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Re: GYN: Emergency TL From: Gerald P. Rodríguez (geraldpr@cybermesa.com) Fri Jul 8 10:08:42 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Lynn D. Montgomery, M.D.: "Re: Emergency TL" Previous message: Lynn D. Montgomery, M.D.: "Re: Oligohydramnios, dolicocephaly and elevated AFP" Maybe in reply to: Garry E. Siegel, M.D.: "GYN: Emergency TL" Next in thread: ainsron: "Re: GYN: Emergency TL" Reply: ainsron: "Re: GYN: Emergency TL" Not to argue what is a slam dunk issue (I would not go there either), but the 30 day wait period for Medicaid is not law forbidding it, it's simply a regulation that unless complied with, won't get you or the hospital paid. Gerald P. Rodríguez, M.D., FACOG Santa Fe >----- Original Message ----- From: "ainsron" <ainsron@sbcglobal.net> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Friday, July 08, 2005 8:36 AM Subject: Re: GYN: Emergency TL > Legally and ethically it is not an option. It's not like us calling a > general surgeon in to take care of a hot appendix we find at the time of a > diagnostic laparoscopy to R/O PID. He may think it's the same, but he > needs > to be educated and know that our hands are tied by federal law. If its > not > an emergency chole and he can postpone it, you could see the patient, > counsel her, have her sign the consent then do it in 72 hours if she is a > private patient; if she is Medicaid, you have to wait at least 30 days - > at > least that is true in California. > > Ronald E. Ainsworth, MD, FACOG > > -----Original Message----- > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. > Siegel, M.D. > Sent: Friday, July 08, 2005 5:07 AM > To: Multiple recipients of list OB-GYN-L > Subject: [Norton AntiSpam] GYN: Emergency TL > > I'm awaiting an OR case, and the head nurse said that one of the general > surgeons may call me to do a Tubal Ligation on someone who is having a > Laparoscopic cholecystectomy this AM in about an hour. > > Even if it is an existing patient, it really rubs me the wrong way--no > chance to see, examine, counsel, consent or pre-certify (if needed), to > say nothing of my office schedule. > > Thoughts welcome. > > Garry > > PS--this is a preliminary rant; the details may make this request very > reasonable, I suppose. > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA > Next message: Lynn D. Montgomery, M.D.: "Re: Emergency TL" Previous message: Lynn D. Montgomery, M.D.: "Re: Oligohydramnios, dolicocephaly and elevated AFP" Maybe in reply to: Garry E. Siegel, M.D.: "GYN: Emergency TL" Next in thread: ainsron: "Re: GYN: Emergency TL" Reply: ainsron: "Re: GYN: Emergency TL"

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