Re: OB-GYN-L digest 1357 Re: Rash in pregnancy
From: Alenka Pretnar-Darovec (alenka.pretnar-darovec@guest.arnes.si)
Fri Feb 9 00:37:32 2001
Re Rush in pregnancy:
If eflorescences begin on abdomen and became squamous it could be probably pitiriasis rosea Gibert- some kind of alergy on new cloth- from cotton. Sent your patient to dermatologist.
Alenka
ob-gyn-l@obgyn.net wrote:
> OB-GYN-L Digest 1357
>
> Topics covered in this issue include:
>
> 1) Re: Rash in pregnancy
> by elishyde@connix.com (Betsy Hyde)
> 2) Re: Rash in pregnancy
> by Paul Prior MD <pprior@clover.net>
> 3) Re: GEN ( FRI?) : move over Bob Dole
> by Paul Prior MD <pprior@clover.net>
> 4) wants a baby
> by frenchieluvsal@aol.com (frenchie)
> 5) Couvelaire Uterus
> by "Debbie Laxague" <dlaxague@snowcrest.net>
> 6) First pelvic exam resource needed
> by Paul Prior MD <pprior@clover.net>
> 7) Re: wants a baby
> by DoctorJoe@aol.com
> 8) Early Puberty
> by "Peter V. Weston, M.D." <weston@icsi.net>
> 9) Re: Early Puberty
> by evsono@pipeline.com (art fougner, md)
> 10) Re: Early Puberty
> by DoctorJoe@aol.com
> 11) GEN: Pre-Existing Conditions
> by evsono@pipeline.com (art fougner, md)
> 12) OB and GYN Service and Procedure forms
> by "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
> 13) Re: Rash in pregnancy
> by Steve & Eryl Raymond <eryl@intekom.co.za>
> 14) Re: Rash in pregnancy
> by Eberhard W Lisse <el@ac.lisse.na>
> 15) Re: Rash in pregnancy
> by evsono@pipeline.com (art fougner, md)
> 16) Nitric oxide (NO), brain function, HRT
> by akhan93@hotmail.com (Suleyman Akhan)
> 17) Re: Rash in pregnancy
> by Robert J Woolley <wooll005@tc.umn.edu>
>
> ----------------------------------------------------------------------
>
> ----------------------------------------------------------------------
> Date: Wed, 7 Feb 2001 16:20:29 -0500
> ----------------------------------------------------------------------
> From: elishyde@connix.com (Betsy Hyde)
> To: ob-gyn-l@obgyn.net,
> Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net>
> Subject: Re: Rash in pregnancy
> Message-ID: <v02140b02b6a76b5d3d55@[209.66.144.47]>
> Mime-Version: 1.0
> Content-Type: text/plain; charset="us-ascii"
>
> At 10:07 PM 2/6/01, Richard Chudacoff, MD wrote:
> >I have a 29 yo G5 P2 SAB2 who presented with a total body rash.
>
> CMV?
>
> Betsy Hyde CNM
> Branford, CT
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 07 Feb 2001 18:16:49 -0500
> ------------------------------
> From: Paul Prior MD <pprior@clover.net>
> To: ob-gyn-l@obgyn.net
> Subject: Re: Rash in pregnancy
> Message-ID: <cql38tsgoqg5ido0jaud46mgqanljljlmh@4ax.com>
> MIME-Version: 1.0
> Content-Type: text/plain; charset=us-ascii
> Content-Transfer-Encoding: 7bit
>
> On Tue, 6 Feb 2001 22:07:28 -0600, Richard.chudacoff@medispecialty.com
> (Richard Chudacoff, MD) wrote:
>
> Can we safely assume this woman has had varicella?
>
> --
> Paul Prior MD Cash rebates from online purchases -up to 30% back.
> Coshocton, OH Includes: Disney,Borders,Wine.com,800.com,Dell,petstore
> Solo Practice uBid,more.com,JCrew,800-flowers,Avon, WWF & hundreds more.
> OB/GYN, FACOG Try: http://www.ebates.com/index.jhtml?referrer=pprior
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 07 Feb 2001 18:24:18 -0500
> ------------------------------
> From: Paul Prior MD <pprior@clover.net>
> To: ob-gyn-l@obgyn.net
> Subject: Re: GEN ( FRI?) : move over Bob Dole
> Message-ID: <f5m38tk022vkmf6c5drn3j85bfhdbpn2q2@4ax.com>
> MIME-Version: 1.0
> Content-Type: text/plain; charset=us-ascii
> Content-Transfer-Encoding: 7bit
>
> Once we get these things implanted, there will be little impetus to
> ever leave one's house.
