Dr. Monteith is joining Dr. Berger as a tubal reversal surgeon at Chapel Hill Tubal Reversal Center. Dr. Charles Monteith graduated Summa Cum Laude from Xavier University and received his Medical Degree from the University of California at San Francisco. Following a Howard Hughes Research Fellowship in molecular biology, he completed his residency in obstetrics and gynecology at the University of North Carolina at Chapel Hill in 2001. Since then he has been a Clinical Assistant Professor of Obstetrics and Gynecology at the University of North Carolina Medical School. Dr. Monteith is board certified in obstetrics and gynecology and has extensive experience in laparoscopic surgery and high risk obstetrics.
Explaining his decision to join Dr. Berger in practice, Dr. Monteith says, “My interest in tubal ligation reversal comes from my love of outpatient surgery and the desire to learn skills which are becoming a dying art. My hope is to be able to continue to practice tubal reversal surgery and to keep it as an option for patients who have had prior tubal ligation and desire to become pregnant.”
Like all of Dr. Berger's staff Dr. Monteith can be contacted via the tubal reversal message board. Here you can read Dr. Monteith's most recent posts
As this thread from the Tubal Reversal Message Board shows Dr. Monteith as well as being an excellent surgeon also has quite a sense of humor:
Posted by Dr. Monteith (Member # 11996) on February 04, 2008 09:00 AM:
I answered your questions under the threads of scheduling and posting with Dr. Montieth
Posted by sweeet_mommie (Member # 11471) on February 04, 2008 06:50 PM:
Dr.Monteith thank you so much for responding to my questions and your responces were very helpful. We are very happy to know that there is hope for us. We never thought that we would want another child considering we have 5, 4boys 11,10,8 and 6 and 1girl 6. We were very scared when they told us twins and that is why we had my tubes tied, well that was a mistakeand at the time my Doctor didnt think it was a good idea but went along with it considering I was only 23 years old in 2001. Tell me something how likely (is it if there are twins on both sides of the family), are we likely to have twins again? Thank you for you help and another thing the most thing I am afaid of is getting surgery, in 2006 when I lost my right tube I was so scared of be put to sleep. any suggestions?
thanks again
luquesua
I am considering getting my TR maybe late spring.
Posted by Dr. Monteith (Member # 11996) on February 04, 2008 09:08 PM:
Twins do run higher in some races of people. Certain tribes from Africa have very high twin rates- can be as high as 1 in 50 pregnancies. In general, the chances of having a twin pregnancy is about 1 out of 200 pregnancies.
If you and your husband are Nigerian then I would be worried you would have a higher chance of a twin pregnancy- for the most part I have not been impressed that twin rates have been higher when patients come to me in the USA and say twins run in both families. I would say your risk of twin pregnancy would be about 1 out fo 200. If you have to take clomid about 10 out of 200 and if you have IVF about 1 out of 3!
General anesthesia is very safe when it is done in a low risk patient in a controlled situation. The only problems I have seen is in emergency surgery when everyone is rushing and the patient is high risk- say 300lbs, poor airway, heart disease, trauma, etc.
Posted by sweeet_mommie (Member # 11471) on February 05, 2008 05:46 PM:
Dr.Monteith another question I have is the TR is it done vaginal? How long after surgery can we try to conceive?
Posted by Dr. Monteith (Member # 11996) on February 05, 2008 11:04 PM:
The reversal is done through a small incision- about 4 inches- just above your pubic hair line. We ask that you wait until you leave the office before you try to conceive! (the real answer is when you feel up to it- about 2-4 weeks).
Posted by mommyof4wantingmore (Member # 11914) on February 06, 2008 04:06 AM:
What a great sense of humor Dr. Monteith! I read almost all of the posts on here, but that has to be the best reply of the day!! LOL Sorry if I butted in on the thread but that was GREAT!!
-Donielle
DH-34
Me-32
DS-14
DD-6
DS-5 (soon)
DS-2
TL-7/05
TR-Goal is Summer 2008!
Posted by sweeet_mommie (Member # 11471) on February 06, 2008 07:10 AM:
thanks Dr. that information was very helpful, we will be scheduling my appointment for April wil you be there assisting Dr. Berger?
Posted by in-Gods-hands (Member # 11795) on February 06, 2008 08:17 AM:
I am with Donielle that was the best one yet. I liked that. Miranda
More Information on Dr. Monteith
Showing posts with label doctors. Show all posts
Showing posts with label doctors. Show all posts
Monday, February 11, 2008
Tuesday, January 15, 2008
The Importance of Dr. Berger's Pregnancy Protocol after Tubal Reversal Surgery
This is topic So frustrated with Doctors in forum After Tubal Reversal at Tubal Reversal Message Board.
