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Re: Incompentent Cervix?--->med-leg ramifications From: Robert J. Carpenter, Jr. MD (zygote@icsi.net) Mon Jun 27 17:38:03 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Brazilian gynecologists may bias HRT uptake" Previous message: Andrew Folley: "Re: Vaginal Cuff Evisceration- Follow up" In reply to: DoctorJoe@aol.com: "Re: Incompentent Cervix?--->med-leg ramifications" As always all should practice good medicine as reasonably evidence based as possible and part of that includes proper documentation. Defense of any appropriately treated patient should be high on the priority list! On 26 Jun 2005 at 12:13, DoctorJoe@aol.com wrote: > > In a message dated 6/26/05 11:08:26 AM, zygote@icsi.net writes: > > > To me there is no truth. Given the first circumstance and placement > > of cerclage which modern (last 7 yrs) randomized US/Dutch studies > > clearly indicate that outcomes are the same but one suggests that > > preterm delivery may be later in sutured than in control provides no > > real answer to today. > > > > Hmmmmm. > > So IF there is no truth, does it follow that a practitioner who (1) > does (or who does not) place a cerclage, and who (2) can articulate > reasonable medical rationale for his actions, would be defendable in a > court of law? In a hospital credentialling situation? Against an ACOG > inquisitional committee? > > How's that for a medico-legal question? > > Joe P. > > P.S. Of course, this question may be generalized to ANY medical > treatment or procedure which does not have conclusive EBM/literature > support for or against it. > -- Robert J. Carpenter, Jr. MD 6624 Fannin, #2720 St. Luke's Medical Tower Houston,TX 77030-2339 713-795-4600 Next message: RModugno@aol.com: "Brazilian gynecologists may bias HRT uptake" Previous message: Andrew Folley: "Re: Vaginal Cuff Evisceration- Follow up" In reply to: DoctorJoe@aol.com: "Re: Incompentent Cervix?--->med-leg ramifications"

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