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Re: Switching patientsFrom: Len2976@aol.comThu Aug 26 06:54:00 2004
Patients in our area often decide for one reason or another to switch to another practice--didn't like the visit, waited too long, sister goes somewhere else, the other office is closer, etc. What does happen to us often is that a former patient comes in while we are covering call to the obstetrician (solo practice) she switched to. This can make for some sticky situations: ---A former patient comes in to L&D in false/prodromal labor. She is 41+ weeks with a favorable cervix (3/70/-1) and does not want to go home--the FHTs are reassuring. She knows me and asks to be induced. She can't understand why I tell her to go home and see her own obstetrician on Monday (this is Sat.) when he comes back from vacation. If she were our patient I would grant her wish, but don't feel it appropriate to induce Dr. M.'s patient with no medical indication. --A patient comes in for evaluation--she is 28 weeks and has a UTI. I treat her and learn (from the patient) she was with our group last time. She switched this time because Dr. M. is closer to her house, but now she thinks she would rather have Dr. A. (my boss) do her repeat C/S? Can she just have Dr. A. instead? --A patient of Dr. M.'s is in labor. She is what we call a "frequent flyer" and has presented many times during her pregnancy with assorted complaints so I have seen her a few times while covering for Dr. M. on one of his frequent weekends off or vacations. I am there with patients of my own. The patient's husband keeps coming to me to ask questions about his wife's labor management--I keep referring them back to their nurse who I tell him will talk to o r call Dr. M. Lenora McCall, CNM
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