Obstetrician And Gynecologist

An obstetrician, also commonly called an OB/GYN, usually offers a variety of women's health services, such as annual Pap tests. Obstetricians will also be trained to handle complications during pregnancy, birth, and postpartum. An obstetrician is a medical professional who focuses on the managing of pregnancy, labour and birth. In addition they receive specialized instruction in the field of the female reproductive system and operative care. Much of their instruction focuses on the detection and managing of obstetric and gynecological issues. The services offered may vary depending on the specialty and advanced training of the OB/GYN. Some doctors choose to exercise only obstetrics, others might choose to practice only gynecology.

Most OB/GYNs choose to practice the specialty and offer a variety of services. Many obstetricians exercise in a personal office, without or with several doctors. They can also exercise in a hospital or clinic setting. Some experienced OB/GYNs maintain teaching positions in university hospitals. Obstetricians must complete the prerequisites determined by the American Board of Obstetrics and Gynecology. After completion of residency training, OB/GYNs must pass a test administered by the American Board of Obstetrics and Gynecology to be board certified. Some OB/GYNs may choose to further pursue a sub specialty such as infertility or maternal/fetal medicine. One reason many women choose a midwife for their pregnancy is because they are comfortable with their current OB/GYN. Other women choose to use an OB/GYN because they are experiencing a high pregnancy risk.

Spine Treatment

Arthroscopic vertebral column operation is a laser treatment done for vertebral column illnesses. This operation is minimally invasive along with requires only local anesthesia. The operation procedure includes using lots of fiber optic apparatus to examine the contaminated vertebral column region. The procedure followed is totally outpatient and requires minimal incisions. Arthroscopic vertebral column operation is performed by making a small incision whereby a small tube is inserted to test the damaged parts. Additional tubes are entered throughout the same incision, and the last added pipe has a diameter of 18mm. The operating surgeon moves out all of the other added pipes once the last inserted tube is put into right position.

Slowly enlarging the pipes may make the muscles and skin to expand with reduced injury. The surgery is conducted by the last inserted tube, whereby the surgeon add the fiber optic lasers along with camera to execute the procedure. They're foraminotomy, laminotomy, percutaneous arthroscopic discectomy, along with facet thermal ablation. Foraminotomy is a treatment performed for sciatica, spinal arthritis, bone spurs, foraminal stenosis, pinched nerves, nerve root retention, scar tissue formation, and herniated disks. This procedure is performed to take away the tissue and bone that squeezes the spinal origin. Laminotomy procedure is performed for managing spinal arthritis, bone spurs, pinched nerves, herniated disks, spinal stenosis, scar tissue formation, and ligamantum flavum removal.

This procedure helps in eliminating a laminar section, a plate that covers nerves along with spinal canal on every vertebra. The main objective of this operation can be to create more space around the spinal cord along with also to reduce the pressure created on the nerves. Percutaneous arthroscopic discectomy can be a treatment for herniated disks and spinal bulging. In this procedure, the bulge along with herniated disc can be removed to reduce the retention on the backbone and nerves. The laser utilized in this treatment evaporates the affected part. Facet thermal ablation can be a treatment for degeneration facet, facet joint syndrome, facet arthritis, along with facet hypertrophy. Arthroscopy is an extremely streamlined treatment for spinal disorders.

Therefore, this treatment helps in gentle handling of tissue along with skin near the affected region. The incision made is little, and so it doesn't leave any trace of operation.

Stem Cell Technology

Stem cell treatment has proved to be successful for organs and tissues restoration, as well as for fight against the terminal and obstinate disorders. Stem cell treatment allows for reaching effects which are far beyond the capability of any modern method. Stem Cell Therapy that uses the patient's own stem cells in the method is called Autologous Stem Cell therapy. With today's advances on medication, these cells are gathered from fat deposits, blood as well as bone marrow of the patient's own body. Autologous Stem Cell Treatment shows encouraging leads to managing leukemia, lupus, arthritis, cardiomyopathy, mind harm, diabetes mellitus, spinal cord injury along with other types of degenerative and auto immune diseases.

Unlike Allogeneic Stem Cell therapy that uses Stem Cells from other human body, Autologous stem cell therapy does not trigger the patient defense system to attack the recently transplanted stem cells since they came from the patient's own body. The entire procedure of reintroducing Autologous Stem Cells inside the body requires only 4 hours. One hour for harvesting as well as 3 hours for incubating exciting as well as reintroducing the cells to the patient's own body. Following the re infusion of stem cells to the patient's body, it may take about 10-2 weeks before patients will notice favorable results.

