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Re: Now we get sued over undiagnosed nuchal cords.... From: art fougner, md (evsono@pipeline.com) Wed Jun 21 17:21:18 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "B-Lynch suture" Previous message: Chad W. Hills: "Ob-gyn News - need a contact" In reply to: ainsron@msn.com: "Alcoholic with DUB" Next in thread: Braun, R. Daniel: "Re: Alcoholic with DUB" one of Manning and Platt's points in favor of the biophysical profile as opposed to the NST was the opportunity to pick up some anomalies. we certainly don't see 'em all so Yogi was right - "It ain't over 'til it's over." But, of course, as you rightly point out - if you don't look you're gonna find fewer still. art At Wed, 21 Jun 2000, DoctorJoe@aol.com wrote: > >In a message dated 6/21/00 12:06:09 PM, evsono@pipeline.com writes: > >>explain to me please how one can perform a biophysical profile and not >>look at the fetus? > >It takes concerted avoidance... > >Remember the parts of the BPP. For breathing you look at motion of the chest >wall, NOT morphogy, etc. For AF volume you need only look at pockets of >fluid, NOT really concentrating on the fetus. For FHR >variability/accelerations, you COULD simply hook up a monitor and look at the >strip, not U/S the baby at all for that. Motion means motion, not >concentration on morphology, position, cord, or anything else. Placental >grade (for those who use it) doesn't concern the fetus at all. > >So you COULD do an entire BPP and miss anencephaly, nuchal cord, omphalocele, >etc, etc. > >Joe P. -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Paul Prior MD: "B-Lynch suture" Previous message: Chad W. Hills: "Ob-gyn News - need a contact" In reply to: ainsron@msn.com: "Alcoholic with DUB" Next in thread: Braun, R. Daniel: "Re: Alcoholic with DUB"

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