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Dr. Montgomery - thank you and an answer to your question
From: Stacie (anonymous@obgyn.net)
Wed, 11 Jul 2001 17:03:46 -0500 (CDT)
I said Houston needs more perinatologists and you asked me who I have
seen. Dr. Alexander Reiter with the Houston Perinatal Associates...all
wonderful doctors in there but it is the only perinatology center in
this massive city (I believe). I can always look forward to at least an
hour wait *sigh!* Oh, and I *wish* the temp. were nice and cool...it is
a scorcher!! Thanks a BUNCH for your reassuring words!
Stacie
At Wed, 11 Jul 2001, Lynn D. Montgomery, MD wrote:
>
>At Wed, 11 Jul 2001, Stacie wrote:
>>
>>:
>>
>>1) What are some possible reasons for the fluid retention in the kidneys
>>given my AFI? Is this a good indicator that he is urinating regularly?
>
>*The most common cause for mild pyelectasis is simply anatomy-usually a
>sort of obstruction of the tube leading from the kidneys (ureter) at the
>point that it dives into the pelvis. Most babies will outgrow this as
>the ureter gains more integrity and it doesn't contribute to any renal
>damage.
>
>>2) What are the odds he will outgrow this condition?
>
>*As long as it does not progress and worsen, the odds are very high.
>
>>3) Is intervention necessary before birth? What about after? He said the
>>bladder and everything else looks great.
>
>*Intervention is not usually undertaken prior to birth. If it persists
>through the time of birth, it is simply evaluated via ultrasound
>following delivery and then plans are made from there is anything is
>required-usually it isn't.
>
>>4) Should I be evaluated before 32 weeks or is this reasonable?
>
>*No, there is really no reason because no intervention would be
>undertaken prior to that.
>
>Houston needs more perinatologists!!
>
>*Who did you see. I know all those people, in that I trained (both
>residency and fellowship) in Houston. Imagine the weather is nice and
>cool down there about now...
>
>--
>Lynn D. Montgomery, MD
>Director, Maternal-Fetal Medicine
>Rocky Mountain Perinatal Center
>Missoula, Montana
>
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