OB-GYN-L Messages for February, 2009: Re: Rhogam

= **************************************************************************** Charlie Chambers

"Almost anything you do will seem insignificant but it is very important that you do it....You must be the change you wish to see in the world" -- Mahatma Ghandi. = *******************************************************************************

> You are correct, chai-wallah!(from what movie?)
>
> Robert Modugno MD MBA FACOG
> Sylva, NC
>
> -----Original Message-----
> From: Gerald P. Rodríguez <geraldpr@cybermesa.com>
> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
> Sent: Sat, 28 Feb 2009 2:32 pm
> Subject: Re: Rhogam
>
> A Drew-Smythe catheter is a thin catheter that is used when a high
> amniotomy (hind-water) is indicated. I never used one.
>
> See:
http://books.google.com/books?id=58gMbC__GdMC&pg=PA160&lpg=PA160&dq== drew+smyth+catheter&source=bl&ots=eyxsAGNkoK&sig=-kBMwUIRzzR0J7n_lMUeXsHd-Ds&hl=en&ei=5Y6pSYy7LNLjtger-73VDw&sa=X&oi=book_result&resnum&ct=result#PPA158,M1 >
> Gerald P. Rodríguez, M.D., FACOG
> Santa Fe
>

>> ----- Original Message ----- From: <rmodugno@aol.com>
> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net>
> Sent: Saturday, February 28, 2009 9:27 AM
> Subject: Re: Rhogam
>
> > Talking about polyhydramnios, does anyone know what a Drew-Smyth
> catheter > is (Quiz), or has anyone ever used one?
> >
> > Robert Modugno MD MBA FACOG
> > Sylva, NC
> >
> > -----Original Message-----
> > From: Glen Elrod <dr99645@yahoo.com>
> > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
> > Sent: Thu, 26 Feb 2009 7:30 pm
> > Subject: Re: Rhogam
> >
> > AFI of 37, bilateral hydronephrosis with right ureteral obstruction.
> >
> > The local midwives really didn't feel comfortable doing this
> delivery. > Their regs say they need to consult with an MD for poly.
> I brought her in > for amniotomy with needle.
> >
> > I've been (ready for flames) been thinking about water birth for a
> while, > since I've been watching a whole host of midwifery
> 'propaganda' movies > recently. We have a birth tub but no policy.
> She got in the tub for labor > and with the CDM help we had a water
> birth. That situation totally flies > in the face of AWHONN
> standards and protocols.
> >& nbsp;
> > Glen
> >
> > From: Richard Chudacoff <rchudacoff@mylinuxisp.com>
> > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
> > Sent: Thursday, February 26, 2009 2:54:27 PM
> > Subject: RE: Rhogam
> >
> > Home delivery? Why did she come to see you at all?
> >
> > Richard Chudacoff, MD, FACOG
> >
> > From: ob-gyn-l@obgyn.net
> > [mailto:ob-gyn-l@obgyn.net] On Behalf Of Glen El
> > rod
> >
> > Sent: Thursday, February 26, 2009 3:36 PM
> >
> > To: Multiple recipients of list OB-GYN-L
> >
> > Subject: Re: Rhogam
> >
> > ;
> >
> > Transfusion was the only thing I
> > could come up with. but the liklihood is so low.
> >
> > Why the objection? Probably the same reason she objected to fetal
> > monitoring, pit, vit K, eye ointment, etc etc etc.
> >
> > Glen
> >
> > From: "art fougner, md"<evsono@pipeline.com>
> >
> > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
> >
> > Sent: Thursday, February 26, 2009 1:59:12 PM
> >
> > Subject: Re: Rhogam
> >
> > Oh transfusion reaction down the road, difficulties if a transplant
> >
> > needed ... what exactly is her objection?
> >
> > Art
> >
> > At Thu, 26 Feb 2009, Glen Elrod wrote:
> >
> > >
> >
> > >Pt today is s/p delivery and is refusing Rhogam. Baby was Rh +, but
> > they are certain they are done having kids. He is having a
> > vasectomy. She states she will not have other children even if her
> > children die, husband dies, etc.
> >
> > >
> >
> > >Is there any NON-pregnancy risk to not getting Rhogam now?
> >
> > >
> >
> > >Glen
> >
> > --
> >
> > art fougner, md
> >
> > "May The Wings of Liberty Never Lose a Feather." - Jack Burton
> >
>
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--Boundary_(ID_dD01isR24wtV0N4xWiDYxw) Content-type: text/html; charset=ISO-8859-1 Content-transfer-encoding: quoted-printable

****************************************************************************

Charlie Chambers

Hood River, OR

cchamber@alumni.rice.edu

"Almost anything you do will seem insignificant but it is very important

that you do it....You must be the change you wish to see in the world"

-- Mahatma Ghandi.

