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TTTS From: James Smeltzer (James.Smeltzer@wellstar.org) Thu May 5 08:11:26 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: TTTS" Previous message: Latha Natarajan: "Re: Etiology of right sided hydronephrosis in pregnancy" Next in thread: art fougner, md: "Re: TTTS" Reply: art fougner, md: "Re: TTTS" Reply: Cheryl Turner: "Re: TTTS" Maybe reply: James Smeltzer: "Re: TTTS" Hi! Yesterday I saw a set of MC/DA female twins with one "stuck" but moving, mildly SGA and without CHF. Moderate (5%ile) cephalization. MCA Vmax 41 @ 23 weeks (Almost 1.5 MoM). Twin had ascites (large), LARGE MR and TR, but IVC waveform and DV waveforms were pretty good. Hydramnios but uterus soft and Cx 3.5 cm long and closed. Placenta was posterior. Both moving well. No anomalies other than ascites, cardiomegaly, MR, TR and a small pericardial effusion. By the ascites, hydramnios, MR and TR this is grade 4, but by twin appearance, behavior, cervix, & arterial and venous doppplers this was grade 1. When should I start to do amnioreduction? Who is doing ablations? Is there an NIH protocol? - Vanderbilt is reasonable distance and Tampa do-able from here. Thanks Jim Smeltzer -- James S. Smeltzer, MD, FACOG, SMFM Consultant, Maternal Fetal Medicine Wellstar Physicians' Group Northwest Women's Care 787 Campbell Hill St Marietta GA 30060 James.Smeltzer@wellstar.org VM 678-290-3035 Off 770-528-0260 Page 404-318-3451 >>>>>>>>>>>>> Confidentiality Disclaimer <<<<<<<<<<<<<<<< This email and any files transmitted with it may contain confidential and /or proprietary information in the possession of WellStar Health System, Inc. ("WellStar") and is intended only for the individual or entity to whom addressed. This email may contain information that is held to be privileged, confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient, you are hereby notified that any unauthorized access, dissemination, distribution or copying of any information from this email is strictly prohibited, and may subject you to criminal and/or civil liability. If you have received this email in error, please notify the sender by reply email and then delete this email and its attachments from your computer. Thank you. ================================================================ Next message: art fougner, md: "Re: TTTS" Previous message: Latha Natarajan: "Re: Etiology of right sided hydronephrosis in pregnancy" Next in thread: art fougner, md: "Re: TTTS" Reply: art fougner, md: "Re: TTTS" Reply: Cheryl Turner: "Re: TTTS" Maybe reply: James Smeltzer: "Re: TTTS"

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