Re: Quintuplets

From: Lynn Montgomery (apgar10@thebirthcentermt.com)
Tue Jan 22 16:06:24 2008


Andrew,

Bob Carpenter if he is still doing MFM since he got his JD. Also, Brian Kirshon took care of the woman with octuplets about 7 years ago in Houston.

Lynn

--
Lynn D. Montgomery, M.D.

Obstetrics & Gynecology, Maternal-Fetal Medicine

The Birth Center/Rocky Mountain Women's Health

1211 S. Reserve St.

Missoula, Montana, 59801

406-549-0978

fax 406-549-0987

e-mail: apgar10@thebirthcentermt.com

________________________________

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew ________________________________ Folley Sent: Tuesday, January 22, 2008 12:45 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Quintuplets

Calling all Hands

Just received a call from friend (non physician) in Houston. Coulple lated 20s at his chruch with infertility. Got the "shots" etc now of course they have 5 in utero embryos ALL with good heart beats at about 12 weeks. needless to say recommendation from specialists etc is for "embryo reduction". Intellectually they understand it is the "right" thing to do; emotionally they just can not do it. Someone on the list was from Houston (I thought it Richard??) Who do I refer them to in terms of MFM specialist High risk hospital to call etc. Other ideas??? thanks andrew

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Date: Thu, 17 Jan 2008 05:46:46 -0600 ________________________________ From: rd.braun@gmail.com To: ob-gyn-l@mail.obgyn.net Subject: Re: Coding-ER visit

In this case, it would be a postop visit and covered in your surgical fee.

Dan

On Jan 16, 2008 11:33 PM, Glen Elrod <dr99645@yahoo.com> wrote:

A 75 yr old lady, postop day number 4 from a TAH/BSO and nodes for endometrial cancer presents to the ER with complaint of right hip pain. I happen to be close to the ER and I go ahead and see her rather than the ER doc.

I would venture to say that I did an expanded problem focused HPI and exam and had straight forward medical decision making.

Is the E/M code for seeing someone in the ER that of observation or is there another that I've missed? Or is this visit somehow tied up in the global package?

Thanks,

Glen

________________________________

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--
R. Daniel Braun, MD  FACOG(L)  CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine

R. Daniel Braun

"Science without Religion is LAME; Religion without Science is BLIND" Einstein 1941

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