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Re: counseling after amnio results are in From: Efrain Ramirez (eramirez@icepr.com) Sat Mar 18 10:23:33 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey Klein, MD: "Re: Server Down??" Previous message: nila mohile: "Re: need help (early fetal loss)" In reply to: J. Hellriegel: "Re: counseling after amnio results are in" Next in thread: art fougner, md: "Re: counseling after amnio results are in" Reply: art fougner, md: "Re: counseling after amnio results are in" At Sat, 18 Mar 2000, J. Hellriegel wrote: >Sometimes it is a bit complex. You bet! The ultimate question the couple should answer INMHO -- is which what outcome will they live more at peace with themselves -- if by doing an amnio they might loose a healthy baby -- or by not doing it they might have to deal with a baby with chromosomal abnormalities (Down been the most common) -- both are decisions with life long implications. I did (well--not me--this particular one I asked a friend of mine :-)--an amnio to my wife 8 years ago-- her risks were in the order of 1/800-- to me -- because of some very personal reasons --that figure was too high!! - she agreed with the amnio -- we have a beautiful daughter - We think we made the right decision -- for another couple-- or an MD -- it would be outrageous. >-- >J. Hellriegel > >At Fri, 17 Mar 2000, Efrain Ramirez wrote: >> >>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" >> >-- >John Hellriegel, MD, PhD > -- "The things you learn after you know everything are the important ones" Next message: Geffrey Klein, MD: "Re: Server Down??" Previous message: nila mohile: "Re: need help (early fetal loss)" In reply to: J. Hellriegel: "Re: counseling after amnio results are in" Next in thread: art fougner, md: "Re: counseling after amnio results are in" Reply: art fougner, md: "Re: counseling after amnio results are in"

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