--
Richard Chudacoff, MD
The world is governed by very different personages from
what is imagined by those who are not behind the scenes.
Benjamin Disraeli
A Conservative Government is an organized hypocrisy.
Benjamin Disraeli
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Efrain
Ramirez
Sent: Wednesday, November 12, 2003 6:21 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Amazing case!
Late answer - but - amazing indeed - agree with members - one point that
stands out - don't trust MRI's for clinical decisions - at least on
OB-Gyn -I have seen some case for evaluation of "adnexal mass" on an MRI
sent by another MD - just to found to vanish within my fingers on a
pelvic examn and not to be found on ultrasounds -
>At Mon, 10 Nov 2003, Lynn Montgomery, M.D. wrote:
>
>Listers,
>Lets just say that this is a hypothetical:
>
>Patient at 26 weeks gestation with five previous cesarean sections - two
>of them classical. Presents with low abdominal pain. MRI shows what is
>interpreted as "thinning of the lower uterine segment with apparent
>protrusion of the amniotic membranes through the segment". No
>contractions, ongoing pain, no fetal issues.
>
>What would you do? You can't offend me cause it is only a hypothetical
>and not my hypothetical...
>Lynn
>
>--
>Lynn D. Montgomery, M.D.
>Rocky Mountain Women's Health
>Missoula, Montana
>
>The information provided here is only an opinion and does not constitute
the establishment of a patient-physician relationship. As with any medical
problem, should you feel that you have a significant problem it is incumbent
upon you to seek the appropriate medical care. I hope that you will
understand that I cannot respond to individual e-mails directed to me.
>
--
"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)
