Re: Small baby Good News
From: Abdul Raman Lilla (arlilla@hotmail.com)
Mon Jan 31 04:50:11 2005
Unfortunately very seldom is-----------"Small baby Good News"!!!!!!!!!!!!!
The next time my patient present in similer way she will demand c/section
for a 450G fetus, not only that; she will expect to have 7 more babies
thereafter! can you imagine the senario?
Abdul Rahman Lilla FRCOG
Sen. Consultant ObGyn
Woman's Hospital, Doha, QATAR.
>From: evsono@pipeline.com (art fougner, md)
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Small baby Good News
>Date: Sun, 30 Jan 2005 19:21:21 -0600
>
>Thanks, Dan -
>great story. not all medicine is evidence - based.
>
>art
>
>At Sun, 30 Jan 2005, Braun, R. Daniel wrote:
> >
> >The 459 gm 25 week baby that I delivered by Classical C/S en caul 3 mos
> >ago, went home yesterday at a whopping 2300 gm. multiple US's showed no
> >evidence of head bleed.
> >Mother had severe Pre-eclampsia with BP's in the 180/110's and 7 gm of
> >proteinuria, developed visual changes and RUQ pain. Those were the
> >precipitating factors for the delivery. After I made the uterine
> >incision, I put my hand under the baby and lifted out baby, placenta and
> >intact membranes in my hand. Most atraumatic delivery that I have ever
> >done. Mother went home on Post op day 5.
> >This is the smallest surviving baby that I have ever delivered in my 41
> >years of doing OB. Everyone is very optimistic that it will also be an
> >intact survival which is the real goal.
> >
> >Dan
> >
> >R. Daniel Braun, MD FACOG
> >
> >Professor of Clinical Obstetrics and Gynecology
> >Department of Obstetrics and Gynecology
> >Indiana University School of Medicine
> >Indianapolis, Indiana
>
>--
>art fougner, md
>
> "If you don't know where you are going, you will wind up somewhere else."
>Lawrence Peter Berra
>From nobody@medispecialty.com Mon Jan 31 08:20:03 2005
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From: evsono@pipeline.com (art fougner, md)
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Subject: Re: Birth defect legal question
Joanne
Yogi Berra is the patron saint of Prenatal Diagnosis - what he said
about the Mets in 1973 is quite valid for this field - "it ain't over
til it's over."
Also there ARE false postive results for virtually every test in
medicine - even ultrasound, amniocentesis and everybody's gold standard
- autopsy ( they still argue over JFK's).
art
At Sun, 30 Jan 2005, Joanne Bulley, MD wrote:
>
>What I hear from Art --- is that a NORMAL US does NOT mean that there
>are NO birth defects. It doesn't mean that threre aren't certain
>defects can be ruled in or out close to the 100% mark --- but that even
>if everything that can be done as "screening" (without other suspicions
>justifying the test) there WILL still be birth defects not diagnosible
>before birth -- and some that will be diagnosed later in life than
>birth.
>
>Joanne
>
>At Sun, 30 Jan 2005, Efrain Ramirez wrote:
>>
>>Agree with Art - how about Cystic Fibrosis on a CVS?
>>
>--
>Joanne Bulley, MD
>Keene, NH, USA
>
>"They who would give up an essential liberty for temporary security,
>deserve neither liberty nor security." -- Benjamin Franklin
>
--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
