12 minute read
COVER STORY
Dr. Clones Lans
a compassionate physician enhancing the future of Healthcare through technology and academia
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By Vanessa Verna, MD + Photos by Mackinley ‘Spex’ Madhere
Dr.Clones Lans is a Board Certified Obstetrician and Gynecologist who had been practicing for more than 20 years. He is a Fellow of the American College of Obstetric and Gynecology and has been elected, for the third consecutive year, as top doctor in Florida and best doctor in America.
He is currently the Medical Director of Total Women Wellness Center, and Chairman of the Department of Obstetrics and Gynecology at Jackson North Medical Center, one of the main Hospitals in the Jackson Health Systems in Miami, FL.
He serves as a Clinical Professor for medical students and Nurse Practitioners, and holds academic affiliations with many Universities including Ross University, American University of the Caribbean (AUC), Saint Georges University, University of Florida, South University, Barry University, Chamberlain College of Nursing, and many more.
Dr. Lans received his Medical Doctorate and completed his Residency in Obstetrics and Gynecology at Universite D’ Etat D’Haiti, and its affiliated Hospital General. Dr. Lans also served as Administrative Chief Resident of the Hospital General in Port au Prince, Haiti. During his honorable career, Dr. Lans served in his private practice at Pont Morin (Port-au-Prince, Haiti) and also the rural population of Pilate as the Medical Director of the Hôpital Communautaire de Pilate. He actively participated in many educational activities with the goal of improving health and wellbeing of the community. He conducted and published several studies including, his famous book titled: “SIDA et infection à VIH dans la Commune de Pilate”.
In the United States, Dr. Clones Lans, once again, embarked in the marvelous world of Obstetrics and Gynecology as a resident at Nassau University Medical Center, East Meadow, NY. During his residency training, Dr. Lans participated in
many research studies and was honored with the “Best research Award” for three consecutive years.
Soon after completing residency, Dr. Lans became an attending physician at Bronx-Lebanon Hospital Center in Bronx, New York where he also served as Assistant Professor for Advanced expertise in high-risk obstetrics and laparoscopic GYN surgery at the OBGYN Department of Albert Einstein College of Medicine, in Bronx, NY.
In 2013, Dr. Lans moved to Miami, South Florida in private practice, expanding his vision and experience in treating patients ranging from routine pregnancies to those with complicated medical conditions. He became instrumental in opening Total Women Wellness Center in Miami, FL, a medical office for excellence in healthcare for women of all ages.
Dr. Lans is well regarded in the Miami and South Florida community, earning numerous accolades for his quality and patient centered care. He is fluent in Creole, French, Spanish and English. He excels at giving each patient individualized care at all times, providing the perfect balance between health and care.
His clinical expertise includes: Normal and High Risk Pregnancies, Vaginal Birth After C-section (VBAC), infertility counseling and management, uterine fibroids and other pelvic abnormalities etc. At Total Women Wellness Center the emphasis is to provide the best care using the most advanced technology. When a surgical procedure is required, Dr. Lans will prioritize the less invasive approaches such as laparoscopic or robotic assisted intervention.Heisthefirstsurgeon to perform robotic gynecologic surgery at Jackson North Medical Center in Miami, Florida.
Total Women Wellness Center accepts most insurance plans and has a special plan for uninsured and international patients.
Visit us today or call for an appointment at (305)705-4575
Essential20 Questions
OBGYNto an
By Kira J, Cleevens and Clones J. Lans
AVISIT TO THE GYNECOLOGIST IS RECOMMENDED FOR ANNUAL SCREENING AND ANY TIME A WOMAN HAS CONCERNS ABOUT SYMPTOMS SUCH AS PELVIC PAIN, IRREGULAR PERIODS, VULVAR ITCHING, VAGINAL DISCHARGE OR ABNORMAL BLEEDING. ALSO. WOMEN SHOULD CONSULT AN OBSTETRICIAN GYNECOLOGIST FOR ISSUES RELATING TO MENSTRUATION, FERTILITY, PREGNANCY, MENOPAUSE AND CANCER.
Every female will attest that visiting an OBGYN doctor is a stressful experience and for very different reasons. Debunking certain myths, we have asked Dr. Clones Lans, 20 of the most burning questions surrounding a woman’s reproductive health.
