26:46.986-05:002009-11-03T13:26:46.986-05:00No bf after general? What about emergancy c-secti...No bf after general? What about emergancy c-sections? I've never heard there shouldn't be any bf for 3 days after that. And to suggest weaning as a first option, rather than 'pump and dump' is pretty lame too.<br />As for the shoulder pats--I find that if I'm sitting when the doctor comes in and he's older, then it's more likely to happen. It's hard to shake hands when one person is sitting and the other standing.<br />I don't know much about varicose veins, but could you rig up a compression stocking that is just for the affected area? Or a tensor bandage? And, did it really work anyway? <br />I think patients should always get to see their own records!TracyKMhttps://www.blogger.com/profile/07498896222222982320noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-55615585709609411892009-10-30T14:14:43.423-04:002009-10-30T14:14:43.423-04:00So frustrating! I once had two doctors diagnose me...So frustrating! I once had two doctors diagnose me with a torn meniscus in my knee and that I would need surgery. Not feeling peace about it, I went to a third doctor who said "No way do you have a torn meniscus! I can clearly see it on your scans." He drained off the excess fluid, gave me one shot of cortizone and that was the end of my knee pain - that was 5 years ago. To think I almost underwent surgery for that!!!<br /><br />By the way, I do have to share my fourth homebirth with you. It was so amazing and I was fortunate enough to have a photographer. What a blessing it was!!<br />http://www.justhisbest.com/2009/10/200th-post-what-could-be-better.htmlJust His Besthttps://www.blogger.com/profile/06064503513516395478noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-65172967789484372852009-10-30T12:17:05.351-04:002009-10-30T12:17:05.351-04:00Interesting! I developed varicose veins in one leg...Interesting! I developed varicose veins in one leg during my first pregnancy and two superficial clots postpartum. I have an appointment with a thrombosis specialist next week to check the extent of my varicosities this time (and they're so bad this time that the varicosities are extending around my legs, onto the bottoms of my feet and into my labia/vagina) and to rule out the formation of any clots. <br /><br />Unfortunately, if I were to develop a clot and need to go on heparin, my care would be transferred to an OB and I would have to have a hospital birth :(Kimhttp://kblog.theschellingerhoudts.canoreply@blogger.comtag:blogger.com,1999:blog-20642800.post-10945718699622447312009-10-30T09:31:00.801-04:002009-10-30T09:31:00.801-04:00I have a relative by marriage who developed a rare...I have a relative by marriage who developed a rare type of cancer in her leg. Very few doctors are experts in it. She went to see the closest one, who was arrogant, unkind and insisted the only way to treat the cancer effectively was to amputate the entire leg. Luckily, she decided to travel to another city, to see another expert. He was absolutely willing to consider trying a less invasive surgery. Today, she is cancer free and has two functioning legs. But only because she went for the 2nd opinion. <br /><br />I tell this story to pregnant women all the time when they say, why would I do my own research, my OB is the expert. Well, sure, but doctors are human too, and fallible. You can't give up responsibility for your own care. You need to consult more than one source to determine your options. <br /><br />This stuff IS truly scary. No joke.Megannoreply@blogger.comtag:blogger.com,1999:blog-20642800.post-23276991461989264902009-10-30T02:23:53.530-04:002009-10-30T02:23:53.530-04:00Wow! If it weren't so uncomfortable for you, t...Wow! If it weren't so uncomfortable for you, this would be funny.<br />E-patients, that is where it is all heading. People like you demand transparancy. I'd go back and have fun discussing it all with Dr. F LOLmariahttps://www.blogger.com/profile/16698247519889686663noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-11803685157431298382009-10-29T15:10:09.091-04:002009-10-29T15:10:09.091-04:00I can't get over this sort of thing. I saw thi...I can't get over this sort of thing. I saw this with a relative who was in ICU and the main physician made radically different (e.g. slower) decisions than I would see at a bigger hospital. And I saw this with the pediatric heart kids whose parents were initially told their situation was hopeless, and sought a second opinion. <br /><br />I don't know what's more astounding, that doctors are nowhere near uniform in their judgments and recommendations, or that I always assumed they would be. Always seek a second opinion if it means making a drastic decision...like in your case, going under general anesthesia for something non-life-threatening!CDhttps://www.blogger.com/profile/01799600678809917604noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-309634145803821572009-10-29T08:54:14.248-04:002009-10-29T08:54:14.248-04:00Yeah, I know that...but it makes for a better stor...Yeah, I know that...but it makes for a better story, right?