Re: Reality OB

From: R. Daniel Braun (rd.braun@gmail.com)
Sat Jun 11 20:32:19 2005


That's what I said, I would have induced 2 nights ago prior to getting the US. i.e., I never would have gotten it. Saved money and done the patient some good.

On 6/11/05, David Rivera <cuurmudgeon@sbcglobal.net> wrote: >
> I'm in BFE. The only US is in radiology and is one of those cadillacs.
>
> *"R. Daniel Braun" <rd.braun@gmail.com>* wrote:
>
> C. 2 nights ago before the US
> Or Induce 2 nights ago before the US
> We have an US machine on our L&D that we can use to get an AFI or check
> for position or for placental location. As per ACOG guidelines for US.
> Does the radiologist out of about $300 while we're at it. And we don't
> bill for it.
> On 6/11/05, David A. Rivera, MD <cuurmudgeon@sbcglobal.net> wrote:
> >
> > Here's today's case from the front line.
> >
> > 19 year old female G1 P0, 40 3/7 weeks gestation. She is 5'8" and "a
> > little fluffy." (269 lbs). Shows up in L&D 2 nights ago thinking she
> > has ROM. Nitrazine and fern negative, vagina dry as a bone. Cervix is
> > 2cm, -1 station, 70% effaced. Fundal height is 42cm. Since one can't
> > get an ultrasound in the middle of the night unless decreed by an act of
> > God, she has one the following afternoon for AFI and EFW. Respective
> > values are 10 and 8.5lbs. My feminine intuition says (in my best Bruce
> > Willis) "I got a bad feeling about this one."
> >
> > Do you:
> > (A) do biweekly NSTs and schedule her for an elective induction when
> > some other poor sucker is on call?
> > (B) Have her come in Satu! rday morning for an elective induction?
> > (C) Offer her an elective Cesarean?
> >
> > What's your choice and why?
> >
> > --
> > DAR
> >
>
> --
> R. Daniel Braun
> Kinky for Governor
>

--
R. Daniel Braun
Kinky for Governor




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