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Re: What would you do? From: DoctorJoe@aol.com Thu Dec 28 08:49:29 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Bernard Cristalli: "Re: What would you do?" Previous message: art fougner, md: "GEN: Deformer Babies" Maybe in reply to: Dr Eberhard Lisse: "What would you do?" Next in thread: art fougner, md: "Re: What would you do?" Reply: art fougner, md: "Re: What would you do?" In a message dated 12/28/06 3:51:26 AM, el@lisse.NA writes: > I have inherited a patient of my colleague who is away over the holidays, > > Two previous Caesars, pulmonary embolus in February 2006, went off the > pill, and duly fell pregnant at now 36 weeks, to get another pulmonary > embolus yesterday. Is now in ICU but clinically well, not dyspnoeic at > all, in the care of an Internist on Clexane. > > I have asked for an Ultrasound for dates (for all it is worth) and fetal > wellbeing, and ordered serial CTGs. > > I forgot to mention that she is a colleague (Pediatrician). > "Routine" care on anticoagulants until such time as you normally schedule a repeat Caesar. Then reverse the anticoagulant, do the deed, then thin her out again. This time keep it going for a while. And then she needs probably a more thorough work-up for clotting problems, since this is her second. Two PEs in one year, if they're not related to any single inciting factor, are not "normal" for Paediatricians, I don't think. Joe P. P.S. Typical that she's a physician. Only thing worse would be if she were a lawyer (or married to one). Next message: Bernard Cristalli: "Re: What would you do?" Previous message: art fougner, md: "GEN: Deformer Babies" Maybe in reply to: Dr Eberhard Lisse: "What would you do?" Next in thread: art fougner, md: "Re: What would you do?" Reply: art fougner, md: "Re: What would you do?"

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