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Re: GYN: RV fistulaFrom: ainsron (ainsron@sbcglobal.net)Wed Aug 31 20:41:41 2005
I'm sure you're right. My hospital is similar to yours, no exam rooms for inpatients, just the upside down bedpan and flashlight, except for L&D, we do have gurneys that break down into exam tables. Unfortunately the nurses don't know how to operate them and can never get the built in lights to work. When it comes to equipping inpatient areas for patient exams, I think all administrators went to the same school, it doesn't make money for them, so why waste the square feet. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of William D. McIntosh, M.D Sent: Wednesday, August 31, 2005 8:44 AM To: Multiple recipients of list OB-GYN-L Subject: Re: GYN: RV fistula I don't think he was talking about the lack of an exam table in a nursing home, but rather in the hospital itself. My hospital does not have a single exam table for inpatient exams. The ER has a couple, but you can't use them for inpatients. I actually had to give a patient a 6 hour pass to leave the hospital to come to my office so that I could do a reasonable exam. We did have an exam room years ago, but the hospital filled it with the dreaded "nurses with clipboards" long ago. After all, yet another cohort of administrative nurses is much more useful that actually performing patient care. WD McIntosh, MD FACOG Clarksville, TN -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. Ainsworth Sent: Wednesday, August 31, 2005 10:19 AM To: Multiple recipients of list OB-GYN-L Subject: Re: GYN: RV fistula Love those nursing home consults with not equipment available. You described my experiences to a "T." I think you are exactly right, she needs a colonoscopy, exam under anesthesia and would probably benefit from a diversion, which could be temporary if you find a repairable RV fistula and no malignancy. Inflammatory bowel disease is also a possible cause. At her age with poor surgical risks, she would more likely be a candidate for a permanent diverting colostomy. -------------------------------------------------------- Premier Medical Group's HIPAA Compliance Policy states that unencrypted -------------------------------------------------------- Protected Health Information (PHI) will not be sent to external email -------------------------------------------------------- recipients. If this email contains PHI, please inform both the original sender and Premier Medical Group's Security Officer (securityofficer@premiermed.com or 931-245-7044) of this policy violation. Thank you for assisting us in our commitment to safeguard our patients' personal information.
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