<br /><br />I wouldn't be so hasty to say "well Dr. F is just a big jerk" and "Dr W is the bomb" because it's not so black-and-white. The urge to overreact is dangerous and keeps widening the chasm between physicians and their patients. Now I'm voting with my feet and those feet aren't going to Dr. F again, but I am going to send him a packet of information so he won't ever recommend weaning a baby if the woman is going under general.Rixahttps://www.blogger.com/profile/07908864785513937876noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-29712213385764837392009-10-28T23:25:19.473-04:002009-10-28T23:25:19.473-04:00Hey sounds like the first doctor was pretty much a...Hey sounds like the first doctor was pretty much a jerk. However I just wanted to point out the term "acute distress" does not actually pertain to your emotionally well-being in that context. It actually pertains to your physical well-being, meaning something needed to be done right now. Honestly it didn't sound like you were in acute medical distress either though.Märiahttp://www.rushingaround.comnoreply@blogger.comtag:blogger.com,1999:blog-20642800.post-59443765367325566252009-10-28T21:32:39.218-04:002009-10-28T21:32:39.218-04:00I have a similar experience with my daughter who h...I have a similar experience with my daughter who has a very minor cosmetic defect of her ear. I received a thousand different suggestions on what to do. <br /><br />"I'd call it "dangerous"and "radical" to recommend weaning, not "conservative."***<br /><br />I would call it ignorant and arrogant. It drives us who work in OB/Neonatal care crazy, when "consultants" give misguided advice on breastfeeding without even consulting us first. The easiest and fastest thing to say is "Don't breastfeed." I have heard it in all areas of care. Mom tired..."don't breastfeed." Had general anesthesia..."don't breastfeed." Baby crying...."don't breastfeed." I could write a whole post on this....hmmmm.Reality Roundshttps://www.blogger.com/profile/11489382111809964841noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-67216487158897407962009-10-28T21:30:57.687-04:002009-10-28T21:30:57.687-04:00I'm sorry, too, about the compression hose. Bu...I'm sorry, too, about the compression hose. But thank goodness for second opinions! <br /><br />Your experience with the first doctor reminded me of my experience with an oral surgeon to evaluate having my wisdom teeth removed. The ads for all the cosmetic surgery (and the question on the intake form inquiring if there was any other "work" I wanted done) were huge red flags to me.<br /><br />But I went ahead and had the evaluation, and had the same recommendation to wean. I hadn't even thought of it (my nursling was 2 1/2 at the time) but later researched it. You're right, no need to wean or even pump and dump if you're alert when the child wants to nurse. Needless to say, I didn't go with that surgeon and later found a new (holistic) dentist. <br /><br />Anyway, I wanted to thank you for sharing your story! I enjoyed reading it.Stacy (Mama-Om)http://www.mama-om.comnoreply@blogger.comtag:blogger.com,1999:blog-20642800.post-20488840091184466072009-10-28T21:15:58.172-04:002009-10-28T21:15:58.172-04:00Ugh! I'm sorry about the compression hose, bu...Ugh! I'm sorry about the compression hose, but at least you don't have to worry about general anesthesia. Yuck!Kelleyhttps://www.blogger.com/profile/16703334707738126703noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-2048083556611333652009-10-28T18:20:30.086-04:002009-10-28T18:20:30.086-04:00Hi Rixa, there's a woman dr in Montreal,Que. ...Hi Rixa, there's a woman dr in Montreal,Que. who is a vein specialist. She has written a book called "Medical Mafia". She talks about all the surgery and pharmaceuticals she prescribed for her patients as per her training. She discovered that the only ones who got better were ones who did "alternative" treatments like acupuncture, vitamins, shiatsu, etc. When she incorporated these practices