Re: need help with weird case.

From: mark decker (mdecker@nconnect.net)
Sun Apr 28 23:41:41 1996


send me a picture of her..maybe she moved> GGGGG

will let you know. the depo provera injection is a good thought for my patient. maybe not yours. cysto/colpo might be ok. wonder about isotope tags that have affinities for endo.

this list is great.. two good ideas for a different case. and I guess I will have to give up on the idea that I know it all. <won't let my wife in on that though> hehehehe

At 10:31 PM 4/28/96 -0500, you wrote: >Mark,
>
>I have a patient with a nearly identical story from the standpoint of
>surgical history. Late 20's. Vaginal hyst for pain/mild prolapse.
>Laparoscopy 2wks later for trapped epiploic fat. Now complains of
>intermittant vaginal bleeding that cannot be documented. My patient even
>has a psychiatric history (though its more depression than neurosis).
>
>I have looked twice and cannot document any heme. Stools guiac neg. No
>internal hemmorhoids on anoscopy. Pelvic exam completely normal. I've
>asked her to bring in a tampon with blood...she has yet to do this.
>
>If I find anything definitive, I'll let you know. My patient did not
>have endometriosis. Maybe we should have these 2 patients exchange email
>addresses.
>
>regards,
>
>Doug Krell MD
>sfth@roadrunner.com
>

--

mark decker md major surgery is done on me obgyn minor surgery I do one someone else. west bend wi I need to remember that. <perspective>.





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