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Re: counseling after amnio results are in From: Efrain Ramirez (eramirez@icepr.com) Fri Mar 17 22:02:54 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: julie Golding: "Gynaecology services" Previous message: Efrain Ramirez: "Re: Server Down??" In reply to: J. Hellriegel: "Re: counseling after amnio results are in" Next in thread: J. Hellriegel: "Re: counseling after amnio results are in" Reply: J. Hellriegel: "Re: counseling after amnio results are in" You can certainly decrease the odds but by how much--IMHO it depends a lot on the one making the ultrasound --how much expertise,etc. -- what are you going to say to a patient (35y/o)with a positive screen -1/75 -- and the MFM says that he could not found an US marker? in other words-- what does the MFM says in his written report --odds? --does he recommends *not* to do an amnio -- what are their specific recommendations? At Fri, 17 Mar 2000, J. Hellriegel wrote: > >There is a trend in this area to use some biochemical markers and >ultrasound (US) for detection of chromosomal anomalies. With the >movement in this direction, I have not done a "genetic amino" for about >a year. > >Current combination is US plus triple screen, but movement is toward >using US plus free beta HCG and PAPP-A (Pregnancy Associated Plasma >Protein-A)for detection of chromosomal anomalies. > >I do not perform the US. It is done by MFM docs. who have experience >evaluating "US markers". > >Is this occuring elsewhere? Have you found it to be accurate and >acceptable to your patients? > >-- >J. Hellriegel > >-- >John Hellriegel, MD, PhD > -- "The things you learn after you know everything are the important ones" Next message: julie Golding: "Gynaecology services" Previous message: Efrain Ramirez: "Re: Server Down??" In reply to: J. Hellriegel: "Re: counseling after amnio results are in" Next in thread: J. Hellriegel: "Re: counseling after amnio results are in" Reply: J. Hellriegel: "Re: counseling after amnio results are in"

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