Still 3/29/06!! at the web site
From: Efrain Ramirez (eramirezt@coqui.net)
Fri Mar 31 19:52:43 2006
At Thu, 30 Mar 2006, gmarnas@comcast.net wrote:
>
>unsubscribe stat
> george arnas md
>
>>>-------------- Original message --------------
>From: ob-gyn-l@obgyn.net
>
>> OB-GYN-L Digest 4749
>>
>> Topics covered in this issue include:
>>
>> 1) Re: Pain management
>> by islesannie@yahoo.com (Joanne Bulley, MD)
>> 2) Re: Brain damaged baby case (long)
>> by rmodugno@aol.com
>> 3) Re: Pain management
>> by "fran wilson" <530rose@msn.com>
>> 4) Re: Pain management
>> by islesannie@yahoo.com (Joanne Bulley, MD)
>> 5) Protocols for NPs
>> by
>> 6) Re: Brain damaged baby case (long)
>> by Babycatchers@aol.com
>> 7) Re: Protocols for NPs
>> by JSBowpat@aol.com
>> 8) Re: Brain damaged baby case (long)
>> by Grace Loehr
>> 9) Re: Brain damaged baby case (long)
>> by "fran wilson" <530rose@msn.com>
>> 10) This you will not believe
>> by "fran wilson" <530rose@msn.com>
>> 11) Re: book
>> by Joe
>> 12) Re: book
>> by Joe
>> 13) Re: Protocols for NPs
>> by Joe
>> 14) HepB/Preg
>> by Terrence.Jones@kp.org
>> 15) RE: Brain damaged baby case (long)
>> by "ainsron"
>>
>> ----------------------------------------------------------------------
>>
>> ----------------------------------------------------------------------
>> ----------------------------------------------------------------------
>> ----------------------------------------------------------------------
>> Date: Wed, 29 Mar 2006 13:07:42 -0600 (CST)
>> To: OB-GYN-L@OBGYN.net
>> Subject: Re: Pain management
>> Message-ID: <200603291907.k2TJ7gg30733@dns.obgyn.net>
>>
>> Here in Keene, it has gone the other way. They do the water births and
>> the staff are so into no meds for labor that when there is a patient who
>> really wants that intrathecal narcotic - the nurses are almost
>> pathologic in how they avoid assessing the patient's labor progress and
>> tell her either she is too early in labor for it or "oops" you are too
>> late to get it. Really really PO'd a couple of women who are
>> professionals themselves and wives of MDs on staff. Along with some
>> community folks as well.
>>
>> Back in the old days I and my two partners did our own epidurals and it
>> was great to just do it when it was the right time and not have to put
>> up with complaining anesthesiaologists!
>>
>> Joanne
>>
>> At Wed, 29 Mar 2006, Henry Gregor wrote:
>> >
>> >Intersting thoughts, all...in light of Grace's comments...years ago it seemed a
>> struggle to avoid patients' repetitively hearing remonstrations and
>> disincentives to accepting epidural analgesia, even with patients having
>> obviously horrific labor pain not responsive to psychoprophylactic or parenteral
>> options. Now, its tough for a patient not wanting an epidural to get through a
>> delivery without being subtly or overtly encouraged to epidural use, and three
>> plus hour second stages with stressed out patients and family are more and more
>> common...oh well, must another aspect of geezer hood sounding off here.
>> >
>> > H
>> >
>>
>> --
>> Joanne Bulley, MD
>> Keene, NH, USA
>>
>> "Love is indescribable and unconditional.
>> I could tell you a thousand things that it is not, but not one that it is."
>> — Duke Ellington, American jazz artist (1899-1974).
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Wed, 29 Mar 2006 15:56:41 -0500
>> ------------------------------
>> From: rmodugno@aol.com
>> ------------------------------
>> To: ob-gyn-l@obgyn.net
>> ------------------------------
>> Subject: Re: Brain damaged baby case (long)
>> Message-ID: <8C8218A69F2A659-1DFC-B6D@FWM-D41.sysops.aol.com>
>> Content-Type: multipart/alternative;
>> boundary="--------MailBlocks_8C8218A69F2A659_1DFC_BAF_FWM-D41.sysops.aol.com"
>> MIME-Version: 1.0
>>
>> ----------MailBlocks_8C8218A69F2A659_1DFC_BAF_FWM-D41.sysops.aol.com
>> Content-Type: text/plain; charset="iso-8859-1"
>> Content-Transfer-Encoding: quoted-printable
>>
>> he intrepretations do not make sense.
