Re: EMTALA
From: Efrain Ramirez (eramirezt@coqui.net)
Thu Jul 28 06:34:13 2005
Agree-- problem is that someone in LDR will pronounce the fetus alive -
and might become the famous EMTALA "whistle blower"...
>At Thu, 28 Jul 2005, Robert J. Carpenter, Jr. MD wrote:
>
>Not withstanding the Bush Congress mandate that all fetuses must be attended, it is
>clear from both science and the Pediatric society and multiple writing since that the
>standard for neonatal evaluation and resuscitation remain at 24 weeks. If your
>specific unit is routinely salvaging most 23 week fetuses then that may change in
>your locale. For the rest of us it is 24 weeks. The reg was passed to make sure any
>born alive abortion was attended.
>
>You do NOT have to go pronounce a 12 weeker.
>
>Yes, hopefully saner heads will prevail after the Bush reign.
>
>On 27 Jul 2005 at 23:14, Garry E. Siegel, M.D. wrote:
>
>> Horribly sad that common and clinical sense have been thrown out the
>> window so that they can be mandated by law.
>>
>> Unfortunately, you can't legislate common sense.
>>
>> Garry
>>
>> At Wed, 27 Jul 2005, Efrain Ramirez wrote:
>> >
>> >>At Wed, 27 Jul 2005, art fougner, md wrote:
>> >>
>> >>I can envision the look on the face of the pediatrician, called to
>> >>the ER for the viability screen ... Folks get paid to write these
>> >>regs?
>> >>
>> >>art
>> >>
>> >>At Wed, 27 Jul 2005, rmodugno@aol.com wrote:
>> >>>
>> >>>Not entirely Dan - everyone knows a 12 weeker cannot survive - you
>> >>>however must document your "screening exam" and reasons for not
>> >>>proceeding with resuscitation.
>> >>>
>> >>>Robert Modugno MD MBA FACOG
>> >>>Marietta, GA
>> >>>
>> >>>-----Original Message-----
>> >>>From: R. Daniel Braun <rd.braun@gmail.com>
>> >>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>> >>>Sent: Wed, 27 Jul 2005 11:16:42 -0500 Subject: Re: EMTALA
>> >>>
>> >>>Yeah, well now it is VIABLE by LAW if it has any kind of sign of
>> >>>life at Delivery. If a 12 weeker comes out with a heart beat or
>> >>>movements "All efforts must be made to sustain its life(?) as long
>> >>>as possible" That is according to my understanding of the law. Help
>> >>>me out if I am wrong. Dan
>> >>>
>> >>>On 7/27/05, Larry Glazerman <l.glazerman@rcn.com> wrote:
>> >>>Viability at 20 weeks?????????
>> >>>
>> >>>Larry R. Glazerman, MD
>> >>>Ob-Gyn at Trexlertown, PC
>> >>>larry.glazerman@lvh.com
>> >>>
>> >>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>> >>>Stmidwife@aol.com Sent: Wednesday, July 27, 2005 11:19 AM To:
>> >>>Multiple recipients of list OB-GYN-L Subject: Re: EMTALA
>> >>>
>> >>>I always seen 20 weeks here in So CA.
>> >>>
>> >>>Sue
>> >>>
>> >>>In a message dated 7/27/05 6:44:56 A.M. Pacific Daylight Time,
>> >>>ob-gyn-l@obgyn.net writes:
>> >>>
>> >>>."and 22 weeks is within the standard that most hospitals use for
>> >>>viability
>> >>>
>> >>>--
>> >>>R. Daniel Braun
>> >>> Kinky for Governor
>> >>>
>> >>--
>> >>art fougner, md
>> >>
>> >> "If you don't know where you are going, you will wind up somewhere
>> >> else."
>> >>Lawrence Peter Berra
>> >>
>> >This is getting nonsensical isn't...?
>> >
>> >They "section" a patient at 20 weeks for "fetal indications" --
>> >that's Kalifornia...??
>> >
>> >Dan is right - viability should be a medical term not a legal term -
>> >
>> >Ef
>> >
>> >These EMTALA "guidelines" have -IMHO- far reaching consequences ...
>> >
>> >--
>> >"Character may be manifested in the great moments, but it is made in
>> >the small ones."
>> >
>> > - Phillip Brooks
>> >
>> > ~walt whitman~
>> >
>>
>> --
>> Garry E. Siegel, M.D.
>> Private Practice
>> Roswell, GA
>>
>--
>Robert J. Carpenter, Jr. MD
>6624 Fannin, #2720
>St. Luke's Medical Tower
>Houston,TX 77030-2339
>713-795-4600
>
--
"Character may be manifested in the great moments, but it is made in the
small ones."
- Phillip Brooks
~walt whitman~
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