Re: 32 y.o. G0P0, Cardiac aresst 12 days ago. Part 1

From: Lynn Montgomery (apgar10@thebirthcentermt.com)
Wed Oct 10 07:32:19 2007


-Thrombophilia evaluation -Hysterectomy - embolization certainly has its potential for complications, especially in an 18 week size uterus. You don't mention the patient's weight however - if she is morbidly obese, then I would attempt embolization at a center that provides it -Could send her to Rich for ultrasonographic treatment Lynn

--
Lynn D. Montgomery, M.D.
Obstetrics & Gynecology, Maternal-Fetal Medicine
The Birth Center/Rocky Mountain Women's Health
1211 S. Reserve St.
Missoula, Montana, 59801
406-549-0978
fax 406-549-0987
e-mail: apgar10@thebirthcentermt.com
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr.
John Provatopoulos B.Sc. M.D.C.M. F.R.S.C.
Sent: Tuesday, October 09, 2007 7:00 PM
To: Multiple recipients of list OB-GYN-L
Subject: 32 y.o. G0P0, Cardiac aresst 12 days ago. Part 1

32 y.o. G0 P0, cardiac arrest in radiology department 12 days ago, sucessfully ressusitated no ill effects, M.I. confirmed with troponin and cmbk levels. On plavulin and a whole bunch of other crap for her heart. Presents with profuse vaginal bleeding had leep three weeks ago negative for dysplasia. Uterus 18weeks size cerix 3 cm dilated 100% effaced multiple fibroids palaple through cervix. Hgb 105 drops to 85 in 4 hours. Radiology says they don't do emobolization. -Let her bleed to death. -Operate old fashion hyst. - pack uterus to buy some time.

Any other bright ideas.

--
                                 Take care, John




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