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Re: Why does everyone except my OB think I am a 'high risk' patient? To Dr McIntosh another question and Thanks!From: Chelsey (anonymous@obgyn.net)Mon, 11 Dec 2000 08:56:14 -0600 (CST)
At Sun, 10 Dec 2000, William D. McIntosh MD wrote: > >At Sun, 10 Dec 2000, CS wrote: >> >>This just amazes me! First my history, got pregnant with my 1st child >>and had a vaginal delivery in May 1999. In Aug 1999 I was diagnosed >>with Hodgkin's Disease and treated with chemo until Feb 2000. April >>2000 I was given a clean bill of health (had a PET scan which detects >>any cancer remaining). I got pregnant in Aug 2000 and had an early >>miscarriage and then got pregnant when I ovulated next and I am now 15 >>weeks. There is a hematoma/bleed that they found at my 7 and 8 week >>ultrasound and I have not had another ultrasound yet. >>I get all sorts of questions from nurses, my oncologist, friends and >>family wondering if they are considering this pregnany as a high risk. >>Why would I be consider high risk or are these people just thinking >>since I had cancer and have that blood clot it should be high risk. >>Thanks for answering. I see my OB this week and I will bring it up with >>him. > >I don't know that I would consider you high risk either, except for the >retroplacental blood clot, and even that is not really anything that you >can do anything about, especially since you have gone another 2 months >from that time, presumably without problem. I suspect that I would get >a level III ultrasound at 18-20 weeks given that you had chemotherapy, >but that is honestly not an indication, just my personal paranoia. These >clots are common. My wife and I had one with our last pregnancy, now a >27# 1 year old. There isn't anything that you can do about them, and >they generally resolve. > >Just the mention of the word cancer raises all sorts of fears, but that >is in your past, hopefully forever. The only impact it could have on >your pregnancy would be a recurrence while you are pregnant, unlikely at >this point. Even then, the big concern would be the impact of the >chemo, if given, on the baby. > >-- >William D. McIntosh, MD, FACOG > >Intended for educational purposes only, and not intended to replace examination > and consultation with a qualified medical professional. > >No private e-mails, please. Dr McIntosh, First I want to thank you for your response. I checked the archives and could not find any information on level III u/s. I just have a couple of questions, what is a level III ultrasound? Why would you get a level III ultrasound and what could it show? I am assuming that you were thinking the chemo could have caused some damage to my eggs or something??? My oncologist and OB told me that was a possibility (a slim one with the kind of chemo I had). I guess I am just more nervous this time with my past history and it does not help when people "tell" me things that they "think" my doctors should be doing. I really do appreciate your answers and I thank you for your quick response.
-- Chelsey
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