Re: Ultrasound forum??! Help Me! Stir the pot!
From: James Smeltzer (James.Smeltzer@wellstar.org)
Mon Mar 10 16:56:03 2008
Not in a logistic regression with the added odds of a prior 30 week baby - though some have found that the cervical length, as THE common pathway (in the Definition of labor) trumps all other risk factors. I'm not that brave yet... Shes NOT in the hospital but she IS coming back in a week, and alerted she might not be working if she doesn't get the rest she needs.
JSS
--
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
>>> art fougner, md <evsono@pipeline.com> 3/10/2008 12:39 PM >>>
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
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>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
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>- Thank you.
>
>________________________________________________
>This email and any files transmitted with it may contain
>________________________________________________
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>of WellStar Health System, Inc. ("WellStar") and is intended
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>may contain information that is held to be privileged, confidential
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--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
________________________________________________
This email and any files transmitted with it may contain
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