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Re: OB: Hypertension**twhat happened From: Joanne Bulley, MD (islesannie@yahoo.com) Wed Jul 20 20:08:26 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: OB:  Hypertension**twhat happened" Previous message: Efrain Ramirez: "Re: OB: Hypertension" In reply to: Garry E. Siegel, M.D.: "Re: OB: Hypertension**twhat happened" Next in thread: R. Daniel Braun: "Re: OB: Hypertension**twhat happened" Good choice to my thinking. Sounds a lot like my (then) sister in law (when I was in med school). She was probably early 30's - a tiny woman (4'10 3/4") who had had one C/S for CPD. No HTN in first preg. Second preg (same dad) she was scheduled for C/S at 38 weeks (or so). They kept taking her BP over and over at visits in different positions. She swelled up like a balloon. They (get this) postponed her C/S by one week because a third tirmester US "gave a later due date". On the Monday between the Friday of the original C/S date and the Firday of the new C/S date ... she called her husband saying she felt not right and he needed to take her to the hospital. Stat C/S and as she came out of general anesthesia she seized and was in a coma for a week or 10 days. Then as a resident I was taught that with eclampsia it is not unusual for the woman to have some sort of "aura" before seizing. And the baby? And the post C/S BP? C'mon Garry - give us the rest! Then you can enjoy your vacation! Joanne At Wed, 20 Jul 2005, Garry E. Siegel, M.D. wrote: > >Sorry to give up the answer so soon, but. . . > >Sent to L and D for labs and monitoring. I decided to go ahead and >deliver irrespective of labs and BP, as she was AMA, had prior PIH, and >was 36+5, was very intelligent/reliable and said today "soemthing isn't >right." Frankly, I did not see much advantage to trying to buy a few >days at this gestational age, and this patient, who NEVER complains, >etc., got my antennae up when she came in saying she didn't feel right, >and then had elevated pressures. As they say, if you listen to the >patient, they'll tell you what's wrong. > >Furthermore, I am going out of town this weekend, FWIW. > >So. . . > >Creatinine 0.8, SGOT 23, platelets 90K. > >Begun on Mag and C/S in a few minutes. > >Sometimes it is better to be lucky than good. > >Garry > -- Joanne Bulley, MD Keene, NH, USA "Love is indescribable and unconditional. I could tell you a thousand things that it is not, but not one that it is." — Duke Ellington, American jazz artist (1899-1974). Next message: DoctorJoe@aol.com: "Re: OB:  Hypertension**twhat happened" Previous message: Efrain Ramirez: "Re: OB: Hypertension" In reply to: Garry E. Siegel, M.D.: "Re: OB: Hypertension**twhat happened" Next in thread: R. Daniel Braun: "Re: OB: Hypertension**twhat happened"

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