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Re: Severe PIH 34 weeksFrom: DoctorJoe@aol.comWed May 23 12:26:28 2007
In a message dated 5/23/2007 12:24:13 P.M. Central Daylight Time, agfolley@hotmail.com writes: Other than for Barb I seem to be the only dissenting opinion here regarding management. First of all she does not have preeclampsia neither mild nor severe. She has no significant proteinuria. She does have severe hypertension. This may PIH or underlying hypertensiion exacerbated by pregnancy. As I said the pts. labs are all normal. The babies studies are all normal other than the fact that the babies amnio shows immaturity and the baby is LGA at 34 weeks. It is easy to say deliver her by section or whatever but where is the thought process??? Why is this baby better off in the NICU than in the mother hospitalized and under observation? Hey, I'm ready to do rock-paper-scissors or something about the preeclampsia v. HBP thing. I think it's only a matter of time before her PLTs drop, her liver rots and her proteinuria increases. What say you? Joe P.
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