Kristen A. Austin, M.D.Kristen A. Austin, M.D.
Gynecology, OB/GYN Physician, Obstetrics and Gynecology, Robotic Surgery
Bilateral Salpingo-Oophorectomy (Laparoscopic), Blood Management Techniques, Cervix Dysplasia, da Vinci (Robot-Assisted Surgery), Gynecological Surgery, Hysterectomy (Laparascopic Supracervical), Hysterectomy Total (Laparascopic), Hysterectomy Vaginal (Laparoscopic-assisted), Hysteroscopy, Incontinence (Female), Laparoscopic Surgery, Menstrual Disorders, Office Surgery & Procedures, Pelvic Organ Prolapse, Pelvic Relaxation Surgery, Pelvic Support Problems, Urogynecology
- Accepting Children: No
- Accepting New Patients: No
- Accepting Medicare: Yes
- Accepting Medicaid/DSHS: Yes
Bill Insurance, VISA, Master Card, Cash, Check, American Express, Discover Card, Sliding Fee ScaleInsurance Accepted:
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I enjoy all aspects of women's care, but have a special interest in urogynecology. I believe that every woman has unique obstetric and gynecological needs and deserves individualized care.Personal Interests
I am a longtime Northwest resident. I am married, have 2 kids, and like to hike, sail and kayak.Medical School
Medical College of VirginiaResidency
Kaiser Hospitals Oakland, Northern CaliforniaBoard Certifications
Obstetrics & Gynecology
Where shall I begin? I’ll just start chronologically.
At Monday’s morning report I learned that a newborn baby whom I observed being born by cesarean section had died about 18 hours after delivery. The cesarean section was done at 35w6d for placenta previa. The patient had presented with bleeding, the bleeding resolved, but the baby had intermittent episodes of fetal tachycardia. Given the concern for recurrent bleeding and the fetal tachycardia, the decision had been made to proceed with cesarean section. The cesarean section went well, and the baby was delivered screaming, with Apgars of 8 and 9. He was large, almost 4kg, and he looked full term. He was admitted to the neonatal ward for hypoglycemia. From the verbal report it sounds as if he was discovered “expired” while one of the pediatric residents was making routine rounds. There was no autopsy and the patient did not have a detailed fetal ultrasound during her pregnancy, so we have no idea if there was a cardiac defect or other malformation which contributed to the baby’s demise. Routine diabetes screening is not practiced here. A risk based approach is used to screen for diabetes. The patient had 8 other children, one of them had just graduated from nursing school and was at her bedside during her hospitalization. This was the patient’s first delivery in a hospital. I can’t help but think that this baby would have survived back home. Of course I don’t know that, but it is hard to comprehend a screaming and healthy appearing baby at delivery dying within a few hours.
Again, I am impressed with the resident physicians’ ability to persevere. They continue trying to help women and children despite these emotionally deflating cases.
People who survive here are strong. They are just physically, mentally, and emotionally strong.
This week was a good week ...
Today was our first “normal” day. The kids went to school and I went to the hospital. Josh and Sonja already knew which classroom they were in, and we didn’t need to wait to be told to wait some more. I am beginning to note a behavior that has repeated itself several times. I am calling it, “Please sit down and wait.” It sounds nice, as if someone is going to take care of us, but sometimes doesn’t. For instance, yesterday I brought the kids to school, but I did not know which classroom they were assigned. So, I asked a teacher where 2nd and 6th grade children were supposed to go. He asked ..
We have been in Gondar 5 days now. Honestly, the first day here, I cried. I wondered what we were doing thinking we could live in a developing country for a school year. We are fortunate to be experiencing this as a family, as the necessary hugs to persevere are readily available. It has been interesting to me that the family seems to decompensate in a serial fashion. The other three support the decompensated one until they can function again, and then life is okay for a time, until someone else crumbles. So far all four of us have gone through some difficult emotional times. Food and sleep definitely help. Everyone has slept through the night for two nights now, and the emotional break downs are more sporadic.
I have had a difficult time getting used to so many people asking for money, touching me, shaking my hand and yelling “hello!!!” from across the street. Josh seems to have handled this the best, returning the “hellos” and handshakes. But today even he said that it is exhausting. “I’m just another human being, can’t they see that?” He also reflected that in the U.S., “it’s just not right to surround people, and if you do get surrounded, it’s dangerous.” We recognize that it is not dangerous here. But we are a spectacle, especially the kids. I think people are used to seeing white adult tourists, NGO workers, and some hospital or university faculty, but white children with red and blond hair? Last night ...
Today we fly to Ethiopia. It has been several months in the planning, almost a year really. Although my initial announcement of my family’s plans was met with some hesitation, the recent outpouring of support has truly been overwhelming. My Swedish family is extraordinary. Patients, staff and colleagues have wished us well. Our Swedish OB/GYN Issaquah (SOGI) group has been through some challenges these last three years, many related to astronomical growth. But today, as I head to the other side of the world, I can look back and see that some of those challenges have made SOGI an incredibly strong and awesome practice. This is probably the best “well wishes” gift I could have received, to leave a practice that is doing well. This practice we have worked so hard to build is positively solid. And I feel that I am bringing some of that strength with me. At our annual clinic picnic I said that I could not do this trip without them, and that I feel I am bringing a piece of everyone with me. I believe that.
This morning we will land in Addis Ababa. We head to a small clinic about one hour from the center of the city. Blue Nile Children’s Organization (BNCO) serves a very poor area of Addis. We will stay there for a few days. BNCO is starting “Delivery Services” this year, which is Ethiopian for midwifery care. The sign actually says “Deliviery Services,” but it’s doubtful many people will notice a little detail like an extra “I.” Hmmmm. I know a little something about starting “delivery services.” In fact, the nurses and docs at First Hill L&D all have fleeces that say “We Deliver.” It’s the other side of the world, but we are all still people, working together to make something happen.
Issaquah, WA 98029
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