Re: Doppler for office u/s. Was: ?hetertopic pregnancy
From: Larry Glazerman (l.glazerman@rcn.com)
Tue Feb 27 17:17:39 2001
I looked at Sonosite. It really seemed like a bit of a toy, given the price
(close to $20K) and image quality. I bought a GE Logiq 200 for about $27K
and I'm really happy with it.
At 04:12 PM 2/27/01 -0600, you wrote:
>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.
--
Larry R. Glazerman, MD
Ob-Gyn at Trexlertown
610-402-0161
l.glazerman@rcn.com
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