Is the lack of GBS testing and treatment a big enough issue to stop
delivering in other countries? I'll let you know what I find out after
my visit next week.
--
________________________________
Raymond Stephen
Sent: Wednesday, November 30, 2005 10:53 PM
To: Multiple recipients of list OB-GYN-L
Subject: Group B Strep
I can't answer for other places, but I know that, wherever I have been,
Group B strep has always been of interest even if not a routine
investigation. Thus if someone asked for the test to be done it would
be, if facilities were available. In my last hospital the lab would
have been able to culture it on an ad hoc basis but didn't have the
facilities to screen large numbers, whereas where I am now efforts are
made to swab everyone at 36 weeks. Would someone be able to sue
successfully in another country? I doubt it, because the lawyers and
expert witnesses would not regard it as a breach if it were not standard
of care in the host country.
Steve
________________________________
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod
________________________________
Darryl G MAJ 48 MDOS/SGOBO
Sent: Wednesday, 30 November 2005 7:22 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Dr.Klein, where are you
Steve,
I'm curious about something in that statement. Knowing that in the US
it is standard of care to test for and to treat GBS, what would you say
to a relative that moved to a country that did not practice along those
same lines?
It is that way in at least a few of our host nations where our service
women and dependants are seen. Should that be seen as a breech of US
standards, or just being assimilated into their culture and practices
and deemed an acceptable risk as we are in their country?
Glen
________________________________
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
________________________________
Raymond Stephen
Sent: Wednesday, November 30, 2005 1:17 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Dr.Klein, where are you
The difference between obstetrics in the USA and that in Britain comes
down to a fundamental difference in the organisation of medicine in the
two countries - socialised medicine (the NHS) and capitalist medicine.
Despite all its faults the NHS allows for an integration of obstetrics
into a model which covers all needs under one organisation. The thread
about GBS highlights the fact that different societies have different
rates of Streptococcal colonisation, and what is appropriate in one
country is not in another.
Steve
________________________________
From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Henry
________________________________
Gregor
Sent: Wednesday, 30 November 2005 12:02 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Dr.Klein, where are you
Amen! Clearly Zach is correct in noting the degradation of this topic to
trivial responses, which is not the same as saying the thread topic is
trivial. However, it is an apples and orange thing to compare practices
from two different venues w/o noting (albeit sadly, no doubt) that what
occurs in one place or the other is not free of the cultural, legal and
other sociological factors that impact on the process. Gosh, I'd like to
do midwifery in GB, with a social compact society that accepts both the
advantages and any possible disadvantages inherent to the process. For
the many reasons noted earlier, that practice model doesn't work here.
To say folks should work for change is admirable, though it is not
gonna' happen...perhaps we should all think "Serenity Prayer" here...as
in Lord give me the wisdom to...etc., etc. (I suspect most respondents
have no trouble acknowledging the aptness of the prayer.)
We might all remember the line re a fa! natic being one who cannot stop
talkiing about a subject and who cannot change the subject. Gail, I hope
you ultimately do well without your nicotine.
Hank
RModugno@aol.com wrote:
In a message dated 11/29/2005 7:00:47 PM Eastern Standard Time,
ricechaz@gorge.net writes:
I wouldn't jump to the assumption that anyone posting
here is guilty of trivializing our patients problems.
Especially Zach Newton!
Robert Modugno MD MBA FACOG
Marietta, GA
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