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Re: You've done enough surgery when... From: Efrain Ramirez (eramirezt@coqui.net) Sun Feb 25 02:09:03 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "Re: You've done enough surgery when..." Previous message: Dr Eberhard Lisse: "Re: OB-GYN-L digest 5438" Next in thread: Dr Eberhard Lisse: "Re: You've done enough surgery when..." Reply: Dr Eberhard Lisse: "Re: You've done enough surgery when..." With 2,800 hCG and no GS seen? Ef -At Sun, 25 Feb 2007, Richard Kaplan wrote: > >It is possible that this is an IUP. The HCG value was only 500 on 2/19 and >maybe the second value of 2800 only 3 days later was a lab error and it is >still too early to see the IUP. I suspect that by the time you read this >you have either already repeated her ultrasound or have removed her >"hydrosalpinx. > >-- >Richard Kaplan >Greensboro, NC > >>>----- Original Message ----- >From: "Dr Eberhard Lisse" <el@lisse.NA> >To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> >Sent: Saturday, February 24, 2007 1:06 PM >Subject: Re: You've done enough surgery when... > >> G4P2M0 2* previous C/S >> T/L separately >> Reversal of T/L >> Ectopic Right tube 2007-01-17 (Appendix also removed but nil of note) >> >> Complains about amenorrhea since ectopic. >> >> Seen by by colleague in a rural hospital (90km from the capital, where I >> work) 2007-02-19, b-HCG 500 >> >> Seen by me on 2007-02-22 in the same rural setting on my monthly visit, >> Clinically nil of note, a bit tender on the right side, perhaps. >> >> Ultrasound on the same day shows no intrauterine pregnancy, no free >> fluid. Vaginal Ultrasound shows no intruterine pregnancy, right adnexa >> nil of note, left adnexa, perhaps a hydrosalpingx. b-HCG 2800. >> >> You have a list of two total abdominal hysterectomies scheduled for the >> following day in that hospital. >> >> So, bogs, girls and witches, what's the plan and what happened next >> :-)-O? >> >> And, puleeze, we don't have Methrotrexate. >> >> greetings, el >> -- “ The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge.” Daniel J. Boorstin - Historian Next message: Dr Eberhard Lisse: "Re: You've done enough surgery when..." Previous message: Dr Eberhard Lisse: "Re: OB-GYN-L digest 5438" Next in thread: Dr Eberhard Lisse: "Re: You've done enough surgery when..." Reply: Dr Eberhard Lisse: "Re: You've done enough surgery when..."

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