Responsibility for unresponsible patients

From: Henry Gregor (henrygregor@yahoo.com)
Thu Dec 29 15:51:10 2005


The return receipt registered mail letter documenting the ball's in the patient's court may be the best overhead expense we ever pay for.

rmodugno@aol.com wrote: Exactly - the juries of the US believe that we are our patient's keepers. Gail can go into as many diatribes as she likes about responsiblity - and she has done that time and again - remember "Venus and Mars!"

Robert Modugno MD MBA FACOG Marietta, GA

-----Original Message----- From: ainsron <ainsron@sbcglobal.net> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Tue, 20 Dec 2005 11:49:02 -0600 Subject: Re: Kick Counts

.AOLPlainTextBody { margin: 0px; font-family: Tahoma, Verdana, Arial, Sans-Serif; font-size: 12px; color: #000; background-color: #fff; } .AOLPlainTextBody pre { font-size: 9pt; } .AOLInlineAttachment { margin: 10px; } .AOLAttachmentHeader { border-bottom: 2px solid #E9EAEB; background: #F9F9F9; } .AOLAttachmentHeader .Title { font: 11px Tahoma; font-weight: bold; color: #666666; background: #E9EAEB; padding: 3px 0px 1px 10px; } .AOLAttachmentHeader .FieldLabel { font: 11px Tahoma; font-weight: bold; color: #666666; padding: 1px 10px 1px 9px; } .AOLAttachmentHeader .FieldValue { font: 11px Tahoma; color: #333333; } /* Font Definitions */ @#AOLMsgPart_2_5bc001e1-668f-489e-904e-567d21e90240 font-face {font-family:Tahoma; panose-1:2 11 6 4 3 5 4 4 2 4;} #AOLMsgPart_2_5bc001e1-668f-489e-904e-567d21e90240 /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:12.0pt; font-family:"Times New Roman";} #AOLMsgPart_2_5bc001e1-668f-489e-904e-567d21e90240 a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} #AOLMsgPart_2_5bc001e1-668f-489e-904e-567d21e90240 a:visited, span.MsoHyperlinkFollowed {color:purple; text-decoration:underline;} #AOLMsgPart_2_5bc001e1-668f-489e-904e-567d21e90240 span.EmailStyle17 {font-family:Arial; color:navy;} @#AOLMsgPart_2_5bc001e1-668f-489e-904e-567d21e90240 page Section1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in;} #AOLMsgPart_2_5bc001e1-668f-489e-904e-567d21e90240 div.Section1 {page:Section1;} What you don?t understand is the US courts do not require any personal responsibility for their choices. If they make a wrong choice, it is because the physician has not given them all the information they needed to make an informed choice. If I have a patient on whom I have recommended mammography and ordered mammography, if I don?t receive the result, I am expected to contact the patient and ask if it has been done and if it has not been done, reorder it. If I don?t do those things and she develops breast cancer, I will be sued for failure to diagnose breast cancer. If I have patient who ha! s an abnormal pap smear and I recommend f/u in six months and she fails to keep the appointment and I don?t contact her to ask why she didn?t come and reschedule it, I will be sued if she develops cervical cancer.

Ronald E. Ainsworth, MD, FACOG





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