Referral to our Program
If you are interested in a referral for laser photocoagulation, please contact Lynne Tobler, RN toll-free at 1-866-638-0601 or email at ltobler@ucsd.edu. Referral information will be discussed to determine if laser surgery is a good option for you. Your provider can also choose to contact us directly to discuss your particular case.
If it is determined that you are an appropriate candidate, you will come to UCSD Medical Center in San Diego California. Appointments will be made for ultrasound testing as well as consultation with Dr. Schrimmer. We will also schedule a surgery time prior to your arrival. All prenatal records (including ultrasound reports) will be requested. Providing your insurance information prior to any appointments will help to identify if this procedure/testing will be covered by your insurance. Approximately 80-85% of national insurance companies are covering this procedure. Nearly all of the insurance companies in the San Diego area cover this procedure.
Initial Consultation
Upon your arrival at UCSD, you will be met by Lynne Tobler, RN, the fetal surgery program coordinator. Lynne will escort you throughout the entire process and will act as your liaison while at the medical center. After a preliminary meeting with Lynne, you will be taken to the fetal assessment unit for a detailed ultrasound examination of your twins. The ultrasound will look at the size of the twins, the amount of amniotic fluid surrounding each twin, the placenta, and the internal organs. The blood flow in the umbilical cords will also be evaluated, and we will make an overall assessment about the health of each twin. This ultrasound will take about an hour.
During and after the ultrasound, you will meet with Dr. Schrimmer to discuss the ultrasound exam along with the options for treatment, including general prognosis and recommended follow-up care.
If laser photocoagulation is the treatment choice selected, Lynne will discuss the details of how to prepare for the surgery. Instructions on where and when to come for the laser surgery will be given to you. Lynne will also assist you with lodging, transportation or any other special needs you may have. Admission papers and pre-operative laboratory tests will also be arranged.
If needed, you may have a consultation with the anesthetist before the procedure to determine your physical condition, review your medical records and address any needs surrounding pain control.