Friday, December 28, 2007

Pregnant At Age 44 Following Tubal Reversal Surgery With Dr. Berger

A member of the Chapel Hill Tubal Reversal Center Message Board posts "I was a member here several years ago. I had my reversal done by Dr. Berger 3 years ago. I had all but given up hope but now I'm currently 14 weeks pregnant at the age of 44!" Many times women age 40 or over who have had tubal ligation are encouraged to undergo IVF with donor egg due to their age. Tubal Reversal surgery with Dr. Berger gives women of any age the chance to conceive a child naturally. In a study performed by Dr. Berger, pregnancy rates after tubal reversal were higher than after IVF within every age group. Similarly, birth rates were higher after tubal reversal at Chapel Hill Tubal Reversal Center than after IVF for women of all ages and the differences increased with increasing maternal age.

This is topic hi again in forum New Message Board Members at Tubal Reversal Message Board.

Posted by debbiem (Member # 11820) on December 18, 2007 10:15 AM:
I was a member here several years ago. I had my reversal done by Dr. Berger 3 years ago. I had all but given up hope but now I'm currently 14 weeks pregnant at the age of 44!
I'm going to post a more specific message on the age & tubal reversal forum, but just wanted to introduce myself again and say to not give up hope if it isn't happening as soon as you would like!

Posted by So_Blessed (Member # 11773) on December 18, 2007 10:54 AM:
debbiem,I have a new motto that fits your situation perfectly. "A delay from GOD is not a denial" we have to stay faithful. I was a little concerned about not conceiving after TR but I see all things are possible. Stay Prayerful.
So_Blessed

Posted by in-Gods-hands (Member # 11795) on December 18, 2007 03:37 PM:
So true so-blessed.It is great to hear that after all this time you are getting that little one debbiem. Never give up hope for hope is fought in God and he can do anything.I am so happy for you.

Posted by Stephanie RN (Member # 460) on December 19, 2007 12:57 PM:
Wonderful news! Thanks for sharing this information and please keep us posted on your pregnancy.

Posted by Sarah Dziadosz (Member # 11326) on December 19, 2007 01:06 PM:
Congratulations, that is fabulous news! Sarah

Posted by lesliebrown569 (Member # 7110) on December 19, 2007 02:01 PM:
congrats debbiem!! what year were you on here? I have been up here since 04
LeslieEDD~ 8/4/08TR~4/20/07

Posted by cnrstepp (Member # 11810) on December 26, 2007 02:46 PM:
Wonderful!!!Cora

Posted by aussiewife33 (Member # 10263) on December 27, 2007 08:07 PM:
i am so excited for you thats wounderful news.....how exciting. i wihs you the best..... i agree with you that if you stay faithful like abrahams wife you will be blessed . sometimes we just get tested on our patience.

Monday, December 17, 2007

Why Did You Choose Dr. Berger For Your Tubal Reversal Surgery

A potential patient at Chapel Hill Tubal Reversal Center asks fellow message board members why they chose Dr. Berger as their tubal reversal doctor. Women who have come for surgery or plan to have reversal surgery in the near future, share the many reasons why they prefer to have Dr. Berger perform their surgery. One important reason mentioned is the time and expense Dr. Berger takes to analyze patient data so that potential patients have the information they should have to make an informed decision about tubal reversal surgery.

The following is Dr Berger in forum Preparing for Tubal Reversal at Tubal Reversal Message Board.

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Posted by tjtreacles (Member # 9962) on December 14, 2007 08:22 AM:

I just wanted to let you know Back in 2005 when I was looking for a Dr to do my reversal I went to my family Dr and he sent me on to you He had already sent another lady to you that had a baby. ( I also had one thank you) I was contacted from a friend who asked me about my reversal and who I went to and I sent her your web site info She also went to her family Dr (which is different from mine)to find out info on a reversal and he also told her to go to you. I just wanted to let you know that you are very liked in our town and it seems that the DR's here think the world of you as we all do too. I just wanted to share this info with you. I think it is neat that two different Dr's send their patience to you. Thank you again for making this happen for all of us. TJ

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Posted by Gary S Berger MD (Member # 3) on December 14, 2007 11:07 AM:

Dear TJ -

Thank you for your message. I am glad to know that I have a good reputation among the doctors in your town. Apparently, it has been spreading over the years. When you see your doctor next, please thank him for me for sending you to me!!

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Posted by Julia Smith, RN (Member # 10) on December 14, 2007 12:51 PM:

Thanks, DJ! Having worked with him for many years, all of us who work with him believe that Dr. Berger is the best tubal reversal doctor! But it is nice to hear that other doctors think well of him, too.

