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[quote=Anonymous]I can't recommend Perinatal Associates highly enough.  Drs. Khoury, Bronsky, Al Kouatly and Nies.  Dr. Khoury was the original reason I went to Perinatal Associates.  In addition to the work he does with his private practice he is the head of the high risk perinatal unit at Inova Fairfax (the only Level IV NICU in northern VA).  Once I started seeing the doctors at Perinatal Associates I was, frankly, a little bit disappointed with Dr. Bronsky's bluntness and Dr. Al Kouatly's lack of time to answer my many questions.  But with everything that happened I learned what amazing doctors they are, how unimportant my questions were and why they are so upfront with their patients.  They really handle the most crucial cases and are busy saving lives.

I went to them because I was pregnant with twins and wanted to be with a practice that really knew how to handle a twin pregnancy.  I really thought I was being over-cautious to go to them but it turns out that decision may have been the best and most important one I ever made.  My babies turned out to be quite small for their gastational age throughout the pregnancy, in a period of two weeks my cervix went from over 4 centimeters to over 2 centimeters.  It was Dr. Bronsky who decided I wasn't leaving my appointment (at the hosptial where they have many of their appointments) when he saw their sizes and what was happening with my cervix.  I lietally went to the doctor for a pregnancy check up and didn't leave until 9 weeks later.  It was absolutely the right decision.  My cervix even lengthened while I was at the hospital.  My babies were born small (3 1/2 and 4 1/2 pounds) but only one day before my scheduled c-section and very healthy.  They both scored 8s on their apgars a few minutes after birth.  They stayed in the NICU for 2 weeks, mostly for monitoring and did really well there.  And we were SO impressed with the AWESOME NICU.

Now a word about Drs. Bronsky and Al Kouatly.  I asked to have my c-seciton with either Dr. Khoury or Dr. Bronsky (because after 9 weeks in the hospital with him I grew to appreciate Dr. Bronsky's straight-forward style and I'd always loved Dr. Khoury.)  I didn't know Dr. Nies and I still hadn't forgiven Dr. Al Kouatly for seeming too busy for me when I saw her.  I was scheduled with Dr. Bronsky but went into labor a day early (six weeks ago today) and Dr. Al Kouatly was on call.  Amazing is not the word.  It turned out I had preeclampsia but they just realized that right before the section.  Actually I don't know if I went into labor or was experiencing pain from the preeclamsia.  I just know I called the nurse into my room she did some tests, called the dr and the doctor wanted to start my c-section immediately.  (Tomorrow is my follow up appointment and I will hopefully learn more about what happened).  Dr. Al Kouatly told me about the preeclasia immedately after the surgery and said they were sending me for treatment but she told me in such a way that I (a nervous person) kept calm about it. I also didn't know, until we were out of the woods, that my preecampsia became extremely serious.  She may have saved my life, in part, by keeping me calm, becuase it was one of theose situations where the psycological element was important.  What really amazes me is that not only did she resolve such a serious issue but throughout she was so calm and professional that I was pretty relaxed and through it all  and even gave me the most perfect c-seciton scar.  As I told my husband, I still would have thought she was an outstanding dr. if my scar was awful.        [/quote]

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