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Re: After catastrophic event in labor and delivery. Advice needed.From: Edbello@aol.comSat Mar 22 19:54:58 1997
In a message dated 97-03-21 20:24:05 EST, you write: << We still dont have an exact diagnosis but amniotic fluid embolus seems most likely. Please! Could anyone help me with any suggestions to help improve long term neurologic outcome? Any way to tell if patient is responding to voice or other subtle stimuli? Maybe I just have to try harder to communicate with her.
Thanks for your suggestions.
>> I remember a patient with similar condition during my residency. Most of the neurogists, Attendings and residents including myself thought this patient's brain was dead. She was transferred to a ICU where once the cerebral edema subdued she recovered somewhat slowly. She eventually went home with difficulty to speak and muscle coordination problems that made walking impossible. I saw this patient again approximately one year later still with the same disabilities but now pregnant again. I would reserve your opinion on brain damage until all the edema has subsided. Edwin Bello M.D.,F.A.C.O.G. Private Practice Forest Park, Georgia Edbello@aol.com
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