Thanks again.

Julia Smith RN

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Posted by SAVANNAH (Member # 11823) on December 17, 2007 11:12 AM:

Hello everyone. I have been watching this site for over 6 months while planning to have a tubal reversal but this is my first time writing in. My doctor here in Florida also highly recommended Dr. Berger, I've been in touch with the office but I started to do a little research on my own and looked at some other doctors. I requested some information from a doctor in Kentucky. Being a nurse myself I was surprised and impressed when my phone rang one day and it was [the doctor] himself. Something doctors don't do very often. I thought it was a good sign of caring and confidence. If anyone can help me make my final decision, whether its a past patient, nurse or Dr. Berger himself I would appreciate it. I mainly want to know what the difference between the two doctors methods are and how responsible they hold themselves and their work to results after the patient has paid for and gone through the procedure.

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Posted by momto10 (Member # 11808) on December 17, 2007 11:38 AM:

I can only tell you how I came to my decision. I
too was on [the other doctor's] site (for a short time), the reason I lurked, but didn't participate was 2 fold,
1. I really felt like everyone was worshipping him, it felt funny, like he was a deity or something, I would prefer a little more modesty. And the other reason was that I REALLY respect Dr. Berger because he POSTS EVERYTHING, the good, the bad, the ugly....I feel like he holds NOTHING back. I see EVERY statistic, he keeps records of every possible variation, as though he was constantly conducting research. [The other doctor] is all sunshine and roses and we as mothers know that if something seems to good be to be true, it probably is. I can't trust someone who doesn't disclose everything.

2.I also preferred the "staff" here. The nurses are friendly, helpful, and ACTUALLY wanting to help you have a baby.

OH I need to add a few more reasons (sorry, the more I think the more I realize).
3. I found Dr. Berger on the OneMoreSoul.com site, he WANTS to help bring about a new soul, it's not all about the money for him. He cares about he souls he helps to produce. Just the fact that he knows a soul is involved is amazing.
4. For number 4 I wanted to include all the little reasons that matter but not as much, the price, the helpfulness of the site, he is doctor recommended, he works WITH our current doctors before during and after, and his staff is SOOO Smart and they are willing to share all their knowledge.

Hope this helps... It doesn't mater to me who you pick, I just found myself in your shoes and I wanted to words to my decision.

Gwen

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Posted by Julia Smith, RN (Member # 10) on December 17, 2007 11:51 AM:

Dear TJ: I apologize for the lengthy response, but I think it addresses some of the questions you had.

Chapel Hill Tubal Reversal Center is the only medical facility specifically for tubal ligation reversal surgery. We provide the most detailed information about tubal reversal available from any doctor, hospital, or medical institution. This blog post describes how we are able to do this.

Keeping track of patients following surgery makes excellent sense from a clinical point of view. Continuing follow-up after surgery helps ensure the best care for each patient and allows us to evaluate the success of tubal reversal surgery and the care we provide. Setting up and maintaining a system to ensure ongoing follow-up is not usually found in a private medical practice since this is costly and time-consuming and requires staff knowledgeable in database management. Regardless of the cost and time requirement, Dr. Berger has made it a priority because of his commitment to giving patients all of the information they should have in order to make an informed decision about tubal reversal surgery.

At Chapel Hill Tubal Reversal Center, we have a computer system where every nurse enters patient information before, during, and after each surgery. In fact, all 11 of our nurses contact patients, record data and make daily entries into computerized records.

With this follow-up information, Dr. Berger can analyze and report accurate statistical data about the long-term outcomes of tubal reversal procedures he has performed. Other doctors often quote our statistics -- but they cannot provide information on their own since they are not able (or willing) to go to the time and expense of collecting their own data!

The patient follow-up system consists of information collected in many different ways and includes a minimum of 6 calls or e-mails to the patient in the first year following surgery.

1. Post-operative nurse visit the morning after surgery;
2. Telephone follow-up on the second postoperative day;
3. Telephone follow-up on the third postoperative day;
4. E-mail questionnaire at two weeks;
5. Telephone contact at 6 months;
6. Telephone contact at 12 months.

