-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Norplant From: Charlie Chambers (ricechaz@gorge.net) Thu Feb 16 16:00:13 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: fran wilson: "Condom size" Previous message: GA12L@aol.com: "Re: Sad but true --->Call the question!" In reply to: fran wilson: "Norplant" Next in thread: Dr Eberhard Lisse: "Re: Norplant" Reply: Dr Eberhard Lisse: "Re: Norplant" Fran I've always said that the people that put them in, should have to take that set out. Norplant was a situation where the removal was completely dependent on the ability to correctly place them. Ultrasound might help for localization but until you do the skin incision, it will hard to know how difficult the procedure might become. I would certainly warn her that the incision may be much larger than the one she started with. The other option, just leave them. On Feb 16, 2006, at 2:16 PM, fran wilson wrote: > Hi, I need some advice from the group. > > I have a patient who has had a Norplant in place for 6 years. She > wants to have it removed, but is uninsured. I would do it, but I > can't palpate the rods, and could not localize them with x-ray. > Doing a lit search (and calling Wyeth for advice) it seems that the > way to remove these rods is under realtime US, or mammography, or a > fluoroscope. I don't have access to these options, and I can't > find a surgeon in the area who is willing to do this (due to > Norplant Foundation restrictions and preauthorization > requirements). I have obtained the records of the insertion, and > it appears to have been uneventful. Does anyone have any great > ideas for getting these rods out in the office without ultrasound? > Would any of you try to remove them without realtime US, maybe in > two different sessions? > > Fran Wilson, CNM > Kennewick, WA > ************************************************************************ **** Charlie Chambers -- Hood River, OR cchamber@alumni.rice.edu "Almost anything you do will seem insignificant but it is very important that you do it....You must be the change you wish to see in the world" -- Mahatma Ghandi. ************************************************************************ ******* Next message: fran wilson: "Condom size" Previous message: GA12L@aol.com: "Re: Sad but true --->Call the question!" In reply to: fran wilson: "Norplant" Next in thread: Dr Eberhard Lisse: "Re: Norplant" Reply: Dr Eberhard Lisse: "Re: Norplant"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Tue Sep 2 05:06:33 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.