WEBVTT
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Hi, this is Real Talk Hurley Medical Center.
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I'm Lise Marie, and today my guest is Dr.
00:00:05.759 --> 00:00:10.080
Robin Garcia, who is Hurley's maternal fetal medicine specialist.
00:00:10.240 --> 00:00:11.199
Thank you for joining us today.
00:00:11.519 --> 00:00:12.320
Thank you for having me.
00:00:12.560 --> 00:00:17.280
So somebody's hearing that term right now may not know about maternal fetal medicine.
00:00:17.440 --> 00:00:18.399
What exactly is it?
00:00:18.480 --> 00:00:20.640
And how does it differ from a traditional OB?
00:00:20.879 --> 00:00:22.079
Yeah, that's a great question.
00:00:22.160 --> 00:00:29.920
And, you know, really, uh, it's really just an extension maternal fetal medicine from just general OBGYN uh physicians.
00:00:30.160 --> 00:00:36.079
I also did my residency in OBGYN first and then you know did a special training in maternal fetal medicine.
00:00:36.320 --> 00:00:39.439
But really, we do get a lot of referrals for even lower risk patients.
00:00:39.600 --> 00:00:44.240
You know, you really can see a maternal fetal medicine physician for any reason.
00:00:44.479 --> 00:00:59.119
Um most of our uh patients we're monitoring, you know, a little bit more, uh a little bit increased surveillance if we're watching something or if mom has a medical condition that warrants a little bit more monitoring.
00:00:59.359 --> 00:01:06.640
Of course, if the fetus also has uh a concern or we're worried about something genetic or something we found on her ultrasound.
00:01:06.799 --> 00:01:14.319
So sometimes just added reassurance, even to help follow the mom and give her that added um communication piece.
00:01:14.480 --> 00:01:27.280
So we work really closely with their OBGYN in terms of you know managing patients, counseling them, and sometimes just seeing them routinely just for a little bit more higher level imaging, even.
00:01:27.439 --> 00:01:33.200
Um we have great technology and great ultrasound tools that we are so fortunate to have.
00:01:33.599 --> 00:01:35.920
And so, yeah, many reasons to see us.
00:01:36.000 --> 00:01:40.879
Um you know, so we work very, very closely with um the general OBGYNs.
00:01:41.200 --> 00:01:47.200
You know, that is it's something that people were thinking like, what are some of those reasons that an expectant mom's like, okay, I'm hearing, I have to go.
00:01:47.680 --> 00:01:52.560
Is it automatically mean there's something incredibly serious, or could it just be precautionary?
00:01:52.879 --> 00:01:54.959
Yeah, that's uh, you know, also a great question.
00:01:55.040 --> 00:02:02.239
And a lot of patients that come into the office, you know, you can tell they're nervous because they're have this label of, oh, I'm high risk, I'm at the high-risk doctor's office.
00:02:02.480 --> 00:02:15.360
But you know, we don't we don't want you to feel that way because, like you said, you know, once in a while, you know, that is the case, the mom might be a little higher risk for something within them their own self, uh, some medical problem, or if the baby has something going on.
00:02:15.599 --> 00:02:27.439
However, you know, a lot of times it's just getting more information, another second opinion, really, you know, um, or just kind of giving a you know some parameters of of when to be concerned.
00:02:27.520 --> 00:02:33.680
Um so it's just really just an extra set of eyes, really, to watch and you know, help counsel.
00:02:33.840 --> 00:02:35.919
It doesn't always mean that there's something very high risk.
00:02:36.000 --> 00:02:38.479
And in a lot of my patients, I see one time and that's it.
00:02:38.639 --> 00:02:43.360
You know, um some I see every week, uh, you know, so it really just depends on the on the patient.
00:02:43.759 --> 00:02:46.319
You know, we're in a world where people love to self-diagnose.
00:02:46.560 --> 00:02:50.159
You know, they turn to social media, they turn to chat GPT.
00:02:50.560 --> 00:02:59.039
What are some signs that maybe you shouldn't be self-diagnosing, you know, picking up the book, talking to friends, and maybe reach out and talk to somebody.
00:02:59.360 --> 00:03:12.319
Yeah, I I love that you asked that because it I I I actually encourage patients at times to, you know, ask their friends and family, look, look on Google, look on ChatGPD, come with questions.
00:03:12.560 --> 00:03:17.120
But know that there's caveats and that a lot of times it doesn't apply to you.
00:03:17.280 --> 00:03:23.439
Or, you know, but I do think it's sometimes helpful to seek out some information so you know how to ask questions.
00:03:23.599 --> 00:03:31.360
But you know, we you know, to your point, you you know, there's a lot of false information out there and a lot of things that might be an extreme case, you know.