Other information is collected and recorded any time we communicate with patients post-operatively. These contacts are usually initiated by patients to report pregnancies and the outcomes of pregnancies. When patients report new pregnancies, we request that they complete a Pregnancy Report Form. Each week, we summarize the new pregnancy results in the Weekly Pregnancy Report Forum of the Tubal Reversal Message Board and also give more details in the Weekly Pregnancy Announcements.
After reading our information and statistics and comparing it to what might be available from other doctors, we believe patients will recognize that Chapel Hill Tubal Reversal Center is the only facility where accuracy of information is considered to be a priority and sharing it with prospective patients is considered to be a necessity. Providing facts rather than offering misleading or speculative statements about tubal reversal success is one mission of our practice. We believe this is the right thing to do.
I hope this helps!
Julia Smith RN

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Posted by Brandi (Member # 3653) on December 17, 2007 11:53 AM:

Hi Savannah and welcome to the board. I'm also from FL..Panama City area. I have not had my TR yet, but plan to schedule after New years. I began researching TR doctors about 7 or 8 years ago and my search ended when I found Dr Berger. It just feels right!! Not only will you find amazing support from Dr B and his staff, but the ladies on this board are all very supportive and informative. I just couldn't imagine going anywhere else.
I wish you lots of luck no matter where you decide to have TR!!
Brandy

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Posted by stephg124ny (Member # 7023) on December 17, 2007 03:40 PM:

I wanted to add a little something to this post that helped me make my decision. I also researched the Doctor in KY. He charges extra of you are overweight. Dr. Berger just plain old won't operate because it isn't safe regarding anethesia. I am not overweight, so that wasn't an issue, but it made HUGE warning bells go off in my head that a doctor would essentially perform elective surgery on someone where it wasn't necessarily the safest. he also wanted pictures of you in bra and panties to assess your weight. Ummm....how about HECK NO!!!

I felt that in the KY docs literature that he was bashing Dr.Berger's surgical technique. (and really it was a roundabout way to bash Dr.Berger himself.) I don't feel that anyone should have to bring someone else down to raise themselves up. It just isn't right.

The other doctor includes all pregnancies into his statistics, including those achieved by IVF. Umm...that isn't the same thing. If I wanted to achieve pregnancy by IVF, I would have gone that route to begin with. If I remember correctly, the other doctor offered IVF if the TR didn;t work. That's all well and good, but I live in NY, so I certainly wouldn't be traveling to KY to have that done.

Anyway, I had my TR is 2004 and I really felt that Dr. Berger cared about me. He also cared about my reasons for wanting the surgery. His staff was beyond excellent. My TR baby is 2, so I know for sure the surgery works! HTH!

Tuesday, December 11, 2007

Everything You Always Wanted To Know About Your Tubal Reversal Consultation

After his wife underwent tubal reversal surgery at Chapel Hill Tubal Reversal Surgery last week, the spouse of a patient who chose Dr. Gary Berger as her tubal reversal doctor explains the consultation, surgery, and post-op process to a potential patient. Dr. Berger and his staff have "fine tuned" the process so that time is no wasted and patients feel supported, informed, and cared for professionally by the tubal reversal staff. As the responsible adult who was caring for his wife before and after surgery, he reports that the entire process was streamlined and efficient and made them feel relaxed and safe.

This is topic Need details about consultation????? in forum Preparing for Tubal Reversal at Tubal Reversal Message Board.

Posted by Springpatch (Member # 10614) on December 06, 2007 11:05 AM:

Can someone who has already had their consultation give me details about whats happens at the consultation? Im nervous )-:

Posted by suzy2722 (Member # 11780) on December 06, 2007 11:13 AM:

I would like too know that too my tr is in jan,2008 and so nervous and happy at the same time maybe someone will let us know.....

Posted by fertilitygoddess (Member # 10835) on December 06, 2007 11:35 AM:

well u get there and check in and then u go back and have ur wieght and hieght done ,and i think blood pressure if i remember and then u get a transvaginal ultra sound to visualize ovarys and stuff and then they shave you...and u have a one on one talk with dr. b and asks u why u want more children and things like that ,it realy is not a big deal at all and u also talk with anastisa..lol..i cant spell it but hope u get it...and thats it....u will be fine ladies he is great so is his staff,u will feel right at home..
melissa

Posted by Springpatch (Member # 10614) on December 06, 2007 11:40 AM:

Thank you so much. I just found out about the ultra sound and I got scared wondering if there was something else that my possibly be painful that I needed to know about. and Suzy, Im on December 14th (8 days) im so excited!

Posted by fertilitygoddess (Member # 10835) on December 06, 2007 11:45 AM:

in my opinon there wasnt nothing terribly painful about any part of it ,not even the tr itself...it was the easiest surgery i ever had ,the most painful part for me was the iv ..lol..i just hate needles ...but im sure u will do fine just relax..i was worried before mine too and all for nothing


melissa

Posted by Springpatch (Member # 10614) on December 06, 2007 11:55 AM:

Im hearing that give a numbing medicine before they put the IV in? I'm worrying about the trip back on the plane. Im worried about the type of scale they weigh you on. Im hoping its digital. Also, im bringing my husband and my daughter (they are both post-surgical LPN's ) and I have to split them up for appointments. One for the consult and one for the surgery. I wish they could both be there.