>
> Look forward to the ICd9 code for TENS induced orgasmic addiction and
> social security/disability payments for those that can't bear to shut
> it off.
>
> --
> Paul Prior MD Cash rebates from online purchases -up to 30% back.
> Coshocton, OH Includes: Disney,Borders,Wine.com,800.com,Dell,petstore
> Solo Practice uBid,more.com,JCrew,800-flowers,Avon, WWF & hundreds more.
> OB/GYN, FACOG Try: http://www.ebates.com/index.jhtml?referrer=pprior
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 7 Feb 2001 17:58:59 -0600 (CST)
> ------------------------------
> From: frenchieluvsal@aol.com (frenchie)
> To: OB-GYN-L@OBGYN.NET
> Subject: wants a baby
> Message-ID: <200102072358.RAA12749@mail.medispecialty.com>
>
> I'M CURIOUS ON WHAT MY CHANCES ARE FOR GETTING PREGNATE? IM OVERWEIGHT
> AND KNOW I NEED TO SHED ALOT OF WEIGHT BUT I NEED TO KNOW IN MY CURRENT
> SITUATION IF IT IS POSSIBLE FOR ME TO STILL GET PREGNATE. I WOULD
> REALLY APRECIATE UR HELP..
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 7 Feb 2001 16:40:11 -0800
> ------------------------------
> From: "Debbie Laxague" <dlaxague@snowcrest.net>
> To: <ob-gyn-l@obgyn.net>
> Subject: Couvelaire Uterus
> Message-ID: <00d201c09167$c4c0c2c0$54af4ed1@laxague>
> MIME-Version: 1.0
> Content-Type: text/plain;
> charset="iso-8859-1"
> Content-Transfer-Encoding: 8bit
>
> I'm an OB RN working in a small rural OB unit, and a longtime lurker-and-learner on this list. We recently sectioned a woman for a partial abruption, at which time a Couvelaire Uterus (uterine apoplexy) was found. Mom and baby are fine, no problems with PPH. DIC labs were normal. I didn't see the uterus (busy with baby) but it was described by the OB as large and "zebra-like" with stripes of blood-filled spaces.
>
> I haven't been able to find enough information on this condition to satisfy my curiosity. Our Williams describes Couvelaire Uterus, but doesn't really speculate on the physiology involved. Others state its "associated with" or "caused by" abruption, which are two different things. Do you think the abruption came first and if so, why would it precipitate this bleeding into the ENTIRE uterus, rather than just the abruption site? It seems more logical to me that perhaps the Couvelaire condition came first and then "blew" the placenta off its implantation site. Your thoughts?
>
> Do you know of any information on healing/involution implications, and the likelihood of this occurring in a subsequent pregnancy? This woman did have some sort of viral illness (fever, sore throat, cough, uterine irritability) prior to presenting with her abruption. Could this have some connection?
>
> Perhaps this condition is so rare that there are no answers to these questions, but I thought that if anyone would have answers, it would be on this list. Thank you for your time and the sharing of your knowledge.
>
> Debbie Laxague, RNC
> Northern Calif.
> dlaxague@snowcrest.net
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 07 Feb 2001 19:31:28 -0500
> ------------------------------
> From: Paul Prior MD <pprior@clover.net>
> To: ob-gyn-l@obgyn.net
> Subject: First pelvic exam resource needed
> Message-ID: <75q38tcjejbga2uks52gunjfjkdrd87u48@4ax.com>
> MIME-Version: 1.0
> Content-Type: text/plain; charset=us-ascii
> Content-Transfer-Encoding: 7bit
>
> Can anyone provide me with a recommendation for a good "your first
> pelvic exam" type tape for adolescents.
>
> ACOG does not seem to have one.
>
> --
> Paul Prior MD Cash rebates from online purchases -up to 30% back.
> Coshocton, OH Includes: Disney,Borders,Wine.com,800.com,Dell,petstore
> Solo Practice uBid,more.com,JCrew,800-flowers,Avon, WWF & hundreds more.
> OB/GYN, FACOG Try: http://www.ebates.com/index.jhtml?referrer=pprior
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 7 Feb 2001 20:05:42 EST
> ------------------------------
> From: DoctorJoe@aol.com
> To: ob-gyn-l@obgyn.net
> Subject: Re: wants a baby
> Message-ID: <8a.21ee025.27b34ae6@aol.com>
> MIME-Version: 1.0
> Content-Type: text/plain; charset="US-ASCII"
> Content-Transfer-Encoding: 7bit
>
> In a message dated 2/7/01 6:01:43 PM, frenchieluvsal@aol.com writes:
>
> << I'M CURIOUS ON WHAT MY CHANCES ARE FOR GETTING PREGNATE? IM OVERWEIGHT
> AND KNOW I NEED TO SHED ALOT OF WEIGHT BUT I NEED TO KNOW IN MY CURRENT
> SITUATION IF IT IS POSSIBLE FOR ME TO STILL GET PREGNATE. I WOULD
> REALLY APRECIATE UR HELP.. >>
>
> It all depends upon whether you ovulate or not. You need to ask your
> gynecologist.