00:03:31.439 --> 00:03:34.479
Um, so definitely don't want you to focus too much on that.
00:03:34.639 --> 00:03:40.159
We would love if you reached out to your provider or to us directly and you know, ask us the questions.
00:03:40.560 --> 00:03:45.520
So they go to their OB, they find out that they're going to have to see you, they come to see you for their first visit.
00:03:45.680 --> 00:03:46.560
What can they expect?
00:03:46.719 --> 00:03:51.120
Like what is gonna be the next step in getting the care underway with you joining the team?
00:03:51.439 --> 00:04:00.479
Yeah, so usually I would say 90 plus percent of the time we're doing an ultrasound in addition to you know talking with mom.
00:04:00.879 --> 00:04:03.120
Um, it's usually part of the visit.
00:04:03.280 --> 00:04:06.319
So um most of the time you're gonna be getting an ultrasound.
00:04:06.479 --> 00:04:08.479
Sometimes it might just be counseling.
00:04:08.560 --> 00:04:13.520
It maybe you're not pregnant yet and you're looking to get pregnant and want some information.
00:04:13.599 --> 00:04:16.560
Um so we call that like a preconception counseling.
00:04:16.720 --> 00:04:25.600
So sometimes you don't have an ultrasound, but a lot of times you can expect, you know, we're gonna check your blood pressure, we're gonna check your vital signs, you know, you're gonna probably have an ultrasound.
00:04:25.680 --> 00:04:36.480
Um, and then I'm gonna sit down with you and, you know, with my computer next to me and go over all the images of the baby with you so you know what's happening, if that's if that applies to you.
00:04:36.720 --> 00:04:39.600
And, you know, we sit down and talk for as long as it takes.
00:04:39.759 --> 00:04:43.439
Usually it takes maybe 30 minutes, sometimes it can take an hour.
00:04:43.680 --> 00:04:48.480
And you know, we go over everything and make a treatment plan and then go over it with your doctor.
00:04:48.560 --> 00:04:56.639
We send all the information to your you know, physician or or provider, and sometimes we'll see you again uh later in the pregnancy if it's if it's needed.
00:04:56.720 --> 00:05:00.240
Um but like I said, sometimes it's uh you know just a one-time visit.
00:05:00.639 --> 00:05:05.519
So mom has a baby, first baby, she works with you through that pregnancy, gets pregnant again.
00:05:05.680 --> 00:05:13.519
Does it necessarily mean because you needed that specialty with the first pregnancy that it'll be an ongoing thing with other pregnancies?
00:05:13.839 --> 00:05:17.920
Um so I would say that that's definitely not the case every time.
00:05:18.079 --> 00:05:21.199
Um, you know, sometimes history likes to repeat itself.
00:05:21.360 --> 00:05:24.879
So if uh we had something in the past, sometimes it does happen again.
00:05:25.040 --> 00:05:31.360
But you don't always need the same, you know, level of um, you know, counseling and things.
00:05:31.519 --> 00:05:36.560
You're kind of might already be plugged into that information, but we often will see you again.
00:05:36.639 --> 00:05:42.639
Um but really it's just kind of independent, dependent on the patient and the provider and what they feel comfortable with.
00:05:42.800 --> 00:05:45.600
And you know, we're just here to help and support, really.
00:05:46.000 --> 00:05:48.639
Well, we're really lucky to have you on board at Hurley Medical Center.
00:05:49.040 --> 00:05:51.839
If you're listening right now, you want to get in touch with Dr.
00:05:51.920 --> 00:05:54.639
Garcia, can reach you on the website, right?
00:05:55.040 --> 00:05:57.199
Get information there and call the office.
00:05:57.519 --> 00:06:03.360
Yes, so you can reach us um on the website, um, the HurleyMC.com.
00:06:03.759 --> 00:06:09.920
Um we also have our direct line to our clinic, um 810-262-4787.
00:06:10.160 --> 00:06:11.439
You can call, make an appointment.
00:06:11.600 --> 00:06:12.560
We would love to see you.
00:06:12.639 --> 00:06:22.319
Please come and uh you know, come visit us and talk with your doctor if you feel like extra counseling um would be helpful for your pregnancy um or if there's something going on.
00:06:22.399 --> 00:06:26.160
Um I'm sure hopefully your your physician will uh send you over to us.
00:06:26.480 --> 00:06:26.879
Well, thank you.
00:06:27.040 --> 00:06:27.519
Thank you, Dr.
00:06:27.600 --> 00:06:28.319
Garcia.
00:06:28.639 --> 00:06:29.279
Thank you.
