Re: SAB and quant
From: art fougner, md (evsono@pipeline.com)
Wed Mar 7 09:40:39 2001
expense? remember when routine curettage was the name of the game?
art
At Wed, 7 Mar 2001, Braun, R. Daniel wrote:
>
>What a waste of money!!!!!!!!!!!!!!!!!!!!!!!!!!!!
>No wonder people get fed up with the cost of medicne.
>
>Dan
>
>-----Original Message-----
>From: Deborah J. Wage [mailto:wagedj@bellsouth.net]
>Sent: Wednesday, March 07, 2001 9:44 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: SAB and quant
>
>Everyone in my community follows every spontaneous AB with quants till they
>are 0. And I have asked myself the same question about it's usefulness. Of
>course now I have uncovered this outlier as a result.
>
>Her renal function is fine.
>
>Deborah
>
>> Why did you do the quantitative hCG's to begin with? I see our residents
>> starting to do this more and more. It seems to me to be a big waste of
>money
>> to get 3-8 quant hCG's on every spontaneous AB.
>> How is this lady's renal function?
>>
>> Dan
>>
>> -----Original Message-----
>> From: Deborah J. Wage [mailto:wagedj@bellsouth.net]
>> Sent: Tuesday, March 06, 2001 8:33 PM
>> To: Multiple recipients of list OB-GYN-L
>> Subject: SAB and quant
>>
>> Have a G1 P0 who was seen to have a blighted ovum at a dating ultrasound
>at
>> about 10 1/2 weeks ega. After counseling her re: options she decided to
>> await spontaneous expulsion which she did about 2 weeks later. An
>> ultrasound 1 week later showed no products of conception. Quantitative
>HCGs
>> have been followed. Her last quant at 7 weeks out was 33 (67 1 week
>before
>> that). Feels fine, exam normal, menses last week. She wants to try again
>> right away but I have asked them to wait until we have a 0 quantitative.
>>
>> I know that it can vary woman to woman and case to case but this has been
>> the longest I have seen it take...even though it is coming down gradually.
>> I am not worried but do think this is peculiar and can't explain it.
>> Comments?
>>
>> Deborah Wage, MSN,FNP,CNM
>>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
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