>>
>> Robert Modugno MBA FACOG
>> Marietta, GA
>>
>> -----Original Message-----
>> From: Seele, Mona
>> To: Multiple recipients of list OB-GYN-L
>> Sent: Wed, 29 Mar 2006 12:34:26 -0600
>> Subject: RE: Brain damaged baby case (long)
>>
>> to follow or face sanctions by those regulatory bodies.
>>
>> Mona Seele, RN, MSN, CNS
>>
>> or
>> Sent: Wednesday, March 29, 2006 11:17 AM
>> To: Multiple recipients of list OB-GYN-L
>> Subject: Re: Brain damaged baby case (long)
>>
>> th inhouse management.
>>
>> Hank
>>
>> Joe Cutchin wrote:
>> Lynn: I'll bet that most of us have similar stories. Hospitals are
>> little kingdoms unto themselves ,supported by a national and state
>> hospital associations ,made legit by JACHO,herd MD's with hy-laws that
>> the hospital uses for its own purposes,etc. Oh my, here I am getting
>> cynical. Joe C
>>
>> Lynn Montgomery, MD wrote:
>>
>> > Now I am not advocating suing physicians, but let me play the devil's
>> > advocate here based on my personal experience:
>> >
>> > -Current hospital setting without ANY quality assurance in the OB
>> > Section for eight years.
>> >
>> > -Two JCAHO inspections during that time and
>> > passed with flying colors.
>> >
>> > -Several previous hospitals with QA programs, but when deficiencies
>> > identified, no action is taken.
>> >
>> > -At least two instances where a significant problem was identified with
>> > patient management where the physician refused to respond to any inquiry
>> > on advice from his counsel - despite the supposed confidentiality of
>> > peer review. No action taken regarding the cases.
>> >
>> > -Two and now possibly three physicians with a literal stack of charts
>> > with untoward outcomes. QA recommendation that privileges be suspended
>> > pending additional training, etc, only to be laughed at by hospital
>> > counsel who state that we will all be sued and the suspension will not
>> > likely stand.
>> >
>> > So, given these issues, how are we supposed to accomplish "Physician
>> > police thy self". And if we cannot police ourselves, which we have
>> > apparently shown we can't; who is going to?
>> >
>> > It is easy to be critical of lawyers suing us, but I feel that we bear a
>> > good share of the responsibility by engendering a "good ole boys club"
>> > and rubber stamping our peer's practice patterns, whether appropriate or
>> > not - fearing that if we are critical of a peer's practice patterns, we
>> > may be next.
>> >
>> > I learned quality assurance from Bob Carpenter and Ray Kaufman and have
>> > been struggling my entire career to duplicate their approach, only to be
>> > met with frustration at every turn.
>> >
>> > Lynn
>> >
>>
>> ow rates.
>>
>> Methodist. Leading Medicine.
>>
>> Named by FORTUNE magazine's "100 Best Companies to Work For" in 2006
>> Named by U.S.News & World Report as one of "America's Best Hospitals"
>>
>> ***CONFIDENTIALITY NOTICE***
>> This e-mail is the property of The Methodist Hospital and/or its
>> relevant affiliates and may contain confidential and privileged
>> material for the sole use of the intended recipient(s). Any review,
>> use, distribution or disclosure by others is strictly prohibited. If
>> you are not the intended recipient (or authorized to receive for the
>> recipient), please contact the sender and delete all copies of the
>> message. Thank you.
>>
>> ----------MailBlocks_8C8218A69F2A659_1DFC_BAF_FWM-D41.sysops.aol.com
>> Content-Type: text/html; charset="iso-8859-1"
>> Content-Transfer-Encoding: quoted-printable
>>
>> ten the intrepretations do not make sense.
