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

Best Rated

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 about 5 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.

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

Asked by Belzy about 5 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.

Just wondering who female OBGYN's pick for their women's health needs. I would think going to a colleague that was also a friend can be a little weird. Do many do a lot of the simple procedures (i.e.pap smears) themselves?

Asked by Curious about 5 years ago

I can't imagine how one could do a pap smear on oneself. That being said, I think it is difficult for all physicians to choose the provider for themselves and their family. But, doctors are patients too, and we look for exactly the same traits that everyone else does- intelligence, a good beside manner, and empathy.

Have you ever had to break the news to a patient that she was HIV+? If so, is it hard not to get emotional yourself?

Asked by corrina about 5 years ago

I have never had to break the news to someone that she is HIV positive. I have told someone that she has hepatitis C, which in many ways, is a very similar chronic disease. Fortunately, the treatments for HIV and hepatitis C have advanced to the point where people have the potential to live healthy, normal lives despite having the virus. I have taken care of patients with HIV and hepatitis C in pregnancy. If the viral loads are suppressed enough, and if they take their medications as instructed, these patients can go on to have healthy pregnancies without transmitting the infection to their babies.

Are most C-sections planned ahead of time, or are they usually a last-minute decision after unsuccessful attempts at natural delivery?

Asked by not a doc about 5 years ago

Approximately half of c-sections are scheduled, mainly for indictions such as a previous cesarean section or breech presentation. The other half consist of unscheduled cesarean sections, for protracted labor, fetal intolerance to labor (fetal distress) or other unpredictable circumstances. So much about labor and delivery is unpredictable, and therefore the mode of delivery is often decided upon after a trial of labor that can last for minutes to hours to days. Because there is often an emergent nature to cesarean sections, I am very thankful for the advances in modern medicine that allow us to perform these lifesaving procedures immediately and safely.

The "Stuck in an Elevator" question: If a woman was going into labor and could not get to a hospital, what could she (or whoever's with her at the time) do to deliver the baby as safely as possible?

Asked by Terry Good about 5 years ago

Most of the time, when a baby is coming out so rapidly that you don't have time to make it to the hospital (or are on an elevator), the delivery will happen on its own without any need for assistance. Maternal instinct takes over, and the mother will begin pushing when the right time comes. Once the head is crowning, just try to support the head and body as it delivers. Look around you for something relatively clean to dry off the baby and to keep the baby warm. Newborn babies are not able to maintain their body temperatures initially and can develop hypothermia very quickly. The best way to keep them warm is to put them directly skin-to-skin on the mother's chest and cover both up with something dry. If you have a shoelace, you could tie off the umbilical cord. Hopefully by then, help will have arrived!

Do/can doctors ever change their specialty mid-career? Or are you pretty much tied to whatever specialty area you started with? (insert proctologist jokes here :))

Asked by faint-of-heart about 5 years ago

Plenty of physicans realize mid-career that they have chosen the wrong profession. It is a challenging road to change course because by the time you've finished your training, you are well into adulthood. ObGyn training requires 4 years of college, 4 years of medical school and 4 years of residency. In order to retrain in a different field, you would need at least 3 additional years of residency (long hours, inflexible schedule). But I can't imagine what it would be like to practice OBGyn and be unhappy with my decision- the work hours, the call, and the stress would be pretty hard to tolerate if I didn't love what I do!