Thanks Dr. Smith for Grand Rounds 3.42!

10 Comments:

• At Tue Jul 10, 08:39:00 PM 2007,  Anonymous said…

  hey doctor
  i'm 13 weeks pregnant and i'm having really sharp pain in my lower stomach... mostly on the left side!! i scared that i might lose the baby because i'm very busy and always up on my feet doing things and never really have time to sit down and relax!! i this greenish greyish discharge.... is that normal???? it was clear to white before i got pregnant!! so how do i know if my baby is fine or if theres something i should do to help prevent losing it?
  thank you for ur time

   

• At Wed Jul 11, 05:18:00 PM 2007,  PE Mommy said…

  I left the comment about pe earlier. I just noticed you are at the Univeristy of South Carolina. MY alma mater. Knew that is why you were good. Class of 97.
  
  I don't live in SC anymore although sometimes I wish I did. Live in Western NY now.

   

• At Fri Jul 13, 07:32:00 AM 2007,  Kenneth F. Trofatter, Jr., MD, PhD said…

  To Anonymous July 19: If you are having pain and an unusual discharge, you really need to let your doctor know about that! Tell her/him about your concerns. They are there to help you, treat you, provide information, and reassure you. Hope things turn out well. Thanks for reading.

   

• At Tue Jul 17, 05:47:00 PM 2007,  Anonymous said…

  Hi Dr. Troffater
  Do you remember your nightmare patient Melissa Davis from UT ?? Glad to hear you are back in the South, only wish it was UT.
  Meghan is a very beautiful 11 year old, that is a honor student and loves to play basketball. I never had any more, I was told it would be too risky.
  We still thank GOD all the time for you getting her hear healthy and keeping me alive to raise her.
  I guess you stay busy with 6 of your own, I try not even to think about the day mine starts driving.
  Well I hope all is good with you, I just wanted to drop you a line and say Hi
  Take Care
  Melissa

   

• At Wed Jul 18, 04:46:00 PM 2007,  Kenneth F. Trofatter, Jr., MD, PhD said…

  Hi Melissa,
  Of course, I always remember my 'special patients'! Has it really been 11 years? Please give Meghan a VERY big hug for me. Someday I would love to meet her. Send me a picture. I still miss all the folks and all the patients at UT. Go BIG ORANGE!!!!!

   

• At Wed Jul 18, 07:24:00 PM 2007,  Anonymous said…

  Hi again Dr T.
  I would love to send you a picture of Meghan but could not find a address for you at the University. you can email it to me at melissaandray@aol.com.
  It was great to find you, Meghan would love to meet you too one day.
  Take care
  Melissa

   

• At Sat Jul 21, 05:43:00 PM 2007,  Anonymous said…

  Hi doctor, I have been a very nervous mother this past week. This is my first pregnancy, and I went for a ultrasound to test for down syndrome on what was supposed to be my 12th week(last Monday). I received devastating news that there was no visible heartbeat, and that the baby was abnormally small and did not look like a twelve week old fetus. He also said that it looked as though there were two small bubbles next to the fetus, and that there appeared to be scarring. In the past year I have had Chlamydia and Ghonnoria, but they are both gone. I was wondering if this could have had an effect on my pregnancy. I also have one more question, my periods are never accurate, and I wasn't exactly sure on the date of my last period. I am returning on Monday for another ultrasound. My doctor had expected me to start bleeding in the next few days, but I havent. However I noticed that my breasts are no longer sore. I was curious if it could possible just be a mixed up due date. However, the fact that my breasts are no longer sore concerns me.

   

• At Mon Jul 23, 08:38:00 PM 2007,  Kenneth F. Trofatter, Jr., MD, PhD said…

  To Anonymous July 21: I am sorry, but you have lost this pregnancy. I am not sure what your doctor meant by "scarring." Usually Chlamydia and gonorrhea do not cause scarring in the uterus itself. The "bubbles" are probably degeneration of the pregnancy 'yolk sac.' If your periods are irregular, that may increase your risk for miscarriage. There are lots of reasons for irregular periods and you might want to sort that out before you try to get pregnant again (see my post on "Hormonal Causes of Recurrent Early Pregnancy Loss"). Sorry for your loss and hope things work out better the next time.

   

• At Tue Jul 24, 11:35:00 AM 2007,  Anonymous said…

  Thanks for letting me know about the article. I checked it out and noticed that polycystic ovarian disease was in there. My mother and aunt both have this. The doctor didn't mention anything about there being cysts on my ovaries. This has worried me, but I never though I had it until after reading your article. I've had irregular cycles since I was 12 or 13, but after I went on Birth Control it helped regulate my cycles alot, so I never though it could be that reason. Nor was I aware that it could result in a miscarriage. Thanks again

   

• At Fri Jul 27, 05:09:00 PM 2007,  Kenneth F. Trofatter, Jr., MD, PhD said…

  To Anonymous July 24: Polycystic ovary syndrome (PCOS) can run in families. If you have a long history of irregular cycles, you may well have it. It is accompanied by hormonal 'imbalances' that can worsen with age, weight gain, and time. It may make it more difficult for you to get pregnant, more difficult to carry a pregnancy, and more likely to be associated with a pregnancy complicated by diabetes and hypertension among other things. By the way, you do not have to have lots of big cysts on your ovaries to have the metabolic imbalances that contribute to PCOS.

   

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