Re: My case report can beat up yours
From: art fougner, md (evsono@pipeline.com)
Tue Aug 26 20:27:59 2008
Please get folllow-up.
art
At Tue, 26 Aug 2008, rmodugno@aol.com wrote:
>
>Patient sent for quaternary? care at UNC Chapel Hill - wants
>termination - will probably end up with a hyst - MFM and Gyn Onc will
>take care of her.
>
>Robert Modugno MD MBA FACOG
>Sylva, NC
>
>-----Original Message-----
>From: Terrence.Jones@kp.org
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
>Sent: Fri, 22 Aug 2008 4:08 pm
>Subject: Re: My case report can beat up yours
>
>Not sure How much experience Your tertiary
>referral center has, but if they are amenable, Michael Belfort * in Salt
>Lake City is a great resource on approach to mgmt. He has assembled a
>multidisciplinary
>team approach in His local Institution. He might be able to help with
>'customizing'
>care. He is a regular participant in the Symp Med Annual High Risk OB
>conference
>on this topic. When I last heard him present (2006), He had been
>travelling
>to certain centers to help participate in the acute mgmt of certain,
>particularly
>challenging cases. /tj
>
>resource info:
>
>* Michael Belfort, MD,
>PhD, FACOG
>
>Director, HCA Perinatal
>Research
>
>Professor of Obstetrics
>and Gynecology
>
>University of Utah School
>of Medicine
>
>Salt Lake City, Utah
>
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>evsono@pipeline.com (art
>fougner, md)
>
>Sent by: ob-gyn-l@obgyn.net
>
>08/22/2008 09:23 AM
>
>Please respond to
>
>ob-gyn-l@obgyn.net
>
>To
>Multiple recipients of list OB-GYN-L
><ob-gyn-l@mail.obgyn.net>
>
>cc
>
>Subject
>Re: My case report can beat up yours
>
>Bob
>
>Perhaps a urologist can cystoscope her for confirmation?
>
>Art
>
>At Fri, 22 Aug 2008, rmodugno@aol.com wrote:
>
>>Our patient met again with the Perinatologists at the tertiary
>center,
>and, wonder, of wonders, totally agree with our findings. They offered
>the patient termination of pregnancy vs conservative therapy with
>elective
>section after viability. She will decide.To quote the perinatologist:
>"Whatever
>she chooses,she won't leave the hospital with her uterus." We did
>doppler ultrasound on her a few days ago - the whole of the bladder wall
>lights up - methinks she might have  a percreta, so she might leave
>the hospital with a part of her bladder missing! (Has some blood in her
>urine!}
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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