Stem Cell Treatment

One thrilling strategy to wound healing, variously explained as Regenerative medicine or Tissue engineering continues to be the utilization of platelet rich plasma either alone or in combination with stem cells. PRP got latest notoriety when it was described that Hines Ward, the Pittsburgh Steeler's superstar wide receiver had obtained this treatment for an accident prior to the Super Bowl. As it happens, PRP continues to be used for a relatively good time now, especially at our middle, to help increase the healing of problems like tendonitis, ligament strains, muscle strains, arthritis, synovitis, and cartilage defects. Platelet rich plasma is used as a matrix graft, frequently referred to as an autologous tissue graft.

This platelet rich plasma matrix is defined as a Tissue graft incorporating autologous growth factors and\/or autologous undifferentiated cells in a cell array where design depends on the receptor website and tissue of regeneration. The reason PRP is so helpful is that platelets, that are a regular blood cell, contain numerous growth factors that stimulate tissue growth. Especially, PRP encourages the growth of collagen that is the primary element of connective tissue like tendons and cartilage. These components contain transforming development factor-, fibroblast development factor, platelet derived development factor, epidermal development factor, connective tissue development factor, and blood vessel endothelial growth factor.

These growth components recruit undifferentiated cells to the website of injury and stimulate their growth. Another component of platelets, stromal cell derived element I alpha causes newly recruited cells to comply with the area. When used with stem cells gathered from the patient bone marrow, PRP Fires off the stem cells to multiply rapidly. To utilize an analogy, PRP- especially when utilized in association with stem cells- sends the process of healing into Warp drive. PRP needs to be ready in a way to ensure a maximum amount of platelets along with a high concentration of development components.

Clearly, the more growth factors that may be delivered to the website of injury, the much more likely tissue healing takes place. This regenerative strategy is diametrically opposed to the traditional approach to healing tissue injuries that has been to make use of non steroidal anti inflammatory drugs as well as steroid shots, which, while reducing irritation, also substantially hinder the process of healing. PRP is usually utilized in conjunction with percutaneous tenotomy. That is a procedure where there's purposeful needle discomfort of the affected region utilizing ultrasound assistance after which it PRP is then slowly inserted into the site.

Primary Care

Address the confronts many challenges, but primary among them is coping with ongoing health care concerns. From the decrease in physicians due to Baby Boomers retiring, to changes in health care legislation and health care reforms, members of Generation X must pay particular attention to health care plans as well as the state of the medical industry. As Baby Boomers retire, the number of doctors inside the country is declining. This is partly due to the population typically, there are 77 million Baby Boomers, compared with 46 million Generation X ers, as well as partly due of the fact that numerous Generation X doctors are choosing to specialize rather than working in a general practice.

Consequently, many states face a scarcity of primary care doctors and general practitioners, that causes delays in treatment while new patients wait around for primary care physicians. Due to this challenge to find a primary care doctor, Generation X members need to plan ahead. Generation X and health care challenges require that Gen X members select a primary care physician promptly upon relocating or changing health care plans, or run the possible danger of being with no physician when sickness strikes. Generation X members need to be quite identifying with health care plans, due to rising health care costs and the possible challenge of finding a health care plan to cover specific services.

As increasingly more providers become accessible, health plans decrease to pay for sets from Lasik eye surgery to optional mental wellness services. Due to this difference between providers accessible and providers covered, Generation X members need to shop cautiously for healthcare plans. Challenges faced in Generation X and health include getting a plan that covers the providers that the Generation X member needs, as well as determining when to compromise and once to keep searching for a health plan that covers specific solutions. Health Care reform is just a watchword for every political party in every selection, as well as Gen X members need to be particularly aware of health care reform as it relates to Generation X as well as health concerns. Universal health is just one possibility that Generation X members face, as well as whether that could be an asset or a tragedy depends upon who you ask. Members worried about Generation X and health must write local and state authorities to discuss legislation around improving access, decreasing cost, and increasing the array of healthcare professionals available for services.

Gummy Bear Breast Implants

While you might be aware of more traditional saline along with other liquid filled breast implants, you may not have heard about the most recent innovation in breast enlargement which is more commonly known as Gummy bear breast implants. These special high strength silicone gel systems get their name from the fact that whenever they're cut they resemble the popular gummy bear candies in persistence. These devices are manufactured from a particular very dense, high strength silicone. Gummy bear implants are included of a solidified gel. So there are not any chances of leakage in the case of rupture causing connective tissue disorders.

The gummy bear choices are getting increasingly more popular as the choice for females looking for breast augmentation. The explanation for this is the newer improvements are made to maintain their form better than those that use saline. They're not as likely to change, wrinkle, fold or ripple with time that may otherwise occur with saline implants. Gummy Bear breast implants maintain their form a lot better than saline and therefore remain in a more vertical position with time. Which implies that you’ll see much less sag with time? You will not have to cope with any sloshing sound which sometimes happens with the saline choice.

