Re: PIH still kills
From: Efrain Ramirez (eramirezt@coqui.net)
Thu Oct 13 18:00:23 2005
That's why I still use "prophylactic MgS04" in mild preeclampsia
although I know that the Grand Master Guru and Capo di tutti capi (and I
say that in the good sense) Dr. Sibai states that the benefit-to-risk
ratio of MgS04 prophylaxis in mild preeclampsia remains uncertain, and
does not justify its routine use for that purpose...
> At Thu, 13 Oct 2005, Andrew Folley wrote:
>
>Last week CNMW had 42 week 16 yo mexican female induced for post dates.
>Started having a headache about 8:00 pm. Called me as in house doc for
>seizure ie grand mal at 10:00 pm. BP 130/70. 2+ proteinuria. Stopped
>seizure with 6 grams mg and 2 grams per hour. All Labs were fine. Cat
>Scan head at 1100 PM was normal. Sectioned at midnight as she was not
>progressing still 4 cm. Delivered 9#6 boy. A reminderto me that even mild
>preeclampsia has potential to go eclamptic. andy
>
>>From: eramirezt@coqui.net (Efrain Ramirez)
>>Reply-To: ob-gyn-l@obgyn.net
>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>>Subject: Re: PIH still kills
>>Date: Thu, 13 Oct 2005 07:50:10 -0500
>>
>>And it all happened at another hospital - we were not aware of anything
>>until her sister called and told ud that she "was in coma"... gracias
>>otra vez!
>>Ef
>>
>>At Wed, 12 Oct 2005, Gerald P. Rodríguez wrote:
>> >
>> >Lo siento, Efrain. ¡Que lástima! I remember an FP in our community just
>>5
>> >years or so ago had a patient just like this. This is, indeed, a very
>>ugly
>> >disease that can kill, and it can kill from morning to night.
>> >
>> >Gerald P. Rodríguez, M.D., FACOG
>> >Santa Fe
>> >~~~~~~~~~~~~~~~~~~~~~~
>> >
>
>>>> >>----- Original Message -----
>> >From: "Efrain Ramirez" <eramirezt@coqui.net>
>> >To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net>
>> >Sent: Wednesday, October 12, 2005 7:50 PM
>> >Subject: PIH still kills
>> >
>> >> Sorry to inform - a patient of ours have just died - last visit at our
>> >> office 9/21 - OK - 3 weeks later (+/-) 29 weeks) 2 days of nausea,
>> >> vomiting, headaches, epigastric pain - - visited another hospital -
>> >> 200/100 - few moments later 220/130 - seizures - later on intracranial
>> >> bleeding - died today - baby +/- 2 pounds 3/5/8 AS - variable
>> >> prognosis.. please join me in my prayers - el - please..
>> >>
>> >> Ef
>> >>
>> >> --
>> >> "Character may be manifested in the great moments, but it is made in
>>the
>> >> small ones."
>> >>
>> >> - Phillip Brooks
>> >>
>> >> ~walt whitman~
>> >>
>>
>>--
>>"Character may be manifested in the great moments, but it is made in the
>>small ones."
>>
>> - Phillip Brooks
>>
>> ~walt whitman~
--
"Character may be manifested in the great moments, but it is made in the
small ones."
- Phillip Brooks
~walt whitman~
