Re: Brew-ha-ha brewing?

From: Gerald P. Rodríguez (geraldpr@cybermesa.com)
Tue Sep 6 18:05:52 2005


Hooray! Lynn, you've hit the nail squarely on its head. Your issues with FP's doing OB outside of any control of the Ob/Gyn departments has been a major bone of contention here in Santa Fe for years. Since they got their "independence" from the OB section a few years ago, they seem to do everything contrary to protocols set forth by us. VBAC is the best example of how the FPs raise everyone stress levels and blood pressure.

Gerald P. Rodríguez, M.D., FACOG Santa Fe

> ----- Original Message -----
From: Lynn D. Montgomery, M.D. To: Multiple recipients of list OB-GYN-L Sent: Tuesday, September 06, 2005 4:47 PM Subject: RE: Brew-ha-ha brewing?

Now first let me say that I have the ultimate respect for family practitioners, particularly those who are out in truly rural areas and don't have the benefit of all the technology of larger centers. That said, since finishing training, every where I have been, it seems that FP's have tried their best to be contrary with regard to OB/GYN. First it was doing c-sections - several programs were "getting" their residents 10 sections during their last year and sending them out to do sections. When OB departments question the credentials, their response is that they have their own department and we don't have any say in credentialing - but who do they call when it hits the fan. Then there is the tubal issue - one place I practiced, the two FP's remaining were routinely taking an hour or more to do a postpartum tubal and often through an incision about the size of a section incision. Again, when brought to question, the response is that we don't credential them. Now the VBAC issue - even though I have attended several ruptures over the years, I don't cherish the ongoing possibility of ever seeing another and I am in a center with "immediate" coverage. The prospects of an FP having a rupture in Podunk, Wyoming, based on the AAFP policy is ridiculous, but again, they seem resistant to listen to reason... Lynn

Lynn D. Montgomery, M.D. Maternal-Fetal Medicine, OB/GYN Rocky Mountain Women's Health 2835 Fort Missoula Rd., Suite 304 Missoula, Montana, 59804 406-549-0978 fax 406-549-0987 e-mail: apgar10@montanadsl.net

------------------------------------------------------------------------------ ------------------------------------------------------------------------- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of =

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-------------------------------------------------------------------------RModugno@aol.com
  Sent: Tuesday, September 06, 2005 3:17 PM
  To: Multiple recipients of list OB-GYN-L
  Subject: Brew-ha-ha brewing?

From 9/1/05 OB/GYN News::





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