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Randell Selected As A
Top OBGYN In Atlanta
Randell has been named one of the "Top
Doctors in Atlanta."
The selection was based
on surveys conducted by Castle Connolly Medical Ltd., which has
provided surveys for Atlanta
and other popular U.S. magazines. This distinction was awarded to Dr.
Randell by Atlanta doctors, nurses
and administrators who were surveyed and said that Dr. Randell was the
Atlanta Obgyn practice where they would send a member of their family
Randell has received the "Patients'
Choice Award" recognizing him as one of Georgia's favorite
physicians. The Patients' Choice Award is rated and awarded by patients.
Randell has been honored with the "Top
award for 2014 from the Consumers' Research Council of America. The
award is given to physicians based on their clinical
training, board certification and membership in professional medical
Laparoscopic Surgery (SILS™)
Randell is the first OBGYN at Northside
Hospital-Atlanta to perform
using the new SILS™ Port for laparoscopic surgery. The device allows up
to three surgical instruments to be placed into the abdomen
through a very
small incision in the belly button resulting in a single scar that can
be usually hidden.
the press release about Dr. Randell's first SILS™ hysterectomy by clicking here.
Randell Performs The
Most Benign (non-cancer) Gynecological Robotic Surgeries in Georgia
Surgical December, 2013 Data
new, minimally invasive approach to hysterectomy and myomectomy, da
Vinci Surgery, combines the advantages of conventional open and
minimally invasive surgery, but with potentially fewer drawbacks. da
Vinci surgery is only performed by a few surgeons in Georgia, but is
becoming the treatment of choice for many surgeons worldwide. The da
Vinci System enables Dr. Randell to perform surgical procedures with
unmatched precision, dexterity and control. Dr. Randell believes that
the da Vinci is the most effective, least invasive approach to
hysterectomy and myomectomy.
Randell is offering patients with an ovarian mass and needing surgery a
blood test test to help evaluate the likelihood that the mass is
malignant or benign
prior to a planned surgery. Read
more information about OVA 1 by clicking
Disorders and Reproductive Medicine
disorders are the number one reason that women seek help from a
gynecologist. Long, heavy, frequent or painful periods can interfere
with a woman’s life. There is no need to suffer in silence. There are
many options available to women today. Download the brochure for our
new Center For Menstrual Disorders and Reproductive Medicine by clicking
Health News Stories
Randell is frequently interviewed by the news media on current issues
in women's health care. He has appeared on all local Atlanta news
stations and in The Atlanta-Journal Constitution. In addition, he has
been on CNN and in many national women's magazines.
a new option for permanent birth control, has been approved by the U.S.
Food and Drug Administration (FDA). It is now available from Dr.
tubal ligation and vasectomy, there are no incisions or punctures to
the body. Essure takes about 35 minutes, does not require general
anesthesia, and provides permanent birth control without hormones.
Randell's Office Is
Located In The Northside Hospital Doctors Centre
are excited about our new, beautiful office next to Northside Hospital.
pictures of the office by clicking here.
Videos On YouTube
Randell has made available online copies of health videos that he has
appeared in on television. View these videos by clicking here.
Relief Of Morning Sickness
Randell is offering patients a new device proven to treat nausea and
vomiting due to pregnancy. PrimaBella™ is a watch-like device
worn on the wrist that releases gentle electronic pulses that regulate
the nausea signaling process between the brain and stomach.
more information about PrimaBella™ by clicking
Breast or Ovarian Cancer Run in Your Family?
A blood test
can let you know your risk for hereditary breast and ovarian cancer is
now available from Dr. Randell.
more information about BRACAnalysis® by clicking
Randell Performs Microsurgical Tubal Reversals
Randell is the leading gynecologic surgeon in Georgia, and the only
surgeon at Northside Hospital, who offers women, who wish to have a
tubal reversal, the state of the art daVinci robotic tubal reversal
procedure as an outpatient.
has the most experience
managing women with uterine fibroids
are very common. They occur in 2 or 3 out of every 10 women over the
age of 35. They occur most often in women between the
ages of 30 and 50, although some women in their 20s sometimes
have them. Dr. Randell has
performed hundreds of surgeries
to treat uterine fibroids including robotic surgery. Dr.
is one of Georgia's leaders in robotic GYN surgery. The
that is best for any
individual woman will depend on a variety of factors that Dr. Randell
will discuss with you during an office consultation.
parents are faced with many important decisions from the moment they
find out that they are pregnant. It is a time of excitement, great
hope, and love. It is also a time of concern and journey into the many
options parents have to help ensure the best for their unborn child.
