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Re: was 8 babies, now abuse of health care dollars From: Meenan, Anna (annam@uic.edu) Wed Jan 28 07:49:15 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joe: "Re: was 8 babies, now abuse of health care dollars" Previous message: Dr Eberhard Lisse: "Re: Two new Mag Sulfate and CP articles WRONG ONLY one" In reply to: Danae Steele: "was 8 babies, now abuse of health care dollars" Next in thread: Ginny Lee: "Re: was 8 babies, now abuse of health care dollars" Reply: Ginny Lee: "Re: was 8 babies, now abuse of health care dollars" Reply: Joanne Bulley, MD: "Re: was 8 babies, now abuse of health care dollars" Several years ago, I had a lady walk into my clinic fully dilated with a 32-weeker in vertex presentation. I gave her a shot of terbutaline and helicoptered her to the hospital 32 miles away. I got in my car and drove up, figuring she'd be delivered by the time I got there. When I arrived, they were doing an ULTRASOUND on her! Why the heck would you do an ultrasound? You can tell by vag exam that the kid is vertex, and anything else you want to know about the kid can wait a few more minutes til she delivers and you have the whole kid to look at. Some of us were taught in med school that if the results of a test will not change your plan,you don't do the test. I miss those days. Anna Meenan, MD >I just returned from a 2 week CME trip at a very reputable teaching >institution (to remain unnamed). I was appalled at the waste of >health-care dollars. A fetus diagnosed with holoprosencephaly at 17 >weeks who then went on to have an MRI? (I asked the doctors if they >were unsure of their diagnosis and they said no, they were certain >after the ultrasound.) A mom carrying a fetus with anencephaly who >was then sent for a fetal echocardiogram? (this was ostensibly done >because the mom was interested in donating the fetal heart for >transplant, although everyone involved felt that it was highly >unlikely that this would actually be possible.) A mom who's >membranes ruptured at 12 weeks who had a painful and long >amnioinfusion at 17 weeks to make U/S possible. I was truly >horrified. These were just in the course of less than 2 weeks. No >wonder we have a health-care crisis. > >Danae (MFM) Next message: Joe: "Re: was 8 babies, now abuse of health care dollars" Previous message: Dr Eberhard Lisse: "Re: Two new Mag Sulfate and CP articles WRONG ONLY one" In reply to: Danae Steele: "was 8 babies, now abuse of health care dollars" Next in thread: Ginny Lee: "Re: was 8 babies, now abuse of health care dollars" Reply: Ginny Lee: "Re: was 8 babies, now abuse of health care dollars" Reply: Joanne Bulley, MD: "Re: was 8 babies, now abuse of health care dollars"

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