--
Richard Chudacoff, MD
Chudacoff Obstetrics & Gynecology, PLLC
15200 Southwest Freeway, #270
Sugar Land, TX 77478
Tel: 281-277-3900
Fax: 281-277-3901
rchudacoff@mylinuxisp.com
Richard.Chudacoff@obgyn.net
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-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Joanne
Bulley
Sent: Sunday, October 29, 2000 9:30 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: hyperemesis case
This goes WAY back for me - residency (83-84) - We once went to a
Dubhoff feeding tube after first using central hyperal in one hyperem
patient. Basically said the risk of central hyperal when the gi tract
worked was too hig. For those that don't know - it is basically a large
bore NG that has a special weight to get it into the duodenum.
After 48 hours she said, "I think food will stay down - just take that
thing out." She still had some problems - but overall kept the food down
and gained weight and stayed out of the hospital.
Joanne
At Sun, 29 Oct 2000, ginny lee BSN, GNM wrote:
>
>We usually see excellent results with Zofran also, not in this case. We
>typically use 4 mg IV q4, now up to 8 mg q6 with this gal and no results
>:(
>Dieticians have suggested small bore continuous tube feeds, pt usually
>has to be pretty miserable before they (the pt) agree. The idea of a
>post-pyloric feed is intriguing, I will definitely bring it up. Also
>acupuncture was suggested by one of the listers which would also be an
>excellent option here in Hawaii---depends on the cost though since HMSA
>won't cover it. Aloha and mahalo for all the suggestions
>ginny
--
Joanne Bulley, MD, FACOG
Keene, NH, USA
Take time to smell the roses.
