Re:Date: Mon, 22 Nov 1999 16:47:58 -0600

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It is true that Pena-Shokeir syndrome has some characteristics that can often be identified by sonography. However, I think you should be able to find a competent physician -- sonographer team in Mexico that can help you. Please go to the OBGYN.net Pregnancy & Birth Section on the web and post your appeal there.

Go to http://forums.obgyn.net/pregnancy-birth/ <http://forums.obgyn.net/pregnancy-birth/>

Good luck.

Terry J. DuBose, M.S., RDMS Director, Diagnostic Medical Sonography Program CHRP, University of Arkansas for Medical Sciences Little Rock, Arkansas, USA 501-686-6510 http://www.io.com/~dubose/ <http://www.io.com/~dubose/> http://www.uams.edu/CHRP/dmshome.htm <http://www.uams.edu/CHRP/dmshome.htm>

http://www.obgyn.net/us/panel/panel.htm <http://www.obgyn.net/us/panel/panel.htm>

-----Original Message----- From: milstein@data.net.mx [SMTP:milstein@data.net.mx] Sent: Tuesday, November 16, 1999 9:37 PM To: Terry.DuBose@obgyn.net Subject:

To Dr. DuBose: Hello. My name is Jessica Milstein, iīm 27 years old and in january 9, 1998 i had a son born with pena-shokeir syndrome who died 3 days later. I have a healthy 4 year old and in my first pregnancy everything was OK, i never realize i coulīd have a genetic disorder until my second pregnancy. I just found out iīm pregnant again. iīm very happy, but very scared because for what iīve heard thereīs no test to confirm the pena-shokeir syndrome, only by ultrasound. iīm writing to you because i wanted to know more about early detection of this syndrome and if you have some expirience with it, maby we can make an appointment. I donīt know how many ultrasounds do i have to do and in which week of pregnancy. I live in mexico but i can make arrangements if itīs necessary. Iīm hoping you can help me in any way you can and i thank you for your time

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