1. At what age should a young girl have her first GYN visit?
If there are no gynecologic issues, the firstGYNexamshouldhappenaroundyour first menstrual period, usually around 12 years old for most girls. This visit will mostly be for counseling about menstrual periods, sexual education, and to address any issues that the patient and/or parents might have. At this time, a gynecologic examination is not mandatory.
2. What would make the Gynecologic
Examination necessary?
TWWC encourages all females, to havetheirfirstgynecologicexamination once they become sexually active. At that time, the doctor will talk to you about safe sex practices, STD education
Dr. Clones Lans performing a Robotic Hysterectomy at Jackson North Medical Center
and screening, family planning and contraception. Above all,it is the best time to start establishing a good relationship with your Gynecologist, who willeventually address your future issues.
3. How often should someone get tested for STDs?
Any sexually active women below the age of 25 should have a yearly STD test. After the age of 25, testing is based on risk factors, and the testing can be more frequent based on the patient’s request, or if she has had unprotected sex with an unknown partner.
4. What is a pap smear and at what age should a woman have her first Pap smear?
A pap smear is a screening test for Cervical Cancer. That is the only gynecologic screening test that really prevents cancer as it can detect the abnormal cells at an earlystagebeforecancer.Thefirstpapsmearshouldbe done after the age of 21.
5. When should someone start taking birth control?
Birth control pills can be taken after the first period. Birth control pills can be used as a contraceptive method or to regulate irregular periods. In TWWC we offer a wide variety of birth control options based on the patient’s clinical history. Before you start any type of birth control method, a pregnancy test is mandatory to make sure you’re not already pregnant.
6. Can someone get pregnant while taking birth control?
Each birth control method has a pregnancy risk associated with it. When taken properly, the risk of pregnancy is very low. The most effective methods are
A pap smear is a screening test for Cervical Cancer. That is the only gynecologic screening test that really prevents cancer as it can detect the abnormal cells at an early stage before cancer. The first pap smear should be done after the age of 21.
the Long-Active Reversible contraceptives (LARs) which include Intrauterine devices, Nexplanon and etc.
7. How long after trying unsuccessfully to get pregnant, a woman should seek professional assistance?
The chance of getting pregnant with regular unprotected sex for one year is about 85%. If a womandoes not get pregnant after one year, a gynecologic evaluation for infertility of the couple become necessary. The origin of infertility can be maternal or paternal. Usually, the male carries 40% of the risk of infertility in a couple. If the woman is older than 35 years and have been trying to get pregnant for six months, without success, she should see a gynecologist for evaluation. At TWWC, we have the expertise to counsel and treat most of the causes of infertility, and your doctor will discuss all the options available to you.
8. When should a pregnant woman schedule her first prenatal visit?
You should see a doctor if your period is more than one week late during your regular cycle, or if you have taken a positive home pregnancy test. This early visit is very important so that the doctor can determine your exact estimated date of delivery, and for the followup of the pregnancy. A first prenatal visit that is done early in the pregnancy allows the doctor to assess the location of the pregnancy which could be intra- or extra- uterine. At TWWC, we offer on-site ultrasounds to all of our pregnant patients at the first visit, and wheneverit is mandated, that can detect the pregnancy location as early as possible.
9. Gender reveal is getting more and more popular in the community, how soon can we find out the gender of the baby?
At TWWC, we are equipped to help you find out the gender of your child as early as 11 weeks into your pregnancy. Some of our patients want to be surprised at the birth of the child and some want to stay in the dark while planning for a gender reveal party. We accommodate
the patient’s preference. Having a child changes everything and carries a lot of emotions. We do our best to make this moment special for our mothers to be.
10.How many prenatal visits should a woman have during her pregnancy?
The average number of prenatal visits during a pregnancy is about 14. The frequency of the visits depends on gestational age and the risk factors during the pregnancy. Usually, in the first and early second trimester, the visits occur about every four weeks. At the end of the third trimester, the visits occur weekly. If it is a high-risk pregnancy, your doctor can decide to see you more often than usual. If you have anycomplaints, your doctor can see you before your scheduled appointment.
11. Which is better, vaginal or cesarean delivery?
A vaginal delivery is the best and most natural way to give birth. It has advantages for the baby and mother and carries less complications. Unfortunately, in some cases, cesarean delivery is indicated and can be the safest way of delivery for the baby and mother.
