Re: Preeclampsia Lab Package
From: Garry E. Siegel (garrys@mindspring.com)
Sun Jun 28 20:52:17 1998
You've made your opinion crystal clear. I have learned a lot from our
discussion, and may well change that which I do.
Garry
At 09:01 AM 6/28/98 -0500, you wrote:
> Why would I want them on the chart?? They are non-essential and a waste
>of money.
>Dan
>
>-----Original Message-----
>From: Garry E. Siegel
>To: Multiple recipients of list
>Sent: 6/27/98 3:48 PM
>Subject: RE: Preeclampsia Lab Package
>
>Well, because they're cheap and make me feel better. I suspect that you
>are absolutely correct, however, and I may well change that which I do.
>
>Devil's advocate, do you *not* want those results on the chart in court,
>even if the platelets are normal?
>
>Garry
>
>At 10:01 AM 6/27/98 -0500, you wrote:
>> Why do you want the SGOT and Creatinine??? You already said you don't
>>know why you get the fibrinogen so why get it??????
>>I still say there is nothing that will change my management if the CBC
>>with platelets is normal. The treatment of pre-eclampsia with or
>without
>>HELLP is delivery.
>>Dan
>>
>>-----Original Message-----
>>From: garrys@mindspring.com
>>To: Multiple recipients of list
>>Sent: 6/26/98 10:21 PM
>>Subject: Re: Preeclampsia Lab Package
>>
>>At Fri, 26 Jun 1998, Braun, R. Daniel wrote:
>>>
>>>Why do we persist in obtaining all these useless labs on our patients
>>>who are pre-eclamptic?? Do we really need to get liver functions and
>>>uric acids on the 17 Y/O who presents at 39 weeks with a BP of 140/90
>>>and 3+ proteinuria??
>>
>>One of our hospitals has a "DIC" panel (or maybe they did, until HCFA
>>hit), and the nurses always wanted to draw one.
>>
>>Dan, I largely agree, but I kind of like to get an SGOT and a
>>creatinine, as well as the ubiquitous CBC; once you order those 2
>chems,
>>you might as well get the panel or whatever thye're offering. I get
>>fibrinogens, too, and I'm not sure why. I don't get PT/PTTs, but sure
>>do see them ordered a lot.
>>
>>Garry
>>
>>--
>>Garry E. Siegel, M.D., FACOG
>>Private Practice
>>Roswell, Ga.
>>
>
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