X's Q & A

Q&A: Is it better to have IVF or a tubal ligation reversal?

Tubal ligation reversal is usually performed through a small incision as an outpatient. You have an excellent chance for success assuming that we have a good length of normal tube to repair and your partner has a normal semen analysis. You would also be a good candidate for in vitro fertilization (IVF) if you prefer. There are advantages and disadvantages to each but in general, tubal reversal is the more cost effective option to achieve a pregnancy.

Q&A: What type of dentist can fit me with a non cpap oral device for sleep apnea?

Any appropriately qualified dentist may fit you with an oral device to reduce snoring. If you have been diagnosed with sleep apnea by a physician, the same is true.

Q&A: What eye surgery should I undergo to remove spectacles?

Phakic ICL's would be the procedure of choice in this case.

Q&A: Are there any doctors that I could see to perform a perineoplasty?

I am a gynecologist and male perineoplasty would not be my expertise. I would have expected the colorectal surgeons to give you better guidance. I advise a second opinion. 

Q&A: How much does gastric bypass surgery cost?

The cost of the Gastric Bypass is approx. $16,754.00 at Orlando Regional Medical Center . This will cover the Facility Fee, Anesthesia fee,  Surgeon's fee, Initial Consultation Fee, and Pre-op visit.. Pre-liminary testing is not included in this package.

Q&A: Is there any way to get rid of excess skin on my labia?

Labia minora come in various shapes and sizes. Congenitally they can be asymmetrical and have variations similar to the one you mentioned. 
With puberty these variations can get exaggerated in some patients. Not knowing your age and without examining you I would be guessing... An anatomical variation, a varicose vein or a papilloma etc. 
One answer is simple. You do not have to worry. However, I do recommend talking to your gynecologist and get his or her opinion This will likely put your mind at ease and you could consider removal safely. 
Hope this helps. 

Q&A: Would a tubal reversal or IVF be the recommended way to pregnancy?

IVF has improved so much that it is rare for anyone to have a reversal anymore.  Tubal reversal is a major surgery.  You would miss 3-5 weeks of work.  When you do IVF as an outpatient you are back to work the next day.  
Thank you for your  great question.

Q&A: Is there a definitive test for BPD?

Not that I'm aware of.

Q&A: Can a saggy earlobe be fixed?

It depends on what the structural problem is with the earlobe. In many cases we can do filler injections with Restylane or Juvederm which start at $425. Otherwise, any surgical revision needs to be evaluated in person as cost depends on the issue at hand and whether or not the ear lobe is also partially torn from a previous ear piercing. 

Q&A: What should I do to help my child who believes people are coming for him?

There are lots of factors that could be involved in your child's situation.
Your child may be at that imagination stage where lots of things that adults see as not real are real for your child. If that is the case, are there other areas of your child's life and your child's life in their imagination that can be employed to help them in this situation?
Your child could have experienced events that were traumatic to them - such as child protective services taking them or someone they know out of their home or knowing of custody battles that had someone pulled away from where they saw as home. These types of situations will require careful processing and reassurance based on the local situation and the likelihood for the future.
Having the child be actively involved in things that are reassuring can be helpful. This could be in ensuring that home is secure before bed, could be in bed time prayers for protection, could be in knowing who has called, could be in self monitoring of what is watched on tv, etc. 
In all of this, it might be helpful to have a qualified outside person (counselor or therapist) be a safe place for your child to talk for a little while. Not sleeping can in turn cause all sorts of problems on its own.
It is possible to restore wholeness and peace in this situation.

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