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Hygiene You may shower as often as you like after surgery. We ask that the patients refrain from sitting in a bathtub, hot tub or swimming for the first 3-4 weeks, allowing the incisions to heal. Make sure that your incisions are dry after water exposure. The abdominal support band girdle ; you are sent home with is optional. If you find this band to be of benefit to you and provides you additional support wear it as you like. You do not have to wear the band. Work Patients should not feel rushed to return to work. Recovery is an important part of the process. Returning to work or activities too soon can extend your recovery. Again, recovery time will differ from patient to patient dependant on the type and extent of surgery. Typically, patients can return at approximately 2 weeks. By law you may take up to 6 weeks disability when recovering from surgery. If you have questions please ask the nurse or physicians so we can help you determine a reasonable recovery time for your particular case. Driving Patients are asked to refrain from driving for a minimum of 7 days. Never drive while taking pain medications. If you do not feel that you could react with force i.e. slamming on the brakes ; if needed to avoid an accident, we ask that you not drive. PLEASE use good judgment before driving. Travel This is dependant on the type of surgery performed and the distance you plan to travel. Generally, it is safe to travel at about 2-3 weeks. However, myomectomy and hysterectomy patients may fall within the 3-6 week guidelines. It is best to see Dr. Nezhat BEFORE traveling, especially if you are going out of the state or country. Fibroid Removal Myomectomy ; If you are a fertility patient and plan to attempt pregnancy following your recovery, please discuss your particular case with Dr. Nezhat BEFORE attempting pregnancy on your own or through medical intervention, as each case varies. Often there are specific instructions in these cases. Symptoms of Concern Please notify us of: You develop a temperature of 100.4 or greater Using the guidelines for bleeding, you are experiencing heavy vaginal bleeding Undue pain that is not manageable by your pain medications Severe nausea and vomiting Excessive bloody drainage or colored discharge from wounds.
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Chemical, Inc., 151 F.3d 269 5th Cir. 1998 ; en banc ; clinical doctor was properly precluded from testifying to the toxicological cause of the plaintiff's respiratory problem, where the opinion was not sufficiently grounded in scientific methodology Sterling v. Velsicol Chem. Corp., 855 F.2d 1188 6th Cir. 1988 ; rejecting testimony based on "clinical ecology" as unfounded and unreliable ; . Another critical factor is whether the expert has adequately accounted for obvious alternative explanations. See Claar v. Burlington N.R.R., 29 F.3d 499 9th Cir. 1994 ; testimony excluded where the expert failed to consider other obvious causes for the plaintiff's condition cf. Ambrosini v. Labarraque, 101 F.3d 129 D.C. Cir. 1996 ; the possibility of some uneliminated causes presents a question of weight, so long as the most obvious causes have been considered and reasonably ruled out by the expert ; . Courts may consider also whether the expert proposes "to testify about matters growing naturally and directly out of research they have conducted independent of the litigation, or whether they have developed their opinions expressly for purposes of testifying." Daubert v. Merrell Dow Pharmaceuticals, Inc., 43 F.3d 1311, 1317 9th Cir. 1995 ; . Similarly, it is important to assess whether the expert "is being as careful as he would be in his regular professional work outside his paid litigation consulting." Sheehan v. Daily Racing Form, Inc., 104 F.3d 940, 942 7th Cir. 1997 see Kumho Tire, 526 U.S at 152 Daubert requires the trial court to assure itself that the expert "employs in the courtroom the same level of intellectual rigor that characterizes the practice of an expert in the relevant field" ; . And the court must not admit expert testimony if the expert "has unjustifiably extrapolated from an accepted premise to an unfounded conclusion." Advisory Committee Notes; see General Elec. Co. v. Joiner, 522 U.S. 136, 146 1997 ; noting that, in some cases, a trial court "may conclude that there is simply too great an analytical gap between the data and the opinion proffered" ; . The fifth factor identified by the Advisory Committee is that the trial court "must scrutinize not.
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