Denise Punger

Denise Punger, MD, FAAFP, IBCLC, and her husband, both family physicians, are in private practice in Saint Lucie County, Florida. Denise happily mothers their three sons and feels her identity through the boys. They are a reason to pursue her goals in the community.

Screening Tests: Not Worth Triple the Trouble

My 37-year old e-mail friend was 19 weeks pregnant with her second. She shared by e-mail the bad news that her triple screen showed increased risk for Down’s Syndrome. She repeated the test and was awaiting results. She couldn’t decide whether to pursue amniocentesis. I replied…

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