--
Richard Chudacoff, MD
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Mark Perloe
Sent: Tuesday, February 27, 2001 8:38 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Doppler for office u/s. Was: ?hetertopic pregnancy
Richard,
Please look at the new Shimadzu 3D doppler. They are quite cost effective. I
have three of there non-doppler machines and hope to have one soon. The use
of 3D for new OB scans, uterine malformations, fibroids is helpful.
The value of doppler flow studies outside of a research setting for
infertility is still up for grabs, but this machine should be very
affordable.
Mark Perloe
At 03:01 PM 2/27/01 -0600, you 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.
Mark Perloe, M.D. http <http://grs.ivf.com/> ://grs .ivf.com
<http://grs.ivf.com/> 404-843-2229
5445 Meridian Mark Rd, Suite 270, Atlanta, GA 30342
