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a few casesFrom: CarynRybs@aol.comSun Oct 29 20:18:07 2000
Garry, Thanks for your comments... FYI << Would have been worth an intra-op phone call to the gyn onc next time if you were unsure about the appy. >> I did actually call our gyn onco intra-op and he recommended the appy- was surprised as it was not of the mucinous histology but obviously went ahead as he recommended it and I had consented her for it... was asking the group mainly because this wasn't the way I was trained and the latest review on borderlines- low malignant potential (you're right!) didn't recommend appy for the serous type... <<Boy, seems like the doc managing her at delivery should have gone for the placenta a wee bit sooner, given her obesity, fibroids, etc. Maybe it could have been manually removed (for the most part), with anesthesia, if needed.>> I agree 110%! was not real excited to get sign out on this one but I didn't raise a fuss mainly as I am the new kid on the block - try to see it as a learning opportunity... As a chief resident just a few months ago, I would have been quite vocal about the delay in appropriate mgmt had another resident left this for me but I stayed cool and decided to just take care of business and not let it get to me... I plan to do SIS when the hcg/placenta clears... Caryn
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