ULTRASOUND Messages for May, 1999: Lawson: Tincture of time

Lawson: Tincture of time
From: MARK LAWSON (lawson98@juno.com)
Wed May 19 14:04:54 1999

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Hi Jim.... the operative word here is "appears to be worrisome" I thought all the cornu was very serious bizness... the last patient we saw with this thin myometrial stripe came from over 100 miles away..... the referrering physician applied the tincture and all went well.... I thought it was a risky call and glad the doctor made the right call.... I wonder how I'd handle it with my wife....probably with constant monitoring.... A couple of years ago we had, in our small town, a woman expire because of a ruptured ectopic, sent home after c/o of pain in the ER, and the poor physician has yet to recover....Yikes. I'm getting so conservative in my old age. I agree with the full disclosure and let the patient decide.
Mark,
PS... I enjoy your posts, thanks for taking the time. m.
A joke for you:
A father was reading Bible stories to his young son. He read, "The man named Lot was warned to take his wife and flee out of the city, but his wife looked back and was turned to salt." His son asked, "What happened to the flea?"
On Sun, 16 May 1999 15:08:34 -0500 James S Smeltzer MD <gaperina@mindspring.com> writes: >Mark,
>
>I have also seen thin cornu that appear to be worrisome. I agree that
>tincture of time may be necessary to resolve this issue, especially as
>a
>bicornuate uterine horn pregnant is much different from an
>interstitial
>ectopic- with a risk of prenaturity but not catastrophic hemorrhage
>unless
>a rudimentary horn. The pregnancy can usually be related to the
>endometrial stripe which, together with where the uterus grows, can
>usually
>discriminate.
>
>Jim Smeltzer MD
>
>At 10:21 AM 5/14/1999 -0500, you wrote:
>>..Run for the hills....make sure you have the highest trained medical
>team
>>you can.... Call the local medical school and ask to talk to the
>chief of
>>OB... the hint of cornual pregnancy brings chills to me cause I
>>understand it to be so threatening..... Now having said that I've
>seen
>>patients with very thin myometrial coverage go to term (close to the
>>cornua)..... so I'm convinced it's mostly a clinical decision....
>>IMHO.... Can I make another observation??? From my forays around
>the
>>net it is amazing to see that very learnered people disagree on all
>>matters of things.
>>
>>Mark
>>Texas Sonographer to the Stars
>>
>>On Fri, 7 May 1999 21:49:41 -0500 "Micheal R. Heritage"
>><heritage2@home.com> writes:
>>>I saw your name on the internet related to Ectopic Pregnancy and I
>>>have a question that you might be able to answer. My daughter is
>>>approx. 5 weeks pregnant. She had slight spotting and went to the
>>>doctor. An ultrasound and blood testing was done. Blood test
>>>results were normal.
>>>
>>>Ultrasound revealed Ectopic Corneal pregnancy. She was told that
>the
>>>pregnancy needed to be terminated. She did not and got a second
>>>opinion. The second opinion stated there should be no problem.
>>>Another ultrasound will be done in three days.
>>>
>>>My Question is what is an "Ectopic Corneal pregnancy"?
>>>Does this differ from a normal ectopic pregnancy? What are the
>risks?
>>>
>>>How can we be sure of what to advise her to do when the two doctors
>>>opinions are so differing?
>>>
>>>Thank you very much for your help if you can.
>>>
>>>Corrie Heritage
>>
>

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