One of the latest possibilities parents are now considering is the
ability to have their physician collect cord blood, enriched with
life-enhancing stem cells, easily and painlessly from the baby's
umbilical cord at birth.
is collected from the umbilical cord attached to the placenta after the
baby is born. The blood is then packaged in a collection kit provided
by the cord blood bank, and then transported to the cord blood facility
for processing and storage, where it remains as "insurance" for
possible future use. Collected, processed, and stored by a reputable
facility, parents are now provided with the potential ability to
safeguard their baby's future health, and the health of their family.
families elect to donate the cord blood to a public facility, which
means that anyone may have access to their child's cord blood - there
is no guarantee that blood stored at a public cord blood will be
available to the family if needed. Storing at a private cord blood
facility insures that only the family will have access to the cord
blood and stem cells if needed.
Use Of Cord
cells taken from cord blood form the body's immune system foundation
and manufacture blood and disease-fighting immune cells and while cord
blood stem cells can be used without a perfect genetic match, when used
by the baby, it is always a 100 percent match. And there is a 25
percent chance it will be an exact match for one of the baby's
siblings. Cord blood stem cells can be used to treat a variety of
cancers, such as Hodgkin's disease, as well as genetic diseases like
sicklecell anemia, and immune system disorders such as severe combined
immodeficiency disorder. In recent medical history, these and other
similar conditions have been treated with bone marrow cells. While bone
marrow cells are not only painful to harvest and require an identical
biological match to work, it is also a very costly process - insurance
coverage is often not available or challenging to get approved. It is
very time-consuming to go from "need" to "transplant." Not so when
parents decide to store their child's unique umbilical cord blood.
There is simply no waiting time necessary. It is available when needed.
The Future Of
reality of the future lies in the advances in medicine today and
without a doubt, the use of stem cells taken from stored cord blood as
treatment for so many conditions is truly one of the foremost medical
marvels of our time. Medical and scientific researchers in a multitude
of disciplines believe that at some point, it may be helpful in
regenerating organs and nerves. Expectant parents in evergrowing
numbers have embraced the fact that cord blood storage is an easy way
to prepare for the much-anticipated medical breakthroughs and
discoveries of tomorrow.
Randell Offers HPV
Testing For Cervical Cancer Screening
the 1940s, when the Pap smear was first introduced, the death rate for
cervical cancer in the US has declined by nearly 70 percent. The battle
isn't over, however. More than 15,000 new cases of invasive cervical
cancer are diagnosed and nearly 5,000 women die of the disease each
year. Prevention of cervical cancer is possible by finding out if you
have a virus called the human papillomavirus (HPV). Certain "high-risk"
types of HPV are known to cause most cases of cervical cancer.
The Pap Smear
good news about cervical cancer is that it is almost 100% curable when
it is diagnosed early and treated promptly. The Pap smear is one of the
methods for identifying irregularities in cervical cells that could
develop into cancer. Unfortunately, many studies have shown that the
Pap smear can fail to detect up to 50% of cervical abnormalities. When
the Pap smear is done by itself, abnormal cells may be missed or may
not be seen early enough to prevent cervical cancer.You should have your
first Pap smear by age 21, or earlier if you become sexually active.
Most women are advised to have a Pap smear once a year.
Testing Is Important
the past, doctors have relied only on the Pap smear to determine who is
at risk for cervical cancer. The Pap smear looks for abnormal cells in
the cervix that are caused by HPV. If these abnormal cells are found
early, they can be treated before they turn into cancer. Unfortunatley,
the Pap smear isn't perfect since it cannot detect HPV directly.
Randell Discuss the HPV Test (click
on the image to play)
The HPV Test
Randell now offers another test along with the Pap smear that
determines if you have HPV. The HPV test is approved by the FDA and
uses advanced technology to detect the genetic (DNA) code of HPV. If
you are age 30 or over (when cervical cancer is most likely to ocur),
it is recommended that you have the HPV test along with a Pap smear to
increase Dr. Randell's ability to protect you against cervical cancer.
Early detection means early treatment. If you are under 30, Dr. Randell
may order an HPV test if your Pap smear result is unclear or abnormal.
Learn more about the HPV test by clicking
Hysterectomy: New Technologies, More Options
lining of the uterus- the endometrium- is shed by bleeding each month
during a woman's menstrual period. Sometimes the bleeding is too much
or too long and treatment is needed. If bleeding does not respond to
medication, Dr. Randell may suggest endometrial ablation. This
procedure treats the lining of the uterus to control or stop bleeding.
It does not remove the uterus.
in five women has heavy bleeding at some point during her childbearing
years. Heavy bleeding is most common for women between ages 40 and 50,
as they approach menopause. It also can be caused by hormonal changes
or certain medical conditions, such as problems with blood clotting.
