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Re: Case / question to the list: PLEASE LET ME KNOW YOUR OPNIONS From: Efrain Ramirez (eramirezt@coqui.net) Mon Dec 22 21:25:38 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Brickster0@aol.com: "Re: Case / question to the list: PLEASE LET ME KNOW YOUR OPNIONS" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Case / question to the list: PLEASE LET ME KNOW YOUR OPNIONS" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Case / question to the list: PLEASE LET ME KNOW YOUR OPNIONS" Next in thread: Richard Chudacoff, MD: "Re: Case / question to the list: PLEASE LET ME KNOW YOUR OPNIONS" Agree! - number 2 is the most important factor - let the patient know your thought process - your doubts and concerns - >At Mon, 22 Dec 2003, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >You basically took a patient who was asymptomtic and unsure of her dates >and made her into an ectopic pregnancy because you had a Beta of 2300 >and no sac on >Vaginal U/S. I would say that would be the case in at least 30 -50% of >cases where the pt is not sure of her dates ,you want to treat then all >as ectopics then by all means go ahead. Whats the big deal with waiting >24 versus 72 hrs, I don't see any problem especially with no risk >factors. I have seen ectopics with Beta's of 4000 that went on for >weeks befrore rupturing and with Beta's of 50 that ruptured within 12 >hrs. > >The most important things to consider are. >1.) Risk factors >2.) The patient's ability to understand the situation and be available >for follow up. > >-- > Take care, John > -- "The opposite of a correct statement is a false statement. But the opposite of a profound truth may well be another profound truth." Niels Bohr (1885 - 1962) Next message: Brickster0@aol.com: "Re: Case / question to the list: PLEASE LET ME KNOW YOUR OPNIONS" Previous message: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Case / question to the list: PLEASE LET ME KNOW YOUR OPNIONS" In reply to: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Case / question to the list: PLEASE LET ME KNOW YOUR OPNIONS" Next in thread: Richard Chudacoff, MD: "Re: Case / question to the list: PLEASE LET ME KNOW YOUR OPNIONS"

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