Ask a gynecologist anything

1MOREMOD · 09-09-2015, 11:04 PM

You might get misleading answers

upstatedoc · 09-10-2015, 10:36 AM

Quote:

Originally Posted by 1MOREMOD

Well I'm a pharmacist and wife is an rn. Neither of us had the crazy doctor schedule experience. She did some nights in school for a bit but short term. Guess it depends if your in a hospital or not for your career.

I have a pt. that requests a certain manufacturer of vicodin, Mallencroft (?) and I'm wondering if it's because it's worth more on the street. HE says it's because he's allergic to a certain dye in generic hydrocodone.

1MOREMOD · 09-10-2015, 10:42 AM

I don't think it's worth more on the street and tend to discount these types of allergy claims. It's possible but most patients have a specific generic they prefer and I don't indulge that and will only order what is the company preferred product.

Mr Tonka · 09-10-2015, 11:27 AM

Quote:

Originally Posted by upstatedoc

I have a pt. that requests a certain manufacturer of vicodin, Mallencroft (?) and I'm wondering if it's because it's worth more on the street. HE says it's because he's allergic to a certain dye in generic hydrocodone.

I just noticed you liked sigs, since you put a sig in your sig.

Love it!

MrPrena · 09-10-2015, 07:36 PM

Yo Yo bro.... give me the Abbott one bro. I don't like the Watson one bro....
Yeahhh that is what I am talking about!

my homie likes neos man...

ideliver · 09-11-2015, 11:56 AM

I am so worn out by drug addicts.....it is so bad now

1MOREMOD · 09-11-2015, 12:35 PM

Quote:

Originally Posted by ideliver

I am so worn out by drug addicts.....it is so bad now

+1, it doesn't help that you go in for a paper cut and get offered percocet. People are just pussies now.

Soul_Glo · 09-12-2015, 10:14 AM

What causes hyperplasia and is it treatable? Thanks

ideliver · 09-12-2015, 11:49 PM

Quote:

Originally Posted by 1MOREMOD

+1, it doesn't help that you go in for a paper cut and get offered percocet. People are just pussies now.

I only give narcotics for acute postoperative pain, #25 to go home with after C/S or hysterectomy. That's it...

http://www.kevinmd.com/blog/2012/02/...tion-kill.html

statidfied patients get narcotics, test/imaging and procedures....which are seldom needed

ideliver · 09-12-2015, 11:51 PM

Quote:

Originally Posted by Broken_Gearbox

What causes hyperplasia and is it treatable? Thanks

Endometrial hyperplasia? if so, then an excess of estrogen and the absence of a progesterone withdrawal bleed...very treatable with progestins, OCPs, progestin IUD or hysterectomy (given the patients wishes)

Soul_Glo · 09-13-2015, 05:28 AM

Quote:

Originally Posted by ideliver

Quote:

Originally Posted by Broken_Gearbox

What causes hyperplasia and is it treatable? Thanks

Endometrial hyperplasia? if so, then an excess of estrogen and the absence of a progesterone withdrawal bleed...very treatable with progestins, OCPs, progestin IUD or hysterectomy (given the patients wishes)

Thank you.

Blackhawks · 09-13-2015, 02:50 PM

My lady friend is 35... Two kids... No wishes for any more. Used to have really crazy and irregular periods which is currently being "tamed" with an IUD and birth control pills. She's been asking for a hysterectomy for years and her doc keeps saying no. What's the best way to influence her doc? She's down with periods... They're bad enough to make her go insane.

ideliver · 09-14-2015, 10:33 AM

Quote:

Originally Posted by Blackhawks

My lady friend is 35... Two kids... No wishes for any more. Used to have really crazy and irregular periods which is currently being "tamed" with an IUD and birth control pills. She's been asking for a hysterectomy for years and her doc keeps saying no. What's the best way to influence her doc? She's down with periods... They're bad enough to make her go insane.

She should have either a vag hyst or laparoscopic hyst. She needs to find a high volume surgeon. She needs to talk with the physician and tell him/her that she wants a hyst or a referral to another physician.

kolhozbrothers · 09-15-2015, 08:19 PM

A friend of mine had 3 abortions. If she ever gets pregnant again, will she have any complications?

mbanks21 · 09-15-2015, 09:20 PM

Quote:

Originally Posted by kolhozbrothers

A friend of mine had 3 abortions. If she ever gets pregnant again, will she have any complications?