Posted by fertilitygoddess (Member # 10835) on December 06, 2007 12:04 PM:

for the first part of consult u go back alone and then when u talk to dr. b they go get dh..the type of scale they wiegh u on is like one of those slide bar scales if u know what i mean..lol...and i just hated needles period numb or not..lol..and i wish i can tell u what it would be like on the plane but we drove 18 hours both ways and i can tell u it sucked bad but mostly cause it was during the ice snow storms at the begining of the year...lol


melissa

Posted by Sarah Meacham, RN (Member # 9766) on December 06, 2007 12:15 PM:

Hi springpatch,

At your consultation,we do measure your height and weight (but it is not a digital scale). We also check your vital signs and perform a vaginal ultrasound to assess your uterus and ovaries. We will review your pre and post-operative instructions, and you will then meet with Dr. Berger and the anesthesiologist. Please let me know if you have any other questions and we are looking forward to meeting you next week!

Sarah
[CHTRC]

Posted by Jennifer K.Garza (Member # 8951) on December 06, 2007 12:15 PM:

Springbatch if your worried about the plane trip home you need to do what my husband did he informed the boarding ladies that i had just had surg. the day before and they let me and my husband get on the plane 1st and get seated that way knowone ran into me and they also had a wheel chair waiting for me once we landed ( even though
i ended up giving to to a young girl with cancer who was in more pain than me)..Hope this helps.

Posted by Springpatch (Member # 10614) on December 06, 2007 03:15 PM:

This all helps guys. Although the slide bar scales are not as accurate as the digital, I will have to go with the flow. Thanks for the info. on talking to the Airline, I didn\'t think of that and that is exactly what I'm worried about. Getting shoved and pushed around the airport and getting on the plane. Its also a long walk to the terminal. My mind is racing 1000 miles a minute anticipating my surgery next week. I really am excited.

Posted by pumpkin_powers (Member # 9198) on December 06, 2007 04:18 PM:

I had to lose weight for my TR. I was so nervous that I'd get there and the scales would be different and I'd have to cancel my surgery. I went to walmart and had a digital scale here at home that I weighed on at least twice a day. Well the day of my consultation I weighed before I left home and when I got to chapel hill their scale was exactly the same as mine at home. I think it's pretty accurate. Just make sure you have your exact height because I thought I was 5'5, but no I'm 5'4 and 3/4inch and it made a difference on my BMI. There are no words to explain how comfortable the staff will make you feel. It's like you're part of the family and they're welcoming you in. Hoping for long, wide open tubes and a speedy recovery for you ladies who are about to go.
Lots of Love
Staci
TR 3-7-06

Posted by Springpatch (Member # 10614) on December 06, 2007 04:32 PM:

Wow, now I'm wondering if my doctors office rounds up with my height. I'm 5' 8". But what if i'm like you and it comes out to be 5' 7 3/4. Also, on a digital scale it will show if you are 155.5 or 156. 156 can put you over the BMI and 155.5 can put you right at where you need to be. Its really scary. On many scales there is a 3 pound variance. My main worry is that I would normally start my period on the 14th which is the day of my surgery and I'm worried about retaining water because of it. My period can take me up by 5 pounds )-:

Posted by mamasoup8 (Member # 11212) on December 06, 2007 05:24 PM:

Hi ladies! When I had my TR on 11/05/07 I posted the whole day's experience. I had a Monday appointment, and so both consult and TR were the same day. HTH!
http://forums.tubal-reversal.net/cgi-bin/ultimatebb.cgi/topic/3/4100/5.html?

If the link didn't work, you can look at Nov 07 GTC #3 page 5.