00:00:00.239 --> 00:00:02.720
Hi, this is Real Talk Hurley Medical Center.
00:00:02.799 --> 00:00:05.679
I'm Lise Marie, and today my guest is Dr.
00:00:05.759 --> 00:00:10.080
Robin Garcia, who is Hurley's maternal fetal medicine specialist.
00:00:10.240 --> 00:00:11.199
Thank you for joining us today.
00:00:11.519 --> 00:00:12.320
Thank you for having me.
00:00:12.560 --> 00:00:17.280
So somebody's hearing that term right now may not know about maternal fetal medicine.
00:00:17.440 --> 00:00:18.399
What exactly is it?
00:00:18.480 --> 00:00:20.640
And how does it differ from a traditional OB?
00:00:20.879 --> 00:00:22.079
Yeah, that's a great question.
00:00:22.160 --> 00:00:29.920
And, you know, really, uh, it's really just an extension maternal fetal medicine from just general OBGYN uh physicians.
00:00:30.160 --> 00:00:36.079
I also did my residency in OBGYN first and then you know did a special training in maternal fetal medicine.
00:00:36.320 --> 00:00:39.439
But really, we do get a lot of referrals for even lower risk patients.
00:00:39.600 --> 00:00:44.240
You know, you really can see a maternal fetal medicine physician for any reason.
00:00:44.479 --> 00:00:59.119
Um most of our uh patients we're monitoring, you know, a little bit more, uh a little bit increased surveillance if we're watching something or if mom has a medical condition that warrants a little bit more monitoring.
00:00:59.359 --> 00:01:06.640
Of course, if the fetus also has uh a concern or we're worried about something genetic or something we found on her ultrasound.
00:01:06.799 --> 00:01:14.319
So sometimes just added reassurance, even to help follow the mom and give her that added um communication piece.
00:01:14.480 --> 00:01:27.280
So we work really closely with their OBGYN in terms of you know managing patients, counseling them, and sometimes just seeing them routinely just for a little bit more higher level imaging, even.
00:01:27.439 --> 00:01:33.200
Um we have great technology and great ultrasound tools that we are so fortunate to have.
00:01:33.599 --> 00:01:35.920
And so, yeah, many reasons to see us.
00:01:36.000 --> 00:01:40.879
Um you know, so we work very, very closely with um the general OBGYNs.
00:01:41.200 --> 00:01:47.200
You know, that is it's something that people were thinking like, what are some of those reasons that an expectant mom's like, okay, I'm hearing, I have to go.
00:01:47.680 --> 00:01:52.560
Is it automatically mean there's something incredibly serious, or could it just be precautionary?
00:01:52.879 --> 00:01:54.959
Yeah, that's uh, you know, also a great question.
00:01:55.040 --> 00:02:02.239
And a lot of patients that come into the office, you know, you can tell they're nervous because they're have this label of, oh, I'm high risk, I'm at the high-risk doctor's office.
00:02:02.480 --> 00:02:15.360
But you know, we don't we don't want you to feel that way because, like you said, you know, once in a while, you know, that is the case, the mom might be a little higher risk for something within them their own self, uh, some medical problem, or if the baby has something going on.
00:02:15.599 --> 00:02:27.439
However, you know, a lot of times it's just getting more information, another second opinion, really, you know, um, or just kind of giving a you know some parameters of of when to be concerned.
00:02:27.520 --> 00:02:33.680
Um so it's just really just an extra set of eyes, really, to watch and you know, help counsel.
00:02:33.840 --> 00:02:35.919
It doesn't always mean that there's something very high risk.
00:02:36.000 --> 00:02:38.479
And in a lot of my patients, I see one time and that's it.
00:02:38.639 --> 00:02:43.360
You know, um some I see every week, uh, you know, so it really just depends on the on the patient.
00:02:43.759 --> 00:02:46.319
You know, we're in a world where people love to self-diagnose.
00:02:46.560 --> 00:02:50.159
You know, they turn to social media, they turn to chat GPT.
00:02:50.560 --> 00:02:59.039
What are some signs that maybe you shouldn't be self-diagnosing, you know, picking up the book, talking to friends, and maybe reach out and talk to somebody.
00:02:59.360 --> 00:03:12.319
Yeah, I I love that you asked that because it I I I actually encourage patients at times to, you know, ask their friends and family, look, look on Google, look on ChatGPD, come with questions.
00:03:12.560 --> 00:03:17.120
But know that there's caveats and that a lot of times it doesn't apply to you.
00:03:17.280 --> 00:03:23.439
Or, you know, but I do think it's sometimes helpful to seek out some information so you know how to ask questions.
