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Re: GYN: Pelvic Mass (long--good case)From: Calvin J. Siegers, MD FACOG (csiegers@hayburn.com)Mon Mar 30 22:21:51 1998
At Mon, 30 Mar 1998, Garry E. Siegel, M.D. wrote: > >Thanks to all (Dan, Cal, Gail, William, etc): > Garry, Way to take control, brother! You are going to win this one. Ignore the pathologist and heme/onc for now. Watch fluid balance, lytes, and chf which you can prevent. Watch out for florid DIC. Let pulmonology do the vent settings for her ARDS but you call the shots on fluids, blood/components, (I still think she needs a few units of whole blood) Your original question -- what's causing the pancytopenia--still gets the same answer: it's the overwhelming sepsis; but NOW you have control of that. It's all in the details now. Press on. Cal
-- Calvin J. Siegers, MD FACOG...private practice, 20 yr veteran, Holland, MI
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