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Re: alternative PTL From: Richard Chudacoff, MD (rchudacoff@mylinuxisp.com) Tue Apr 13 14:11:42 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Seele, Mona: "FW: I thought you might enjoy this." Previous message: Steve & Eryl Raymond: "Re: alternative PTL" In reply to: zygote@icsi.net: "Re: alternative PTL" Next in thread: Garry E. Siegel, M.D.: "Re: alternative PTL" We are talking about the Memorial Hermann system, Bob. I'm sure you can relate that whoever put the policy in place never did the research...just listened to the bean counters or attorneys. -- Richard Chudacoff, MD To take refuge with an inferior is to betray one's self. Peter Nivio Zarlenga -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of zygote@icsi.net Sent: Tuesday, April 13, 2004 12:19 PM To: Multiple recipients of list OB-GYN-L Subject: Re: alternative PTL It is obvious that whoever removed your CCB doesn't know the pharmacology. You are not using Verapamil. The others normally used ie nifedipine will not cause severe hypotension even with Mg therapy. You need to press them on the issue. Tell them there are three classes of CCB and which are they concerned about. Have them start with Goodman and Gilman. They may be educatable! On 13 Apr 2004 at 10:15, Richard Chudacoff, MD wrote: > > CCBTs are not allowed on L&D because of the risk of ~rapid and > unresponsiveT hypotension. > > Which and what dose of progesterone? > > Richard Chudacoff, MD > > To take refuge with an inferior is to betray one's self. > > Peter Nivio Zarlenga > > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of > DoctorJoe@aol.com Sent: Monday, April 12, 2004 7:04 PM To: Multiple > recipients of list OB-GYN-L Subject: Re: alternative PTL > > In a message dated 4/12/04 14:12:58, rchudacoff@mylinuxisp.com writes: > > I have a patient who is 33+5 weeks EGA, not responding to Terbutaline, > refused MgS04, and I found out that nifedipine was no longer on > formulary at the hospital. Any other recommendations for treatment > while she gets steroids? > > Do they carry ANY calcium channel blockers? Nicardipine? How about > terb plus some progesterone? > > Joe P. > Robert J. Carpenter, Jr., M.D. St. Luke's Medical Tower # 2720 6624 Fannin, Houston, TX 77030 zygote@icsi.net 713-795-4600 FAX:713-795-4422 Next message: Seele, Mona: "FW: I thought you might enjoy this." Previous message: Steve & Eryl Raymond: "Re: alternative PTL" In reply to: zygote@icsi.net: "Re: alternative PTL" Next in thread: Garry E. Siegel, M.D.: "Re: alternative PTL"

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