Hydrosalpinx Case Studies

Neither Jill nor Thomas suffers from any debilitating sickness that impedes their daily functioning. The couple has already produced a child with the assistance of a simple infertility treatment. Thus, the insured’s inability to reproduce without the use of the Protocol I procedure, beyond the treatment that has already been covered by Clarion, does not constitute a true illness. In this vein, Thomas’s insurance company reserved the right to refuse reimbursement for the procedure, which was deemed medically unnecessary. Before undergoing this treatment, the couple should have been advised to submit a prior authorization request by the ordering physician in order to avoid claim

It’s also important to consider the perspectives of the physicians involved with the decision making process in this dilemma. From the perspective of Dr. Shephard, the patient is her sole obligation and helping a patient get what they wish is important. On the other hand, her associate Alex Karev is against tying the woman’s tubes. He

After I got the assignment, I met my nurse, introduced myself and took the report of the patient. I went in my patient room and introduced myself. I took patient vitals and documented it. With Professor Zentis I did physical assessment. Her fundus was firm and midline 2 fingers below the umbilicus. The patient had scent lochia rubra. Mrs. M has 6year old daughter and concerned that she is not sure the right positions to feed baby. She also had incision pain

9. A 72-year-old patient with a history of breast cancer has a suspicious mass in her uterus. A biopsy was done. The determination was that the patient had a carcinoma in situ of the uterus. The physician who conducted the surgery called a face-to-face meeting with his fellow surgeons, the patient and the patient's family and discussed the case and the patient's outcome for 30 minutes.

During an antibiotic is provided to help prevent infection, the patient either receives a numbing medication or is placed under general anesthesia. Once that is done the procedure begins, a tenaculum is used to keep the cervix and uterus is placed, the cervix is further dilated using cone-shaped rods of increasing size. A long tube called a cannula is then inserted into the uterus, the cannula is attached to a bottle and a pump that provides a vacuum and removes tissue away from the uterine lining (if necessary forceps may be used to remove larger pieces of tissue). The final step is a curette (a curved surgical instrument) is used to scrape the lining to make sure no residual tissue is left behind. The dilation and extraction is a bit similar but the only difference is that the pregnancy is further along, this procedure is typically performed after a late term miscarriage, when the presence of severe fetal anomalies is detected, or when the life's mother

This adverse event should be escalated properly so that the administration and other doctors are aware of the outcome. This death could have been prevented, and others should be able to learn from this. We don’t know the full story from this short problem described in the book, but many questions arise from the situation. Was she completely aware of the risks? Did she know she was not a good candidate for the surgery?

Markup signed the consent form. Dr. Iron performed Markup’s successful hysterectomy procedure on December 30th 2011. On January 6th Dr. Iron had a follow up appointment with Markup during which he showed her a video of the procedure. The video revealed that Dr. Iron marked Markup’s uterus with the letters C.W.R.U. Although there is no specific protocol identified by Dr. Iron for the type of marking he performed, he used the marking on every surgical specimen being removed during a procedure to provide a third check to ensure that the organ and specimen were correctly identified for the pathology department.

Time out was performed and all information was accurate and confirmed. Skin marker is used to mark incision line. A #10 knife blade on a #3 handle is used to make a vertical suprapubic incision is made through the skin and linea alba extending from below the umbilicus to the symphysis. The rectus muscles are retracted with Richardson retractors to develop the prevesical space. Blunt dissection by the surgeon’s finger is used to reflect the peritoneum superiorly away from the dome of the

The assessment includes: Date and time of procedure, name of provider, site of insertion, type of fluid infusing in each lumen, blood

Ann mother went through a problematic pregnancy with her because she had oligohydramnios, which is Low amniotic fluid. Her mother wasn’t developing enough fluids. She was informed by doctors that Ann might have some major disability problems, such as down- syndrome. She had to keep going to different doctors for checkups. When it was time for deliver, Ann mother had

Currently, the patient suffers from seasonal allergies and recurrent otitis media. He subsequently received PE tubes in 2013 and has had no further complications. His father has hypertension and hypercholesterolemia and is age 30. His mother reports suffering from seasonal allergies. His father has one brother who has hypertension and one sister who has a negative medical history. His mother has two brothers, both of whom have hypertension. The child’s paternal grandfather has hypertension and hypercholesterolemia. His paternal grandmother has hypertension and diabetes mellitus (type 2). His maternal grandparents both have hypertension. Currently, his mother is pregnant and is to have a daughter.

To have the procedure done you will be lying on you back with your legs in stirrups. Then the doctor will insert a speculum into your vagina in the same way as for a pelvic exam. A local anesthesia will be used so you don’t feel pain. This will be given through a needle attached to a syringe. You are most likely going to feel a slight sting, then a dull ache or cramp. Then the loop is inserted into your vagina to the cervix. There will be different sizes and shapes of the loops that will be used. There is a small chance that you may feel faint during the procedure. If you do feel faint tell your doctor immediately.

From all over the world a large number of women have employed birth control measure through ligation surgery, so the tubal reversal reverses the tubal ligation

A laparoscopic approach appears to be associated with a reduction in surgical trauma and blood loss. In addition, it is presumable that some of the benefits of minimally invasive surgery such as reduced analgesic requirements, a shorter recovery period and reduced hospital stay (Kuhry, 2005). It has become a forerunner in the quest of improving surgical results by dropping postoperative pain and lessening recovery time. Yet, the use of laparoscopic instruments can be awkward and cumbersome, thus escalating operative time and dropping dexterity, which can

A first time pregnant woman in labor who has limited medical knowledge about episiotomy may become frighten when all of a sudden as she is actively pushing, the provider tells her stop because the passageway to let the baby out is narrow, therefore he/she is going to perform a procedure which involves an incision made to the vagina that will assist the birthing process, therefore allowing the baby to be delivered easily and preventing further complications. This might be really frightening to the patient due to her limited knowledge and prior misconceptions about the procedure.