RE: URGENT - ectopic pregnancy

[Guest guest]

I will pray.  I lost a baby to an ectopic, not only tubal, pregnancy in 1986. I do hope that it is possible, and if not, that the miraculous is granted.PennyOn Tue, May 8, 2012 at 9:40 AM, Davenport <mdavmd@...> wrote:

 

There is a woman (physician) in Toronto who may have a living ectopic pregnancy and may want a tubal/intrauterine embryo transfer. She would consider any other therapy unacceptable. I was told about this case last night by a priest here in California, who got a call from Toronto.

Has any obgyn physician done this or practices in an institution where one could do this?I performed this procedure once but got permission from my department chair at the very last minute on an emergency basis with a phone call in the middle of the night.  But if this had to go thru more normal channels in my hospital I don't think it would have been possible.

The concept and transfer are experimental but the surgery not really experimental (salpingotomy and myotomy). Others I know have attempted this, namely Hilgers and Mark Stegman. Anyone else?I think it

is the logical life-saving operation if it could ever work. There are two reported successful cases in the literature.I thought of Dr. Pivarunas in Buffalo and have a call in to him.It may turn out to be a false alarm as the diagnosis of ectopic pregnancy is not certain at this time.

D

-- “A man imagines a happy marriage as a marriage of love; even if he makes fun of marriages that are without love, or feels sorry for lovers who are without marriage.” –G.K. Chesterton ~Chaucer

[Guest guest]

:

Can you give more detail on 2 cases in literature

is there a review?

It might be better to plan protocol, consent and permission in advance, while no one has their emotions in an uproar.

One could have a written policy.

Then when iot comes up-look

we have a policy, there are procedures we perform routinely, just not usually together

maybe we could have a standard policy and consent

that would seem easier to swallow

It was suggested to me by an attorney

It is much easier to get someone to agree to something

when it stills seems a remote future possibility that seems unlikely

Paddy Jim Baggot MD

From: sonoharry@...Date: Tue, 8 May 2012 10:16:33 -0500Subject: Re: URGENT - ectopic pregnancy

I will pray. I lost a baby to an ectopic, not only tubal, pregnancy in 1986. I do hope that it is possible, and if not, that the miraculous is granted.Penny

On Tue, May 8, 2012 at 9:40 AM, Davenport <mdavmd@...> wrote:

There is a woman (physician) in Toronto who may have a living ectopic pregnancy and may want a tubal/intrauterine embryo transfer. She would consider any other therapy unacceptable. I was told about this case last night by a priest here in California, who got a call from Toronto.Has any obgyn physician done this or practices in an institution where one could do this?I performed this procedure once but got permission from my department chair at the very last minute on an emergency basis with a phone call in the middle of the night. But if this had to go thru more normal channels in my hospital I don't think it would have been possible.The concept and transfer are experimental but the surgery not really experimental (salpingotomy and myotomy). Others I know have attempted this, namely Hilgers and Mark Stegman. Anyone else?I think it is the logical life-saving operation if it could ever work. There are two reported successful cases in the literature.I thought of Dr. Pivarunas in Buffalo and have a call in to him.It may turn out to be a false alarm as the diagnosis of ectopic pregnancy is not certain at this time. D

-- “A man imagines a happy marriage as a marriage of love; even if he makes fun of marriages that are without love, or feels sorry for lovers who are without marriage.” –G.K. Chesterton ~Chaucer