Re: VBA3C
From: Anna Meenan, MD (annam@uic.edu)
Fri Feb 13 11:53:03 2004
Wow, Dan, you must have nicer relatives than mine!
Seriously, a medicolegal issue just came up in my family. My
sister-in-law had a breast mass. Needle biopsy said it was cancer. She
had a lumpectomy and path was benign. My Mom called me to tell me and I
said that's great, but in many families in this country the next step
would be the lawsuit. She agreed that my sis-in-law would not even
consider that, and the next day when I called S-i-L to see how she was
doing, she said her parents are urging her to sue. This even though the
surgeon told her (in front of my mom, a retired JCAHCO inspector) that
there was a less than 1% chance that the lump could turn out benign
after removal.
Anna
At Fri, 13 Feb 2004, Braun, R. Daniel wrote:
>
>Nothing keeps practitioners "safe" here. Except perhaps being able to
>select only your own relatives for the jury.
>
>R. Daniel Braun, MD
>"If everyone likes you, you're doing something wrong."
>Kinky Friedman
>I believe a self-righteous liberal or conservative with a cause is more
>dangerous than a Hell's Angel with an attitude.
>Andy Rooney
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf
>Of Kipperkid
> Sent: Thursday, February 12, 2004 2:04 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: VBA3C
>
> Don't you think the woman should have the right to make that
>decision for herself. It is up to her to decide which risk she wants to
>take. The whole point of what I am saying is that you emphasise the
>risk of rupture over other risks, which is not informed consent. One of
>the other respondents said that they "talk" about the risk of rupture
>with VBAC but the risks for C/S are "listed on the consent form", why?
>In order to be informed consent ALL the risks should be talked about,
>and that includes the risks of having abdominal surgery to have your
>baby. Here in New Zealand it is informed consent (and documentation of
>same) that keeps practitioners safe!
> Annemarie (RM, New Zealand)
>
>>> ----- Original Message -----
> From: Richard Chudacoff, MD
><mailto:rchudacoff@mylinuxisp.com>
> To: Multiple recipients of list OB-GYN-L
><mailto:ob-gyn-l@dns.obgyn.net>
> Sent: Friday, February 13, 2004 4:32 AM
> Subject: RE: VBA3C
>
> Is that any different than with a VBAC that ruptures?
>
> Richard Chudacoff, MD
>
> I believe we are on an irreversible trend toward more
>freedom and democracy - but that could change.
> Dan Quayle
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On
>Behalf Of Kipperkid
> Sent: Wednesday, February 11, 2004 3:58 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: VBA3C
>
> How about increased risk of infertility and placenta
>previa/accreta/percreta/increta with following pregnancies? Do you talk
>to women about that prior to elective repeat C/S?
> Annemarie (RM, New Zealand and coming out of lurkdom to
>support Chris!)
> Last I read, "death," "disfigurement," "loss of
>function," etc., etc. was on ALL the consent forms.