-Traci

Posted by pumpkin_powers (Member # 9198) on December 06, 2007 06:10 PM:

OH yes and they weigh you with all your clothes on. If I remember right I had to take my shoes off for the height measurement. I think it's cutting it close if you're only within your BMI by a few ounces and maybe it would be a good idea to lose a few extra pounds just to be on the safe side. I know My max weight could be 207, and I lost down to 197 just to be on the safe side. I also was still so paranoid that I wouldn't drink anything the morning before I had my final weigh in until after I got off those scales. I had an early consultation the day before my surgery and went straight for mexican food once we were done weighing in. It was so yummy after all that work to get down within the BMI limit. And the vaginal u/s isn't uncomfortable, what hurt the worst during my entire process is when I was being shaved the razor nicked my skin and it pinched me. Ouch! And leave it to Kathy to put a sparkly band aid on it for me, my DH about died laughing when we got back to the hotel and I showed him my diva band aid. LOL.
Staci

Posted by pam mills (Member # 617) on December 07, 2007 09:55 AM:

Springpatch,
You are getting some great advice from our patients, one of the reasons this message board is so useful! I want you to try to take some deep breaths and believe in what they are telling you.
We will do everything possible to make your time here a pleasant and memorable one. Keep your eye on the prize, as they say, and know that we will be with you every step of the way.
Have a safe trip to Chapel Hill and I will see you when you get here!

Pam Mills, CRNA [CHTRC]

Posted by Springpatch (Member # 10614) on December 07, 2007 01:12 PM:

Thanks so much Pam: I am really trying to relax about all this. There are just so many scenario's that could occur that could stop my surgery from happening and Im having trouble not focusing on it. Im traveling a long distance to get there and I feel like I could lose everything I worked for over 1 pound. I'm scheduled to start my AF on Friday, december 14 (day of my surgery) Im a wreck thinking my weight will be fluctuating all over the place because of that. I normally take Midol PMS for 2 or 3 days before I start but, I'm not taking anything at all because of my surgery. If my surgery is cancelled, the journey is over for me, I couldnt do this again (emotionally or financially). Its a once in a lifetime chance and Im praying constantly that all goes well. Im flying in 2 days before my surgery just to give myself a chance to relax and not worry about delayed flights or being late for consultation, and youre right, the ladies on this forum are fantastic. They are all so supportive and they validate my feelings letting me know I'm not the only person out here with these concerns. I admire so many of them as they have worked so hard to reach the goal, a BFP.

Posted by Springpatch (Member # 10614) on December 07, 2007 01:36 PM:

Hey, can anybody tell me what they wore to their consultation? I just put my jeans and shirt on my scale and it weighed 3.5 pounds by itself, argh!

Posted by pumpkin_powers (Member # 9198) on December 08, 2007 06:45 AM:

black dress pants and a thin shirt, put your coat on over it til you get inside you can take your coat off and they won't weigh as much as your jeans. Also if it helps and I know it's not the healthest diet. I had alot of weight to lose and I only ate chicken breast and asparagus for a few weeks before my surgery. I cut out all drinks and any other source of sodium that I could think of just to make sure that I wasn't retaining unnecessary water. But the diet I was losing weight like crazy. Now I was taking prenatal vitamins to go along with that just to make sure I was getting enough vitamins, and wouldn't suggest it for a long period of time, but it may give you a boost so that you have some padding on your weight limit and you can relax and enjoy your trip. I was the exact same way you are before my surgery. Have faith in yourself that it'll work out. If you'd like you can email me for tips pumpkin_powers at yahoo.com
Lots of Love
Staci

Posted by guidobob (Member # 11710) on December 08, 2007 12:30 PM:

My wife had her tubal reversal just this week, so it is still pretty fresh for us. We went there on Monday, so the schedule of things may be different on other days.

She was very nervous; we drove down - an eleven hour drive - not sure what to expect. While there are countless messages on the board detailing great experiences, the fear of showing up and discovering either a second-rate facility or a scam were still in the back of our minds.

She was also nervous about "making weight," even though she was not even close to the BMI cutoff; my dear wife likes to fret over everything [Smile]

We met the shuttle van at the lobby of the Sheraton at 6:45; Doctor Berger's facility is only 5 minutes down the road.

When we pulled in, the courtyard gate was unlocked and open. We made our way up the stairs to the second floor, and the receptionist was ready and waiting; the waiting room up there looks like a very cozy, large, well appointed living room.

My wife got the luck of the draw and was first, so it was a very efficient, streamlined process. First up was blood pressure, height and weight. All went well, and we immediately met with Doctor Berger. He is professional, courteous, and yes, asked why we chose this. He didn't seem judgmental about age or weight; he seemed genuinely committed to giving my wife back her reproductive rights to the best of his ability.

After that was the vaginal ultrasound; my wife preferred for me to be present; it was about 10 minutes total, minimally invasive, and yes, the nurse fine tuned the hair line for surgery.

Again, we were first, so we were immediately escorted downstairs to the surgery reception, and we were quickly greeted by one of the surgical nurses. I believe we had some very brief paperwork at that point, but we moved so efficiently, I could be wrong.

