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Re: Follow up From: Efrain Ramirez (eramirez@icepr.com) Wed Mar 13 19:28:45 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Cervical ripening with SROM" Previous message: Joanne Bulley, MD: "Ablations" In reply to: Joanne Bulley, MD: "Follow up" As you posted it ==# 2 can't argue against # 1 At Sun, 10 Mar 2002, Joanne Bulley, MD wrote: > >I posted aboout the patient with PMB ans previous difficult H/S with >perforatin and extravasation of glycine ... > >Well the path at that time was "c/w menstrual shedding" > >I had no problem accessign the canal. The os was tiny - but using a #15 >blade I made a puncture over the os and then dilated with naso-lacrimal >probes then the standard dilators we use. > >The endometrium seemed thickened and with some prominent vessels. > >Path - complex hyperplasia without atypia. > >She is short, heavy, recently diagnosed with AODM. > >Options: > >1. Progesterone therapy (but can't approach biopsy in office) - so >would need another D&C to follow up > >2. hyst - there is no decensus - so TAH BSO. > >3. other - you tell me what other thoughts you have. > >-- >Joanne Bulley, MD >Keene, NH, USA > >~*~ let there be peace on earth and let it begin with me ~*~ > -- "Life is neither the notes nor the silence between the notes, but the music that arises out of sound and silence felt as a living whole. Stop choosing...between chaos and order, and live at the boundary between them, where rest and action move together..." David Whyte Next message: Efrain Ramirez: "Re: Cervical ripening with SROM" Previous message: Joanne Bulley, MD: "Ablations" In reply to: Joanne Bulley, MD: "Follow up"

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