Re: Placenta Accreta
From: art fougner, md (evsono@pipeline.com)
Sat Feb 16 05:42:03 2008
Betsy
Oh I do ... I'll also say that Adiel Fleischer and David Siegel at LIJ
have presented on this topic, Dr. Fleischer for the NY State Health
Department as well as at national meetings. I can personally vouch for
Siegel's experience in this area.
Cheers!
Art
At Fri, 15 Feb 2008, Betsy Hyde wrote:
>
>Remember that Google is your friend. Check out Yale-New Haven
>Hospital Dept of OB-GYN. You might recognize a name or two....
>
>Betsy
>
>On Feb 15, 2008, at 5:46 PM, art fougner, md wrote:
>
>> Hence "First Rate."
>>
>> Cheers!
>>
>> Art
>>
>> At Fri, 15 Feb 2008, Betsy Hyde wrote:
>>>
>>> This issue came up yesterday at Grand Rounds.
>>> Evidence was presented that ultrasound was as good as CT/MRI for
>>> abnormal placentation, and no good evidence had been presented that
>>> balloon catheters were beneficial. Although some of the studies
>>> showed benefit, others should major complications including need for
>>> ileofemoral bypass!
>>>
>>> --
>>> Betsy Hyde CNM
>>> Branford, CT
>>>
>>> On Feb 15, 2008, at 3:53 PM, art fougner, md wrote:
>>>
>>>> If your hospital has a first rate interventionl radiology
>>>> department,
>>>> prophylactically catheterizing the internal iliacs can be a
>>>> lifesaver.
>>>>
>>>> Art
>>>>
>>>> At Fri, 15 Feb 2008, ainsron wrote:
>>>>>
>>>>> Be prepared for C-Hysterectomy - consent, blood available (lots).
>>>>> MRI could
>>>>> be useful for diagnosis, but at this point it sounds like it is
>>>>> highly
>>>>> likely, so what difference would an MRI make? Either way you're
>>>>> going to
>>>>> need to be prepared for C-hysterectomy. If it doesn't separate
>>>>> easily I
>>>>> would go quickly to hysterectomy. If she wanted conservative
>>>>> options, I
>>>>> would refer to tertiary care center and let them roll the dice if
>>>>> they feel
>>>>> lucky. For my part, I would do everything I can safely do to
>>>>> protect the
>>>>> patient, not the uterus.
>>>>>
>>>>> Ronald E. Ainsworth, MD, FACOG
>>>>>
>>>>> -----Original Message-----
>>>>> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>>>>> Andrew
>>>>> Folley
>>>>> Sent: Friday, February 15, 2008 9:53 AM
>>>>> To: Multiple recipients of list OB-GYN-L
>>>>> Subject: Re: Placenta Accreta
>>>>>
>>>>> G3P2 now at 27 weeks with know complete previa since 12 weeks.
>>>>> Admit to
>>>>> hospital wednesday for steroids in light of short cervix or 9mm
>>>>> and +Ffn.
>>>>> Echo in hospital confirms previa and also suggests placenta
>>>>> accreta on
>>>>> "right lateral side". Patient would like more children. Any
>>>>> thoughts on
>>>>> management?? ie plan for c-hyst? Use interventional radiology? Do
>>>>> c-section
>>>>> and leave placenta and treat with methotrexate? Do section and do
>>>>> the best I
>>>>> can in extracting placenta and be prepared....???? thanks agf PS
>>>>> Benefits
>>>>> tif any for Cat scan or MRI to diagnose percreta or increta??
>>>>>
>>>>>> Date: Tue, 29 Jan 2008 17:05:21 -0600
>>>>>> From: dean@thehuffpeople.net
>>>>>> To: ob-gyn-l@mail.obgyn.net
>>>>>> Subject: Re: ABC / MOC with ABOG Question
>>>>>>
>>>>>> .
>>>>>>
>>>>>> Do not feel dumb. ABOG has screwed it up completely.
>>>>>>
>>>>>> First you have to go to http://www.abog.org and sign in with your
>>>>>> special ID and
>>>>>> Password. (It you do not have one, or do not know what it is, you
>>>>>> can call
>>>>> them
>>>>>> on the phone).
>>>>>>
>>>>>> Then you have to complete the registeration for the 2008 board
>>>>>> exam and
>>>>> mail or
>>>>>> fax it in to them. DO NOT FORGET TO SEND THE MONEY.
>>>>>>
>>>>>> Then you can go on their web site and find the article references
>>>>>> and
>>>>>> questions.
>>>>>>
>>>>>> - - - -
>>>>>>
>>>>>> From: "Garry E. SiegelSubject: Re: ABC / MOC with ABOG Question
>>>>>> Date: Jan 29, 2008 1:32 PM
>>>>>>
>>>>>> OK, I'm feeling a bit dumb.
>>>>>>
>>>>>> Where is the link/what is the link to find the article list and
>>>>>> questions
>>>>> on
>>>>>> ABOG's site? I seem to be missing it. . .
>>>>>>
>>>>>> Last year, it was a .pdf that included the 60 questions and
>>>>>> reading list,
>>>>> around
>>>>>> 15 pages to print.
>>>>>>
>>>>>> Please post or email privatetly.
>>>>>>
>>>>>> Thanks,
>>>>>>
>>>>>> Garry
>>>>>>
>>>>>> --
>>>>>> Garry E. Siegel, M.D.
>>>>>> Private Practice
>>>>>> Roswell, GA
>>>>>>
>>>>> _____
>>>>>
>>>>> Shed those extra pounds with MSN and The Biggest Loser! Learn
>>>>> <http://biggestloser.msn.com/> more.
>>>>
>>>> --
>>>> art fougner, md
>>>> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>>>
>> --
>> art fougner, md
>> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
