Re: Standing Room Only- triage strategies
From: Anna Meenan, MD (annam@uic.edu)
Thu Oct 6 12:28:09 2005
Gee, a woman with a fresh abdominal incision who may have spent the
previous 12-24 hours contracting every 3 minutes with no sleep is
"taking advantage" of a 4-day recuperation. Most of our pts go home on
the third day after a c-section, but I still remember being kept 7 days
after an emergency oophorectomy when I was 21, and I barely felt ready
to go home then (and i didn't have a baby who was going to wake me every
three hours once I got home).
--
Anna Meenan, MD
At Thu, 6 Oct 2005, Myer S. Bornstein wrote:
>
>State law mandates 4 day stay after C/Section and patients take advantage of
>this.
>Myer
>
>--
>Myer S. Bornstein, MD, MMM, FACOG, FACPE
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod
>Darryl G MAJ 48 MDOS/SGOBO
>Sent: Thursday, October 06, 2005 3:10 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Standing Room Only- triage strategies
>
>I'm only curious why you say that elective c/s stay longer? I can't
>tell you the last time an elective c/s of mine didn't go home 48 hours
>after the baby was born. Without labor prerequisite, the composite time
>in the hospital has been less.
>
>Just my thoughts
>
>Glen
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of JD
>Stewart,MD
>Sent: Wednesday, October 05, 2005 8:09 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Standing Room Only- triage strategies
>
>Facing an acute bed shortage in L&D/ postpartum/ nursery and postop GYN
>surgery all at the same time due to hospital remodeling. Figure this
>has come up everywhere at one time or another, and I was curious as to
>the ways this may have worked out...Elective induction rate now >50%;
><2% VBAC's in state, so repeat C/S rate is way up (with longer
>stays)..and most of the groups here now no longer throw all the OB
>delivery income into a common pool, but link it to the delivering
>partner- so the motivation to electively admit and deliver on "Dr X's
>hospital day" is tremendous.
>
>Push has come to shove, and we are now facing the "medical ante-up" game
>for line jumping on the induction list. ("..38 weeks plus Short
>stature/small feet...and her sister had an emergency C/S and is
>worried.." )
>
>Wondering if anyone faced with this has a handy common sense priority
>strategy they might share...
>
>--
>JD. Stewart, MD
>MFM up too late all night, every night
>
