Dr. Fleming's and Dr. Jacoby's office will be closed on Friday March 27th, 2026 and will reopen on Monday March 30th, 2026 at 8:30 a.m." If you need to contact the on call physician for an urgent medical need please call the office at 972-473-2020 and follow the instructions carefully. If you have a life-threatening emergency, please call 911 or proceed to your nearest emergency room. Please do not call the on call physician for medication refills or appointment needs as you will incur a $75 fee. Thank You.

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Dr. Fleming's and Dr. Jacoby's office will be closed on Friday March 27th, 2026 and will reopen on Monday March 30th, 2026 at 8:30 a.m." If you need to contact the on call physician for an urgent medical need please call the office at 972-473-2020 and follow the instructions carefully. If you have a life-threatening emergency, please call 911 or proceed to your nearest emergency room. Please do not call the on call physician for medication refills or appointment needs as you will incur a $75 fee. Thank You.

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Labor Warnings

Expectant mothers often wonder if the will know when the contractions the feel are the “Real thing”. There is no way to convey with any certainty when to go to Labor and Delivery, but in general, if it is the “Real thing” you will have no doubt.

If any of the following things happen to you, your condition should be evaluated.

  • When contractions occur firmly, with five minutes from the start of one contraction to the start of the next and when they have been present for at least one hour.
  • When your water breaks. This is usually associated with a large amount of fluid released from the vagina. This can only be confirmed or refuted in a medical setting and not over the phone.
  • When you have heavy vaginal bleeding. Often when you begin having contractions, you will have a mucus discharge with some bloody mucus. This is not a cause for concern.

If any of these events occur during office hours, call 972.473.2020

After office hours please call:

Presbyterian Hospital of Plano Labor and Delivery 972.981.8383

Baylor Medical Center at Frisco 214.407.5510