Re: C-section in today's UK Netdoctor

From: Charlie Chambers (cchamber@gorge.net)
Sun Nov 30 17:26:51 2003

>From nobody@medispecialty.com Sun Nov 30 18:26:22 2003
Received: (from nobody@localhost) by dns.obgyn.net (8.11.6/8.11.6/dsb-1.1) id hB10QMm23229 for OB-GYN-L@OBGYN.net; Sun, 30 Nov 2003 18:26:22 -0600 Message-Id: <200312010026.hB10QMm23229@dns.obgyn.net> Date: Sun, 30 Nov 2003 18:26:20 -0600 (CST) Errors-To: postmaster@medispecialty.com Reply-To: islesannie@yahoo.com From: islesannie@yahoo.com (Joanne Bulley, MD) To: OB-GYN-L@OBGYN.net In-Reply-To: <200311300811.34075.el@lisse.na> X-Original-Sender: enterprise-net2-pool38.cheshire.net @ 208.253.190.38 Subject: Re: HIV testing

I firmly believe in universal screening. with this I have seen more ture positive HIV's that with the routine screening we do for syphilis. Even though the listed rates of new diagnoses through the NH Dept of Health lists more syphilis than HIV - the reverse is true in our practice. With the ability to cut the risk to the neonate by over 50% - it would be a gross error to not strongly encourage universal screening.

Then delivery is so fraught with various body fluids being ALL over the room and people - even using the best precaurtions - you might as well know what is in it! Hep B and HIV included.

Joanne

At Sun, 30 Nov 2003, Eberhard Lisse wrote: >
>You must repeat the test.
>
>Though I most certainly disagree with the need for universal screening for HIV
>I learned very early in one of my former lives, that patients with STD lie.
>
>el
>
>On Sunday 30 November 2003 00:53, Dr. Ainsworth wrote:
>> Today I had the second positive HIV since beginning routine OB testing.
>> It was on a woman I've known for 20 years. She and her husband are both
>> pillars of the community, both professionals. Now I've got to have her
>> come in on Monday to discuss this abnormal test result. Barring a screw
>> up at the lab, this result will be devastating to this family because of
>> the ramifications that one or the other was unfaithful and/or has a
>> hidden life. She has never had a surgery or blood transfusion and to my
>> knowledge, neither has he. It certainly emphasizes to me that we need
>> to do universal screening for HIV and not exclude our friends and
>> neighbors from testing.
>
>--
>Dr. Eberhard W. Lisse \ * / Obstetrician & Gynaecologist (Saar)
><el@lisse.NA> el108 / | Oshakati State Hospital
>Private Bag X5501 \ / Telephone: +264 81 124 6733 (cell)
>Oshakati, Namibia ;____/ Managing Member, NA-NiC (cc)
>Please send DNS/NA-NiC related e-mail to dns-admin@na-nic.com.na only
>

--
Joanne Bulley, MD
Keene, NH, USA


-----
Work to create peace everywhere you go and with everything you do.
-----
Let us accept truth, even when it surprises us and alters our views.
-George Sand



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