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Re: a profuse vaginal discharge during pregnancy From: charlie chambers (cchamber@mnic.net) Sun Feb 7 10:11:55 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J. Woolley: "Re: a profuse vaginal discharge during pregnancy" Previous message: Paul Prior MD: "Re: Menorrhagia for 6 Months in a 31-Year-Old" Maybe in reply to: Tim or Jude Kurokawa: "a profuse vaginal discharge during pregnancy" Next in thread: Robert J. Woolley: "Re: a profuse vaginal discharge during pregnancy" Reply to several issues, 1. Leaking fluid I'd try injecting indigo carmine during an amnio, place a tampon, and see if any blue ends up on the distal end. Otherwise, I'd assume it's urine from some stress incontinence much less likely would be a previously undiagnosed fistula. 2. Dismissing patients I think it's up to each individual provider to decide when a patient is no longer suitable to be in his/her practice. Certain patient interactions are difficult for me and I can not provide my best care, other patients that other providers cannot deal with put me at my best. Just as each patient can select or leave any provider regardless of cause, I believe we should have the same exact right with the provision that we help them find someone else. 3. Malcom's menorrhagia case. Any thought to OC's or continous progestin (Depo, Minipill), and rebiopsy in 3-6 months? -- ############################################################################ Charlie Chambers, MD "No matter where you go... Owatonna Clinic-Mayo Health Systems there you are." cchamber@mnic.net chambers.charles@mayo.edu Dr. Buckaroo Banzai ############################################################################ ---------- >From: DoctorJoe@aol.com >To: Multiple recipients of list <ob-gyn-l@talk.obgyn.net> >Subject: Re: a profuse vaginal discharge during pregnancy >Date: Sun, Feb 7, 1999, 3:11 PM > > > In a message dated 2/7/99 9:30:17 AM, jkuro@midrivers.com writes: > > <<23 y/o woman, G7, p4, with EDC of 3/4/99 who has a profuse vag > d/c at times. There is so much clear fluid that it will run down her legs. > Doesn't smell like urine. Husband has seen it. No sex for several months, > because he doesn't like it when she is big like this.... nothing else in > vagina. no itching or irritation. No odor at all. CT and GC neg. No clue > cells. > Sterile spec exam 2 wks ago - nitrazine neg, fern neg, vagina dry as a bone. > Same thing today. Cx long and closed. Baby really low.>> > > Intermittent leaking of amniotic fluid? What does it SMELL like? Amniotic > fluid or something else? Can they collect some while it runs down her legs? > > Joe P. > Next message: Robert J. Woolley: "Re: a profuse vaginal discharge during pregnancy" Previous message: Paul Prior MD: "Re: Menorrhagia for 6 Months in a 31-Year-Old" Maybe in reply to: Tim or Jude Kurokawa: "a profuse vaginal discharge during pregnancy" Next in thread: Robert J. Woolley: "Re: a profuse vaginal discharge during pregnancy"

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