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My original OB who was just a regular OB thought I was sort of a "special" case, but not only "high risk" because of my age. I think anything over 35 is "advanced maternal age" (eye roll). He suddenly went out of practice when I was about halfway through my pregnancy so I went to a high-risk practice at the recommendation of his nurse, since I wanted someone with relevant experience as I was having a scheduled C. The 3 doctors there told me they didn't "technically" consider me high risk just because of the pouch, OR my age, and described to me some REAL high risk people - PG women who get cancer or have to have some kind of surgery while pregnant, women who are morbidly obese and PG, women who have had 4 or 5 c-sections, etc. That being said, I did feel more comfortable with the high-risk practice because I felt the OBs as surgeons were much more experienced with dealing with complications that might arise, and I felt more "taken care of" in terms of the small questions and issues that came along as my pregnancy continued than I might have with a non high-risk OB. He also arranged to have a colo-rectal surgeon assist with my c-section, which we both agreed was a good idea, and I felt more at ease knowing someone with a lot of pouch experience was helping with the surgery.
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| Posts: 451 | Location: cleveland, OH | Registered: July 26, 2007 | 
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quote: The 3 doctors there told me they didn't "technically" consider me high risk just because of the pouch, OR my age, and described to me some REAL high risk people - PG women who get cancer or have to have some kind of surgery while pregnant, women who are morbidly obese and PG, women who have had 4 or 5 c-sections, etc.
Another patient of my perinatologist's at the time that I was pregnant was a quadraplegic!
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| Posts: 324 | Location: Tucson, AZ | Registered: October 26, 2007 | 
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Dr Bruce Cohen is absolutely fantastic. Though no one said I was high risk I felt better having a high risk and as it turns out during my first pregnancy I had a near total obstruction and needed the high risk. He only works out of Beth Israel, but he is just fabulous. I would go anywhere for him. He has also delivered multiple pouch patients and multiple ostomy patients like me.
Congrats!
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| Posts: 2959 | Location: West Roxbury, MA 02132 | Registered: April 14, 2000 | 
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Thanks for the rec's. My surgeon, from the Lahey, told me to go to Brigham and Womens. I have an appt. with NEOBGYN but they're having me see the only male doctor there because he has experience with surgery. Guess we'll see how it goes.
Thanks all and I'm sure I'll be here more as this progresses!
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| Posts: 31 | Location: Boston | Registered: July 01, 2008 | 
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THat's interesting. My last GI surgery was at Lahey but they had no recommendations about OBs. My biggest reasons for chosing Dr Cohen were: he has previous experience with pouch patients and he has an unbelieveably calm and reassuring personality. I swear he could be telling you the worst news and you'd trust him taht everything would be okay. Also, there are several experienced j-pouch surgeons at BI, including Dr Peter Mowschenson who treated me from a GI perspective during my blockage.
YOu need to go where you feel comfortable, but I found Dr COhen and BI to be stellar.
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| Posts: 2959 | Location: West Roxbury, MA 02132 | Registered: April 14, 2000 | 
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Congratulations! So... sorry because I know these were posted several months ago, but I just joined the community today and going through all the posts... and couldn't believe there were other pregnant or recently pregnant j-pouchers in the Boston area on this website!
I am 14 weeks pregnant and going to the high risk practice at Brigham... so far I love everyone I have met.
Semicolonized, you are probably much further along now and hopefully happy with who you found, but did the high risk practice at Brigham actually turn you away? I didn't have any trouble getting in with my medical history if you call them... just in case you still aren't sold on who you have now.
Congrats again!
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| Posts: 4 | Location: Boston, MA | Registered: February 25, 2010 | 
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