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Re: counseling after amnio results are in From: Bert Gold (bgold@ktb.net) Mon Mar 20 08:58:15 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: counseling after amnio results are in" Previous message: art fougner, md: "Re: counseling after amnio results are in" Maybe in reply to: K Dew: "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" Dear Dr. Fougner, With great respect, Dr. Benacerraf and her colleagues are not reporting quite the success levels which you are citing (she picks up about 75% of Downs, by coupling US with AMA amnios). Also, it is generally acknowledged among geneticists that her US techniques are especially well refined, and that an average sonographer is unlikely to have her level of accuracy. See, Genetic sonogram scoring index: accuracy and clinical utility. Bromley B, Shipp T, Benacerraf BR J Ultrasound Med 1999 Aug;18(8):523-8; quiz 529-30 I agree with Dr. Ramirez that complex decisions concerning prenatal diagnosis (e.g. US) and intervention (amnios., termination) are best left to families after some serious counseling so that they can deeply understand the consequences of their decisions. I guess I still think genetic counselors are worth their keep. "art fougner, md" wrote: > > the sensitivity of ultrasound in predicting Down's syndrome is > conservatively about 80%. ####################################################################### -- Bert Gold, Ph.D. Vita brevis [life is short] Research & Development & Ars longa [the art long] Genetic Testing Center Occasio praeceps [the occasion instant] Quest Diagnostics Inc. Experientia fallax [experiment perilous] 7600 Tyrone Avenue Judicium dificile [decision difficult] Van Nuys, Calf. -Hippocrates Translation by bgold@ktb.net Dr. Melvin Konner bert.gold@questdiagnostics.com http://www.ktb.net/~bgold VOICE: 818-376-6332 FAX: 818-376-6387 ####################################################################### Next message: art fougner, md: "Re: counseling after amnio results are in" Previous message: art fougner, md: "Re: counseling after amnio results are in" Maybe in reply to: K Dew: "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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