>
> Good luck!
>
> Doctor Joe
>
> ------------------------------
>
> ------------------------------
> Date: Wed, 07 Feb 2001 23:49:06 -0600
> ------------------------------
> From: "Peter V. Weston, M.D." <weston@icsi.net>
> To: ob-gyn-l@obgyn.net
> Subject: Early Puberty
> Message-ID: <4.1.20010207234846.009806b0@icsi.net>
> Mime-Version: 1.0
> Content-Type: text/plain; charset="iso-8859-1"
> Content-Transfer-Encoding: 8bit
>
> By Robin Eisner
> [ABCNEWS.com]
> N E W Y O R K, Feb. 7 — One day a few years ago, Marilyn Saunders noticed
> that her 8 ½-year-old daughter Susan was starting to develop small breasts
> and pubic hair.
> STORY HIGHLIGHTS
> Early Puberty in Girls Is Norm Causes May Include Obesity, Chemicals and
> Sex on T.V. More Research Needs to Be Done Some Question If Early Puberty
> Is Real
> It seemed odd to Saunders (not her real name), a 43-year-old mother from
> New York's Long Island, since she herself didn’t mature until she was older.
> Her doctor told her not to worry: Early onset of puberty is now considered
> the norm by most pediatricians.
> Early Puberty in Girls Is Norm
> According to research first published in the medical journal Pediatrics in
> April of 1997, the age of the onset of puberty is getting earlier for
> girls, with the average age of either breasts or pubic hair showing up as
> 9.7 years for Caucasians and 8.1 years for African-Americans.
> Before this study of 17,000 girls — evaluated by their pediatricians during
> routine examinations — the norm for puberty onset was considered to be 11
> years old, or one year later for white girls and two years later for
> African-Americans.
> In October 1999, a group of pediatricians redefined when puberty occurs in
> girls, so doctors could better identify when it was abnormal.
> What can be causing this premature pubescence? Researchers have many
> theories, including an increase in obesity among children, low birth
> weight, absent fathers, unrelated males in the household, a sedentary
> lifestyle, chemicals that act as endocrine disrupters and the sexualization
> of children by the media.
> Causes May Include Obesity, Chemicals and Sex on TV
> Some research indicates that overweight girls have a tendency to reach
> puberty earlier. Other work indicates girls may be exposed to pheromones,
> or sexual hormones, from unrelated men, such as stepfathers, prompting them
> to sexual development. Children who live in families without fathers may be
> experiencing stress, bringing about early puberty. Another theory is that
> the increase in images of sex on television fosters sexual maturity, in a
> way that food stimulates salivation.
> “The picture is more complicated than a single cause or a single effect,”
> says Jeffrey Peterson Myers, director of the W. Alton Jones Foundation and
> co-author of Our Stolen Future, a book on endocrine-disrupting chemicals.
> Myers spoke today at news conference on this issue in Washington. “There
> are different factors playing a different role in different people.”
>
> Researchers convened the news conference to bring attention to parents,
> educators, pediatricians and others, about this issue. They also called for
> more studies to understand how these different factors might be
> contributing to this problem.
> “No one can really think that little girls in second or third or fourth
> grade should be developing breasts,” says Diana Zuckerman, a psychologist
> and executive director of the National Center for Policy Researcher for
> Women and Families.
> This is the age, she says, when youngsters are being taught how many
> quarters are in a dollar. “These are young kids,” she says.
> “How can you begin to explain to them why some of them might becoming moody
> or looking different?” says Zuckerman. “Or why are older boys might be
> interested in them or why are teenagers being nice? Are they flirting or
> coming on? Even adult women sometimes have problems with these issues.”
>
> If these children do not become aware of their blossoming sexuality, then
> they might become victims of sexual predators who see them as vulnerable,
> Zuckerman says.
> Saunders says she still has difficulties talking to her daughter about sex.
> Her daughter is still so sheltered or emotionally immature that she cannot
> understand how someone could have a baby outside of marriage.
> More Research Needs to Be Done
> Marcia E. Herman-Giddens, an adjunct professor in public health at the
> University of North Carolina School of Public Health who authored the
> landmark study, says the psychological effects of early onset puberty need
> to be studied and data should be collected every 10 years to understand if
> the age is stabilizing or dropping.
