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Larry R. Glazerman, MD
Ob-Gyn at Trexlertown, PC
610-402-0161
l.glazerman@rcn.com
-----Original Message-----
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of ainsron
Sent: Wednesday, August 31, 2005 9:43 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: GYN: RV fistula
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.
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