No but the kid will

ideliver · 09-16-2015, 12:14 AM

Quote:

Originally Posted by kolhozbrothers

A friend of mine had 3 abortions. If she ever gets pregnant again, will she have any complications?

No.

Lups · 09-16-2015, 12:42 AM

Quote:

Originally Posted by ideliver

No.

MY friend works back home as a delivery nurse ( I actually don't know the name in English} and she said to me that today 10% Finnish mothers are on meds for depression before and after birth. Are the stats higher or lower here?

Also, I have said this before, but this is a great thread to have here. Thank you for it. I've had the worst experiences but the results are epic. I also know that my bad would've been worse without the great people around me.

ideliver · 09-16-2015, 09:39 PM

Quote:

Originally Posted by Lups

MY friend works back home as a delivery nurse ( I actually don't know the name in English} and she said to me that today 10% Finnish mothers are on meds for depression before and after birth. Are the stats higher or lower here?

Also, I have said this before, but this is a great thread to have here. Thank you for it. I've had the worst experiences but the results are epic. I also know that my bad would've been worse without the great people around me.

The numbers here are probably close to 10% in my practice. I try to get most of my patients off SSRI's despite the lack of good evidence that they do harm. It's a sad reality of the current tone of the country. Here's a taste.

http://www.birthinjuryguide.org/birt...ication/paxil/
http://lmgtfy.com/?q=paxil+birth+defect+lawsuit

In my area, heroin is very prevalent along with prescription drug abuse. Plus, all of the women in recovery on methadone, subutex or Suboxone. It's all crazy. So many drug addicted babies that go into withdrawl. It's so sad...

Lups · 09-16-2015, 09:51 PM

Quote:

Originally Posted by ideliver

The numbers here are probably close to 10% in my practice. I try to get most of my patients off SSRI's despite the lack of good evidence that they do harm. It's a sad reality of the current tone of the country. Here's a taste.

http://www.birthinjuryguide.org/birt...ication/paxil/
http://lmgtfy.com/?q=paxil+birth+defect+lawsuit

In my area, heroin is very prevalent along with prescription drug abuse. Plus, all of the women in recovery on methadone, subutex or Suboxone. It's all crazy. So many drug addicted babies that go into withdrawl. It's so sad...

Yeah, I babysat a heroin baby all spring from the day he got out of hospital. The pure hate I developed towards the mom was scary.

UncleWede · 09-17-2015, 12:00 PM

Quote:

Originally Posted by Lups

Yeah, I babysat a heroin baby all spring from the day he got out of hospital. The pure hate I developed towards the mom was scary.

And yet I need a license to get a dog. . .

Lups · 09-17-2015, 12:36 PM

Quote:

Originally Posted by UncleWede

And yet I need a license to get a dog. . .

Really? What kind of dog? I've never heard of one before.

I don't know how the expecting moms handle their usage. The first timers I almost can rationalize since my tiny issues with morning sickness (all day sickness from even before making a positive test to a week after birth) made me swear I will never ever have sex again, or even try to go through with a pregnancy. Kiddo popped out, and a week later I was sure I wanted more. I at least had no clue how much a kid would mean to me, maybe their issue is similar.

The pure horror of realizing that something I must have done caused my son to be missing an ear changed me a lot. I still wake up with nightmares of his first night and me reading all about the stuff it can be related to. One article said that some drugs cause it to happen. More recent research says its a common cold mishap.

The maybes are the worst. Maybe if I had stuck with the antinausea meds given to me, my immune system would've been better and maybe I hadn't had a cold (I don't even remember being sick). Maybe I should've stayed inside the house more, and there was this guy with a running nose working in my hardware store once and he helped me out...

The reasonable part of me accepts that I can't change anything and it wasn't my fault. My son is completely happy and mostly healthy trouble maker, but the nightmares still show up at times. I have a hard time understanding how anyone, even a first timer would risk a life time of this on purpose.