It is indeed a promising option to the conventional silicone and saline filled improvements, but being cohesive in nature you'll find limited incision options connected with the procedure. The likelihood of frightening are greater with the gummy bear choice, but the long term aftereffects of the implant to preserve and keep breasts erect is worth it. The newer gummy bear kind chest implants feel quite natural to the touch. Where saline implants when overfilled may feel hard, the newer gel models do not need this issue. Ladies that had them installed report which they feel quite natural and are much closer in sense to a natural breast.

The maker of those brand new devices, Slimed, holds an ISO 9001 certification which suggests that they meet business requirements for manufacturing these medical devices. They also have an ideal FDA rating for safety to date. The common consensus between cosmetic surgeons is the new devices are effective and safe for breast augmentation. The new improvements are available in all sizes up to a far cup size of DDD. By working with your Board Certified Plastic Surgeon you may determine the right size for the requirements.

Frequently Asked Questions: Pregnancy

Even a healthy pregnancy can be a difficult and confusing time. Your body goes through so many changes, some of which can catch you off guard! Friends and family, thankfully, have lots of advice. However, some questions can be a bit embarrassing and, when you’re at the OBGYN, you may be too overwhelmed to remember every question. Don’t worry! We have answers to your women’s health questions.

How do I tell if I’m pregnant?

Early signs of pregnancy include:

1.       Fatigue

2.       Nausea

3.       Frequent urination

4.       Change in appetite

5.       Morning sickness

6.       Breast swelling

7.       Missed period

How are due dates calculated?

The average pregnancy is 266 days from your last ovulation cycle. That is about 40 weeks. If you aren’t sure about your due date, ask your OBGYN! They will be able to tell you.

Can I have sex while pregnant?

Unless your OBGYN has specifically told you not to have sex during your pregnancy, it is absolutely safe to do so. Your baby is protected by an amniotic sac, uterus, and mucus plug in the cervix.

Do I have to take prenatal vitamins?

Yes! Pregnancy is rough on your body. You will need additional vitamins and minerals to protect your body and support your baby. It’s important that you talk to your OBGYN about what vitamins are best for you. There are many options so take some time to find what’s right for you.

Is this heartburn normal?

The combination of increased progesterone and a growing uterus can cause heartburn. There are some ways to try to prevent this however.

1.       Smaller, frequent meals

2.       Walk after meals

3.       Elevate your head and chest while sleeping

4.       Wear loose clothes

5.       Drink ginger root tea

6.       Take antacids

How do I prevent stretch marks?

Stretch marks are incredibly common in pregnancy. Around 90 percent of pregnant women develop them! If you want to avoid being part of that majority, then make sure to drink lots of water, eat a diet high in skin-supporting vitamins, and massage your stomach daily with a moisturizer.

Can I exercise while pregnant?

Unless your obstetrician specifically tells you not to, you can remain active during your pregnancy. Low impact exercises are fine. This includes things like aqua aerobics, walking, tai chi, and yoga. Exercises that involve jumping and contact sports, however, should be avoided.

What is gestational diabetes?

Gestational diabetes is a temporary type of diabetes which develops in some pregnant women. It is caused by the placental hormones. In most cases, a pregnant mother’s pancreas produces around three times as much insulin as normal. This is necessary because the pregnancy hormones impact blood sugar levels. If the pancreas can’t keep up, gestational diabetes can develop.

Anyone pregnant can get gestational diabetes. However, there are some risk factors that increase your odds of developing it. These risks include:

1.       Age

·         Over 25 years old

2.       Race

·         African American

·         Native American

·         Hispanic

·         Pacific Islander

3.       Family history

·         Relative with diabetes

4.       Weight

·         Overweight

·         BMI over 30

5.       Past medical history

·         Had gestational diabetes before

·         Had a precious big baby (macrosomia)

·         Has polycystic ovarian syndrome (PCOS)

Why can’t I control my bladder anymore?

Urinary incontinence is very common during pregnancy. Your baby takes up a lot of space in your torso and can put a lot of pressure on your bladder. This pressure can cause an overwhelming urge to go to the bathroom. Additionally, as the muscles around your uterus stretch out, you can lose some control. Weakened pelvic muscles can cause minor leaks for a few months after giving birth as well.

What is the difference between a gynecologist, obstetrician, and an OBGYN?

Gynecologists deal with a wide range of women’s health concerns. These range from pap smears to STD screenings to breast exams. Obstetricians deal specifically with pregnancy. They will care for you from your first prenatal testing to follow-up after delivery care.