Carrie is pregnant with her second TR baby and her local physician is not adhering to the pregnancy protocol recommended by Dr. Berger for pregnancy after tubal reversal. Once a woman has a positive home pregnancy test after a tubal reversal, she needs to start having her quantitative HCG levels drawn every 2-3 days until the level reaches 1500. At that point, she will need a vaginal ultrasound performed in order to determine the placement of the pregnancy. It is always a good idea to print the protocol from our website and take it to your first doctor's appointment to be certain that the doctor agrees to the protocol.
--------------------------------------------------------------------------------
Posted by Carri (Member # 9673) on January 14, 2008 02:41 PM:
Hi Everyone,
I need to vent a little. I got a BFP on 1/1 and went to my doctor on 1/2. During this visit they informed me that they no longer are members of my medical plan and I would have to switch doctors or pay out of pocket for visits. I paid for my visit that day and went to get bloodwork done. I called back and they did not do quantitative (sp ?) so they could not tell me my #'s. They would scedule an ultrasound, but for 3 weeks later and i would have to pay cash. Fast forward a couple of days. I find a new doctor, explain to them Dr. B's protocol and they said they would follow it but couldn't see me until today (2weeks later). I go in today and they do an exam and tell me not to worry it couldn't be in my tube (my one and only little tube) because I would be feeling pain and since i am not it must not be in there. I insisted on an ultrasound and she gave me a prescription for one to be done at the hospital. I call the hospital and explain about tr and how i need an ultrasound immediately and they tell me that they will sqeeze me in on FRIDAY! Now what?????? I feel like a ticking timebomb. Any advice?
Carrie-36
DH-29
DD-20
DS-19
DTRD-5 months
BFP 1/01/08
EDD 9/07/08
--------------------------------------------------------------------------------
Posted by chelleshore18 (Member # 8883) on January 14, 2008 02:45 PM:
Carrie, my advice would be to go immediately to the ER... tell them a fib and tell them you are having slight cramps or something. That way they will do an ultrasound. The drs should always follow the protocol because of our increased risk of ectopic. With only having one tube, you need to get checked out. Please go ASAP and let us know.
Good luck to yoU!
Michelle
--------------------------------------------------------------------------------
Posted by SCMomof4 (Member # 10312) on January 14, 2008 03:01 PM:
sorry to butt in - what is DTRD -
Carrie - I have not had any BFP but have read so much over the past 9 months of woman waiting and not getting the preventative care they needed to go on and not only lose their tube but a few come close to an outcome much worse. This is not something to play the waiting game on - please go to the ER and get the care you need.
Amanda
TR 5/25/07
--------------------------------------------------------------------------------
Posted by berta8133 (Member # 11188) on January 14, 2008 03:05 PM:
Go to ER! Do not wait. Period. Waiting till friday is not the right way to go.
GL.
Berta
--------------------------------------------------------------------------------
Posted by Carri (Member # 9673) on January 14, 2008 03:28 PM:
DTRD is my dear tubal reversal daughter
Thank you ladies for responding. i am just about at my wits end with doctors. I just talked to Sarah(nurse at Chapel Hill) and am heading to the ER now. I am going to claim a little pain and see what that does for me. Wish me luck and I will update when i get home.
Thanks again!
Carrie
--------------------------------------------------------------------------------
Posted by berta8133 (Member # 11188) on January 14, 2008 03:36 PM:
Carri...tell them you are HIGH risk for E/P and having significant pain on your side/abdomen area... they should get you right in.
Prayers with you!
Berta
--------------------------------------------------------------------------------
Posted by mama12 (Member # 11260) on January 14, 2008 05:12 PM:
ER chicky.
I had an EP that ruptured 4 days before my AF due date....
Go to the ER.
I went through 3 Dr.s in the midst of a MC and EP I know it sucks. I know it's hard and upsetting but do it. Just take care of it. You want to protect that tube!!!!
Hugs to you from TN
Go to the ER. Insist on an US to get your tubes checked. Make sure whoever you get repeats this to double triple check until they see the baby. If you can the next day after the ER sit down with your phone book and start calling Dr.s until you find one that fits your needs. That's what I had to do. It was horrible but I found a great Dr. Tell them up front what you need. If they can't do it, move on.
Hang in there, get yourself to the ER ok?
TR Oct 15 2007
MC Nov 20 2007
EP Friday Dec 14 2007 lost right tube. period was due on Monday the 17th.