> “This is a serious public health issue,” Herman-Giddens says. “We don’t
> know about the sexual urges of 7- and 8-year-old girls and how they might
> affect their mental health.”
>
> Zuckerman highlighted studies indicating psychological problems in girls
> who experienced early menstruation as a way to get a handle on what might
> be happening. Herman-Giddens did not find that menstruation started earlier
> in her population of girls, except among the African-American population.
> The age of the first periods for Caucasian girls was 12.8 years; for
> African- Americans, it was about six months earlier.
> In a study of 6- to 11-year-old girls, those who matured earlier were more
> depressed, aggressive, socially withdrawn and had more sleep problems than
> those who hadn’t. Another study of 1,700 high school girls revealed that
> earlier menstruation was linked to drinking smoking, substance abuse, lower
> self-esteem and suicide attempts.
> Whether boys are experiencing this early puberty is unknown. Research is
> ongoing about this question.
> Myers says if research finds that some chemicals are contributing to early
> puberty, manufacturers might be apt to change the products they offer to
> consumers. Some studies in animals, he says, reveal that exposure to
> certain chemicals in the womb can lead to early sexual maturity later on.
> Other studies have indicated an association between exposure to certain
> chemicals called phthalates, found in plastics and cosmetics, and early
> breast development.
> The cosmetics and plastics industries call their products safe.
> Some Question if Early Puberty Is Real
> But some pediatricians question the new puberty norm. Dr. Robert
> Rosenfield, professor of medicine and pediatrics at the University of
> Chicago Pritzker School of Medicine, challenges the methodology of the 1997
> study, calling it biased in having too many girls with early puberty problems.
> “The study was not done in a random fashion,” Rosenfield says. “The
> children were kids brought into a pediatrician’s office. … Early cases of
> puberty might be over-represented in the sample. Parents might have brought
> children in with a cold or a rash, but might have really been more
> concerned about early development of breasts or pubic hair.” A better study
> would have selected participants from the general population, he says.
> Rosenfield says while most of these children may be all right by developing
> early, others may have some other medical condition that needs further
> study. Tumors and over-secretion of hormones by the adrenal gland can also
> lead to early development.
> He agrees more research should be done to see if what Herman-Giddens found
> is real, but adds increasing childhood obesity may be a significant factor
> contributing to this issue.
> While Saunders’ daughter is coping well with her early sexuality, her
> mother says she fears other parents promote teenage behavior in younger
> girls by allowing them to date and wear skimpy outfits.
> “I think kids should be kids,” Saunders says. “They should be riding their
> bikes, playing, enjoying school and sports. They are innocent and should
> not being subject to the pressures of a teenager.”
>
> Cap'n Pete
> Peter V. Weston, M.D. <weston@icsi.net>
> Somewhere in or near South Carolina. Phone (281)-635-2190
> --
> ~v~ ~v~
> /| ~v~
> / |\
> / | / | \ ~v~
> / | / | \
> _ /__|/__ | __\___
> ~^~^^^( Amelia Pearl /^~^~^~^
> For the truth is that I already know as much about my fate as I need to
> know. The day will come when I will die. So the only matter of consequence
> before me is what I will do with my allotted time. I can remain on
> shore,paralyzed with fear, or I can raise my sails and dip and soar in the
> breeze.
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 8 Feb 2001 07:35:33 -0600 (CST)
> ------------------------------
> From: evsono@pipeline.com (art fougner, md)
> To: OB-GYN-L@OBGYN.NET
> Subject: Re: Early Puberty
> Message-ID: <200102081335.HAA01338@mail.medispecialty.com>
>
> Lina Medina!
>
> art
>
> At Wed, 07 Feb 2001, Peter V. Weston, M.D. wrote:
> >
> >By Robin Eisner
> >[ABCNEWS.com]
> >N E W Y O R K, Feb. 7 — One day a few years ago, Marilyn Saunders noticed
> >that her 8 ½-year-old daughter Susan was starting to develop small breasts
> >and pubic hair.
> >STORY HIGHLIGHTS
> >Early Puberty in Girls Is Norm Causes May Include Obesity, Chemicals and
> >Sex on T.V. More Research Needs to Be Done Some Question If Early Puberty
> >Is Real
> >It seemed odd to Saunders (not her real name), a 43-year-old mother from
> >New York's Long Island, since she herself didn’t mature until she was older.
> >Her doctor told her not to worry: Early onset of puberty is now considered
> >the norm by most pediatricians.
> >Early Puberty in Girls Is Norm
> >According to research first published in the medical journal Pediatrics in
> >April of 1997, the age of the onset of puberty is getting earlier for
> >girls, with the average age of either breasts or pubic hair showing up as
> >9.7 years for Caucasians and 8.1 years for African-Americans.
