Re: PIH still kills
From: Andrew Folley (agfolley@hotmail.com)
Thu Oct 13 21:36:26 2005
Joe
thanks for input. I am open to criticism and how others would handle
situations such as this. i would rather hear it from my peers than from the
Plantiff's counsel. I really was hoping to deliver her from below. If she
had been progressing and the baby was stable, I would have allowed labor
even if it took 6-8 hours etc. I was concerned about the time in transit
for the CAT scan of mom and intermittent fetal monitoring at best during
those 20 minutes to radiology and back. andy
>From: Joe Cutchin <forcep@intercom.net>
>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 08:41:05 -0500
>
>Andy: just a thought and not being critical. Would be difficult to defend
>if you'd had a poor fetal outcome in those 2 hours prior to CS. Joe C
>
>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~
>>
>
