Re: Doppler for office u/s. Was: ?hetertopic pregnancy
From: art fougner, md (evsono@pipeline.com)
Tue Feb 27 15:11:06 2001
Rich -
doppler at present not worth the $ for office machine - for the reasons
you stated. have you considered sonosite vs mysono? will be looking at
them at aium ( assuming they are there) and would be happy to share my
thoughts.
art
At Tue, 27 Feb 2001, Richard Chudacoff, MD wrote:
>
>I'm looking to purchase a new ultrasound for my office. The ole Ultramark IV
>is on its last legs. I've considered getting Doppler but just don't see that
>reimbursements are going to offset the extra cost of the machine. The way I
>look at it, it is kind of expensive just to hear fetal heart motion in the
>first trimester.
>
>Any thoughts on whether Doppler is a must for a small solo-practice with a
>diagnostic center right next-door?
>
>--
>Richard Chudacoff, MD
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of art
>fougner, md
>Sent: Tuesday, February 27, 2001 7:57 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: ?hetertopic pregnancy
>
>Paul
>
>"ring of fire" often either absent or incomplete in some ectopics
>fizzling out. of course these could be managed expectantly, which is
>what might be the prudent course of action here. Mark, had a case
>recently featuring a healthy growing IUG sac, risiing Betas, pain and an
>adnexal mass separate from the ovary and consistent with thickened tube.
>increasing pain prompted laparoscopy, revealing torsion of the fallopian
>tube.
>
>art
>
>At Mon, 26 Feb 2001, Paul Prior MD wrote:
>>
>>On Mon, 26 Feb 2001 18:22:58 -0600, Mark Perloe <mperloe@ivf.com>
>>wrote:
>>
>>>KA is a 32 yo G3 ectopic 2 female s/p right salpingectomy. She conceived
>>>after ovulation induction and IUI (3 mature follicles with E2 384pg/ml
>>>peak). An intrauterine gestational sac with fetal pole and FHT is seen.
>She
>>>complains of left adnexal pain. The left ovary is enlarged suggesting mild
>>>hyperstimulation. A small 1cm saclike structure on the edge of the
>>>ovary. Over the past week it has not changed in size. It appears to be
>>>attached (moves with) the ovary. She is now 6W4D.
>>
>>Doppler on the ovary? I'm sure you are more experience in this than
>>I, Mark, but did you turn on the doppler in this area? I have found
>>the "ring of fire" to be very helpful for ectopics.
>>
>>--
>>Paul Prior MD
>>Coshocton, OH
>>Solo Practice
>>OB/GYN, FACOG
>>
>--
>art fougner, md
>
>A series of 1000 cases begins with but a single anecdote.
>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
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