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Subject:
From:
David Green <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sat, 30 Jan 1999 13:27:44 EST
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In a message dated 1/30/99 4:19:14 PM !!!First Boot!!!,
[log in to unmask] writes:

<< And clinical skills are just out the window.  The test is everything. No
one
 knows how to feel the baby's belly to feel a pyloric tumour--do the
 ultrasound. >>  Dr. Jack

Well, the typical pyloric "tumour" (aka as the olive sign) is best appreciated
immediately after the infant has vomited and the pyloric mass is present in
about 90% of infants with pyloric stenosis.  Uh, what about the other 10%?
A "simple" ultrasound is not dangerous and does not present any risks to the
infant.  Having surgery for "possible" or even "probable" reasons, is a very
significant and risk-potential choice.  If you were trying to decide on
whether-or-not your infant needs surgery and the physician stated that we can
do this "simple, no-risk" ultrasound and know for sure OR we can make an
educated-guess that this pyloric mass I have palpated in your infant's abdomen
is pyloric stenosis and go ahead and presume and assume that your infant has
PS and we will operate to find out for sure. OBTW, will you please sign this
consent form outlining all the potential risks & complications from surgery
(uh, don't worry too much about the possible death clause).
Andrew MD
[log in to unmask]

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