HELLP Syndrome

I'm watching a lady on OB that has true HELLP syndrome right now.  Peripheral smear shows schistocytes.  AST/ALT/Alk Phos are all significantly elevated.  Platelets were at 28,000.  They have improved to over 50,000, so, she will deliver soon (38.2 G3P2).  It was a good learning experience.  The next one should be an experience, too...a lady that failed methadone treatment and says she just took 1500 mg of morphine in the last day!  This poor baby is going to come out sick.

two-fer-one

I got two see two unique situations in one case today. First, I assisted on a lady's six c-section (that is right, 6). She ended up getting a tubal, so no lucky number seven.

In the same breath, I saw a true double knot in a cord. The mother needs to be saying her prayers, because it is a miracle that the boy made it to term.

Erik

---sent from my treo 700p not so smartphone...pardon my spelling---