>
>Robert Modugno MBA FACOG
>
>Marietta, GA
>
>-----Original Message-----
>From: S= > eele, Mona <Mseele@tmh.tmc.edu>
>> GYN-L <ob-gyn-l@dns.obgyn.net>
>> 0
>
>Subject: Re: Brain damaged baby case (long)
>
>> regulatory bodies.
>
>Mona Seele, RN, MSN, CNS> >
>
>> l@obgyn.net] On Behalf Of Henry Gregor
>> ch 29, 2006 11:17 AM
>
>To: Multiple recipients of list OB-GYN-L
>> B>Subject: Re: Brain damaged baby case (long)
>
>> nprofit with inhouse management.
>
>Hank
>
>> rote:
>
>> ries. Hospitals are
>> onal and state
>> hy-laws that
>> am getting
>
>cynical. Joe C
>
>Lynn Montgomery, MD wrote:
>
>> Now I am not advocating suing physicians, but let me play the devil's
>> t; advocate here based on my personal experience:
>>
>> BR>> Section for eight years.
>>
>> ing that time and
>> passed with flying colors.
>>
>> ral previous hospitals with QA programs, but when deficiencies
>> tified, no action is taken.
>>
>> significant problem was identified with
>> he physician refused to respond to any inquiry
>> ounsel - despite the supposed confidentiality of
>> tion taken regarding the cases.
>>
>> physicians with a literal stack of charts
>> QA recommendation that privileges be suspended
>> raining, etc, only to be laughed at by hospital
>> hat we will all be sued and the suspension will not
>> likely stand.> R>>
>>
>> d to accomplish "Physician
>> e ourselves, which we have
>> to?
>>
>> suing us, but I feel that we bear a
>> y by engendering a "good ole boys club"
>> r's practice patterns, whether appropriate or
>> we are critical of a peer's practice patterns, we
>> may be next.
>>> >
>>
>> er and Ray Kaufman and have
>> licate their approach, only to be
>> n.
>>
>> Lynn
>>
>> rates.
>>
>Methodist. Leading Medicine.
>
>> s "100 Best Companies to Work For" in 2006
>> Report as one of "America's Best Hospitals"
>
>> E***
>
>This e-mail is the property of The Methodist Hospital and/or its> >relevant affiliates and may contain confidential and privileged
>> for the sole use of the intended recipient(s). Any review,
>> tion or disclosure by others is strictly prohibited. If
>> ntended recipient (or authorized to receive for the
>> ntact the sender and delete all copies of the
>
>message. Thank you. > G>
>
>> ----------MailBlocks_8C8218A69F2A659_1DFC_BAF_FWM-D41.sysops.aol.com--
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Wed, 29 Mar 2006 13:17:29 -0800
>> ------------------------------
>> From: "fran wilson" <530rose@msn.com>
>> ------------------------------
>> To: ob-gyn-l@obgyn.net, ob-gyn-l@dns.obgyn.net
>> ------------------------------
>> Subject: Re: Pain management
>> Message-ID:> Mime-Version: 1.0
>> Content-Type: text/html; format=flowed
>>
>I want to move to Keene! Here in
>> Kennewick, even women who specifically tell the staff that they don't want to be
>> offered pain medication get an (at least) hourly question about whether they
>> have changed their mind, and warnings that if they don't do it now it will be
>> too late for an epidural. Docile epiduralized women demand so much less of
>> the nursing staff...
>
>Fran Wilson, CNM
>Kennewick, WA
>
>> From: islesannie@yahoo.com (Joanne Bulley, MD)
>
>Reply-To:
>> ob-gyn-l@obgyn.net
>
>To: Multiple recipients of list OB-GYN-L
>> <ob-gyn-l@dns.obgyn.net>
>
>Subject: Re: Pain
>> management
>
>Date: Wed, 29 Mar 2006 13:09:14 -0600
>Here in Keene,
>> it has gone the other way. They do the water births and
>
>the staff are so into
>> no meds for labor that when there is a patient who
>
>really wants that
>> intrathecal narcotic - the nurses are almost
>
>pathologic in how they avoid
>> assessing the patient's labor progress and
>
>tell her either she is too early
>> in labor for it or "oops" you are too
>
>late to get it. Really really PO'd a
>> couple of women who are
>
>professionals themselves and wives of MDs on staff.
>> Along with some
>
>community folks as well.