--------------------------------------------------------------------------------
Posted by Simonsen6 (Member # 10172) on January 15, 2008 08:46 AM:
Carrie- any news?
I'm waiting to hear Hoping all went well and baby is safely tucked in your uterus--
Lots of Love,
Becki
--------------------------------------------------------------------------------
Posted by Carri (Member # 9673) on January 15, 2008 09:52 AM:
Hi Everyone,
Sorry it took me so long. I waited 10 hours in the ER and they were telling me it would be a couple more and i gave up. I could have died sitting there and no one would have noticed. I am going to my old doctor today and am going to pay for my ultrasound (they no longer take my insurance). I can't believe that it is this difficult. The first time was so smooth. Thank you all for your thoughts and concern. I will keep you updated.
Thanks again,
Carrie
--------------------------------------------------------------------------------
Posted by Jennifer Okun, R.N. (Member # 1806) on January 15, 2008 10:06 AM:
Hi Everyone,
We know it can be very frustrating when your local OB/GYN doctors do not follow the ectopic pregnancy protocol detailed on our I'm Pregnant page. Your doctors all should really be well aware of this policy and should be following it as closely as possibly.
--------------------------------------------------------------------------------
Posted by Simonsen6 (Member # 10172) on January 15, 2008 10:57 AM:
Thank You Jennifer!! I agree- we need MORE dr.'s like Dr. Berger who really care and a staff like all of you as well!!!!
Carrie- good luck and keep us posted!!!! I feel just like you do!!!
Lots of Love,
Becki
--------------------------------------------------------------------------------
Posted by Crystal4ever (Member # 10772) on January 15, 2008 11:38 AM:
I am so afraid this will happen to me. I had a TR on Dec 31. I only have one tube! It is only 3 cm. I am already nervous about this. I am scared I will have a EP and it will rupture my only tube.
How can I prevent this from happening to me? Do I need to start seeking a specialized OBGYN right away?
--------------------------------------------------------------------------------
Posted by Simonsen6 (Member # 10172) on January 15, 2008 02:38 PM:
Crystal4ever
Yeah, I would find a dr, now that will follow Dr. B's protocol now!!! Before you become PG because by then it is too late to be fighting and demanding treatment!!!!
Jennifer- where can I get a copy of the guideline? I would like to copy it and hand it to my dr!
Thanks so much!
Lots of Love,
Becki
--------------------------------------------------------------------------------
Carrie is pregnant with her second TR baby and her local physician is not adhering to the pregnancy protocol recommended by Dr. Berger for pregnancy after tubal reversal. Once a woman has a positive home pregnancy test after a tubal reversal, she needs to start having her quantitative HCG levels drawn every 2-3 days until the level reaches 1500. At that point, she will need a vaginal ultrasound performed in order to determine the placement of the pregnancy. It is always a good idea to print the protocol from our website and take it to your first doctor's appointment to be certain that the doctor agrees to the protocol.
--------------------------------------------------------------------------------
Posted by Carri (Member # 9673) on January 14, 2008 02:41 PM:
Hi Everyone,
I need to vent a little. I got a BFP on 1/1 and went to my doctor on 1/2. During this visit they informed me that they no longer are members of my medical plan and I would have to switch doctors or pay out of pocket for visits. I paid for my visit that day and went to get bloodwork done. I called back and they did not do quantitative (sp ?) so they could not tell me my #'s. They would scedule an ultrasound, but for 3 weeks later and i would have to pay cash. Fast forward a couple of days. I find a new doctor, explain to them Dr. B's protocol and they said they would follow it but couldn't see me until today (2weeks later). I go in today and they do an exam and tell me not to worry it couldn't be in my tube (my one and only little tube) because I would be feeling pain and since i am not it must not be in there. I insisted on an ultrasound and she gave me a prescription for one to be done at the hospital. I call the hospital and explain about tr and how i need an ultrasound immediately and they tell me that they will sqeeze me in on FRIDAY! Now what?????? I feel like a ticking timebomb. Any advice?
Carrie-36
DH-29
DD-20
DS-19
DTRD-5 months
BFP 1/01/08
EDD 9/07/08
--------------------------------------------------------------------------------
Posted by chelleshore18 (Member # 8883) on January 14, 2008 02:45 PM:
Carrie, my advice would be to go immediately to the ER... tell them a fib and tell them you are having slight cramps or something. That way they will do an ultrasound. The drs should always follow the protocol because of our increased risk of ectopic. With only having one tube, you need to get checked out. Please go ASAP and let us know.
Good luck to yoU!
