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Re: Ultrasound markers of fetal anemia From: James S Smeltzer MD (gaperina@mindspring.com) Mon Jan 25 15:07:00 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr. Matias Elena: "US markers for fetal anemia" Previous message: Roberta Speyer: "Hysteroscopy and Laparoscopy Update" In reply to: Jeanette Burlbaw: "Re: Ultrasound markers of fetal anemia" Next in thread: DuBose, Terry: "Re: Ultrasound markers of fetal anemia" Dawn, Reading ackwards, so I may have missed this, but: 1. Of all the US measures of who is critically anemic, Max velocity of the MCA is the best I am told. Some wait for signs of hydrops by weekly US (but have lost babies) to blood group sensitization. A paper at SPO on splenic dopplers vs anemia looked promising as well. 2. As there is a good DNA test for Rh type by amnio (& probably for the other majors as well by now) the only reason to do cordo is indicator of severe disease by other means (Hydrops, Zone 3 Liley or Hi MCA Vmax, IMHO. The number of MFMs who don't need a real indication for cordocentesis is falling. Jim Smeltzer MD At 08:54 AM 1/25/1999 -0600, you wrote: >Thanks, I have always felt I had great luck and someone had my best in mind. I don't think Tim cares to make his dislike for me, which I think is waning, conspicuous by caning my ass...hard to hate someone who is boring. I can't wait to hear about the recruiting he is attempting to do. I don't think he realizes how he's disenfranchising his buds. Jeanette > >>>> "Dawn M. Zimmer" <DZIMMER@stvincent.org> 01/22 7:06 AM >>> >If you have a gut feeling that a job isn't for you, by all means do not take it unless your other option is welfare. (which is not your case) Right after I interviewed with Midwest peri., I read an article in the Wall Street Journal about taking a position that sounded great but not feeling comfortable with the people you were working with - everyone agreed from execs to blue collar workers that you won't enjoy your work if you do not get along. This has been my gut feeling about St. Luke's since 1995. It was my feeling about Midwest as well although I was disappointed that they "rejected me" (and a certain remark that I wasn't the best candidate - a real slap in the face when you think of who I was being compared to!) >My personal feeling is that there is a reason that jobs, deaths, relationships, etc. don't work out. What's that old saying " when one door closes another opens" or "ever end is the beginning of a new beginning". Something will deliver you from the KU position. >Interesting thoughts on detecting fetal anemia non-invasively. I have often thought that determining either blood velocity or cardiac output in a fetus at risk for anemia would make more sense than doing a procedure (PUBS) that carries a 1% mortality rate. >My partners are at the meeting formerly know as SPO this week. I'll let you know the goings on. >DAWN > Next message: Dr. Matias Elena: "US markers for fetal anemia" Previous message: Roberta Speyer: "Hysteroscopy and Laparoscopy Update" In reply to: Jeanette Burlbaw: "Re: Ultrasound markers of fetal anemia" Next in thread: DuBose, Terry: "Re: Ultrasound markers of fetal anemia"

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