Re: Why does everyone except my OB think I am a 'high risk' patient? To Dr McIntosh another question and Thanks!

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At Mon, 11 Dec 2000, Chelsey wrote: >
>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
>

--
James Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine

**Note:  Opinions expressed here are for educational purposes only
and, as such, do not constitute a physician-patient relationship.
This information is not intended to supplant the need for you to
consult with your physician prior to choosing therapeutic options
and/or interventions.

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