Re: Failed tubal ligations
From: Andrew Folley (agfolley@hotmail.com)
Sat Feb 10 09:37:23 2007
What is your proof again, that it is an ectopic and not a noviable IUP?
>From: garrys@mindspring.com (Garry E. Siegel, M.D.)
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: Failed tubal ligations
>Date: Fri, 9 Feb 2007 12:28:35 -0600
>
>It's an ectopic!
>
>Garry
>
>At Fri, 9 Feb 2007, Elrod, Darryl G Maj 48 MDOS/SGOBO wrote:
> >
> >Maybe not 100% but the quants are slowly rising, she has passed what
> >path called a deciualized cast and she continues to bleed. Based on
> >that scenario I would find it hard to suggest that this is a normal
> >pregnancy.
> >
> >As is said here often...but I could be wrong.
> >
> >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
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> >-----Original Message-----
> >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of art
> >fougner, md
> >Sent: Friday, February 09, 2007 1:37 PM
> >To: Multiple recipients of list OB-GYN-L
> >Subject: Re: Failed tubal ligations
> >
> >Are you certain this patient has an ectopic?
> >
> >Art
> >
> >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.
> >
> >--
> >art fougner, md
> >"May The Wings of Liberty Never Lose a Feather." - Jack Burton
> >
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
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