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Re: Would love to have your medical opinions on thisFrom: Charles Bloom (cdsb@bellsouth.net)Fri Apr 18 05:57:03 2008
At Thu, 17 Apr 2008, Don Miller wrote: > >Wow. I've never heard or read about routinely doing HCGs after a >"routine" AB in the last thirty-some years. > >Considering that 15-25% of pregnancies end early, think of the cost of >such a recommendation. It would be hard for me to justify any benefit. >This is like getting a chest x-ray for every hospital procedure (like I >remember being required for INPATIENT D&Cs decades ago). > >-- Well, you heard it here first. It's what I've done for 26 years. Equating doing a $1 urine HCG at the time of a post-op visit for D&C with doing a chest x-ray is preposterous. Since it is part of the visit, I don't bill insurance so no red flags for that dollar. Benefits to me: Reassures me that there is no residual trophoblast hanging around (this is not that uncommon and can explain why a patient's cycle isn't immediately returning to normal) GTN wasn't missed on the pathology (has happened) I'm not dealing with a heterotopic pregnancy (has happened) This site is for sharing ideas. I seem to be the only one on here doing a post-op UCG. But this is common practice among physicians that I know. Since no one has a given a good reason for not doing it, I'll continue with my current practice. Charles
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