- Joined
- Nov 16, 2002
- Messages
- 141
- Reaction score
- 113
So I'm on call last night. It's quiet in the OR, but L&D is pretty busy. Up and down all night doing labor epidurals. Everything routine, blah, blah. Ay 0520 I get called for another one.
25-yo primip with a history of stroke (resolved, etiology unclear) several years ago. She states thats her only medical history. I ask her if she has any chronic back or neck problems and she says, "oh yeah, I have a syrinx in my spine. I think in my upper back. My OB knows about it and said no problem with epidural." She denies any hx of Chiari malformation.
Well crap. I look at his notes and it says syrinx lower back. So I get the nurses calling medical records at the hospital where the MRI was done and I sit down at the computer. My mind is debating, do I do this or not. I search +"labor epidural" +syrinx. And I'll be damned if a two page hotly debated post from a few years ago pops up first. MMD and Plank are at each other. JPP even pops his head in. Sources are thrown out there with links. Good stuff.
By the time I read the whole thing and chase down some of the links and articles, the MRI report is in my hand stating possible syrinx T6/T7. So armed with the knowledge gained from this forum, and the MRI report, I felt much more comfortable placing her epidural, and she did fine.
All this to say, this forum may have its share of craziness and off topic posts, but when I needed info in the last hours of a long call, I got my info here. Thanks to all the regulars who make it great!
25-yo primip with a history of stroke (resolved, etiology unclear) several years ago. She states thats her only medical history. I ask her if she has any chronic back or neck problems and she says, "oh yeah, I have a syrinx in my spine. I think in my upper back. My OB knows about it and said no problem with epidural." She denies any hx of Chiari malformation.
Well crap. I look at his notes and it says syrinx lower back. So I get the nurses calling medical records at the hospital where the MRI was done and I sit down at the computer. My mind is debating, do I do this or not. I search +"labor epidural" +syrinx. And I'll be damned if a two page hotly debated post from a few years ago pops up first. MMD and Plank are at each other. JPP even pops his head in. Sources are thrown out there with links. Good stuff.
By the time I read the whole thing and chase down some of the links and articles, the MRI report is in my hand stating possible syrinx T6/T7. So armed with the knowledge gained from this forum, and the MRI report, I felt much more comfortable placing her epidural, and she did fine.
All this to say, this forum may have its share of craziness and off topic posts, but when I needed info in the last hours of a long call, I got my info here. Thanks to all the regulars who make it great!