We were escorted to the surgical waiting area, where she changed into a johnny and a robe, and answered some of the standard surgical questions.

My wife is no fan of needles, and we let the nurse know that previous IV experiences weren't very good. When the nurse had trouble with the IV, she immediately called in one of the OR nurses who took over and inserted a new IV in one quick, painless hit.

They talked us through every single step, and soon, my wife was walking in to surgery. She says she climbed onto the table and doesn't remember a darned thing until waking up!

As she was waking up, the nurse went over post-op care with me in painstaking detail. What the meds are for, when to give them, what existing meds can be taken with them, etc. It was thorough, and I felt quite capable of caring for my wife when we returned to the hotel.

When she was awake and lucid, and had successfully emptied her bladder, they allowed her to dress, and called for the Hotel Shuttle. 5 minutes later, it arrived, and we were back in our hotel room before 11am!

At 7am prompt, the nurse visited our hotel room, and inspected the incision and took every bit of time we needed to feel comfortable for our trip home.

A few tips:

- An important detail is that Doctor Berger's facility is amazingly effecient; while you don't feel rushed, you are done before you know it. They have fine tuned the process so very little time is wasted.

- If you have a little extra time the night before your surgery, visit the Southpointe Mall (Just off Route 40, I beleive.) It is 10 minutes from the Sheraton. It's big, inviting, and my wife is a huge fan of See's Chocolates; there is a stand there, and it made for a nice post op "recovering" treat. There is also a Cheesecake Factory there. We didn't partake, but it's there [Smile]

- Stick to the medicine schedule! Don't be a hero and skip your pain meds, or you will regret it. My wife was sore, but now, 5 days later, had a few bouts of soreness that would have been difficult in the days after, without meds.

- The nurses are all wonderful people; we enjoyed meeting them, and letting them take care of my wife. One kind nurse referred to passing gas as "burping your pants," and we are still laughing at this great phrase. Let them take care of you, and you will do fine.

Posted by Springpatch (Member # 10614) on December 11, 2007 03:12 PM:

Thanks so much (guidobob and Staci). You answered my questions wonderfully. I really needed a play by play; and you are right, I am nervous about the same things you mentioned. Did either of you feel that the pain meds were sufficient to take care of the pain during the trip back home? Also, were the post-operative instructions easy to understand?

Posted by pumpkin_powers (Member # 9198) on December 11, 2007 05:25 PM:

Instructions are a step by step guide and very simple. I had no trouble with pain. I took the meds when I was suppose to and almost felt to good. I had to keep reminding myself that I'd just had surgery and couldn't do so much. I was such a whimp that the worst part of it all was taking the steri strips off after surgery. They're nothing but little strips that have adhesive on them kind of like a band aid. Felt like pulling a band aid off. The only time after surgery that I felt any pain was when I sneezed, and when I tried to get up to quick from laying or standing. I hope this helps.
Lots of Love
Staci

Source: http://www.tubal-reversal.net/forum-topic-tubal_reversal-3t004127.htm

Sunday, December 9, 2007

Dr. Berger's Patients Discuss Use of Ovulation Predictor Kits

Dr. Berger recommends use of ovulation predictor kits as an aid to trying to conceive after tubal reversal surgery. These simple urine test strips are used for a week in the middle of the menstrual cycle. They test for the presence of lutenizing hormone (LH) which is an indicator that ovulation will take place within 12-36 hours. Once the test strip shows a positive, intercourse should take place daily for 3 days during this fertile period of the woman's cycle.

This is topic Help/Need advice? Can't figure this out. in forum After Tubal Reversal at Tubal Reversal Message Board.

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Posted by sillypuddha (Member # 11649) on December 09, 2007 12:31 AM:

I have never used OPK's before or anything like that. Had my TR on 11/29/07!! Went great, and I feel wonderful. Just trying to figure out when I O, just to have a head's up on things. I am not temping, and I am currently using FF as a calendar for things. I am using the OPK's 2X a day. I usually test around 10 am, and 9:30 pm. Last night I tested late--10pm, got a - on my OPK, this morning I tested around 10am, got a +. I decided to test again around 1pm to just check it again, and got another +. Tonight, I tested at 9pm, and got a -. Does that seem right? I only had a surge of about 12 or so hours, and where does that put me O wise. My cycles are every 28 days like clockwork. I am currently on CD14 as of Saturday. According to FF I should O today, but again, I have not temped, and this is the first month I am doing any of this. I must be completely stupid. I can't figure any of this out for the life of me. You girls are all such a wealth of knowledge and support, so I figure some of you can explain this to me. Sorry for being such a great big PIA, but I'm hoping someone can help me out with this stuff. Thanks, Krys

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Posted by TheMzD (Member # 6500) on December 09, 2007 01:31 AM:

Its very normal for the surge to only last a few hours - you should actually release the egg within 12-36 hours after the surge. Since you just had surgery, your ovulation may have been delayed just a bit, but thats OK.