> >Before this study of 17,000 girls — evaluated by their pediatricians during
> >routine examinations — the norm for puberty onset was considered to be 11
> >years old, or one year later for white girls and two years later for
> >African-Americans.
> >In October 1999, a group of pediatricians redefined when puberty occurs in
> >girls, so doctors could better identify when it was abnormal.
> >What can be causing this premature pubescence? Researchers have many
> >theories, including an increase in obesity among children, low birth
> >weight, absent fathers, unrelated males in the household, a sedentary
> >lifestyle, chemicals that act as endocrine disrupters and the sexualization
> >of children by the media.
> >Causes May Include Obesity, Chemicals and Sex on TV
> >Some research indicates that overweight girls have a tendency to reach
> >puberty earlier. Other work indicates girls may be exposed to pheromones,
> >or sexual hormones, from unrelated men, such as stepfathers, prompting them
> >to sexual development. Children who live in families without fathers may be
> >experiencing stress, bringing about early puberty. Another theory is that
> >the increase in images of sex on television fosters sexual maturity, in a
> >way that food stimulates salivation.
> >“The picture is more complicated than a single cause or a single effect,”
> >says Jeffrey Peterson Myers, director of the W. Alton Jones Foundation and
> >co-author of Our Stolen Future, a book on endocrine-disrupting chemicals.
> >Myers spoke today at news conference on this issue in Washington. “There
> >are different factors playing a different role in different people.”
> >
> >Researchers convened the news conference to bring attention to parents,
> >educators, pediatricians and others, about this issue. They also called for
> >more studies to understand how these different factors might be
> >contributing to this problem.
> >“No one can really think that little girls in second or third or fourth
> >grade should be developing breasts,” says Diana Zuckerman, a psychologist
> >and executive director of the National Center for Policy Researcher for
> >Women and Families.
> >This is the age, she says, when youngsters are being taught how many
> >quarters are in a dollar. “These are young kids,” she says.
> >“How can you begin to explain to them why some of them might becoming moody
> >or looking different?” says Zuckerman. “Or why are older boys might be
> >interested in them or why are teenagers being nice? Are they flirting or
> >coming on? Even adult women sometimes have problems with these issues.”
> >
> >If these children do not become aware of their blossoming sexuality, then
> >they might become victims of sexual predators who see them as vulnerable,
> >Zuckerman says.
> >Saunders says she still has difficulties talking to her daughter about sex.
> >Her daughter is still so sheltered or emotionally immature that she cannot
> >understand how someone could have a baby outside of marriage.
> >More Research Needs to Be Done
> >Marcia E. Herman-Giddens, an adjunct professor in public health at the
> >University of North Carolina School of Public Health who authored the
> >landmark study, says the psychological effects of early onset puberty need
> >to be studied and data should be collected every 10 years to understand if
> >the age is stabilizing or dropping.
> >“This is a serious public health issue,” Herman-Giddens says. “We don’t
> >know about the sexual urges of 7- and 8-year-old girls and how they might
> >affect their mental health.”
> >
> >Zuckerman highlighted studies indicating psychological problems in girls
> >who experienced early menstruation as a way to get a handle on what might
> >be happening. Herman-Giddens did not find that menstruation started earlier
> >in her population of girls, except among the African-American population.
> >The age of the first periods for Caucasian girls was 12.8 years; for
> >African- Americans, it was about six months earlier.
> >In a study of 6- to 11-year-old girls, those who matured earlier were more
> >depressed, aggressive, socially withdrawn and had more sleep problems than
> >those who hadn’t. Another study of 1,700 high school girls revealed that
> >earlier menstruation was linked to drinking smoking, substance abuse, lower
> >self-esteem and suicide attempts.
> >Whether boys are experiencing this early puberty is unknown. Research is
> >ongoing about this question.
> >Myers says if research finds that some chemicals are contributing to early
> >puberty, manufacturers might be apt to change the products they offer to
> >consumers. Some studies in animals, he says, reveal that exposure to
> >certain chemicals in the womb can lead to early sexual maturity later on.
> >Other studies have indicated an association between exposure to certain
> >chemicals called phthalates, found in plastics and cosmetics, and early
> >breast development.
> >The cosmetics and plastics industries call their products safe.
> >Some Question if Early Puberty Is Real
> >But some pediatricians question the new puberty norm. Dr. Robert
> >Rosenfield, professor of medicine and pediatrics at the University of
> >Chicago Pritzker School of Medicine, challenges the methodology of the 1997
> >study, calling it biased in having too many girls with early puberty problems.
