Re: OB: PP TL

From: Efrain Ramirez (eramirezt@coqui.net)
Mon Mar 27 16:52:53 2006


4 years ago, she was a teenager! – When I was younger – and – maybe less wiser – I was persuaded to do them – many years later it is hard to hear, besides the sobbing, “Dr. Ramírez – why did you allow ME to convince YOU?” I don’t know the specifics of the case – but in my group, I doubt very, very much she would get PP TL.

Good luck,

Ef

At Mon, 27 Mar 2006, Garry E. Siegel, M.D. wrote: >
>23 YO P1001 at 36 weeks adamantly desires PPTL.
>
>I have advised against it, and discussed alternatives ad nauseum.
>
>I am in a 3 doctor group, and I feel strongly that I do not want to do
>this regardless of the patient's request; I know one of my partners--and
>this is OK--probably would not be bothered by doing so.
>
>Needless to say, this represents a small glitch, i.e. may deliver and
>need surgery when I'm on call. Also, it represents some division within
>the group, albeit very minor division which is not an issue in terms of
>how we get along.
>
>Any suggestions welcome.
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian




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