00:03:23.599 --> 00:03:31.360
But you know, we you know, to your point, you you know, there's a lot of false information out there and a lot of things that might be an extreme case, you know.
00:03:31.439 --> 00:03:34.479
Um, so definitely don't want you to focus too much on that.
00:03:34.639 --> 00:03:40.159
We would love if you reached out to your provider or to us directly and you know, ask us the questions.
00:03:40.560 --> 00:03:45.520
So they go to their OB, they find out that they're going to have to see you, they come to see you for their first visit.
00:03:45.680 --> 00:03:46.560
What can they expect?
00:03:46.719 --> 00:03:51.120
Like what is gonna be the next step in getting the care underway with you joining the team?
00:03:51.439 --> 00:04:00.479
Yeah, so usually I would say 90 plus percent of the time we're doing an ultrasound in addition to you know talking with mom.
00:04:00.879 --> 00:04:03.120
Um, it's usually part of the visit.
00:04:03.280 --> 00:04:06.319
So um most of the time you're gonna be getting an ultrasound.
00:04:06.479 --> 00:04:08.479
Sometimes it might just be counseling.
00:04:08.560 --> 00:04:13.520
It maybe you're not pregnant yet and you're looking to get pregnant and want some information.
00:04:13.599 --> 00:04:16.560
Um so we call that like a preconception counseling.
00:04:16.720 --> 00:04:25.600
So sometimes you don't have an ultrasound, but a lot of times you can expect, you know, we're gonna check your blood pressure, we're gonna check your vital signs, you know, you're gonna probably have an ultrasound.
00:04:25.680 --> 00:04:36.480
Um, and then I'm gonna sit down with you and, you know, with my computer next to me and go over all the images of the baby with you so you know what's happening, if that's if that applies to you.
00:04:36.720 --> 00:04:39.600
And, you know, we sit down and talk for as long as it takes.
00:04:39.759 --> 00:04:43.439
Usually it takes maybe 30 minutes, sometimes it can take an hour.
00:04:43.680 --> 00:04:48.480
And you know, we go over everything and make a treatment plan and then go over it with your doctor.
00:04:48.560 --> 00:04:56.639
We send all the information to your you know, physician or or provider, and sometimes we'll see you again uh later in the pregnancy if it's if it's needed.
00:04:56.720 --> 00:05:00.240
Um but like I said, sometimes it's uh you know just a one-time visit.
00:05:00.639 --> 00:05:05.519
So mom has a baby, first baby, she works with you through that pregnancy, gets pregnant again.
00:05:05.680 --> 00:05:13.519
Does it necessarily mean because you needed that specialty with the first pregnancy that it'll be an ongoing thing with other pregnancies?
00:05:13.839 --> 00:05:17.920
Um so I would say that that's definitely not the case every time.
00:05:18.079 --> 00:05:21.199
Um, you know, sometimes history likes to repeat itself.
00:05:21.360 --> 00:05:24.879
So if uh we had something in the past, sometimes it does happen again.
00:05:25.040 --> 00:05:31.360
But you don't always need the same, you know, level of um, you know, counseling and things.
00:05:31.519 --> 00:05:36.560
You're kind of might already be plugged into that information, but we often will see you again.
00:05:36.639 --> 00:05:42.639
Um but really it's just kind of independent, dependent on the patient and the provider and what they feel comfortable with.
00:05:42.800 --> 00:05:45.600
And you know, we're just here to help and support, really.
00:05:46.000 --> 00:05:48.639
Well, we're really lucky to have you on board at Hurley Medical Center.
00:05:49.040 --> 00:05:51.839
If you're listening right now, you want to get in touch with Dr.
00:05:51.920 --> 00:05:54.639
Garcia, can reach you on the website, right?
00:05:55.040 --> 00:05:57.199
Get information there and call the office.
00:05:57.519 --> 00:06:03.360
Yes, so you can reach us um on the website, um, the HurleyMC.com.
00:06:03.759 --> 00:06:09.920
Um we also have our direct line to our clinic, um 810-262-4787.
00:06:10.160 --> 00:06:11.439
You can call, make an appointment.
00:06:11.600 --> 00:06:12.560
We would love to see you.
00:06:12.639 --> 00:06:22.319
Please come and uh you know, come visit us and talk with your doctor if you feel like extra counseling um would be helpful for your pregnancy um or if there's something going on.
00:06:22.399 --> 00:06:26.160
Um I'm sure hopefully your your physician will uh send you over to us.
00:06:26.480 --> 00:06:26.879
Well, thank you.
00:06:27.040 --> 00:06:27.519
Thank you, Dr.
00:06:27.600 --> 00:06:28.319
Garcia.
00:06:28.639 --> 00:06:29.279
Thank you.