> >“The study was not done in a random fashion,” Rosenfield says. “The
> >children were kids brought into a pediatrician’s office. … Early cases of
> >puberty might be over-represented in the sample. Parents might have brought
> >children in with a cold or a rash, but might have really been more
> >concerned about early development of breasts or pubic hair.” A better study
> >would have selected participants from the general population, he says.
> >Rosenfield says while most of these children may be all right by developing
> >early, others may have some other medical condition that needs further
> >study. Tumors and over-secretion of hormones by the adrenal gland can also
> >lead to early development.
> >He agrees more research should be done to see if what Herman-Giddens found
> >is real, but adds increasing childhood obesity may be a significant factor
> >contributing to this issue.
> >While Saunders’ daughter is coping well with her early sexuality, her
> >mother says she fears other parents promote teenage behavior in younger
> >girls by allowing them to date and wear skimpy outfits.
> >“I think kids should be kids,” Saunders says. “They should be riding their
> >bikes, playing, enjoying school and sports. They are innocent and should
> >not being subject to the pressures of a teenager.”
> >
> >Cap'n Pete
> >Peter V. Weston, M.D. <weston@icsi.net>
> >Somewhere in or near South Carolina. Phone (281)-635-2190
> >
> >--
> > ~v~ ~v~
> > /| ~v~
> > / |\
> > / | / | \ ~v~
> > / | / | \
> > _ /__|/__ | __\___
> > ~^~^^^( Amelia Pearl /^~^~^~^
> >For the truth is that I already know as much about my fate as I need to
> >know. The day will come when I will die. So the only matter of consequence
> >before me is what I will do with my allotted time. I can remain on
> >shore,paralyzed with fear, or I can raise my sails and dip and soar in the
> >breeze.
> >
>
> --
> art fougner, md
>
> A series of 1000 cases begins with but a single anecdote.
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 8 Feb 2001 08:43:13 EST
> ------------------------------
> From: DoctorJoe@aol.com
> To: ob-gyn-l@obgyn.net
> Subject: Re: Early Puberty
> Message-ID: <e.8965cda.27b3fc71@aol.com>
> MIME-Version: 1.0
> Content-Type: text/plain; charset="ISO-8859-1"
> Content-Transfer-Encoding: 8bit
>
> In a message dated 2/7/01 11:54:42 PM, weston@icsi.net writes:
>
> << According to research first published in the medical journal Pediatrics in
>
> April of 1997, the age of the onset of puberty is getting earlier for
>
> girls, with the average age of either breasts or pubic hair showing up as
>
> 9.7 years for Caucasians and 8.1 years for African-Americans.
>
> Before this study of 17,000 girls — evaluated by their pediatricians during
>
> routine examinations — the norm for puberty onset was considered to be 11
>
> years old, or one year later for white girls and two years later for
>
> African-Americans. >>
>
> I vote for obesity as a cause.
>
> Teleologically, if there's "plenty", you should reproduce faster. You're
> preparing for when there's a famine or whatever. The population expands to
> meet the food supply.
>
> In the U.S., and probably in many developed countries, the food supply is
> overly abundant. Hence, the natural tendency would be towards elevated
> fecundity.
>
> The reverse, i.e. starvation, decreases fertility, as we all know from
> stories of the various wars, as well as from natural histories of anorexics
> and other thin folks.
>
> Joe P.
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 8 Feb 2001 10:19:34 -0600 (CST)
> ------------------------------
> From: evsono@pipeline.com (art fougner, md)
> To: OB-GYN-L@OBGYN.NET
> Subject: GEN: Pre-Existing Conditions
> Message-ID: <200102081619.KAA21566@mail.medispecialty.com>
>
> from "The Times"
>
> THURSDAY FEBRUARY 08 2001
>
> Insurance firm admits using genetic screening
>
> BY MELISSA KITE, POLITICAL CORRESPONDENT
>
> ONE of Britain’s biggest insurance companies admitted yesterday using
> unapproved genetic tests for potentially fatal diseases when assessing
> whether to offer life cover.
> Norwich Union Life was forced to admit that it had been using
> experimental tests for breast and ovarian cancer and for Alzheimer’s
> disease when underwriting some insurance applications. The disclosure
> came as three insurance firms were questioned by members of the House of
> Commons Science and Technology Select Committee.
>
> It prompted cross-party calls for urgent government action further to
> regulate the insurance industry. MPs complained of a serious abuse by
> the company and expressed fears that many more firms might be doing the
> same.
>
> Dr Ian Gibson, a member of the committee, accused Norwich Union of
> trying to set up a “genetic ghetto”. He called on the Government to
> stem the tide of genetic testing by insurance companies.
>
> “Self-regulation is clearly not working. These companies are attempting
> to identify a genetic underclass which can only lead to them profiting
> and individuals being discrimminated against.”
