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Re: Lawson: It ain't there till it ain't there.....From: Terry J. DuBose (tjdubose@juno.com)Fri Aug 28 01:47:57 1998
Mark, your stream of conscientiousness is almost unintelligible. My guess is that Lissencephaly doesn't mean you missed anything, but that the kid is premature. You want sulci, how about the sylvian fissure (p. 221), or how about fetal adrenal arteries & veins? (p. 293) . Peace, Terry J. DuBose, M.S., RDMS -- On Thu, 27 Aug 1998 23:23:09 -0500 lawson98@juno.com (MARK LAWSON) writes: >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 ???? >
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