Re: Ultrasound forum??! Help Me! Stir the pot!
From: art fougner, md (evsono@pipeline.com)
Mon Mar 10 10:37:22 2008
But still longer than today's threshold of 2.5 cm ... so the take-home
is the same.
Art
At Mon, 10 Mar 2008, James Smeltzer wrote:
>
>Saw a patient this morning: History of preterm birth. Abdominal view of cervix: Length 36 mm (Normal). Vaginal view Length:26 (Mildly short)
>Guess Frank Andersen was right. TVS is "Better" JimS
>
>--
>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
>
>>>> "James Smeltzer" <James.Smeltzer@wellstar.org> 3/8/2008 3:26 PM >>>
>In screening patients we accept a clear abdominal view, but we have been very surprised in a few high risk patients by how wrong a "clear" abdominal view could be. I still cannot explain this.
>
>The standard of care for all US has always been to Look - not necessarily to See. I expect the sonographers to look. Roberto Romero had a JUM editorial to that effect, and he went over the WHY much better than I can here..
>
>Jim
>>>> art fougner, md <evsono@pipeline.com> 3/7/2008 3:54 PM >>>
>Jim
>
>You're checking the cervix on all patients, regardless of indications?
>Vaginally? I hear the pot bubbling for sure.
>
>Art
>
>At Fri, 07 Mar 2008, James Smeltzer wrote:
>>
>>This used to be a place I loved to go to. Things got very busy. Personal issues intervened. Too many emails from someone hunting a job & Pfft?! Resurrection!?
>>
>>Maybe this pot needs stirring!
>>
>>Hop y'all are doing NTs and nose bones at 10-14 weeks, and checking cervixes at all 18 to 32 week studies!
>>
>>If not, then I would love to hear why not?
>>
>>Is anybody back there?!
>>
>>;^) Jim S
>>
>>--
>>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
>>
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>--
>art fougner, md
>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
>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
>
>________________________________________________
>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.
>
>________________________________________________
>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
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>received this email in error, please notify the sender by reply email
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>- Thank you.
>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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