--
________________________________
D. Montgomery, M.D.
Sent: Tuesday, March 01, 2005 6:55 PM
To: Multiple recipients of list OB-GYN-L
Subject: monilial mastitis
Listers,
I have a subject that I haven't seen addressed here before. I think the
hospital's lactation consultants must have recently gone to a conference
and now are telling everybody that gets mastitis symptoms that they have
monilial mastitis. Now I am not talking about cutaneous yeast in the
mother and/or thrush in the baby. I am talking about mastitis where
there is supposed colonization of the ducts, etc. From what I am able
to gather, this real diagnosis is hard to make, not to mention the
treatment costs - if one uses diflucan, the cost is about $250 (Loading
dose of 400 mg, followed by 200 mg daily for 10-14 days).
How often are y'all seeing this or making this diagnosis? I have to be
honest, prior to the recent onslaught here, I haven't treated a monilial
mastitis in 17 years of practice.
Lynn
Lynn D. Montgomery, M.D.
Maternal-Fetal Medicine, OB/GYN
Rocky Mountain Women's Health
2835 Fort Missoula Rd., Suite 304
Missoula, Montana, 59804
406-549-0978
fax 406-549-0987
e-mail: apgar10@montanadsl.net
From
what I am able to gather, this real diagnosis is hard to make, not to mention
the treatment costs - if one uses diflucan, the cost is about $250 (Loading
dose of 400 mg, followed by 200 mg daily for 10-14 days).</span></font><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
</div>
<div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>How often are y'all seeing this or making this
diagnosis? I have to be honest, prior to the recent onslaught here, I
haven't treated a monilial mastitis in 17 years of practice.</span></font><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal><st1:City w:st="on"><st1:place w:st="on"><font size=2
face=Arial><span style='font-size:10.0pt;font-family:Arial'>Lynn</span></font></st1:place></st1:City><o:p></o:p></p>
</div>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
</div>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Lynn D. Montgomery, M.D.</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Maternal-Fetal Medicine, OB/GYN</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>Rocky Mountain Women's Health</span></font><o:p></o:p></p>
<p class=MsoNormal><st1:Street w:st="on"><st1:address w:st="on"><font size=2
face=Arial><span style='font-size:10.0pt;font-family:Arial'>2835 Fort
Missoula Rd., Suite 304</span></font></st1:address></st1:Street><o:p></o:p></p>
<p class=MsoNormal><st1:place w:st="on"><st1:City w:st="on"><font size=2
face=Arial><span style='font-size:10.0pt;font-family:Arial'>Missoula</span></font></st1:City><font
size=2 face=Arial><span style='font-size:10.0pt;font-family:Arial'>, <st1:State
w:st="on">Montana</st1:State>, <st1:PostalCode w:st="on">59804</st1:PostalCode></span></font></st1:place><o:p></o:p></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>406-549-0978</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>fax 406-549-0987</span></font><o:p></o:p></p>
<p class=MsoNormal><font size=2 face=Arial><span style='font-size:10.0pt;
font-family:Arial'>e-mail: apgar10@montanadsl.net</span></font><o:p></o:p></p>
<div>
<p class=MsoNormal><font size=3 face="Times New Roman"><span style='font-size:
12.0pt'> <o:p></o:p></span></font></p>
</div>
</div>
</body>
