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Ask the Medical Expert Archives 2000-2004

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Week of August 11, 2003

    Question:   I have taken Claritin or Clarinex for years and last year was prescribed Singular for my asthma. I've had to use my inhalers more often and even my nebulizer treatments are more frequent. Is there a problem taking the combination?    Dr. McLaughlin's Answer


    Question:   I have had a total of four miscarriages. Through my workups I have found that I was factor 5 Liden positive, for which I take a daily children's aspirin. Otherwise, I'm pretty healthy. I had my first miscarriage at 6 weeks then a successful uneventful pregnancy--my son is now 3 1/2...    Dr. McLaughlin's Answer


    Question:   I am 52 years old. I am going to have breast surgery and reconstruction soon. My HMO has plastic surgeons who can do a bilateral mastectomy with immediate deep inferior epigastric perforator (DIEP) reconstruction in 12-18 hours. An outside physician can do the same surgery in 6-8 hours. Can you tell me the risks involved in being under anesthesia for 12-18 hours versus 6-8 hours?    Dr. McLaughlin's Answer