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Re: prior lumbar discectomyFrom: Henry Gregor (henrygregor@yahoo.com)Thu Aug 10 19:18:35 2006
You're right Ronald, an epidural would be good pain relief...however, in my jaded, faded (uh, wait a minute, I think I may have subliminaly - or subconciously - stolen that word combo from a M. Jagger lyric ... then again, everyone needs someone to steal from) currently cynical mindset ( remember, from my earlier post, I did just pay on the renewal of my liability premium), I'm thinking an epidural will just give her an additional future procedure to go with the svd in bewailing the terrible and persistent backpain they caused her. And, of course, it will be an especially bitter cup, 'cause after all, she did ask for that cs that could have avoided all those troubles, but she wasn't allowed to have it. Just a cynical thought, and I could be wrong....sorry Art, but your line is too good not to steal. Hank ainsron <ainsron@sbcglobal.net> wrote: I would also ask her to get a recommendation/opinion from her neurosurgeon. My gut level feeling is the same as yours. However, I do know that when my own sciatica is acting up, straining to have a BM, coughing, etc. certainly lets me know that a nerve is irritated. There is no reason I know of she couldn't have an epidural in labor, that would probably give her good pain relief and isn't contraindicated. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Wednesday, August 09, 2006 8:25 PM To: Multiple recipients of list OB-GYN-L Subject: Ob: prior lumbar discectomy 34 YO P1001 at 9 weeks. Uncomplicated first pregnancy, vaginal delivery. Had to have L3-L4 microdiscectomy at 8 weeks PP. At her first visit today, she asked about a primary C/S to avoid pushing and that causing more back problems. I'll do a medline when I have time (watching the Hungarian GP on TiVo), but does anyone have any thoughts? My instinct is to allow and recommend a vaginal delivery. Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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