Although there are other causes of heavy bleeding, such as growths,
ablation is not used to treat these problems. Losing too much blood can
lead to anemia (lack of iron in the blood). It also can affect your
ability to do the things you need to do. In most cases, Dr. Randell
first tries to treat the bleeding with medication. If the bleeding
can't be controlled, ablation may be used.
Gynecare ThermaChoice Uterine
Balloon Therapy System uses a balloon
filled with heated sugar (dextrose) solution. (GYNECARE, a division of
ETHICON INC., Somerville, N.J.)
NovaSure Impedance Controlled Endometrial Ablation System
delivers electrical current to a triangular metallic mesh electrode to
vaporize the endometrium. (HOLOGIC™, Inc., Bedford, Massachusetts.)
destroys a thin layer of the lining of the uterus. This stops all
menstrual flow in many women. After ablation, some women still have
light bleeding or spotting. A few women may have regular periods. This
is because the ovaries and uterus are not removed. If ablation does not
control heavy bleeding, further treatment or surgery may be required.
Most women are not able to get pregnant after ablation. Thus, if you
may want to become pregnant, you should not have endometrial ablation.
Although pregnancy is not likely after ablation, you should keep using
some form of birth control until after menopause. You also may want to
think about sterilization as an option to prevent pregnancy. Ablation
does not affect sexual response. A woman who has had ablation still has
all her reproductive organs in place. Because of this, routine Pap
tests and pelvic exams are still needed after ablation.
is a short procedure. It is done as outpatient surgery in most cases.
This means you can go home the same day. You will be given some form of
pain relief or sedative to help you relax before the procedure. The
type of pain relief used depends on the type of ablation procedure,
where it is done, and your wishes. There are no incisions (cuts)
involved in ablation. Recovery takes about 2 hours, depending on the
type of pain relief used.
Randell will use one of a number of types of energy to burn away the
uterine lining. These may include electrical or thermal (heat or
minor side effects are common after endometrial ablation:
Cramping, like menstrual cramps, for 1-2 days
Small amount of thin, watery discharge mixed with blood, which can last
a few weeks
Frequent urination for 24 hours
Randell will arrange follow-up visits to check your progress. It may
take a few months to achieve results.
Lifestyles for You and Your Baby
you're trying to get pregnant, or even if you know you want to have a
baby some day, there are things you can do now to improve your odds of
having a healthy pregnancy and baby later.
Talk to Dr.
you are trying to start a family, begin with a prepregnancy checkup
(also called preconception care). Dr. Randell can review your general
health, family and medical history, medications and diet, and answer
any questions you might have.
medical conditions, such as rubella, can have devastating consequences
for a fetus if they occur during pregnancy. If you have not already had
measles, mumps or rubella (MMR) be sure to get the MMR vaccine at least
3 months before you try to become pregnant.
Acid in Your Diet
vitamin folic acid, if taken before conception and during the first 3
months of pregnancy, can reduce the risk of neural tube defects, such
as spina bifida, in newborns. Most women are advised to consume 0.4
milligrams (mg) of folic acid a day. Women who have had a previous
neural tube defect pregnancy should take much more: 4 mg daily for one
month before conception and during the first 3 months of pregnancy.
Certain foods, such as bread and cereal, are now supplemented with
folic acid, and the vitamin can be found in leafy dark-green
vegetables, citrus fruits and beans. However, since it may be hard to
eat enough of these foods to meet daily requirements, also take a daily
vitamin with folic acid. Watch Dr. Randell teach healthcare
professionals about the importance of folic acid by clicking here.
transmitted diseases (STDs), such as HIV, chlamydia or gonorrhea, can
affect your ability to conceive and can infect and harm your baby.
Using condoms and spermicides regularly will lower your risk of getting
many STDs have no symptoms in the early stages, you should also have an
annual gynecologic exam. Young women are particularly vulnerable to one
STD with few obvious symptoms, chlamydia, which can cause pelvic
inflammatory disease, a contributor to later infertility. Talk to Dr.
Randell about which STD tests you should have. These tests can be done
at the time of your annual Pap smear.
who smoke have decreased fertility rates and reach menopause about two
years earlier on average than women who don't smoke. And tobacco use
during pregnancy can cause problems such as low birth weight, preterm
birth, or stillbirth. If there was ever a time to quit smoking, it's
of the amazing success stories in reproductive technology, babies born
to previously infertile couples, women age 45 or even 50 having a baby,
have contributed to the perception that a woman can postpone her
childbearing for years, if not decades, as she pursues other plans. But
remember that such stories are the exception, not the rule. A woman's
fertility rate declines after age 35, and drops steeply in her forties.
This does not mean that women have to rush to have babies in their 20s.
But as you plan the major milestones in your life, factor this
knowledge into your goals.