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LocateADoc.com's Q & A

Q&A: I had a hemorrhagic ovarian cyst. Will it return?

It probably won't occur again. If it does, they will be able to observe you as the appendix no longer is present.




Q&A: How much will it cost for Tubal Ligation Reversal?

"Amber, Outcomes after IVF are often quite good. A general health evaluation as well as a fertility evaluation including an evaluation of ovarian reserve and semen analysis along with your age can help your physician predicts the odds of success with IVF. In most clinics, IVF will be more cost effective and reduces the recovery time after surgery and the risk for subsequent tubal pregnancy often seen following a surgical repair of the fallopian tubes."

 




Q&A: Is there a surgery to fix an underbite?

Generally speaking, a slight underbite in many people can potentially be addressed in a few different ways. First, there is traditionaly orthodontic treatment. As you indicated that braces were not something you wanted to deal with again, you may want to consider the Invisalign system. It is a a system that uses a clear splint to move your teeth into position. You may also get the results you are looking for from porcelain veneers. They are thin shells of porcelain that are bonded to your teeth to give the effect of perfectly straight teeth. These can usually be applied over the course of a few weeks. If you are interested in this procedure, I would go to www.aacd.com, which is the website of the American Academy of Cosmetic Dentistry, to obtain the name of an accredited cosmetic dentist in your area. Good luck!




Q&A: Can Lasik correct all nearsighted vision problems

The LASIK procedure can correct your full prescription. The next step is to actually perform measurements in the office. You could wear contacts after LASIK, but you should not need to do so. Reading glasses are needed, unless you elect to have the monovision option. Come by the office and we can show you this option.




Conceiving with Turners Syndrome 45X

Yes, but this is very rare because the absence of the second sex chromosome causes premature degeneration of the egg cells and complete loss of all egg cells often happens before sexual maturity. Also, many of the egg cells are going to be chromosomally abnormal. Some women's with Turner's have a less severe form where only some of their cells are 45x (mosaic). These are the patients that have a chance at having a child naturally but it is very rare even in these cases. Most women with Turner's syndrome require in vitro fertilization with egg donation in order to have children.




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Q&A: What age is too late to have Tubal Ligation Reversal done and does your insurance pay half?

The success of achieving pregnancy after tubal reversal declines with age, just like the fertility of any other women.  Some women’s eggs are depleted before other women so it is advised to obtain tests of ovarian function prior to tubal reversal.  This will allow your doctor to counsel you accordingly.  Most women begin to experience fertility decline, slowly after 32 and by their mid-40s, it is very difficult (not impossible but difficult) for a patient to become pregnant with her own eggs.

Your question regarding insurance is not an easy one to answer.  Every insurance policy is different; it depends on the plan that the employer selected.  Some policies cover the entire procedure and others do not have any coverage.   We recommend that you do two things.  One: Contact your company’s human resource department and obtain a copy of your plan summary description.  This should be a one page sheet that will provide basic information on your medical policy.  Second: Call your insurance company and ask them to provide you with information regarding the coverage of tubal reversals.   Any time you contact your insurance company, always obtain the person’s name with whom you are speaking and also ask them for a call reference number.  This information will prove helpful if they provided you incorrect information and you need to have them refer back to a specific call.




Q&A: I'm suffering from Plantar Fascititis for four years, how can I end this?

Plantar fasciitis can be be extremely painful and can linger a long time.  Its caused by abnormal pulling or stress that causes a chronic inflammation or degeneration within the fibers of the fascia.  
 
Understand that I am answering your question without the benefit of examining you, but in short, it sounds like surgery is an option for you.  You have had this pain a long time, and non surgical methods aren't working.  If you are on your feet so much, a custom orthotic may be needed.  I am not clear if you have one or not.
 
I treat fasciitis initially with stretching exercises, both active stretches and with something called a plantar fasciitis night splint, which your doctor may have or you might find one on the internet.   
 
Shots are helpful but rarely curative.
 
A properly fitted total contact orthotic is the best treatment in my opinion, and I have seen greater than 93% pain relief in 3 months.
 
Surgery is not without risks and complications, and should rarely be a first choice.
 
The May/June 2013 issue of the The Journal of Foot and Ankle Surgery has an article that discusses a traditional from of surgery for fasciitis versus an instep fasciotomy through a small incision.  The study concluded that the instep procedure resulted in better pain relief and less complications.  
 
I prefer the instep fasciotomy when I do this surgery.  Other methods include an endoscopic technique, which I have also done, but the instep procedure in my opinion is preferable.  It still would require almost a month of down time if you are on your feet all the time at work.
 
Patients and doctors need to be comfortable with each other and the treatment plan.  I always offer my patients a second opinion with another local doctor, and other doctors do so with me.  Its a nice way to have another opinion without any concerns on either party.  Sometimes the other opinion helps me rethink my approach.
 



Q&A: I have extreme back & neck pain from 10G breasts, what do you suggest?

Hi,
 
It seems that you have a cause and effect with large breasts causing neck and back pains with the denting of the shoulders.  This is a very common problem and although you cannot promise a patient that they will be rid of the problems with a breast reduction, it certainly helps in most patients with large breasts.
 
When doing a breast reduction,it is important to have a free flow of ideas of what amount of tissue you want left after the procedure.  This can vary widely and your input is crucial to direct the plastic surgeon to know how much to remove.  With your bra cup being this large, you should expect a significant improvement.
 
Hope this helps.



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