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Re: Would love to have your medical opinions on this From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au) Sun Apr 20 21:40:20 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Raymond Stephen: "Re: Mirena and IUP" Previous message: Richard Chudacoff: "Re: Complex Surgeries On-Line" In reply to: Garry E. Siegel, M.D.: "Re: Would love to have your medical opinions on this" Next in thread: Dr Eberhard Lisse: "Re: Would love to have your medical opinions on this" Reply: Dr Eberhard Lisse: "Re: Would love to have your medical opinions on this" Some time back - maybe 3 years ago, someone on this list poured scorn on me for not doing routine beta HCG after a miscarriage had been evacuated, and made me feel I was practising third world old-fashioned medicine! I thought "Bloody Yanks, always taking defensive medicine to the absurd". Now I find I was not wrong after all! Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Friday, 18 April 2008 12:29 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Would love to have your medical opinions on this I'm with you. Uncomplicated D and C for 1st trimester loss with confirmatory pathology is a done deal. Chemical pregnancies and reported "complete Ab" at home are another matter. Garry At Thu, 17 Apr 2008, Don Miller wrote: > >At Thu, 17 Apr 2008, Charles Bloom wrote: >> >>There are clearly different practice standards. > >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). > >-- >Donald W. Miller, Jr., MD, FACOG >eNATAL, LLC >http://www.eNATAL.com > -- Garry E. Siegel, M.D. Private Practice Roswell, GA CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose. Next message: Raymond Stephen: "Re: Mirena and IUP" Previous message: Richard Chudacoff: "Re: Complex Surgeries On-Line" In reply to: Garry E. Siegel, M.D.: "Re: Would love to have your medical opinions on this" Next in thread: Dr Eberhard Lisse: "Re: Would love to have your medical opinions on this" Reply: Dr Eberhard Lisse: "Re: Would love to have your medical opinions on this"

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