FW: HCFA Meeting

From: DuBose, Terry (DuboseTerryJ@exchange.uams.edu)
Fri Dec 19 12:38:05 1997


Received: from m12.boston.juno.com (m12.boston.juno.com [205.231.101.194]) by talk.obgyn.net (8.8.7/8.6.12) with ESMTP id NAA09323 for <ultrasound@talk.obgyn.net>; Fri, 19 Dec 1997 13:37:52 -0600 Received: (from lawson98@juno.com) by m12.boston.juno.com (queuemail) id OxN24624; Fri, 19 Dec 1997 14:48:49 EST To: Sonographers-Connection-Digest@Lists.UCHSC.edu Cc: ultrasound@talk.obgyn.net Subject: Lawson: ectopics and HCG levels Message-ID: <19971219.135139.10367.2.Lawson98@juno.com> References: <1.5.4.32.19971219022312.006f090c@redrose.net> X-Mailer: Juno 1.38 X-Juno-Line-Breaks: 0-1,3-5,11-12,16-18 From: lawson98@juno.com (MARK LAWSON) Date: Fri, 19 Dec 1997 14:48:49 EST

buddy@redrose.net writes: >With an HCG of 62,000 not only should an embryo be visualized but
>heart motion should also be observed. .... levels of 10,000 IU should
see heart motion...

Dearheart Janet.... I got two cases 7-8k levels and no heartbeat.... negative adnexa, small fundal fluid collections ??dicidual ring........so now what.... Lab says .... U/S should see the cardiac activity, if not they must be off... we say we just calls them as we sees them, thank you for the slam, you must be all knowing and right.....(not my words exactly:-)).... rising levels no cardiac activity....must be ectopic.... not exactly

In these two cases twin IUP's were discovered subsequently.... We fought hard the methyltrexate route and won.... Some kids will never know how close they were ;-) My belief was that the twins register higher levels earlier.... anyone got a spin on this????

--
Mark Lawson -- Texas



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