Re: You've done enough surgery when...

From: R. Daniel Braun (rd.braun@gmail.com)
Sat Feb 24 17:17:29 2007


2 Hysts and a scope.

Dan

On 2/24/07, Dr Eberhard Lisse <el@lisse.na> wrote: >
> G4P2M0 2* previous C/S
> T/L separately
> Reversal of T/L
> Ectopic Right tube 2007-01-17 (Appendix also removed but nil of note)
>
> Complains about amenorrhea since ectopic.
>
> Seen by by colleague in a rural hospital (90km from the capital, where I
> work) 2007-02-19, b-HCG 500
>
> Seen by me on 2007-02-22 in the same rural setting on my monthly visit,
> Clinically nil of note, a bit tender on the right side, perhaps.
>
> Ultrasound on the same day shows no intrauterine pregnancy, no free
> fluid. Vaginal Ultrasound shows no intruterine pregnancy, right adnexa
> nil of note, left adnexa, perhaps a hydrosalpingx. b-HCG 2800.
>
> You have a list of two total abdominal hysterectomies scheduled for the
> following day in that hospital.
>
> So, bogs, girls and witches, what's the plan and what happened next
> :-)-O?
>
> And, puleeze, we don't have Methrotrexate.
>
> greetings, el
>

--
R. Daniel Braun, MD  FACOG(L)  CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine

R. Daniel Braun

"The way to health is an aromatic bath and scented massage everyday". Hippocrates





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