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Re: pyelonephritis and sepsis in pregnancy
From: Amy (anonymous@obgyn.net)
Tue, 11 Jul 2000 06:21:07 -0500 (CDT)
I am very sorry for all the difficulties you have encountered. I am not
a doctor, but am pregnant and had pyleonephritis at 23 weeks pregnant.
All of my care was overseen by high risk obgyn and was monitored very
carefully. The diagnosis was made and treatment started within 5 hours
of me being admitted to the hospital. I had had a urine culture done
the day before, so the infection could be confirmed, but while I was in
the hospital, they thought I could have had a kidney stone and treated
me accordingly even though the stone could not be confirmed on
ultrasound. Again, I am sorry for how difficult this must be for you
and I sincerely hope you get some of the answers you're looking for.
At Tue, 11 Jul 2000, L wrote:
>
>Thank you so much for your sympathy. It's been a very hard 3 years and
>now with the commission's enqury, all the pain and heartache is coming
>back - on top of the stress of raising a disabled child.
>
>I do very much appreciate the concern and care I received from some the
>medical staff, and I refused to comment to the media when the story
>originally leaked to the press from some nursing staff. The concerns I
>have now revolve around how this could have happened, and how to try to
>stop it from happening again. What I've heard so far is that we fell
>through the safety nets.
>
>In this state it seems there's very much an 'old boy's' network amongst
>senior consultants. My GP sent my records interstate to have them
>evaluated before they were past onto the commission to make sure this
>didn't happen. The ob-gyn that my records were referred to said at the
>very least, I should have been transferred to a high-risk unit once the
>pyelonephritis became obvious. My GP agreed. There was a window of 8
>hours between the diagnosis and realisation that a kidney was blocked,
>and being seen in theatre. In theatre I went into septic shock. My son
>was born several hours after that.
>
>The Careflight service in this area is very good and I could have been
>transferred to a receiving unit in less than an hour. There are several
>units within a 15 minute flight time.
>
>The ob-gyn expert my records went to in this state said that it was
>unfortunate but the condition didn't warrant a transfer. Now I just
>want to get a picture of how it would have been handled elsewhere in the
>world. I know I've not given a great deal of information, but I would
>like to know what happens to other patients diagnosed with
>pyelonephritis between 26-28 weeks of pregnancy. Would an ob-gyn
>specialst be consulted? How would they treat a patient in these
>circumstances?
>
>Thank you once again for your compassionate comments and any information
>you can give me.
>
>--
>L
>
>>I am truly sorry for your problem pregnancy. Let me tell you several
>>things about 'other disease processes' in pregnancy.
>>First, often the signs are much more occult and difficult to interpret
>>during pregnancy. This includes appendicitis, gall bladder disease,
>>renal stones, pyelonephritis to name a few.
>>Second, we can not perform many of the diagnostic studies while you are
>>pregnant, ie x-rays and mri's
>>Third, often lab values are more variable than in other patients, and
>>often physical exam changes come later.
>>I hope this helps shed some light on some of the questions you have.
>>
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