Re: failed MTX

From: art fougner, md (evsono@pipeline.com)
Mon Jun 12 09:19:56 2000


good thought - would suggest sending urine as well as serum for hcg. in a recent report, the urine assay tested negative when the serum was falsely positive.

art

At Sun, 11 Jun 2000, MLJ wrote: >
>You most likely have an assay problem. Recheck the hCG in another lab and
>make sure they are using a different methodology. False elevation in hCG
>has been reported several times.
>
>Those are very substatial dosages for MTX. I have never exceded 50 mg and
>have only had to second dose one patient. At the level you are using there
>have been reports of profound bone marrow suppresion.
>
>Mark Jutras, MD
>Orlando

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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