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Norplant From: fran wilson (530rose@msn.com) Thu Feb 16 15:14:00 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Raymond Stephen: "Re: First trimester medical management of missed Ab" Previous message: GA12L@aol.com: "Re: Sad but true" In reply to: GA12L@aol.com: "Re: Sad but true" Next in thread: Lynn D. Montgomery, M.D.: "Re: Norplant" Reply: Lynn D. Montgomery, M.D.: "Re: Norplant" Reply: ainsron: "Re: Norplant" Reply: Charlie Chambers: "Re: Norplant" Maybe reply: Dean Huffman .: "Re: Norplant" Maybe reply: GA12L@aol.com: "Re: Norplant" Maybe reply: Rita Kucmierz: "Re: Norplant" Hi, I need some advice from the group. I have a patient who has had a Norplant in place for 6 years.  She wants to have it removed, but is uninsured.  I would do it, but I can't palpate the rods, and could not localize them with x-ray.  Doing a lit search (and calling Wyeth for advice) it seems that the way to remove these rods is under realtime US, or mammography, or a fluoroscope.  I don't have access to these options, and I can't find a surgeon in the area who is willing to do this (due to Norplant Foundation restrictions and preauthorization requirements).  I have obtained the records of the insertion, and it appears to have been uneventful.  Does anyone have any great ideas for getting these rods out in the office without ultrasound?  Would any of you try to remove them without realtime US, maybe in two different sessions? Fran Wilson, CNM Kennewick, WA Next message: Raymond Stephen: "Re: First trimester medical management of missed Ab" Previous message: GA12L@aol.com: "Re: Sad but true" In reply to: GA12L@aol.com: "Re: Sad but true" Next in thread: Lynn D. Montgomery, M.D.: "Re: Norplant" Reply: Lynn D. Montgomery, M.D.: "Re: Norplant" Reply: ainsron: "Re: Norplant" Reply: Charlie Chambers: "Re: Norplant" Maybe reply: Dean Huffman .: "Re: Norplant" Maybe reply: GA12L@aol.com: "Re: Norplant" Maybe reply: Rita Kucmierz: "Re: Norplant"

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