>
> The test for Huntingdon’s disease is the only genetic test that has been
> passed by the independent Genetics and Insurance Committee, part of the
> Government’s Human Genetics Commission. Questioned by the committee,
> representatives for Norwich Union, Prudential and Co-operative Insurance
> all said that they used the test for Huntingdon’s disease. They
> emphasised that the tests were not compulsory.
>
> The use of such tests established a crucial precedent. Norwich Union’s
> use of tests for cancer and Alzheimer’s also violates the Association of
> British Insurers’ code of conduct, which states that only tests approved
> by the committee are permissible.
>
> In a memorandum to the parliamentary committee Norwich Union Life, which
> comprises CGU and Norwich Union, proclaimed that it strictly adhered to
> the insurer’s code of conduct of genetic tests, saying: “We are
> committed to using only those test results which gain the approval of
> the GAIC committee.”
>
> But during questioning, Mike Urmston, chief actuary at Norwich Union,
> was forced to explain that breast and ovarian cancer tests were also
> being used. He said that the company had decided to use the tests on
> the advice of Professor Sandy Raeburn, the Association of British
> Insurers’ genetics adviser. Professor Raeburn is also a member of the
> committee, which Dr Gibson claimed produced a serious conflict of
> interest.
>
> Alan Williams, Labour MP for Swansea West, said that the firm had been
> acting highly improperly. “This is shooting first and asking questions
> later. You are using the tests as if they had been proved.”
>
> Desmond Turner, Labour MP for Brighton Kemptown, said: “This does
> nothing to increase public confidence in the insurance industry.”
>
> Norwich Union agreed to the MPs demands that if the tests were not
> passed, it rewrite the claims involved and reimburse the amount by which
> the premium had been inflated by the positive result.
>
> Copyright 2001 Times Newspapers Ltd. This service is provided on Times
> Newspapers' standard terms and conditions. To inquire about a licence
> to reproduce material from The Times, visit the Syndication website.
>
> art
>
> --
> art fougner, md
>
> A series of 1000 cases begins with but a single anecdote.
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 8 Feb 2001 10:32:38 -0600
> ------------------------------
> From: "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
> To: <ob-gyn-l@obgyn.net>
> Subject: OB and GYN Service and Procedure forms
> Message-ID: <LAEEJEBMFIKDMOCFFABMEEDOCKAA.rchudacoff@mylinuxisp.com>
> MIME-Version: 1.0
> Content-Type: text/plain;
> charset="iso-8859-1"
> Content-Transfer-Encoding: 7bit
>
> Does anyone have OB and GYN service and procedure super bill forms that list
> the CPT and ICD-9 codes, or a site I can download off the internet?
>
> You can email me directly. TIA
>
> Rick
>
> Richard Chudacoff, MD
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 08 Feb 2001 17:09:50 +0200
> ------------------------------
> From: Steve & Eryl Raymond <eryl@intekom.co.za>
> To: ob-gyn-l@obgyn.net
> Subject: Re: Rash in pregnancy
> Message-ID: <3A82B6BD.D9495904@intekom.co.za>
> MIME-Version: 1.0
> Content-Type: text/plain; charset=UTF-8
> Content-Transfer-Encoding: 7bit
>
> Chicken pox is very likely, but small pox????
>
> "Peter V. Weston, M.D." wrote:
>
> > Richard wrote:
> > >I have a 29 yo G5 P2 SAB2 who presented with a total body rash. She is
> > >currently 6 weeks EGA, and the rash began two days before she had a
> > >positive pregnancy test. It began as a limited maculo-papular eruption
> > >on her abdomen, around 3 mm in diameter, and then spread everywhere
> > >except her palms and soles.
> >
> > Sounds like Chicken pox or small pox!
> >
> > Cap'n Pete
> > Peter V. Weston, M.D. <weston@icsi.net>
> > Somewhere in or near South Carolina. Phone (281)-635-2190
> > --
> > ~v~ ~v~
> > /| ~v~
> > / |\
> > / | / | \ ~v~
> > / | / | \
> > _ /__|/__ | __\___
> > ~^~^^^( Amelia Pearl /^~^~^~^
> > For the truth is that I already know as much about my fate as I need to
> > know. The day will come when I will die. So the only matter of consequence
> > before me is what I will do with my allotted time. I can remain on
> > shore,paralyzed with fear, or I can raise my sails and dip and soar in the
> > breeze.