into her work, the College of Physicians & Surgeons came down on her hard. They don't want you to get better with anything but surgery/pharma. Her name is Guylaine Lactot. Search her. Gloria in VancouverWiseWomanhttps://www.blogger.com/profile/10339841433199041747noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-89776446015128230242009-10-28T17:58:53.339-04:002009-10-28T17:58:53.339-04:00Wearing compression hose during the summer does in...Wearing compression hose during the summer does indeed suck. <br /><br />I developed painful and itchy varicose veins prior to my pregnancy due to a series of jobs where I was standing most of the time. I did have a consult about having sclerotherapy but the request was denied by my insurance because I hadn't had the condition and tried "other therapies" for at least 6 months (never mind that I had discussed it with my doctor 2 years prior to that, she hadn't written it down so it never happened). Then I moved and once I switched jobs they got a lot better to the point where I didn't feel like I needed surgery. They got bad again during my pregnancy so I was considering having something done before getting pregnant again. I'm glad to know that isn't a good idea.Katenoreply@blogger.comtag:blogger.com,1999:blog-20642800.post-14435604896036164902009-10-28T17:34:21.294-04:002009-10-28T17:34:21.294-04:00WOW. Amazing. Crazy. I'm incredulous, yet.....WOW. Amazing. Crazy. I'm incredulous, yet... not. I'm so glad you happened to have that conversation w/ your friend who recommended the 2nd doctor to you. Also... this won't work if you're bf'ing through any subsequent pregnancies, but my OB had me take a "baby" aspirin -- low dose 81 mg -- throughout the length of my pregnancy, and had me stop 2 weeks before my baby was due. It was absolutely amazing how greatly the low-dose aspirin reduced the pain of my varicose veins. He also recommended to me to take care of my severe varicose veins after I'm done bearing children... which I <i>think</i> I am, but I'm not 100% sure. (This past pregnancy, I developed such bad varicosities that they were up into my labia and even into my vaginal canal. It was AWFUL.)Karen Joyhttps://www.blogger.com/profile/02850358574732662426noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-39239628303611161332009-10-28T16:00:53.293-04:002009-10-28T16:00:53.293-04:00WOW. I'm stunned at the vast difference in jut...WOW. I'm stunned at the vast difference in juts two doctors. I'm so glad you got that second opinion. Really. Just wow.<br /><br />Also, I've never heard about not BFIng after general...I was put under general to repair my cervical tear and I don't recall a word being breathed about not BFing. I pumped like crazy all day long and then nursed my newborn when my husband brought him in after work.Jillhttps://www.blogger.com/profile/17475112158639748154noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-68557940878728694792009-10-28T15:49:01.076-04:002009-10-28T15:49:01.076-04:00I always think it's interesting to see how two...I always think it's interesting to see how two different doctors address the same problem. My sister developed a blood clot during her first pregnancy and her doctor told her she MUST be on injectable blood thinners for all subsequent pregnancies. So she has been on them now for her whole second pregnancy (EDD Monday) even though she hasn't had any problems this time around. I was tested and found out I have the same clotting risk factors she has (heterozygous Factor V Leiden and a homozygous MTHFR mutation) and my doctor recommended baby aspirin as a precaution. Makes you wonder.<br /><br />In this case it sounds like a very good thing that you got the second opinion!Elshahttps://www.blogger.com/profile/01302804262020241968noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-87988811168209480282009-10-28T15:31:51.401-04:002009-10-28T15:31:51.401-04:00How very interesting! I'm so glad you got the ...How very interesting! I'm so glad you got the second opinion!Katrinahttps://www.blogger.com/profile/16281368864448367942noreply@blogger.comtag:blogger.com,1999:blog-20642800.post-2588277350597039292009-10-28T15:28:12.590-04:002009-10-28T15:28:12.590-04:00Oh wow! Yet another reason why we need to be activ...Oh wow! Yet another reason why we need to be active participants in our own medical care! You showed far more restraint than I, as I am fairly certain I would have walked out on Dr. F and told him what I thought of his shoulder touching!Mariahttps://www.blogger.com/profile/13783085707283000645noreply@blogger.com