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Re: OB: Suspected Macrosomia (long) From: Anna Meenan, MD (annam@uic.edu) Fri Feb 13 14:49:21 2004 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Elrod Glen Maj 3 MDG/SGOB: "Re: Clomid/IUI help desperately needed!" Previous message: Chrisa93@aol.com: "My credentials" In reply to: Richard Chudacoff, MD: "Re: OB: Suspected Macrosomia (long)" Next in thread: Anna Meenan, MD: "Re: OB: Suspected Macrosomia (long)" Reply: Anna Meenan, MD: "Re: OB: Suspected Macrosomia (long)" Good question, Richard, and I wish I knew the answer. Of all the stuff I deal with on a day to day basis, that is the one that irritates and depresses me the most, and will probably be the one that results in my departure from this profession (if university politics doesn't drive me away sooner). It seems like anymore almost every patient I see looks at me suspiciously whenever I want to prescribe a new drug, increase the dose of an old drug, immunize their children, or do anything else that years of study has taught me will give them a longer and safer life. I spend hours a day trying to keep up with everything we are learning about health, sometimes to the exclusion of my personal life, and it doesn't seem to matter. I would never do anything to any patient that I wouldn't do to a member of my own family, and I tell patients that frequently, but it makes no difference. And to the lister who accused us of making all of our decisions based on money (Chris, I think?): There are over 100 grade school and high school teachers in my state who make more money than I do, to work far fewer hours a year, and with far less education. Obviously, I am teaching the wrong subject. -- Anna L. Meenan, MD, FAAFP Clinical Assistant Professor of Family and Community Medicine, University of Illinois College of Medicine At Fri, 13 Feb 2004, Richard Chudacoff, MD wrote: >Why do people think that doctors are out to hurt them, when they seek care >from the doctor in the first place? > >-- >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 >Len2976@aol.com >Sent: Friday, February 13, 2004 2:03 PM >To: Multiple recipients of list OB-GYN-L >Subject: Re: OB: Suspected Macrosomia (long) > >Many years ago when I was in the AF stationed in California I saw a patient >who was alternating visits between the AFB and a private MW. She planned a >homebirth, but came for appointments to have a place to go in the event of >complications. This patient also refused most labs, including glucola >screening. > >As she approached her last weeks, it was clear the infant was large. >Despite all counseling (shoulder dystocia, FTP, PPH), she was emphatic about >the home birth. > >The day she delivered, I got a call from her MW. She had had a 10 1/2 # >baby with the delivery complicated by a shoulder dystocia and she also had a >4th degree perineal laceration. The patient came to the L&D unit with her >husband, but she had been advised to come in without the baby, get repaired, >and then sign out "AMA." According to the parents, the baby was "fine," >but the laceration occurred during efforts to deliver the shoulders. > >I did do the repair (under pudendal anesthesia) since as a dependent she was >entitled to care. Nothing anyone could say could convince either of them >the risk they had taken and in their mind everything was fine. > >Lenora McCall, CNM > Next message: Elrod Glen Maj 3 MDG/SGOB: "Re: Clomid/IUI help desperately needed!" Previous message: Chrisa93@aol.com: "My credentials" In reply to: Richard Chudacoff, MD: "Re: OB: Suspected Macrosomia (long)" Next in thread: Anna Meenan, MD: "Re: OB: Suspected Macrosomia (long)" Reply: Anna Meenan, MD: "Re: OB: Suspected Macrosomia (long)"

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