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Re: 32 y.o. G0P0, Cardiac arrest 12 days ago. Part 1From: Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. (johnprov@sympatico.ca)Fri Oct 19 13:37:53 2007
Discharged home toay! Basically after she coughed out her pack she needed 10 units of PRBC to keep her hgb at around 90, so on the third post admission day I took to the O.R. Did an infraumbilical midline incision to keep blood loss down and decrease chances slightly of post op hemotoma, upon entering the belly there was about 100-200 cc of bloody fluid most likely from red degeneration of one of the fibroids that was obvious and the fact she also had moderate to severe endometriosis. Did a TAHBSO(she did have severe dysplasia and large leep cone one year ago, three weeks ago was just a small biopsy) debated whether or not to do the BSO but the endometrsosis, small chance of sarcoma or well diff endometrial ca(plump with long standing history of irregular bleeding) and the fact they wanted to restart the plavix/ASA pushed the equation into doing the BSO. Plavix/asa has a bad reputation for bleeding and is keeping the litigation laywers busy. When she restarts her plavix/ASA she is relatively high risk to bleed into her belly at time of ovulation if I left her ovaries ; I think she has had enough lapototomies for a while. Final pathology still pending.
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Take care, John
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