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Re: RhogamFrom: rmodugno@aol.comSat Feb 28 12:50:30 2009
You are correct, chai-wallah!(from what movie?) Robert Modugno MD MBA FACOG Sylva, NC -----Original Message----- From: Gerald P. RodrÃguez <geraldpr@cybermesa.com> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> Sent: Sat, 28 Feb 2009 2:32 pm Subject: Re: Rhogam A Drew-Smythe catheter is a thin catheter that is used when a high amniotomy (hind-water) is indicated. I never used one.  See: http://books.google.com/books?id=58gMbC__GdMC&pg=PA160&lpg=PA160&dq=drew+smyth+catheter&source=bl&ots=eyxsAGNkoK&sig=-kBMwUIRzzR0J7n_lMUeXsHd-Ds&hl=en&ats=eyxsAGNkoK&sig=-kBMwUIRzzR0J7n_lMUeXsHd-Ds&hl=en&ei=5Y6pSYy7LNLjtger-73VDw&sa=X&oi=book_result&resnum&ct=result#PPA158,M1  Gerald P. RodrÃguez, M.D., FACOG Santa Fe Â
> ----- Original Message ----- From: <rmodugno@aol.com> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net> Sent: Saturday, February 28, 2009 9:27 AM Subject: Re: Rhogam  > Talking about polyhydramnios, does anyone know what a Drew-Smyth catheter > is (Quiz), or has anyone ever used one? > > Robert Modugno MD MBA FACOG > Sylva, NC > > -----Original Message----- > From: Glen Elrod <dr99645@yahoo.com> 0A > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> > Sent: Thu, 26 Feb 2009 7:30 pm > Subject: Re: Rhogam > > AFI of 37, bilateral hydronephrosis with right ureteral obstruction. > > The local midwives really didn't feel comfortable doing this delivery. > Their regs say they need to consult with an MD for poly. I brought her in > for amniotomy with needle. > > I've been (ready for flames) been thinking about water birth for a while, > since I've been watching a whole host of midwifery 'propaganda' movies > recently. We have a birth tub but no policy. She got in the tub for labor > and with the CDM help we had a water birth. That situation totally flies > in the face of AWHONN standards and protocols. > > Glen > > > > From: Richard Chudacoff <rchudacoff@mylinuxisp.com> > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> > Sent: Thursday, February 26, 2009 2:54:27 PM > Subject: RE: Rhogam > > > > > > > > > > 0A > > > > > Home delivery? Why did she come to see you at all? > > > > > Richard Chudacoff, MD, FACOG > > > > > > > > > > From: ob-gyn-l@obgyn.net > [mailto:ob-gyn-l@obgyn.net] On Behalf Of Glen El > rod > > Sent: Thursday, February 26, 2009 3:36 PM > > To: Multiple recipients of list OB-GYN-L > > Subject: Re: Rhogam > > > > > > > > > > > Transfusion was the only thing I > could come up with. but the liklihood is so low. > > > > Why the objection? Probably the same reason she objected to fetal > monitoring, pit, vit K, eye ointment, etc etc etc. > > > > Glen > > 0A > > > > > > > > > > > > > From: "art fougner, md"<evsono@pipeline.com> > > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> > > Sent: Thursday, February 26, 2009 1:59:12 PM > > Subject: Re: Rhogam > > > > Oh transfusion reaction down the road, difficulties if a transplant > > needed ... what exactly is her objection? > > > > Art > > > > At Thu, 26 Feb 2009, Glen Elrod wrote: > > > > > >Pt today is s/p delivery and is refusing Rhogam. Baby was Rh +, but > they are certain they are done having kids. He is having a > vasectomy. She states she will not have other children even if her > children die, husband dies, etc. > > > > > >Is there any NON-pregnancy risk to not20getting Rhogam now? > > > > > >Glen > > > > -- > > art fougner, md > > "May The Wings of Liberty Never Lose a Feather." - Jack Burton > > > > > > > > > > > > > >
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