-VISIT OUR OTHER FORUMS- OB-GYN-L Ultrasound Ultrasound History Fibroid Forum Physicians-in-Training Tech Talk OBSTET-L (portuguese) OBGIN-L (spanish) Nursing

Re: Ob: IVF candidate From: JD Stewart,MD (jdstewartmfmob@sbcglobal.net) Tue Sep 30 10:13:36 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "Re: Ob: IVF candidate" Previous message: Henry Gregor: "Re: Short cervix progesterone and twins" In reply to: art fougner, md: "Re: Ob: IVF candidate" Re: Counselling- likely this would have no more effect than the thorough counselling and consideration that went into the informed consent for the tubal in the last pregnancy. She changed her mind after that, and will no doubt look upon her REI doctor as a miracle worker to begin with, then the devil when it all falls apart. If she has cash, there will be an REI provider who will do this for her, and then hand the time bomb off to another OB....and ultimately a lawyer. If she is borrowing to pay for her IVF, like buying a kitchen appliance, perhaps the Wall Street credit crunch will take the bottom out of her financing, and save the rest of us from financing her bottom... At Tue, 30 Sep 2008, art fougner, md wrote: > >The customer is not always right. > >Art > >At Mon, 29 Sep 2008, Garry E. Siegel, M.D. wrote: >> >>Here's a case for discussion: >> >>41 YO P1414 with no medical problems or issues. I have cared for her >>only in her last pregnancy, and the history is from the reliable >>patients, as opposed to records. >> >>Ob #1 32 week Monoamniotic twins, IUFD, C/Section >> >>Myomectomy >> >>Ob #2 36 week C/Section (PTL) >>Ob #3 Term C/Section >>Ob #4 35 week C/Section (PTL) >>Ob #5 First trimester missed Ab, D and C >>Ob #6 36 week C/Section, PTL, Classical due to densely adherent bladder >> >>Subsequently, she had an apparent ventral hernia of some type, and >>underwent an abdominoplasty and the general surgeon did not find a >>hernia. While in the OR I did a Pomeroy TL via the laparotomy. >> >>She now has sought IVF and is planning to do so. She ideally would want >>a twin pregnancy, as she wants two more children. >> >>Obviously, she is at risk for surgical complications at laparotomy, AND >>increased risk of uterine rupture, premature labor, hysterectomy, and >>abnormal placentation. >> >>She asked (paraphrased): >> >>If we could predict this, and I had enough embryos, should I "shoot for" >>a twin pregnancy, versus two separate singletons to have two more >>children? >> >>Garry >> >>-- >>Garry E. Siegel, M.D. >>Private Practice >>Roswell, GA >> >-- >art fougner, md >"May The Wings of Liberty Never Lose a Feather." - Jack Burton > -- JD. Stewart, MD MFM up too late all night, every night...still 10 years later Next message: Dr Eberhard Lisse: "Re: Ob: IVF candidate" Previous message: Henry Gregor: "Re: Short cervix progesterone and twins" In reply to: art fougner, md: "Re: Ob: IVF candidate"

Return to

Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Dec 2 05:12:21 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.