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Patient Information

Serving the West Bloomfield, MI and Southeast Michigan Area!

One of our many goals here at Walnut Lake OB/GYN & Wellness is to provide all of our patients with the information and resources they need to be well informed about their health options. On this page, you will find links and information about a range of health topics and information for patients of any age, in all phases of life. We are dedicated to educating our patients so they may all live healthy, happy lives.

FAQs

The Team That Keeps Your Health In Mind

The team at Walnut Lake OB/GYN & Wellness works to educate and motivate our patients to achieve the highest level of health and wellness they can by offering them individual, compassionate care through all phases of their life.

In addition to our patient resources page, we’ve compiled the following list of questions we often hear at our OB/GYN & Wellness practice here in West Bloomfield, MI. We hope you are able to find some answers on this page!

For more information about our obstetrical, gynecology services, wellness services, or for additional questions, please do not hesitate to contact our office today!

When is the best time to travel in pregnancy?
Usually in the second trimester or the middle of your pregnancy is the best time to travel. This is typically between 14 and 28 weeks.
How much weight should I gain in pregnancy?
The amount of weight you should gain depends on your body mass index before pregnancy. For women who are a normal weight, you should gain 25 to 35 pounds. For women who are underweight, you should gain more weight than someone who is a normal weight. For women who were overweight before pregnancy, they should gain less weight.
How much caffeine is safe in pregnancy?
Most experts recommend less than 200 milligrams of caffeine or one 12 oz. cup of coffee a day as a safe amount to ingest.
What types of exercise are safe in pregnancy?
There are many great exercises to do while pregnant including: swimming, walking and cycling. You may continue running if you were a runner before becoming pregnant. However, you may have to modify your routine.
What is a first-trimester screen?
This screening is done between 11 weeks and 14 weeks of pregnancy to detect the risk of chromosomal problems such as Down Syndrome. This includes a blood test and ultrasound. The blood tests measures two substances in the mother’s blood: Human chorionic gonadotropin (hCG) and Pregnancy-associated plasma protein-A (PAPP-A). The ultrasound measures nuchal translucency or the thickness at the back of the neck of the fetus.
What is an amniocentesis?
This test involved taking a small amount of cells and fluids from the sac surrounding the fetus and then testing it. This is usually done in the second trimester.
Should I get the flu shot while I am pregnant?
You may get a flu shot at any time during pregnancy. It is an effective and safe way to protect you and your baby from the serious complications of the flu.
Will the flu shot give me the flu?
No, the flu shot will not make you sick and give you the flu.
What is Pertussis or the whooping cough?
Whooping cough is a very contagious disease that can be life threatening in infants. Individuals with pertussis make a “whooping” sound when trying to breath and also suffer from severe coughing.

Should I get the T-dap vaccine while I'm pregnant?
Yes. Between 27 and 36 weeks of gestation, all pregnant women should receive a Tdap vaccine. This vaccine is safe and effective. Receiving it in the 3rd trimester helps to pass on healthy immunity to your baby. Otherwise, the baby will not be vaccinated until they are two months of age.
Why do some people have their son circumcised while other do not?
For some parents, a circumcision is part of their religious practice. Others choose to have their son circumcised so he does not look different from his father. Also, there are hygienic reasons for doing a circumcision. A thick white discharge with dead cells called smegma can build up under the foreskin of those who are uncircumcised. This may lead to infection.

Some parents do not circumcise their sons because they are concerned about pain he may experience. Others are worried about risks involved with the surgery. Some believe it is a decision their son should make himself when he is older.

What are the risks and benefits of circumcision?
Benefits include decreased risk of urinary tract infections. It may also help prevent cancer of the penis. Other research shows that circumcision may decrease the risk of getting HIV from an infected female partner. It is also possible that circumcision decreases the risk of passing HIV along with other sexually transmitted diseases from an infected man to his partner.

Risks included with circumcision are bleeding, infection, and scarring. Also, too much of the foreskin may be removed or not enough foreskin is removed. An additional surgery is sometimes required to correct these issues.

What are the signs of a miscarriage?
Vaginal bleeding and passing blood clots are common symptoms of miscarriage. Cramping in the lower abdomen or lower back pain may occur.
When do you screen for gestational diabetes mellitus (GDM)?
Screening for GDM is usually is done between 24 weeks and 28 weeks of pregnancy. If you have risk factors, it may be done earlier.
Why do you screen for GDM?
We screen for GDM because having GDM increases the risk of having a very big baby and possibly a C-section. Also elevated blood pressure and preeclampsia are more common in women who have GDM.

Babies born to mothers with GDM can have trouble breathing, low blood sugar levels, and jaundice. With strict control of the blood sugar, the risk of these problems decreases.

What can I do to reduce my risk of getting a STI?
First, limit your number of sexual partners. It is important you know your partner and their sexual history. The more sexual partners you have, the higher your chances of getting an STI. Your partner’s sexual history is just as important as your own sexual history.

Always use condoms. Using a condom with each sexual encounter, whether vaginal, oral, or anal sex, decreases your chances of infection.

Vaccinations are also available that will help prevent against hepatitis B and HPV. Get your immunizations.

What is PCOS?
PCOS is polycystic ovarian syndrome. Some common signs and symptoms of PCOS are irregular menstrual periods, infertility, obesity, excess hair growth, acne, oily skin, and ovarian cysts.
What are the treatments for PCOS?

