Re: Preeclampsia Lab Package

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Sun Jun 28 20:58:19 1998


Dan:

The text below was sent to you in reply to your email to me, and I assumed that it was emailed back to your privately. I had been wondering how my emails to you that I thought were off the list were appearing on the list.

While I have nothing to hide, it would be nice to know that an email that one assumes to be private isn't. Am I missing something here?

Garry

At Sun, 28 Jun 1998, Garry E. Siegel wrote: >
>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.
>>>

--
Garry E. Siegel, M.D., FACOG
Private Practice
Roswell, Ga.




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