Re: 24 week chorio problem
From: Allan (4obgyn@gmail.com)
Mon Jun 29 16:10:09 2009
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Can she be just having cervicitis?
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Allan
On Sun, Jun 28, 2009 at 8:12 PM, vnellsch <vnellsch@eastex.net> wrote:
> aww, jeez. pretty terrible problem. i would think you have done what
> you can. best hope now is pray for mercy. i would not start labor or do a
> cesarean unless pushed. i think that this will decide itself soon, probably
> not for the better. my hopes and prayers are with you. verner nellsch, md..
> from near houston, texas.
>
>> ----- Original Message -----
> *From:* Andrew Folley <agfolley@hotmail.com>
> *To:* Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net>
> *Sent:* Sunday, June 28, 2009 11:43 AM
> *Subject:* RE: 24 week chorio problem
>
> 21 yo wf G1P0 24 wks and 2 days. Presents to triage last night with
> "increased discharge" and low back cramping past 12 hrs. Cervix 1cm 8o%
> soft and midposition and vertex 9ie very favorable) . FFn+ WBC 16,600 and
> CRP 3.9 (nl <1.0) UA neg. My dx was chorioamnionitis. Gave steroids and
> antibiotics and my impression is that she needs to be delivered??? Other
> thoughts?
>
> > Date: Sat, 27 Jun 2009 23:26:28 -0500
> > From: islesannie@gmail.com
> > To: ob-gyn-l@mail.obgyn.net
> > Subject: Re: NoEL-- who's rich
> >
> > NOPE - pay for procedures is really not that great - not for the risk
> > taken with the work.
> >
> > I have a friend who has been a urologist almost as long as I have been
> > an ObGyn.
> >
> > He also plays bagpipes. He gets MORE for an evening gig playing
> > bagpipes than for some basic urologic procedures. And they give him
> > free food and drinks - and there is no malpractice.
> >
> > JB
> >
> > At Sat, 27 Jun 2009, Andrew Folley wrote:
> > >
> > >Does anyone kno of any docs in the "procedure" specialites that have
> incomes not in the top 2% of the country (ie the rich)? My argument was "the
> more procedures we do, the more money we got, not necessareily the better
> the care provided. We did this thanks to insurance copmanies paying and
> patients wanting and doctors accommodating.
> > >
> >
> > --
> > Joanne Bulley, MD
> > solo gyn
> > Keene, NH
> >
> > Wedding dress sewing with silk - nice material!
>
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<div>Can she be just having cervicitis? </div>
<div> </div>
<div>Allan<br><br></div>
<div class="gmail_quote">On Sun, Jun 28, 2009 at 8:12 PM, vnellsch <span dir="ltr"><<a href="mailto:vnellsch@eastex.net">vnellsch@eastex.net</a>></span> wrote:<br>
<blockquote class="gmail_quote" style="PADDING-LEFT: 1ex; MARGIN: 0px 0px 0px 0.8ex; BORDER-LEFT: #ccc 1px solid">
<div bgcolor="#ffffff">
<div><font face="Arial">aww, jeez. pretty terrible problem. i would think you have done what you can. best hope now is pray for mercy. i would not start labor or do a cesarean unless pushed. i think that this will decide itself soon, probably not for the better. my hopes and prayers are with you. verner nellsch, md. from near houston, texas. </font></div>
<blockquote style="PADDING-RIGHT: 0px; PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #000000 2px solid; MARGIN-RIGHT: 0px">
<div class="im">
><div style="FONT: 10pt arial">----- Original Message ----- </div>
<div style="BACKGROUND: #e4e4e4; FONT: 10pt arial"><b>From:</b> <a title="agfolley@hotmail.com" href="mailto:agfolley@hotmail.com" target="_blank">Andrew Folley</a> </div>
<div style="FONT: 10pt arial"><b>To:</b> <a title="ob-gyn-l@mail.obgyn.net" href="mailto:ob-gyn-l@mail.obgyn.net" target="_blank">Multiple recipients of list OB-GYN-L</a> </div></div>
<div>
<div></div>
<div class="h5">
<div style="FONT: 10pt arial"><b>Sent:</b> Sunday, June 28, 2009 11:43 AM</div>
<div style="FONT: 10pt arial"><b>Subject:</b> RE: 24 week chorio problem</div>
<div><br></div>21 yo wf G1P0 24 wks and 2 days. Presents to triage last night with "increased discharge" and low back cramping past 12 hrs. Cervix 1cm 8o% soft and midposition and vertex 9ie very favorable) . FFn+ WBC 16,600 and CRP 3.9 (nl <1.0) UA neg. My dx was chorioamnionitis. Gave steroids and antibiotics and my impression is that she needs to be delivered??? Other thoughts?<br>
<br>> Date: Sat, 27 Jun 2009 23:26:28 -0500<br>> From: <a href="mailto:islesannie@gmail.com" target="_blank">islesannie@gmail.com</a><br>> To: <a href="mailto:ob-gyn-l@mail.obgyn.net" target="_blank">ob-gyn-l@mail.obgyn.net</a><br>
> Subject: Re: NoEL-- who's rich<br>> <br>> NOPE - pay for procedures is really not that great - not for the risk<br>> taken with the work.<br>> <br>> I have a friend who has been a urologist almost as long as I have been<br>
> an ObGyn.<br>> <br>> He also plays bagpipes. He gets MORE for an evening gig playing<br>> bagpipes than for some basic urologic procedures. And they give him<br>> free food and drinks - and there is no malpractice.<br>
> <br>> JB<br>> <br>> At Sat, 27 Jun 2009, Andrew Folley wrote:<br>> ><br>> >Does anyone kno of any docs in the "procedure" specialites that have incomes not in the top 2% of the country (ie the rich)? My argument was "the more procedures we do, the more money we got, not necessareily the better the care provided. We did this thanks to insurance copmanies paying and patients wanting and doctors accommodating.<br>
> ><br>> <br>> --<br>> Joanne Bulley, MD<br>> solo gyn<br>> Keene, NH<br>> <br>> Wedding dress sewing with silk - nice material!<br><br>
<hr>
Windows Live™: Keep your life in sync. <a href="http://windowslive.com/explore?ocid=TXT_TAGLM_WL_BR_life_in_synch_062009" target="_blank">Check it out.</a> </div></div></blockquote></div></blockquote></div><br>
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