Re: VBAC immediately available policy
From: art fougner, md (evsono@pipeline.com)
Tue Feb 7 11:32:34 2006
All too often the patient ends up being a CLIENT ... by seeking legal
counsel.
Art
At Tue, 7 Feb 2006, Jamie wrote:
>
>No, you are correct. They physician ends up with the responsibility.
>The client SHOULD, and that's whay makes me sad
>
>At Mon, 6 Feb 2006, Efrain Ramirez wrote:
>>
>>I disagree wholeheartedly --ACOG stated those rules -- "immediately
>>available" means exactly that-- trying to bend the definition is, IMHO,
>>cheating... the one who takes the responsibility will be the physician
>>- don't make me laugh if you argue that the patient will...please....
>>
>>Ef
>>
>>>At Mon, 6 Feb 2006, Jamie wrote:
>>>
>>>The VBAC advocates weren't the ones who made the rules about what
>>>constitutes immediately available. I think it's incredibly sad that
>>>women and their doctors can not develop a level of trust that allows for
>>>an honest explanation of the risks, and a decision by a client (okay,
>>>patient) who takes responsibility.
>>>
>>>At Mon, 6 Feb 2006, D. Ashley Hill wrote:
>>>>
>>>>At Mon, 6 Feb 2006, Efrain Ramirez wrote:
>>>>>
>>>>>Lawyers will be laughing at us -- us trying to define "immediately
>>>>>available" --Jesus!!!! - if ACOG wanted it another way - it should say -
>>>>>within 15 minutes - 30 minutes, 2 nanoseconds -- I no longer do VABC's
>>>>>--it is not wort it..period..
>>>>>
>>>>>At our hospital, although it has in-house anesthesia - if there is a
>>>>>VBAC - the Ob, and everything that surrounds him--OR crew, etc , must be
>>>>>in house...any other way would be ---somebody said "suicide"?
>>>>
>>>>That's probably the safest course for the patient (and the risk
>>>>managers) but the least attractive for the ob and anesthesia team. I
>>>>wonder how hospitals that no longer "allow" VBACs handle patients who
>>>>refuse a repeat cesarean. Does the on-call team have to come in and
>>>>stand by for the entire labor trial? Can you imagine how hot the on call
>>>>ob and anesthesiologist would be if a patient previously unknown to them
>>>>showed up, refused a repeat section, but hospital bylaws mandated that
>>>>they stay in house the entire labor? I think VBAC advocates are unaware
>>>>of the number of patients in the office or operating room who may go
>>>>unattended while the physician is on the labor unit with one patient who
>>>>demands a VBAC. Sure, it's great for her, but not so hot for the
>>>>several dozen patients awaiting care for what may be equally important
>>>>health care needs.
>>>>
>>>>Ashley
>>>>
>>>>--
>>>>D. Ashley Hill, MD
>>>>Associate Director
>>>>Department of Obstetrics and Gynecology
>>>>Florida Hospital Family Practice Residency
>>>> and Loch Haven Ob/Gyn Group
>>>>Orlando, Florida
>>>>
>>>--
>>>JFields, RN, BSN
>>>
>>--
>>“ The greatest obstacle to knowledge is not ignorance,
>>it is the illusion of knowledge.” Daniel J. Boorstin - Historian
>>
>--
>JFields, RN, BSN
>
--
art fougner, md
Buy Danish!
|
|
