Re: Battle lines drawn over C.Sections

From: Joanne Bulley, MD (islesannie@yahoo.com)
Sun Aug 28 07:36:24 2005


It is not so much as to whether the OB would hang around ... we have done that before and could do that again -- or we can have the laborist ...

It is usually whether the hospital is willing / can afford / to hvae an OR Team in house at all times. And to call that second OR team in when there is a VBAC if the first OR team is in the OR or goes into the OR for another emergency case. It is the cost / onus of paying for all those people to sit and twiddle their thumbs that makes the TOLAC/VBAC a problem.

We always sat around watching the office income disslove while we couldn't bill and chalk it up to "doing OB"

The folks that want to have the TOLAC/VBAC option are complaining to the wrong people when they blame the OBs - they have to convince the hospitals topay all those OTHER professionals to sit and wait.

Joanne

At Sat, 27 Aug 2005, RModugno@aol.com wrote: >
>Flamm urges women to "search for the middle ground. Talk to the doctor, see
>if they would just be willing to stick around the hospital that one day
>they're in labor."
>"Unfortunately," Flamm says, "nobody wants to do the middle ground."
>+++++++++++++++++++++++ Enter the laborist!
>Robert Modugno MD MBA FACOG
>Marietta, GA

--
Joanne Bulley, MD
Keene, NH, USA

"Love is indescribable and unconditional. I could tell you a thousand things that it is not, but not one that it is." — Duke Ellington, American jazz artist (1899-1974).





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