*******************************************************************************

On Feb 28, 2009, = at 11:52 AM, rmodugno@aol.com = wrote:

You are correct, chai-wallah!(from what movie?)

Robert Modugno MD MBA FACOG
Sylva, NC

-----Original Message-----
From: Gerald P. Rodríguez <geraldpr@cybermesa.com>
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
Sent: Sat, 28 Feb 2009 2:32 pm
Subject: Re: Rhogam

A Drew-Smythe catheter is a thin catheter that is used when a high amniotomy (hind-water) is indicated. I never used one.

See: http://books.google.com/books?id=58gMbC__GdMC&pg=PA160&lpg=PA160&dq=drew+smyth+catheter&source=bl&ots== eyxsAGNkoK&sig=-kBMwUIRzzR0J7n_lMUeXsHd-Ds&hl=en&ei=5Y6pSYy7LNLjtger-73VDw&sa=X&oi=book_result&resnum&ct== result#PPA158,M1

Gerald P. Rodríguez, M.D., FACOG
Santa Fe

----- Original Message ----- From: <rmodugno@aol.com>
To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net>
Sent: Saturday, February 28, 2009 9:27 AM
Subject: Re: Rhogam

> Talking about polyhydramnios, does anyone know what a Drew-Smyth catheter > is (Quiz), or has anyone ever used one?
>
> Robert Modugno MD MBA FACOG
> Sylva, NC
>
> -----Original Message-----
> From: Glen Elrod <dr99645@yahoo.com>
> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
> Sent: Thu, 26 Feb 2009 7:30 pm
> Subject: Re: Rhogam
>
> AFI of 37, bilateral hydronephrosis with right ureteral obstruction.
>
> The local midwives really didn't feel comfortable doing this delivery. > Their regs say they need to consult with an MD for poly. I brought her in > for amniotomy with needle.
>
> I've been (ready for flames) been thinking about water birth for a while, > since I've been watching a whole host of midwifery 'propaganda' movies > recently. We have a birth tub but no policy. She got in the tub for labor > and with the CDM help we had a water birth. That situation totally flies > in the face of AWHONN standards and protocols.
>& nbsp;
> Glen
>
>
>
> From: Richard Chudacoff <rchudacoff@mylinuxisp.com>
> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
> Sent: Thursday, February 26, 2009 2:54:27 PM
> Subject: Re: Rhogam
>
>
>
>
>
>
>
>
>
> Home delivery? Why did she come to see you at all?
>
>
>
>
> Richard Chudacoff, MD, FACOG
>
>
>
>
>
>
>
>
>
> From: ob-gyn-l@obgyn.net
> [mailto:ob-gyn-l@obgyn.net] On Behalf Of Glen El
> rod
>
> Sent: Thursday, February 26, 2009 3:36 PM
>
> To: Multiple recipients of list OB-GYN-L
>
> Subject: Re: Rhogam
>
>
> ;
>
>
>
>
>
>
>
> Transfusion was the only thing I
> could come up with. but the liklihood is so low.
>
>
>
> Why the objection? Probably the same reason she objected to fetal
> monitoring, pit, vit K, eye ointment, etc etc etc.
>
>
>
> Glen
>
>
>
>
>
>
>
>
>
> From: "art fougner, md"<evsono@pipeline.com>
>
> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
>
> Sent: Thursday, February 26, 2009 1:59:12 PM
>
> Subject: Re: Rhogam
>
>
>
> Oh transfusion reaction down the road, difficulties if a transplant
>
> needed ... what exactly is her objection?
>
>
>
> Art
>
>
>
> At Thu, 26 Feb 2009, Glen Elrod wrote:
>
> >
>
> >Pt today is s/p delivery and is refusing Rhogam. Baby was Rh +, but
> they are certain they are done having kids. He is having a
> vasectomy. She states she will not have other children even if her
> children die, husband dies, etc.
>
> >
>
> >Is there any NON-pregnancy risk to not getting Rhogam now?
>
> >
>
> >Glen
>
>
>
> --
>
> art fougner, md
>
> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
>
>
>
>
>
>
>
>
>
>
>
>
>

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