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Re: A bright spot in the day From: Atkinson, Samuel M (ATKINSONS@ecu.edu) Tue Jun 19 13:21:08 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: A bright spot in the day" Previous message: ainsron: "Re: Zofran for hyperemesis" Next in thread: R. Daniel Braun: "Re: A bright spot in the day" Reply: R. Daniel Braun: "Re: A bright spot in the day" A bright spot in my day yesterday was seeing the article by, you, Dan,on the case of the missing ectopic in this month's green journal. Congrats, Dan. Old Dogs can teach new tricks. I have quizzed residents and faculty alike and no one knows that CMT stands for certified massage tech.! As an aside. Two variations on the missing ectopic. One resident broke your rule one and gave the MTX. IUP showed up later. Infant happily ok. A pt of mine, somewhat identical, we took to the OR. Tubes normal. D&C only decidua. At the second laparoscopy, after a fetal heart beat seen on US, I found an ovarian pregnancy fulfilling all of Spiegleberg's criteria! sAm ________________________________ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of R. -- ________________________________ Daniel Braun Sent: Tuesday, March 27, 2007 8:02 PM To: Multiple recipients of list OB-GYN-L Subject: Re: A bright spot in the day Check out the excerpt of a poem found on page 2 at the following URL http://www.medicaldynamics.nl/download?id=61 It is from a poem by Aldo Vacca. the Kiwi who invented the "Kiwi". The title is "It is always more posterior than you think." It is interesting that it is in the product insert. The whole poem is located elsewhere in the literature. I have a copy of the whole poem at the Hospital. He is stressing that the flexion point (The appropriate spot to apply the Ventousse {all types} is the flexion point.) is always more posterior than you think. In most OP's if you get it right, the cup will be parallel to the floor & between the head and the rectum. Dan Dan On 3/27/07, Meenan, Anna <annam@uic.edu> wrote: 7 lb 1 oz Baby had actually rotated to ROA before we put the Kiwi on, and ordinarily I would have continued to watch and wait, but I think the rotation must have tightened up the nuchal cord, because the heart tones didn't get scary until after the rotation and only when she pushed. Midline epis because there wasn't time to let her stretch either. Haven't done one of those in quite awhile. Anna Meenan, MD > >Nice story, I hope for mom's sake baby was less than 9 lbs. I have used >the Kiwi's before ,nice instrument. The vacum would not be my >instrument of choice in a primip with a large baby and persistant O.P. >Some of the toughest repairs I have had where for > 9 lbs babies that >delievered spantaneously O.P.; maid me wonder whether c-section would >have carried less morbidty. > >-- > Take care, John -- R. Daniel Braun, MD FACOG(L) CMT Professor Emeritus Dept. of Obstetrics and Gynecology Indiana U. School of Medicine R. Daniel Braun "The way to health is an aromatic bath and scented massage everyday". Hippocrates Next message: DoctorJoe@aol.com: "Re: A bright spot in the day" Previous message: ainsron: "Re: Zofran for hyperemesis" Next in thread: R. Daniel Braun: "Re: A bright spot in the day" Reply: R. Daniel Braun: "Re: A bright spot in the day"

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