|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: OB: My case list...From: Calvin J. Siegers, MD FACOG (csiegers@hayburn.com)Fri May 29 19:09:29 1998
At Thu, 28 May 1998, Geffrey H. Klein, MD wrote: > >Hi all.. > >Hysterectomy was >performed. Time from end of cesarean to initiation of hysterectomy was 17 >minutes. Immediate transfusion was begun. Bleeding was controlled and >her vital signs stablized. Just for peace of mind she was given 5cc of >indigo carmine and cystoscopy was performed. Prompt efflux of blue dye >from each ureteral orifice was noted. She received a total of 4U PRBCs. >preop hgb was 11. Before transfusion it was 6 and after 4 U PRBCs it was 9. >No biochemical or clinical DIC or ARDS was noted and pt was extubated after >surgery alert and conversive. > >I would like to thank some of my faculty mentors, especially Drs. Moise, >Carpenter, Saade, and Belfort for teaching me that the decision to perform >hysterectomy needs to a quick and decisive. That is what resulted in a >good final outcome. Now, I need to go take a sedative... :) > >-- >---------------------------------- >Geffrey H. Klein, MD >---------------------------------- >gklein@bcm.tmc.edu >---------------------------------- >http://members.aol.com/gklein01/geff.html >List-owner OB-GYN-L >co-moderator sci.med.obgyn >Advisory Board Chairman OBGYN.net >http://www.obgyn.net/medical.htm >OBGYN.net Journal Review Editor >http://www.obgyn.net/jr/jr.htm >Office: >2200 Nasa Rd #1 >Houston, Texas 77058 >Tel 713 741 2273 x2628 > Good teaching from appreciated mentors notwithstanding, the outcome in the 17 minute decisive action case was the same as the methodical 4 hour delay to hyst. I'll chose methodical. Cal
-- Calvin J. Siegers, MD FACOG...private practice, 20 yr veteran, Holland, MI
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Mon Nov 2 05:27:51 2009 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.