>
> --
> Dr. S.H. Raymond
> Department of Obstetrics & Gynaecology
> Empangeni Hospital
> Private Bag X20005
> Empangeni
> South Africa 3880
> Ph. (+27) (035) 7721111
> Fax (+27) (035) 7922596
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 08 Feb 2001 21:32:26 +0100
> ------------------------------
> From: Eberhard W Lisse <el@ac.lisse.na>
> To: ob-gyn-l@obgyn.net
> Cc: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net>,
> el@lisse.na
> Subject: Re: Rash in pregnancy
> Message-ID: <20010208203232.09F9B609A2@ac.lisse.na>
>
> Pete,
>
> In message <3A82B6BD.D9495904@intekom.co.za>, Steve & Eryl Raymond writes:
>
> > Chicken pox is very likely, but small pox????
>
> Steve is quite right.
>
> Small Pox? Come on, First of all I'd think she'd be dead by
> now. Secondly if not, isn't there a bounty out for a proven small pox
> case :-)-O?
>
> > "Peter V. Weston, M.D." wrote:
> >
> > > Richard wrote:
> > > >I have a 29 yo G5 P2 SAB2 who presented with a total body rash. She is
> > > >currently 6 weeks EGA, and the rash began two days before she had a
> > > >positive pregnancy test. It began as a limited maculo-papular eruption
> > > >on her abdomen, around 3 mm in diameter, and then spread everywhere
> > > >except her palms and soles.
> > >
> > > Sounds like Chicken pox or small pox!
>
> el
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 8 Feb 2001 14:40:20 -0600 (CST)
> ------------------------------
> From: evsono@pipeline.com (art fougner, md)
> To: OB-GYN-L@OBGYN.NET
> Subject: Re: Rash in pregnancy
> Message-ID: <200102082040.OAA13092@mail.medispecialty.com>
>
> right you are el. thankfully, the canadian ebola case is not ebola
> after all.
>
> art
>
> At Thu, 8 Feb 2001, Eberhard W Lisse wrote:
> >
> >Pete,
> >
> >In message <3A82B6BD.D9495904@intekom.co.za>, Steve & Eryl Raymond writes:
> >
> >> Chicken pox is very likely, but small pox????
> >
> >Steve is quite right.
> >
> >Small Pox? Come on, First of all I'd think she'd be dead by
> >now. Secondly if not, isn't there a bounty out for a proven small pox
> >case :-)-O?
> >
> >> "Peter V. Weston, M.D." wrote:
> >>
> >> > Richard wrote:
> >> > >I have a 29 yo G5 P2 SAB2 who presented with a total body rash. She is
> >> > >currently 6 weeks EGA, and the rash began two days before she had a
> >> > >positive pregnancy test. It began as a limited maculo-papular eruption
> >> > >on her abdomen, around 3 mm in diameter, and then spread everywhere
> >> > >except her palms and soles.
> >> >
> >> > Sounds like Chicken pox or small pox!
> >
> >el
>
> --
> art fougner, md
>
> A series of 1000 cases begins with but a single anecdote.
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 8 Feb 2001 14:43:47 -0600 (CST)
> ------------------------------
> From: akhan93@hotmail.com (Suleyman Akhan)
> To: OB-GYN-L@OBGYN.NET
> Subject: Nitric oxide (NO), brain function, HRT
> Message-ID: <200102082043.OAA15412@mail.medispecialty.com>
>
> NO is a retrograde messenger in central nervous system(CNS). Estrogen
> replacement therapy stimulate NO production in vascular endothelium and
> may stimulate the production of NO in CNS at the same therapy period. Is
> there any study who demonstrate the relation between plasma and brain
> levels of NO when we use HRT. It's very important question for us
> because we planned a study about cognitive function and HRT. We found a
> study published by Lopez-Jaramillo at all. in 1999 (Endothelium
> 1999;6(4):263-6)In this study the collegues evaluate the plasma levels
> of NO and mood of postmenopausal women after HRT. We searched for a
> animal study but we don't obtain any information who evaluate this
> relation (brain and plasma levels of NO).
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 8 Feb 2001 14:53:36 -0600 (CST)
> ------------------------------
> From: Robert J Woolley <wooll005@tc.umn.edu>
> To: ob-gyn-l@obgyn.net
> Subject: Re: Rash in pregnancy
> Message-ID: <Pine.SOL.4.20.0102081452360.7002-100000@garnet.tc.umn.edu>
> MIME-Version: 1.0
> Content-Type: TEXT/PLAIN; charset=US-ASCII
>
> On Thu, 8 Feb 2001, Steve & Eryl Raymond wrote:
>
> > Chicken pox is very likely, but small pox????
>
> Actually, chicken pox is very *un*likely, unless viral respiratory
> symptoms were present but not included in the case description. If you
> ain't got coryza, you ain't got varicella.
>
> ------------------------------
>
> ------------------------------
> End of OB-GYN-L Digest 1357
> ------------------------------
> ***************************
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