A variety of treatments are available to treat PCOS to treat PCOS. Each patient receives individualized treatment which takes into account their health problems, symptoms or desire for future pregnancy.

What are common symptoms of menopause?

The most common symptom of menopause are hot flushes. About 75% of menopausal women in the United States experience them. A hot flush is a feeling of heat that rushes to the face and upper body. You may begin sweating. A hot flush can last seconds to minutes or even longer. Hot flushes can cause trouble sleeping, which may be one of the biggest problems you face in menopause.

How can menopause affect my sex life?
Your sex drive may decrease due to lowering hormone levels. Some women state that they have less interest in sex. This decrease in hormones might affect your ability to have an orgasm or it may take longer to reach orgasm.
What is a bone mineral density (BMD) test? Who should have one?
Bone density is measured at the heel, spine, hip, hand, or wrist in a BMD test. A Dual-energy X-ray absorptiometry (DXA) of the hip and spine is the most accurate BMD test available.

All women 50 years or older should have a BMD test. Risk factors for osteoporosis include rheumatoid arthritis, smoking, alcoholism, a history of hip fracture in a parent, cortisone (steroid) use, or a body weight less than 127 pounds.

How is a DXA scan done?
A DXA scan takes about 3-10 minutes. You will lie down while a machine scans your body. You will be exposed to a small amount of radiation, which is less than the amount in a chest X-ray.
What types of operations are eligible for robotic surgery?

In fact, robotic surgery is an effective alternative for a number of highly complex surgeries.

What happens during gynecologic robotic surgery?

Robotic gynecologic surgery is performed in a hospital or surgical center under general anesthesia. During the procedure, you will lie on a table beneath the robotic device. Nearby, your surgeon will be commanding every move of the robotic arms, through a few small abdominal incisions. A camera will be transmitting live three-dimensional imaging to your surgeon that can be magnified as needed. The robotic arms imitate the motions of your doctor’s hands, only with a greater precision you will be sent to recovery.

What is the recovery period like after a robotic surgery?

The experience women have after robotic surgery is far different than that of women who undergo open surgery. Robotic-assisted operations generally require less time in the hospital after surgery, not to mention a much shorter recovery period and lower risk of complications. However, there is always a risk of complications, so talk with your doctor about whether robotic gynecologic surgery is right for you.

The da Vinci® Surgical System features a 3D HD vision system for a clear and magnified view inside the patient’s body. da Vinci’s EndoWrist® instruments bend and rotate far greater than the human wrist. The surgeon controls the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside the patient’s body. da Vinci technology allows surgeons to perform complex and routine procedures through a few small openings, similar to traditional laparoscopy.

You may be candidate for robotic surgery if you are facing an operation for uterine fibroids, endometriosis, heavy menstrual bleeding, gynecologic cancer, or pelvic prolapse. Call our office at (248)926-2020 for more information or to schedule a consultation today.

Did you know…that robotic surgery is rapidly becoming the standard for minimally invasive gynecological procedures? In fact, there have been more than 1.5 million robot-assisted surgeries worldwide in the past 10 years alone. And despite its name, robotic surgery is still 100 percent controlled by a patient’s physician – not a robot. Robotic surgery does not take the place of a surgeon – it makes a surgeon better.

New Patient Forms

If you are new to our practice, we encourage you to download and fill out the forms below prior to your first appointment. This will save you some time prior to your visit with the doctors and nurse, and will also help you familiarize yourself with the information we will talk about during your first visit.

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Electronic Medical Records

We’ve made it easier than ever to learn about your diagnosis and results. Simply log in with your username and password and you’ll have access to your medical record.

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E-Prescriptions

With our E-Prescription Service, your provider can transmit prescriptions electronically to your pharmacy so they are ready for pick-up when you arrive. It is safe, secure, HIPPA-compliant and totally free to our patients.

billing information

With our E-Prescription Service, your provider can transmit prescriptions electronically to your pharmacy so they are ready for pick-up when you arrive. It is safe, secure, HIPPA-compliant and totally free to our patients.

  • Aetna
  • Blue Care Network
  • Blue Cross/Blue Shield
  • Cigna
  • Cofinity
  • Humana
  • Medicare Advantage
  • Medicare Plus Blue
  • Multi Plan
  • PHCS
  • Priority Health
  • United HealthCare
  • Total Health Care HMO
  • Tricare
  • HAP
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OB/GYN Links & Resources for Patients

The following links and websites contain useful information about many subjects regarding women’s health. While they are an excellent resource, please do not hesitate to contact our office or your primary care doctor with further questions.

Breast Cancer

Adolescent Health

Women’s Health

Vaccine Preventable Diseases

Emergency Contraception

To find a health care provider who will help you get Emergency Contraception in your area call 1-888-NOT2-LATE (1-888-668-2528), a 24-hour hotline.

Wellness Resources

Downloadable Wellness eBooks

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For additional information about Walnut Lake OB/GYN & Wellnesscontact us today at 248-926-2020. We are more than happy to answer any questions you may have!

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Walnut Lake OB/GYN & Wellness

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Phone: (248) 926-2020
Fax: (248) 926-9020
Email: info@walnutlakeobgyn.com

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Friday: 8AM - 12PM
Saturday: 8AM-12PM

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