Obstetrics & Gynecology
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Prenatal Care: I encourage patients to come in early when they discover that they are pregnant, but I accept patients at anytime during a pregnancy. An ultrasound is usually done on the first visit to confirm the due date. Typical appointments are every four weeks up to seven months, then every two weeks until your last month, when appointments are weekly. I perform all the standard and optional prenatal testing which is consistent among all doctors in Memphis, so I will not go into detail here. I do answer my own calls after hours as opposed to having a nurse on call. I deliver almost all of my own patients at either Baptist Women's Memphis or Methodist Germantown.
US FDA Mercury Levels Found in Fish: This website lists mercury content in different fish. King Mackerel, Shark, Swordfish and Tilefish from the Gulf of Mexico are the highest and should not be eaten during pregnancy. Orange Roughy, most Tuna, Grouper, and Chilean Bass are moderately high in mercury, and should be avoided. Fresh tuna steaks and canned albacore tuna have higher levels of mercury than canned light tuna. Catfish, Crawfish, Salmon, Shrimp, Tilapia, and freshwater Trout are all low in mercury.
Gynecologic Care: This includes yearly exams which vary depending on one's age. I offer what is appropriate and cost effective for my patients yearly exams. Women who are 40 years or older should have a digital mammogram done yearly, as breast cancer risk increases with age. Pap tests should continue until age 70. Yearly exams can identify early and curable stages of endometrial, cervical, breast, and sometimes ovarian cancer.
A large part of my practice includes helping people with menstrual irregularities. In many cases, heavy bleeding or painful periods can be corrected without resulting to major surgery. I offer in office cryoablation which is a technique to freeze the lining of the uterus. In addition, I offer Novasure ablation in the hospitals. When needed, I can perform a hysterectomy to remove the uterus. Usually this is done when large fibroids are causing the problem. Abnormal Pap smears are quite common ranging from atypical cells to severe dysplasia. I use ThinPrep Pap smears with HPV testing and perform thorough colposcopy when needed. Colposcopy is an office procedure where a microscope is used to look closely at the cervix to identify precancerous cells.
For those women having difficulty getting pregnant, I offer a compassionate approach to identifying and correcting the problem. For those who have completed their families, I offer in office Essure. If you prefer, this can be done in a hospital setting. In one does not want to get pregnant, but does not desire permanent sterilization, other options such as IUDs, Nuvaring, or birth control pills are available. I will help you to decide which is best for you.
Polycystic Ovarian Syndrome or PCOS is becoming more common and most doctors don't seem to want to help patients with this condition as it can be a challenge to manage. I am putting together a program that includes a comprehensive approach of medical, nutritional, and exercise therapy.
Breast Health: The National Cancer Institute Breast Cancer Risk Assessment Tool can estimate your risk of breast cancer. It does not take into account every variable related to breast cancer (such as weight). Regardless of your risk, if you are 40, or over, I recommend getting a mammogram yearly. Breast Cancer Risk Assessment Tool
Bone Health: The WHO FRAX, or World Health Organization Fracture Risk Assessment Tool determines a person's ten year risk of suffering from a hip or osteoporosis related fracture. Click on the link and then click on the calculator and select your country and race. A pounds to kilograms and inches to centimeter converter is located on the left side of the page. If you know your DEXA t-score, enter it, otherwise, leave it blank and it will calculate your risk based on your body mass index (BMI) (If the site asks you to download a language package, just say cancel, because you probably do not have it to install. It appears to be a problem with Microsoft. The site will still work fine) FRAX - WHO Fracture Risk Assessment Tool