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Re: "Treat the patient, not the lab".From: Dr Eberhard W Lisse (el@linux.lisse.na)Fri Jun 26 00:06:22 1998
In message <3592D2FE.5E9A@club-internet.fr>, Bernard Cristalli writes: > Dr Eberhard W Lisse wrote:
[...]
> > But the lesson is (again): "Treat the patient, not the lab". You are right in a way, so I had no choice but to treat the patient :-)-O BTW, just came back from a G4P3M0 at term who had walked 5 km from her house to the hospital (we have an ambulance service) and was fully dilated on arrival, with a breech presentation. When I arrived from home I was greeted by a foot. Poor contractions not the best maternal effort. So I augmented her with Pitocin, once that kicked in she pushed out the torso until the chest then the contraction stopped. You could see the sweat building up on Sister's and my foreheads :-)-O but the cord still pulsated. Two minutes (felt like two hours later) she had another contraction and pushed well so I could free the posterior arm, then the anterior arm also easily. Then a Veit-Smellie and lots of Meconium everywhere. Apgar of 7/10-10/10. el -- Dr. Eberhard W. Lisse\ / Swakopmund State Hospital <el@lisse.NA> * | Resident Medical Officer Private Bag 5004 \ / +264 81 1246733 (c) 64 461005(h) 461004(f) Swakopmund, Namibia ;____/ Domain Coordinator for NA-DOM (el108)
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