Re: Dr. Montgomery - thank you and an answer to your question

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At Wed, 11 Jul 2001, Stacie wrote: >
>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
>>

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**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.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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