Re: TTTS
From: art fougner, md (evsono@pipeline.com)
Thu May 5 09:37:02 2005
Jim
i found this list which should prove helpful.
http://bms.brown.edu/pedisurg/Fetal/TTTSCenters.html
art
At Thu, 5 May 2005, art fougner, md wrote:
>
>Would suggest contacting Ruben Quintero, MD.
>http://64.29.226.180/body_womens.cfm?id=770
>
>art
>
>At Thu, 05 May 2005, James Smeltzer wrote:
>>
>>Hi!
>>
>>Yesterday I saw a set of MC/DA female twins with one "stuck" but
>>moving, mildly SGA and without CHF. Moderate (5%ile) cephalization. MCA
>>Vmax 41 @ 23 weeks (Almost 1.5 MoM). Twin had ascites (large), LARGE MR
>>and TR, but IVC waveform and DV waveforms were pretty good. Hydramnios
>>but uterus soft and Cx 3.5 cm long and closed. Placenta was posterior.
>>Both moving well.
>>
>>No anomalies other than ascites, cardiomegaly, MR, TR and a small
>>pericardial effusion.
>>
>>By the ascites, hydramnios, MR and TR this is grade 4, but by twin
>>appearance, behavior, cervix, & arterial and venous doppplers this was
>>grade 1.
>>
>>When should I start to do amnioreduction? Who is doing ablations? Is
>>there an NIH protocol? - Vanderbilt is reasonable distance and Tampa
>>do-able from here.
>>
>>Thanks
>>
>>Jim Smeltzer
>>
>>--
>>James S. Smeltzer, MD, FACOG, SMFM
>>Consultant, Maternal Fetal Medicine
>>Wellstar Physicians' Group
>>Northwest Women's Care
>>787 Campbell Hill St
>>Marietta GA 30060
>>James.Smeltzer@wellstar.org
>>VM 678-290-3035
>>Off 770-528-0260
>>Page 404-318-3451
>>
>>>>>>>>>>>>>>> Confidentiality Disclaimer <<<<<<<<<<<<<<<<
>>
>>This email and any files transmitted with it may contain confidential and /or
>>proprietary information in the possession of WellStar Health System, Inc.
>>("WellStar") and is intended only for the individual or entity to whom
>>addressed. This email may contain information that is held to be privileged,
>>confidential and exempt from disclosure under applicable law. If the reader of
>>this message is not the intended recipient, you are hereby notified that any
>>unauthorized access, dissemination, distribution or copying of any information
>>from this email is strictly prohibited, and may subject you to criminal and/or
>>civil liability. If you have received this email in error, please notify the
>>sender by reply email and then delete this email and its attachments from your
>>computer. Thank you.
>>================================================================
>>
>--
>art fougner, md
>
> "If you don't know where you are going, you will wind up somewhere else."
>Lawrence Peter Berra
>
--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