UncleWede · 09-17-2015, 12:52 PM

The "dog police" knocked on the front door one Saturday, and my son answers the door with said dog in his arms. Cost my wife (I wasn't home) $120, double since he caught us. Now every year, I gotta pay for the privilege of having my dog, AND they will force me to get shots for her as well.

Dads go thru that same "what if" scenario all the time. What if I had taken a stronger stand against my wife and not taken him to the ER when I KNEW it was just croup and sounded horrible, but wasn't really life-threatening or anything. I still hold this horror image of me holding my ~18 month old son down so the nurses could draw blood from his tiny veins AFTER that had already diagnosed and treated him for the croup/flu. The tears in his eyes, the pleading look in his face when he TRUSTED me to protect him

AND I FUCKING FAILED!!!!!!

09-09-2015, 11:04 PM	#683
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09-10-2015, 10:42 AM	#685
1MOREMOD - 11817 Rep 23,187 Posts Drives: Race car-> Join Date: Mar 2009 Location: check your mirrors iTrader: (5)	I don't think it's worth more on the street and tend to discount these types of allergy claims. It's possible but most patients have a specific generic they prefer and I don't indulge that and will only order what is the company preferred product.
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09-10-2015, 07:36 PM	#687
MrPrena Captain 1588 Rep 803 Posts Drives: BMW Hyundai Nissan Join Date: Jan 2014 Location: TB iTrader: (0)	Yo Yo bro.... give me the Abbott one bro. I don't like the Watson one bro.... Yeahhh that is what I am talking about! my homie likes neos man...
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09-11-2015, 11:56 AM	#688
ideliver Major 240 Rep 1,247 Posts Drives: E60 M5, E71 X6M, E46 M3 Join Date: Feb 2008 Location: At the gas station iTrader: (0) Garage List 2006 BMW E46 M3 'vert [0.00] 2008 BMW M5 [0.00] 2011 BMW E92 [0.00] 2012 BMW X6M [0.00] 2003 E46 M3 [0.00]	I am so worn out by drug addicts.....it is so bad now __________________ Current: 2006 E46 M3 'vert 6-sp 2008 E60 M5, 2011 E92 328 6-sp, 2011 E70 N55, 2012 E71 X6M
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09-12-2015, 10:14 AM	#690
Soul_Glo Major General 13347 Rep 7,484 Posts Drives: G20 Join Date: May 2013 Location: Manhattan, NYC iTrader: (1)	What causes hyperplasia and is it treatable? Thanks
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09-13-2015, 02:50 PM	#694
Blackhawks Captain 283 Rep 709 Posts Drives: 2015 X5 x35i Join Date: May 2015 Location: Chicago iTrader: (0)	My lady friend is 35... Two kids... No wishes for any more. Used to have really crazy and irregular periods which is currently being "tamed" with an IUD and birth control pills. She's been asking for a hysterectomy for years and her doc keeps saying no. What's the best way to influence her doc? She's down with periods... They're bad enough to make her go insane.
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09-15-2015, 08:19 PM	#696
kolhozbrothers Lieutenant 53 Rep 451 Posts Drives: 2009 335i Join Date: Nov 2014 Location: Naples, FL iTrader: (1)	A friend of mine had 3 abortions. If she ever gets pregnant again, will she have any complications?
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09-17-2015, 12:52 PM	#704
UncleWede Long Time Admirer, First Time Owner 17998 Rep 9,378 Posts Drives: G01 X3 M40i Dark Graphite Join Date: Jun 2005 Location: Oxnard, CA iTrader: (0)	The "dog police" knocked on the front door one Saturday, and my son answers the door with said dog in his arms. Cost my wife (I wasn't home) $120, double since he caught us. Now every year, I gotta pay for the privilege of having my dog, AND they will force me to get shots for her as well. Dads go thru that same "what if" scenario all the time. What if I had taken a stronger stand against my wife and not taken him to the ER when I KNEW it was just croup and sounded horrible, but wasn't really life-threatening or anything. I still hold this horror image of me holding my ~18 month old son down so the nurses could draw blood from his tiny veins AFTER that had already diagnosed and treated him for the croup/flu. The tears in his eyes, the pleading look in his face when he TRUSTED me to protect him AND I FUCKING FAILED!!!!!!
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