Good luck!

Kay

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Posted by Tarebear38 (Member # 9544) on December 09, 2007 09:06 AM:

Kay is exactly right, and yes, it's perfectly normal to get a + and a - in the same day. That's why it's so important to test twice a day when getting close to ovulation. The normal advice is to bd the day of a + OPK, plus the next 2 days (so 3 days in a row). And HEY, don't call yourself stupid! That's not nice, lol. Everyone always has lots of questions at first, so don't worry & ask away.
Tara

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Posted by sillypuddha (Member # 11649) on December 09, 2007 10:40 AM:

Thanks so much girls for your advice. I really appreciate it. I guess there is still so much I have to learn. I think it's funny, I never had to even think about this with my others. You're all so wonderful, knowledgeable, and supportive.

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Posted by mama12 (Member # 11260) on December 09, 2007 10:41 AM:

From the chart Dr. B gave me I'm every 28 days which I know, but from what it said I O on or about the 11th day every month. I know this, we did have a BFP.
What we did was the 9 - 14 BD every day and it worked. I had a mc no big deal but we did get a BFP it did work for sure.
This last month I think I o'd on the 1st. I don't test, never do I can tell when I o when I sing my voice is better when I o. It was clear as a bell on the 1st which was CD11.

Monday, December 3, 2007

Is Tubal Reversal Surgery The Right Step For You And Your Partner?

Many times the partners of potential patients have questions and concerns regarding the right physician for tubal reversal surgery. The Chapel Hill Tubal Reversal Center message board offers an avenue of information for partners to discuss tubal reversal surgery and to gain the support and information that they need to chose the right step for their family .

This is topic Help DH Choosing TR Dr.!! in forum New Message Board Members at Tubal Reversal Message Board.

Posted by KimBE (Member # 8677) December 02, 2007 06:27 PM: Hi, my DH is choosing between Dr. Berger and our local TR Dr. I told him I'll have a lot of support here on line, and that the ladies encourage my soul dearly. He have read some messages on the board. We are not't going to have my tr until 1/09 because I just started my new job 6 months ago and my flex will pay only $3,000 the first of Jan. 08, and another $3,000 the first of 1/09. Anyway I need him to know how important it is to chose Dr. Berger. He is worried something bad will happen to me. He wants another baby (boy), but He don\'t't like surgry. What can i do? KimBE


Posted by Luckypj's (Member # 9974) December 02, 2007 07:40 PM: Kim,In my opinion, there is no other choice but Dr. Berger for TR. The surgery is so precise and so specialized that a doctor must perform this surgery 4 to 5 times a day to achieve good results. This is what Dr. Berger does. This is ALL he does. I had my TR in December and got my BFP in February. My DD is now 7 weeks old! Dr. Berger and his staff are so wonderful and so caring. They put you right at ease the moment you enter his office. Before TR I saw a very prominent RE. It was clear I was just another patient, a number with a checkbook. Dr. Berger and his staff made me feel as if I was their only patient. My ob/gyn called Chapel Hill while I was pregnant and they were very cooperative and gave him all the info he needed. He was so impressed he has already referred another patient to Dr. B! It is definitely worth the trip to Chapel Hill. We can't wait to go back and introduce everyone to our miracle baby! I hope this helps you out. Welcome to the board and good luck!


Posted by KimBE (Member # 8677) December 02, 2007 08:02 PM: Thanks Luckypj's. I want Dr. Berger to do my TR. I want my dh to chose Dr. Berger aswhile. I don't wnat to go to our local TR DR. He is new to the tr here, and have done 3-4 women. He specialize in male vr. He doesn't seem what is the word?? Like Dr. Berger and staff which is very interested in us, our feelings, and cocerns.I hope my dh gets that. Kim


Posted by KimBE (Member # 8677) December 02, 2007 08:07 PM: Congrets on the new baby what is her name? We have 3dd and 0 dd.


