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Re: A great story from the early days of ultrasoundFrom: Fred A Chavez, RDMS, RVT, RDCS (crashfc@aol.com)Fri Oct 7 00:32:49 2005
At Wed, 14 Aug 2002, David Priver, MD wrote: > >The year was 1974, and I had just finished residency. An OB patient >presented with rapid uterine growth in the late second trimester. I had >just read about a new technology called ultrasound and decided to try it >out on this patient. In the city of Detroit at that time, the only >place where OB ultrasound was available was Henry Ford Hospital. I >arranged for her to have a sonogram there, under the auspices of >Radiologist Jim Karo, MD. >A few days later, I received a report which consisted of a photograph >which was largely, to me, uninterpretable. It looked mostly like a >photograph of a snowstorm. Dr. Karo had, helpfully, included a sheet >of tracing paper to cover the photo. He had outlined two vaguely >circular objects which he labelled as "Head of baby A" and "Head of baby >B". Off in the corner of the photo was another extremely irregularly >circular object which he labelled as "Abdomen of baby A". >I congratulated the patient on her upcoming twin birth and proceeded to >follow her on a regular basis. She grew very rapidly, and by 37 weeks, >was truly massive. I kept reassuring her and expected that both babies >would be about 7 pounds. She went into labor at term (back in the days >when twins were almost never delivered by elective CS; ie the days when >obstetricians had delivery skills). As I expected two very large >babies, I invited every available nurse, medical student, and fellow OB >to observe this birth. Imagine my surprise at delivering a first baby >which was about 5 pounds. After the second baby was about the same, I >reached up and, sure enogh, found baby C. All three babies were >vigorous and healthy. >At the conclusion of the delivery, I ran stright to the phone and called >Dr. Karo at Ford. I asked him to take another look at the sono photo, >with special attention to so-called "abdomen A". We enjoyed a good >laugh over what we believed then and still believe now was the first >ever sonographic photo of triplets. Dr. Karo has since told me that he >still introduces new Radiology residents to ultrasound by showing them >that photo to illustrate where we were in the old days, as compared to >where we are now. >It's my favorite story of ultrasound, and I thought it would be fun to >share it. >David Priver, MD >San Diego, CA I enjoyed your comments reagarding the triplets. Right about the same time 1974 at the University of Colorado, Dr Ken Gottesfeld had a patient who we knew had multiple fetus, but we didn't know how many till we( Carol Sundgren, Dr Gottesfeld and I) worked at scanning the patient portably with the Unirad B-Scanner in the patient's room. We eventually found "6" babies, which were confirmed at delivery. We published a case history, I believe in The Journal of Clinical Ultrasound. I can attest to the difficulties in diagnosing multilple births in utero. Thanks Again.
-- Fred A Chavez, RDMS, RVT, RDCS
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