12. Can a woman have a vaginal delivery after a prior cesarean?
A vaginal birth after a cesarean (VBAC) is possible for any woman who has had one or two previous cesareans. However, certain types of incisions and obstetrical conditions can make a VBAC contraindicated. At TWWC, your provider will review these situations with you during your prenatal visits. We offer and encourage VBAC to our patients who meet these criteria.
13. Is it safe to have sex during pregnancy?
Yes, you can have sex during pregnancy; however, sex is contraindicated during certain conditions such as placenta previa, pre-term labor, and cervical cerclage in situ. Your OB will educate you about these conditions, and at TWWC, your OB/GYN is available to you 24/7 for all of these questions during the course of your pregnancy.
14. What is a high-risk pregnancy?
A high-risk pregnancy is a pregnancy associated with any medical or surgical complications that can affect the mother’s and fetus’ lives. Any pregnancy after the age of thirty-five is considered high risk because of maternal age. At TWWC, we have all the tools necessary to manage high risks pregnancies. Women with any medical conditions are encouraged to start their prenatal care very early so the doctor can request the appropriate tests to optimally manage the pregnancy.
Dr. Clones Lans with some medical students at his office in Miami, FL
Which is better, vaginal or cesarean delivery?
15. What is an ectopic pregnancy?
This is a condition where the pregnancy is implanted outside of the endometrial cavity. Ectopic pregnancy carries a risk of recurrence of about 15% and up. If you have a history of Ectopic pregnancies, you should contact an OBGYN as soon as you miss your period for an early assessment of the location of the pregnancy.
16. What are fibroids?
Fibroids are benign tumors of the uterus. They can be found in all three layers of the uterus and they can be symptomatic or not. The most common symptoms are heavy bleeding, pain, and fullness sensation in the pelvis. The fibroid can be associated with infertility. Fibroids are more common in black and Hispanic women than in white women. When they are asymptomatic, fibroids can be managed conservatively and after menopause, the fibroids shrink and don’t cause any health issues. When thefibroidsaresymptomaticorcause infertility, they need to be treated. Different options for treatment are available ranging from medical to surgical. At TWWC, we offer all the treatment options to women with fibroids. When surgery is indicated, TWWC offers minimal invasive approaches such as Laparoscopy, or Robotic assisted interventions.
17. What is an ovarian cyst?
Anovariancystisamasswithfluid or a solid component emerging from the ovaries. They can be unilateral or bilateral, and they can be physiologic or pathologic. When they are pathologic, they can be cancerous or non-cancerous. Usually, surgery is indicated for treatment of the pathologic cyst. In some, cysts, even physiologic, can be complicated. The most common complications are rupture and torsion. In both cases, it is a big emergency. At TWWC, we offer treatment for ovarian cysts and most treatments are carried out via minimal invasive approaches.
18. What is an endometrial polyp?
An endometrial polyp is a hypertrophy of the endometrial gland. It is very common and most of the time it is asymptomatic. In some occasions, it is associated with abnormal uterine bleeding. The presence of endometrial polyps and abnormal vaginal bleeding in post-menopausal women carries a high risk of endometrial cancer. Endometrial polyps can be suspected during a transvaginal ultrasound, but the positive diagnosis is done via hysteroscopy where the polyp can be removed and sent to pathology for examination.
19. Is it possible to get pregnant
with fibroids?
Yes, pregnancy is possible with fibroids,however,dependingonthe location and the size of the fibroids it may be difficult to get pregnant. If you are diagnosed with Uterine Fibroids you should contact a doctor who will counsel, you appropriately. Most of the time, it is asymptomatic and does not affect a woman’s health. At TWWC we offer medical
Dr. Lans, Chairman of Obstetrics and Gynecology Department of Jackson North Med Center and Tony Gomez, senior vice president and CEO of Jackson North NMB
and surgical treatments for all types of Uterine Fibroids.
20. A post-menopausal woman is experiencing vaginal bleeding; is this normal?
Postmenopausal bleeding is abnormal and can be a sign of endometrial cancer, however, there are other situations that cause postmenopausal bleeding. TWWC is fully equipped to diagnose and treat all the possible causes of abnormal bleeding.
Top Doctor Award 2018
