Re: Two interesting cases in one day, your opinions please

From: Daniel Flaherty (drdanf@earthlink.net)
Mon Jul 24 12:31:43 2000


Thank you for your advice. Surgery is planned for Wednesday. I will let you know what I find on Case 1. The planned laparoscopy on Case two is later in August.

Thanks, Dan Flaherty MD Watertown SD

>----- Original Message -----
From: "Joanne Bulley, MD" <jbulley@cheshire.net> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@forum.obgyn.net> Sent: Sunday, July 23, 2000 11:22 PM Subject: Re: Two interesting cases in one day, your opinions please

> I agree with Kevin completely...
>
> Joanne
>
> At Sun, 23 Jul 2000, K Dew wrote:
> >
> >re 12 X 16 cm mass, I was taught that something of this size deserved
> >removal, especially if discovered outside the first trimester. the risk
of > >torsion is real and can turn an elective case to an emergent one.
> >
> >re 13 yr old with dysmenorrhea/pelvic pain not responsive to OCP. I have
a > >low threshold for Dx Scope in patients like this. Mainly because I have
> >performed probably 4 dozen scopes on similar patients who have been
passed > >from one doc to another or who have been ignored and found significant
> >pathology in 80-90%. This includes endometriosis, adhesions,
developmental > >defects, endometriosis of the appendix, etc. I appreciate your mention
that > >you don't think the problem is supratentorial. Far too often these young
> >ladies are treated in a condescending manner and "blown off" only to
suffer > >for years before someone actually listens to their complaints.
> >
> >Kevin D. Dew MD
> >OB/GYN, Bardstown, KY
>
> --
> Joanne Bulley, MD
> Keene, NH, USA
>





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