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Re: Failed tubal ligations From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL) Fri Feb 9 06:57:20 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Andrew Folley: "Re: Failed tubal ligations" Previous message: Joanne Bulley, MD: "Re: Failed tubal ligations" In reply to: Efrain Ramirez: "Re: Failed tubal ligations" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Failed tubal ligations" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Failed tubal ligations" Parkland and O plain gut. I talked to the patient today and she seems to want surgery first rather than doing MTX and then surgery. Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain Ramirez Sent: Friday, February 09, 2007 12:27 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Failed tubal ligations Parkland, Pomeroy, sutures used? - just curiuous.. Ef >At Fri, 9 Feb 2007, Elrod, Darryl G Maj 48 MDOS/SGOBO wrote: > >I have a gal that I did a c-section tubal on 8 months ago (with path >specimens showing tubal segments) that now has a positive home pregnancy >test. > >Repeat quants have been 191, 282, and 390 at 48 hr intervals. Pt is >without symptoms. > >My presumption is that this is an ectopic based on the history and the >abnormally rising quants. > >My plan would be to give her methotrexate now to treat the ectopic. > >When you any of you consider doing l/s to repeat the tubal? Now? 6 >weeks? > >Thanks, > >Glen > >//SIGNED// > >D. Glen Elrod, Maj., USAF, MC > >Obstetrician/Gynecologist > >Chief of Obstetrics > >48 MDOS/SGOBO > >RAF Lakenheath, England > >Telephone DSN: 314-226-8130 > > Comm: +44 (0) 1638 52 8130 > >Notice of Confidentiality >Under the Privacy Act of 1974, you must safeguard all information >reflected on this e-mail and, if applicable, all attachments. >Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI >37-132, AFI 33-219, and PL 93-579" >This e-mail message including any attachments is for the sole use of the >intended recipient(s) and may contain confidential and privileged >information. Any unauthorized review, use, disclosure or distribution is >prohibited. If you are not the intended recipient, please contact the >sender by reply e-mail and destroy all copies of the original message. >Any questions pertaining to disclosure should be directed to the privacy >officer. -- " The greatest obstacle to knowledge is not ignorance, it is the illusion of knowledge." Daniel J. Boorstin - Historian Next message: Andrew Folley: "Re: Failed tubal ligations" Previous message: Joanne Bulley, MD: "Re: Failed tubal ligations" In reply to: Efrain Ramirez: "Re: Failed tubal ligations" Next in thread: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Failed tubal ligations" Reply: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.: "Re: Failed tubal ligations"

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