Michelle
--------------------------------------------------------------------------------
Posted by SCMomof4 (Member # 10312) on January 14, 2008 03:01 PM:
sorry to butt in - what is DTRD -
Carrie - I have not had any BFP but have read so much over the past 9 months of woman waiting and not getting the preventative care they needed to go on and not only lose their tube but a few come close to an outcome much worse. This is not something to play the waiting game on - please go to the ER and get the care you need.
Amanda
TR 5/25/07
--------------------------------------------------------------------------------
Posted by berta8133 (Member # 11188) on January 14, 2008 03:05 PM:
Go to ER! Do not wait. Period. Waiting till friday is not the right way to go.
GL.
Berta
--------------------------------------------------------------------------------
Posted by Carri (Member # 9673) on January 14, 2008 03:28 PM:
DTRD is my dear tubal reversal daughter
Thank you ladies for responding. i am just about at my wits end with doctors. I just talked to Sarah(nurse at Chapel Hill) and am heading to the ER now. I am going to claim a little pain and see what that does for me. Wish me luck and I will update when i get home.
Thanks again!
Carrie
--------------------------------------------------------------------------------
Posted by berta8133 (Member # 11188) on January 14, 2008 03:36 PM:
Carri...tell them you are HIGH risk for E/P and having significant pain on your side/abdomen area... they should get you right in.
Prayers with you!
Berta
--------------------------------------------------------------------------------
Posted by mama12 (Member # 11260) on January 14, 2008 05:12 PM:
ER chicky.
I had an EP that ruptured 4 days before my AF due date....
Go to the ER.
I went through 3 Dr.s in the midst of a MC and EP I know it sucks. I know it's hard and upsetting but do it. Just take care of it. You want to protect that tube!!!!
Hugs to you from TN
Go to the ER. Insist on an US to get your tubes checked. Make sure whoever you get repeats this to double triple check until they see the baby. If you can the next day after the ER sit down with your phone book and start calling Dr.s until you find one that fits your needs. That's what I had to do. It was horrible but I found a great Dr. Tell them up front what you need. If they can't do it, move on.
Hang in there, get yourself to the ER ok?
TR Oct 15 2007
MC Nov 20 2007
EP Friday Dec 14 2007 lost right tube. period was due on Monday the 17th.
--------------------------------------------------------------------------------
Posted by Simonsen6 (Member # 10172) on January 15, 2008 08:46 AM:
Carrie- any news?
I'm waiting to hear Hoping all went well and baby is safely tucked in your uterus--
Lots of Love,
Becki
--------------------------------------------------------------------------------
Posted by Carri (Member # 9673) on January 15, 2008 09:52 AM:
Hi Everyone,
Sorry it took me so long. I waited 10 hours in the ER and they were telling me it would be a couple more and i gave up. I could have died sitting there and no one would have noticed. I am going to my old doctor today and am going to pay for my ultrasound (they no longer take my insurance). I can't believe that it is this difficult. The first time was so smooth. Thank you all for your thoughts and concern. I will keep you updated.
Thanks again,
Carrie
--------------------------------------------------------------------------------
Posted by Jennifer Okun, R.N. (Member # 1806) on January 15, 2008 10:06 AM:
Hi Everyone,
We know it can be very frustrating when your local OB/GYN doctors do not follow the ectopic pregnancy protocol detailed on our I'm Pregnant page. Your doctors all should really be well aware of this policy and should be following it as closely as possibly.
--------------------------------------------------------------------------------
Posted by Simonsen6 (Member # 10172) on January 15, 2008 10:57 AM:
Thank You Jennifer!! I agree- we need MORE dr.'s like Dr. Berger who really care and a staff like all of you as well!!!!
Carrie- good luck and keep us posted!!!! I feel just like you do!!!
Lots of Love,
Becki
--------------------------------------------------------------------------------
Posted by Crystal4ever (Member # 10772) on January 15, 2008 11:38 AM:
I am so afraid this will happen to me. I had a TR on Dec 31. I only have one tube! It is only 3 cm. I am already nervous about this. I am scared I will have a EP and it will rupture my only tube.
How can I prevent this from happening to me? Do I need to start seeking a specialized OBGYN right away?
--------------------------------------------------------------------------------
Posted by Simonsen6 (Member # 10172) on January 15, 2008 02:38 PM:
Crystal4ever
Yeah, I would find a dr, now that will follow Dr. B's protocol now!!! Before you become PG because by then it is too late to be fighting and demanding treatment!!!!
Jennifer- where can I get a copy of the guideline? I would like to copy it and hand it to my dr!
Thanks so much!
Lots of Love,
Becki
--------------------------------------------------------------------------------
Subscribe to:
Posts (Atom)
