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Where to go - 2 options? Sedation for SR?

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  1. #1
    lawva
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    Where to go - 2 options? Sedation for SR?

    I am planning a 2 to 1 reduction. I have 2 options and I hope typing it out will clarify things.

    1. Dr. Mark Evans in NYC – disadvantages: a pain to get to, but probably can use frequent flyer miles. Then hotel costs. Then doesn’t take insurance – but can still submit afterwards for some reimbursement for CVS. Doesn’t use sedation. Have to take more time off from work (husband starts new job and will have to go in the hole 2 days PTO). Advantages –anonymous, one of best in the field, possibly gender selection (not really sure this is a positive – feel funny about it).

    2. Locally – a high risk OB is experienced in SR and will do SR under sedation, but have to go elsewhere for CVS. Was told would be sent to Dr. Wapner in Phily (told he still goes there one day a week) b/c this OB works with him all the time, but got paperwork tonight that I have to go to NYC (the whole point had been to avoid the hassle of NYC – Phily is drivable). Then I found out Wapner requires a bunch of lab work and a gonorrhea culture and I leave for vacation out of the country for a week the day after tomorrow (which they knew about and I don’t want to even go into how mad I am they didn’t tell me about these requirements a week ago). The high risk OB is at a conference so I’m not sure how I will get this done in time (CVS is the week after I get back and they want the results 3 days prior). There is also the small issue of doing it locally that the SR will be in my OB chart and as a medical professional who knows a lot of them, that bothers me some --b/c the 2 to 1 is controversial and they won’t know all the details that led to the decision—but I think I can get over this. It would probably cost less to do SR locally too

    So I like the idea of going local and using sedation so I don’t have to remember any of it. Since I haven’t had any symptoms, its been easy to distance myself from the pregnancy so far. It also may cost less. It was supposed to be more convenient, but it’s starting to be a real hassle and I’m not sure I’ll get the labs done in time. We had already arranged with Evans and have the days off already. This may sound silly, but my husband has never been to NYC and he doesn’t want to always associate the city with the SR.

    But I think at this point I just want to go with Evans, but I think the main thing holding me back is sedation.

    For those of you who did not have sedation for SR, in hindsight, if you had that option, would you have preferred it? I seem to recall from reading posts that people thought the CVS hurt more than the SR.

    Thanks


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  3. #2
    Mama_Bird
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    Sedation would have been pleasant but it was NOT a big deal. Not worth making the decision on. I'd go with Evans, from what you say.


  4. #3
    jan21
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    Many people here seem to have gone with Evans, that is a good recommendation.

    I didn't have any sedation and I don't think I really needed it. But, I think I do have a high pain tolerance (had wicked migraines as a teenager - honestly WAY worse than labor). I personally would not pick a doctor just because of that.
    Janice
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  5. #4
    lawva
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    Thanks, when you don't really have any one to talk to about it, you sometimes get lost in it all.
    I'm not worried about pain at all. Just would like to avoid having the memory of the exact moment it occurs.


  6. #5
    healthybabies
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    I wouldn't base my decision on sedation. It would have been really nice, but the overall quality of care is MUCH more important.
    ----------------------------------------------------
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  7. #6
    quads
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    I did the procedure locally. My doctor was really good and I didn't do the CVS test only the NT ultrasound at 11 weeks (but I felt comfortable doing this scan instead of CVS since I found the CVS procedure invasive). The reduction procedure itself is quick and not painful but yes the emotionally part does hurt. I chose not to look at the ultrasound pictures and brought my ipod and held my husbands hand very tight and as time passes it gets better. I called Dr. Evans in the beginning and he was really informative but like you I didn't want to go to NYK when I have a great doctor here.
    Good luck.


  8. #7
    momto3angels
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    Hi! I wanted to mention that you have another option-I went to Abington Perinatal Associates and saw Dr. Craparo and he was fantastic. Abington is about 35-45 minutes north of Philadlephia and he can do CVS and reduction. I am fairly certain, however, he won't do gender selection unless there is a medical reason for it.

    He doesn't use sedation, but I probably wouldn't have used it anyway, as the reduction wasn't that bad. I had a CVS test done several years prior (different pg) and that was a bit more uncomfortable but it's over quickly.

    FWIW, I looked into Wapner as one of my options-he comes highly recommended. However, I found that it was way to difficult to get appointments with him and when something is timely (like CVS and reduction) the last thing you want is a hassle getting an appointment.

    I researched almost every reduction specialist in south NJ and PA and was very pleased with Dr Craparo's skill, staff, bedside manner and ability to explain things in a way that I understood them. I have nothing but fantastic things to say about him and have referred many women to him. Just wanted to let you know there was another very good option out there and that he might be in driving distance from you.

    Also, not sure what kind of insurance you have but my reduction was covered at Abington.
    April
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  9. #8
    samantha1234
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    i am having the SR done next week. In my research for places I didnt find any that offer sedation. So - while i agree that would be nice, I think that its obviously not necessary. IF anything i think the reason would be to make it easier for the doctor. You know if case any patient is a little over emotional having them out makes it simple.

    I also wouldnt worry about this being on your medical chart. Even if you went to NYC to have it done, when you get back theres going to be some sort of notes by your regular OB about it. I was a bit uncomfortable about it at first as well, but, the more I absorbed the idea of the procedure and talked with my husband, the more comfortable I became about the fact that this is reality. While I dont want to discuss it with just anyone, Im not hiding it from my doctor or anyone else. I have reasons and if anyone wants to argue - well I would stand my ground. And even tho you are a medical professional - who would be looking at your chart other than someone treating you?

    I kind of was bothered that my family doc would know. She is tied to the same medical system that my ob is, and they are all computerized and can easily see each others labs etc for a patient. However - after seeing her recently for being sick, I got over that. I havent had anything but support and understanding for everyone really.

    I hope you find an answer that makes your vacation enjoyable.
    sam


  10. #9
    saffyre99
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    I would have greatly preferred sedation, because mine was both physically painful and emotionally trying. I was very confident in my decision, but would have rather not been so aware of every step of the process. But, finding a doctor you trust should be #1 in my opinion.


  11. #10
    kelliannk
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    I went to Evans and loved him


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