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Re: Case / question to the list: PLEASE LET ME KNOW YOUR OPNIONS From: art fougner, md (evsono@pipeline.com) Tue Dec 23 07:38:41 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. Ainsworth: "Re: I'm back too and PCR testing" Previous message: ginny lee, CNM: "Re: HSV" 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: 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" Reply: 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" John i would beg to differ re vaginal sonar's role in the management of ectopic... of course, my practice is that of consultative ultrasound so i admit to a personal bias LOL art At Tue, 23 Dec 2003, Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. wrote: > >Brick I don't fault you for being overly diligent in the medico legal >climate we must practice. But if you make it the standard of care that >a women with a beta of 2300 and a -ve vag u/s should be treated as an >ectopic and followed up within 24-48hrs don't be surprised if you fall >victim to it. We get judged with the retroscope the last thing we need >is to be setting unrealistic standards. > >Personally I don't think the use of vaginally U/s has changed the >management of ectopics much, and unfortunately it can do some harm, over >the last decade I have seen a half dozen cases of ectopics treated with >methotrexate elsewhere that end up in my E.R. passing trophoblast >vaginally or needing a D&C for bleeding and retained products. > >Most women who are unsure of their LMP and have infertility for 18 >months are anovulatory and I am not sure I would consider that a high >grade risk factor for tubal infertility and ectopic. > >-- > Take care, John > -- art fougner, md ich bin ein New Yorker Next message: Dr. Ainsworth: "Re: I'm back too and PCR testing" Previous message: ginny lee, CNM: "Re: HSV" 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: 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" Reply: 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"

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