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Lawson: It ain't there till it ain't there.....From: MARK LAWSON (lawson98@juno.com)Thu Aug 27 23:22:29 1998
LOL..... Jim.... I've had one of those "oh my god, I missed what?" episodes Normal looking baby at birth.... dx'ed with Lissencephaly.... What.... ??? Well I'll be darn there it is in most of the books......chrome dome... no sulci.... yikes.... I took the neuro registry but to tell you the truth until that baby I never really checked off on fetal sulci..... you know what I mean???.... Since I read about the exopthalmia case that the baby had no eye balls, just the sockets, I never really checked off on the lens before that time.....Now I do.... and now we're suppossed to be seeing abnomal fetal adrenals.... yikes oh mighty.... I'm still miffed that someone published fetal horshoe kidneys before me..... (I'm still looking for my first case) So anywho....the sequela with the lissencephaply is similar to the corpus thang.... it ain't there till it ain't there.... which in this case is about 24 -26 weeks.... thank god I only saw her once at 17 weeks.... I hate missing something I don't know about more than I hate missing something I do know about. dig?? About seeing patients at 10-14 weeks... I think it should be routine.... but so should the 18-22 week scan..... and of course we need the third trimester scan to R/O the most common of problems...... IUGR.... So in a capitated system..... three scans....ummmmmm 1000 births a year..... What price dear sonographers do I charge the insurance companies.... for that contract...... gotta scan... Mark the Lawson, Texas America...... PS..... what is with the candanian dollar these days ????
Or call Juno at (800) 654-JUNO [654-5866]
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