Re: Counseling

From: Efrain Ramirez (eramirezt@coqui.net)
Mon Oct 13 15:11:59 2003


Haven't heard from them since - !? I'll keep you posted - thanks to all you guys ..

>At Sun, 12 Oct 2003, art fougner, md wrote:
>
>Efrain
>
>how's your patient doing? any decision yet re: TOP? Agree with the group
>... boyfriend's issues are peripheral here.
>Regarding mass ... reevaluate at 13 wks if still pregnant noting any
>interval change, then again at 16 -19 ... plenty of time for surgery if
>deemed appropriate. Otherwise, re-evaluate post TOP. 6.5 cm mass
>present at 9 - 10 wks unlikely to be hemorrhagic CL cyst but there are
>patients who apparently don't read the textbook. any chance you could
>get some representative scans to the ultrasound section? try this link
>... http://apps.obgyn.net/ultrasound/photos.cfm
>
>saludos!
>
>art
>
>At Thu, 9 Oct 2003, Efrain Ramirez wrote:
>>
>>20 some year-old GI P 0, 9-10 weeks - left adnexal mass about 6.5 x 6.5
>>cms - sonographically looks like an endometrioma - (could be a dermoid)
>>Ca 125 = 37 - (nv up to 35) Hx of right oophorectomy when 2 months old -
>>don't know path - at first she asked for TOP - but then not sure - cried
>>-inquired about alternatives, choices, how to proceed - - boyfriend
>>definitively wants termination - what would be your approach in
>>counseling her - and her boyfriend?
>
>--
>art fougner, md
>ich bin ein New Yorker
>

--
"The opposite of a correct statement is a false statement.
But the opposite of a profound truth may well be another profound truth."

Niels Bohr (1885 - 1962)





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