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Re: My case report can beat up yoursFrom: rmodugno@aol.comTue Aug 26 20:15:47 2008
Patient sent for quaternary? care at UNC Chapel Hill - wants termination - will probably end up with a hyst - MFM and Gyn Onc will take care of her. Robert Modugno MD MBA FACOG Sylva, NC -----Original Message----- From: Terrence.Jones@kp.org To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Fri, 22 Aug 2008 4:08 pm Subject: Re: My case report can beat up yours Not sure How much experience Your tertiary referral center has, but if they are amenable, Michael Belfort * in Salt Lake City is a great resource on approach to mgmt. He has assembled a multidisciplinary team approach in His local Institution. He might be able to help with 'customizing' care. He is a regular participant in the Symp Med Annual High Risk OB conference on this topic. When I last heard him present (2006), He had been travelling to certain centers to help participate in the acute mgmt of certain, particularly challenging cases. /tj resource info: * Michael Belfort, MD, PhD, FACOG Director, HCA Perinatal Research Professor of Obstetrics and Gynecology University of Utah School of Medicine Salt Lake City, Utah NOTICE TO RECIPIENT: If you are not the intended recipient of this e-mail, you are prohibited from sharing, copying, or otherwise using or disclosing its contents. If you have received this e-mail in error, please notify t he sender immediately by reply e-mail and permanently delete this e-mail and any attachments without reading, forwarding or saving them. Thank you. evsono@pipeline.com (art fougner, md) Sent by: ob-gyn-l@obgyn.net 08/22/2008 09:23 AM Please respond to To Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> cc Subject Re: My case report can beat up yours Bob Perhaps a urologist can cystoscope her for confirmation? Art At Fri, 22 Aug 2008, rmodugno@aol.com wrote: > >Our patient met again with the Perinatologists at the tertiary center, and, wonder, of wonders, totally agree with our findings. They offered the patient termination of pregnancy vs conservative therapy with elective section after viability. She will decide.To quote the perinatologist: "Whatever she chooses,she won't leave the hospital with her uterus." We did doppler ultrasound on her a few days ago - the whole of the bladder wall lights up - methinks she might have a percreta, so she might leave the hospital with a part of her bladder missing! (Has some blood in her urine!}
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