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Re: Perinatal statistics in YOUR country??From: DuBose, Terry (DuboseTerryJ@exchange.uams.edu)Tue Aug 11 20:24:03 1998
Received: from alaska.net (wellspring.alaska.net [209.112.130.9]) by talk.obgyn.net (8.8.8/8.8.8) with ESMTP id UAA15451 for <ultrasound@obgyn.net>; Tue, 11 Aug 1998 20:23:53 -0500 Received: from jworrall.alaska.net (fbk-p2-81.alaska.net [206.149.71.81]) by alaska.net (8.8.8/8.8.8) with SMTP id RAA11196; Tue, 11 Aug 1998 17:23:44 -0800 (AKDT) Message-ID: <001d01bdc58f$eb110bc0$514795ce@jworrall.alaska.net> From: "Joseph Allen Worrall Jr." <jworrall@alaska.net> To: <ultrasound@obgyn.net>, "Multiple recipients of list" <ultrasound@talk.obgyn.net> Subject: Re: Baby Coming Date: Tue, 11 Aug 1998 17:24:13 -0800 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 4.72.3115.0 X-MimeOLE: Produced By Microsoft MimeOLE V4.72.3110.3 Tom: Here in Fairbanks we charge $353 for 76805, but at 12 weeks I usually charge a limited 76816 @ $259. but if you bring your wife here I will do it for nothing! Jim has given an excellent presentation of the value of triple screening! I think your wife should get the screen. There is lots written about the California experience, where screening is mandatory. There are many false elevations, which lead to additional testing, but it is still worth while, I think. Regarding the ultrasound, do it your self. Do one now at 12 weeks so you can measure the nuchal translucency, and do another at 20 or 22 weeks. Or get one of your sonographer colleagues at work to do it for you, (for nothing) if you are not comfortable scanning your wife. Unrelated to Tom's situation: Jim brings up the question of the woman 35 or over who has a very low risk of aneuploidy on triple screen. Should she be asked to have an amniocentesis, with a risk of 1:300 or 1:250? If she has a GOOD ultrasound, and nothing abnormal is found, I am comfortable suggesting to these patients that perhaps they should not take the risk of amniocentesis, even though I think from a medicolegal standpoint, if she had a baby with aneuploidy, and took me to court, I probably would not be in a very good position. Joseph A Worrall MD RDMS
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