Obstetrician Gynecologist

Obstetrician Gynecologist

OBGYNDoc

Minneapolis, MN

Female, 36

I am a practicing Obstetrician and Gynecologist, providing care for women in all stages of life. Approximately half of my practice consists of pregnancy-related care, including routine prenatal care, high risk obstetrics, and delivering babies at all hours of the day. The other half consists of gynecologic care, which ranges from routine annual check-ups to contraception and menopause. I perform many surgeries, including laparoscopies and hysterectomies.

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Last Answer on July 14, 2017

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What made you decide to choose this area as your specialty? Are there other areas you think, in retrospect, you might have preferred?

Asked by Gina G over 11 years ago

The amazing thing about my job is that every day is a different challenge. I take care of women from their adolescent or teen years all the way through menopause and beyond. For most women, I am seeing them once a year for their annual exam, with an occasional visit in between for problem visits. Over the years, I get to know my patients, and really feel that I am a part of their lives. I see them through graduations, relationships, marriages, pregnancies, career changes,etc. When my patients get pregnant, I have the privilege of participating in perhaps the most memorable and emotional 9 months of their lives, culminating in the most life-changing experience possible when I am attending the delivery. Every day when I leave work, I can reassure myself that I have done my best to make the world a better place. While a career in OBGYN is immensely fulfilling, it obviously has its down sides as well. For one, the job requires taking call, which means that there are times when I have to be available at all hours of the night. I have had many 36+ hour stints during which I am constantly on the go. In addition, there is an immense amount of stress that comes with the knowledge that the actions I take can be life-or-death determining actions. I can't imagine doing anything else right now, but there are certainly moments after a long night of call when I wish I had considered a career in dermatology. But then I remind myself... rashes give me the willies!

Do you notice a difference in nerves, cooperation, and stress among couples who are having their FIRST baby versus those who have already had one?

Asked by abeline over 11 years ago

Most couples do relax a bit with their second and subsequent pregnancies because most of the anxiety is related to the fear of the unknown. Just having had the experience of knowing what a labor room looks like, what it feels like to have an IV, what to expect when it is time to push, and how to cope with the sleepless nights of caring for a newborn can alleviate the stress that a first-time parent experiences.

What's your opinion on water-births?

Asked by Benny T. over 11 years ago

In my practice, we do not perform water births. For one, when a patient is in a tub full of water, it is extremely difficult to intervene should an unforeseen emergency arise. I have seen enough difficult and harrowing deliveries to know that I always need to be prepared for an emergency- vacuum and forceps deliveries, as well as maneuvers for shoulder dystocia (when the baby's shoulders get stuck under the mother's pubic bone and won't deliver) can be life-saving, and the decision to use these maneuvers is made in a split-second. Every minute of delay could result in permanent injury to the baby. Secondly, as a provider, it is also important that I protect myself from exposure to any bodily fluids. When a patient is delivering in a tub, I think it is nearly impossible to avoid direct contact with the water, which is contaminated with the patient's bodily fluids. We all should practice with universal precautions- protect ourselves from direct contact with blood, amniotic fluid, etc, regardless of who the patient is and what diseases they have been tested for. I don't have a problem with laboring in a tub, however. As long as the baby can be monitored safely and appropriately, and as long as the baby's heart rate is appropriate, then I think a tub labor can be a nice alternative for someone who is hoping to avoid an epidural or IV pain medications.

If during a patient visit you notice that the patient's lady parts don't exactly smell ... "fresh" ... do you say anything about it? Or do you just focus on whatever the primary reason is for the patient visit?

Asked by Very curious over 11 years ago

If a patient has evidence of an infection, I would certainly bring it up.

Do you suggest infant circumcision? If so what would be the best time to do it? Is it best done immediately, after a few months, or is safer to wait and do it as an adult if you’re so inclined. I’m not religious, and it isn’t done in my culture, so this decision is solely to be based on what is scientifically best.

Asked by curious over 11 years ago

When it comes to circumcision, I can only present the facts, and then the parents have to make their informed decision. The benefits of circumcision include decreased transmission of STDs such as HIV and HPV, and therefore decreased penile cancer; there are also decreased rates of urinary tract infections. However, the American Academy of Pediatrics states that there is no medical indication for circumcision. There are many reasons people choose to have their child circumcised- religious, cultural, and social. It is now standard to use local anesthesia during the procedure, but of course, there will be discomfort associated with the procedure.

Do you think it's a bad idea for people to only use midwives (and no doctors) during childbirth?

Asked by Belzy over 11 years ago

Trained midwives are skilled clinicians who are fully capable of providing care throughout an uncomplicated pregnancy and delivery. I have worked with some outstanding midwives, and I do think they can offer a different approach to pregnancies for patients who desire a more non-interventional approach. When choosing a midwife, be sure that he or she is a Certified Nurse Midwife (in some cultures, the term 'midwife' is applied to a lay person who participates in deliveries but who may not have official training and certification). I would always be sure that your midwife has an affiliation with a physician who will provide emergency coverage in the event that things do not go as expected. For a healthy woman without any major complications during the pregnancy, labor and delivery, a midwife is absolutely capable of providing prenatal care, performing deliveries, and caring for you in your postpartum period. If there are concerns for preterm labor, gestational diabetes, hypertension, multiple gestation or other complicating factors, I would recommend consulting with, and perhaps transferring care to, a physician. Finally, I would always recommend delivering your baby in a hospital or birthing center affiliated with a hospital. I do not support the concept of home births with a midwife.

Why do some doctors work these crazy 24 or 36-hour shifts? Doesn't their judgment get impaired from the exhaustion?

Asked by ay caramba over 11 years ago

During my training, I often worked for 48 hour shifts without sleep between, only to return 12 hours later for another shift. This was the traditional way of training residents. Nowadays, there a strict rules in place that limit the number of hours one can work at a time. In real practice however, we continue to work 24-36 hour shifts simply because we don't have the person-power to take shorter shifts. In addition, in our field, there is a need to keep continuity of care- we prefer to follow a patient in labor through delivery, and shorter shifts would mean more frequent turnovers in patient care. If I feel I am ever overtired or impaired, I would certainly call on my colleagues for help.