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Re: counseling after amnio results are in From: art fougner, md (evsono@pipeline.com) Mon Mar 20 12:58:43 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Carlos Rubio: "Right tuboovarian absces after laparotomy for left tubovarian abscess" Previous message: Bert Gold: "Re: counseling after amnio results are in" In reply to: Bert Gold: "Re: counseling after amnio results are in" with respect to genetic sonograms - 80% may in fact be optimistic, but that is the figure quoted in our neck of the woods, NOT Dr. Benacerraf's results. with regard to genetic counselors i couldn't agree more. in fact, once the human genome becomes mapped, i would expect that they will become very popular folks indeed. Art At Mon, 20 Mar 2000, Bert Gold wrote: > >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 > >####################################################################### > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Carlos Rubio: "Right tuboovarian absces after laparotomy for left tubovarian abscess" Previous message: Bert Gold: "Re: counseling after amnio results are in" In reply to: Bert Gold: "Re: counseling after amnio results are in"

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