Posted by rkandlm (Member # 6776) December 02, 2007 08:07 PM: Kim,I agree that there is no other choice. Dr B is the best. I am currently pregnant with TR baby #2.I have met women who have gone to local TR doctors, and none of them have had as good of sn outcome as me. They had more pain, had to stay in the hospital, and haven't gotten pregnant yet. I too was worried that finding a doctor on the internet might be scarey, but I went with my gut, and I am SO glad I did. I even joked to people that I was worried I would show up in CH and Dateline would be there saying I had been scamed! BOY OH BOY....it was nothing like that. It was a beautiful, loving place, that fixed me more then good! Have you DH get on and post, let us tell him ourselves, we can even have our DHs get on with their opinions! LisaEDD 3-30-08 withTR baby #2....It's a girl!!!

Posted by KimBE (Member # 8677) December 02, 2007 08:45 PM: Our local tr dr. wanted to make a small cut up and down my lower abdoman, and keep me over night in the hospital. He also said no work for 1 week. I can do no work for one week but no over night hospital stays. hotals yes, hospital NO! lol my dh didn't go to the appt with me at our local here. Kim

Posted by KimBE (Member # 8677) December 02, 2007 08:51 PM: I'll be happy to have him to get online and post. He is sleep right now. He's tired he took our girls to church, and cooked. I wasn't feeling well this morning so i didn't get to go. I have to work tonight 3rd shift. I'll be sure to let him know to get on tommorrow night. Be watching him in the message. Thanks tr sisters Kim

Posted by KimBE (Member # 8677) December 02, 2007 09:13 PM: i meant 3dd and 0 dslol kim

Posted by **hopes** (Member # 8326) December 02, 2007 10:32 PM: KimBE,I looked into TR doctors for two years before I went to Dr. Berger. I had consults with two local doctors and looked into another nationally known doctor and Dr. Berger. I went with Dr. Berger because he was so upfront with his stats. ALso, the local doctors only did around 15 TR per year. I ended up choosing Dr. Berger and had one of the local doctors that I consulted with be my new OB.Dr. Berger did my surgery July 2006. My local doctor saw me three days after surgery and mentioned how impressed he was at how I was moving around. My TR baby was born only 10 months after my TR surgery. I am so thankful I went to Dr. Berger.I know its really hard to put your fate into someone you have never met. Please trust me when I say, that going to Dr. Berger was the best choice I ever made.**hopes**TR July 06TR baby boy born May 07

Posted by Rhonda Brown, RN (Member # 9485) December 03, 2007 06:03 AM: Dear KimBE,We have seen many times here where the DH is very hesitant about surgery. It is a big step and I think that they have a hard time with the thoughts of their partner going through surgery. Sometimes even though they want more kids, it is a big step and responsibility for them. Communication and information is the key. You could always order the tubal reversal video and this may help. Let me know if either of you have any questions. Good luck and I hope to meet you in the future. Rhonda

Posted by sillypuddha (Member # 11649) December 03, 2007 11:40 AM: My husband was also very skeptical about having surgery by a doctor whom we had never met, especially after knowing the last doctor, and he basically became a butcher. My husband had a lot of fears, and so did I. We weren't sure if going to a doctor we found on the internet was a wise decision, but we decided to order the dvd just to see. Well, let me just say that after watching the dvd, and seeing just how skilled Dr. B really is, our worries melted away, and my husband was more than sure that he wanted this to be our TR doctor.Where else can you actually go on line and check stats, talk with others, and even check out other independent sites and see the same thing--that Dr. B and his staff are truelly amazing. I felt so at ease from the time I saw the video, started calling and asking questions, and started sharing with others online. I just had my TR last Thursday--November 29th, and in all honesty, I feel great. I had PTLS really bad, as well as wanting to be blessed with another baby, and all I can say, is that I already feel a definate difference. I cannot express how greatful I am that we went with Dr. Berger. He and his staff are just truelly incredible, loving, warm people, and the people you meet on here are so supportive and wonderful. To me and my husband, there is no other choice other than Dr. B and Chapel Hill, and he and I fully recommend them to anyone and everyone thinking about TR.

Posted by jarz (Member # 9286) December 03, 2007 12:21 PM: My DH was so afraid of me traveling across the country for a surgery with a Dr. I had never even met before, he too was afraid something bad was going to happen to me etc. But I was bound and determined to go to Dr. B. When I made it home safely (DH couldn't go so my sis went with me) he was happy and then after a couple of very trying PG's when I have had issues he asks me if I asked the Dr. in N.C. what he thinks. even before he asks if I have spoken to my regular Dr. here, he always asks what Dr. B thinks or if I asked Dr.B what to do. All of the staff at Chapel Hill take care of you as if you were their own daughter...I know it may sound corny or over the top but it is true. You will leave there and wonder why the rest of the medical community can't be like them. It was the best surgical experience I have ever gone thru and since I have been PG twice, it was successful too. Good luck with you decision.JO