>
>Back in the old days I and my
>> two partners did our own epidurals and it
>
>was great to just do it when
>> it was the right time and not have to put
>
>up with complaining
>> anesthesiaologists!
>
>Joanne
>
>At Wed, 29 Mar 2006, Henry Gregor
>> wrote:
>>
>>Intersting thoughts, all...in light of Grace's
>> comments...years ago it seemed a struggle to avoid patients' repetitively
>> hearing remonstrations and disincentives to accepting epidural analgesia, even
>> with patients having obviously horrific labor pain not responsive to
>> psychoprophylactic or parenteral options. Now, its tough for a patient not
>> wanting an epidural to get through a delivery without being subtly or overtly
>> encouraged to epidural use, and three plus hour second stages with stressed out
>> patients and family are more and more common...oh well, must another aspect of
>> geezer hood sounding off here.
>>
>> H
>>
>--
>Joanne
>> Bulley, MD
>
>Keene, NH, USA
>
>"Love is indescribable and
>> unconditional.
>
>I could tell you a thousand things that it is not, but not one
>> that it is."
>— Duke Ellington, American jazz artist
>> (1899-1974).
>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Wed, 29 Mar 2006 15:54:04 -0600 (CST)
>> To: OB-GYN-L@OBGYN.net
>> Subject: Re: Pain management
>> Message-ID: <200603292154.k2TLs4514372@dns.obgyn.net>
>>
>> Fran
>>
>> Feel free to contact the Cheshire Medical Center - Dartmouth Hitchcock
>> Keene dept of Ob and see if they are recruiting. 590 Court St Keene NH
>> 03431 603-354-5400
>>
>> http://www.cheshire-med.com/programs/wachu.html
>> http://www.cheshire-med.com/programs/ob/cbonline.html
>>
>> Joanne
>>
>> At Wed, 29 Mar 2006, fran wilson wrote:
>> >
>> >I want to move to Keene! Here in Kennewick, even women who specifically tell
>> the staff that they don't want to be offered pain medication get an (at least)
>> hourly question about whether they have changed their mind, and warnings that if
>> they don't do it now it will be too late for an epidural. Docile epiduralized
>> women demand so much less of the nursing staff...
>> >Fran Wilson, CNMKennewick, WA
>> >
>>
>> --
>> Joanne Bulley, MD
>> Keene, NH, USA
>>
>> "Love is indescribable and unconditional.
>> I could tell you a thousand things that it is not, but not one that it is."
>> — Duke Ellington, American jazz artist (1899-1974).
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Wed, 29 Mar 2006 14:08:12 -0800 (PST)
>> ------------------------------
>> From:
>> ------------------------------
>> To: ob-gyn-l@obgyn.net
>> ------------------------------
>> Subject: Protocols for NPs
>> Message-ID: <20060329220812.62703.qmail@web80808.mail.yahoo.com>
>> MIME-Version: 1.0
>> Content-Type: text/plain; charset=iso-8859-1
>> Content-Transfer-Encoding: 8bit
>>
>> As part of my hospital's NP/CNM committee, they want
>> me to provide protocols for the practice of Family
>> Nurse Practitioners, CNM's, and NPs in the area of
>> OB/GYN.
>>
>> Does anyone know of a good resource? I'd rather adopt
>> a book than write all the guidelines.
>>
>> I'm currently looking at "practice Guidelines for Ob
>> &Gyn " by Geri Morgan.
>>
>> Thanks,
>>
>> Scott Osterling
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Wed, 29 Mar 2006 17:16:45 EST
>> ------------------------------
>> From: Babycatchers@aol.com
>> ------------------------------
>> To: ob-gyn-l@obgyn.net
>> ------------------------------
>> Subject: Re: Brain damaged baby case (long)
>> Message-ID: <27a.774f2b7.315c614d@aol.com>
>> MIME-Version: 1.0
>> Content-Type: multipart/alternative;
>> boundary="-----------------------------1143670605"
>>
>> -------------------------------1143670605
>> Content-Type: text/plain; charset="US-ASCII"
>> Content-Transfer-Encoding: 7bit
>>
>> Even in our small rural hospital, because of 1 doc with a 6 foot high (no
>> joke) stack of unfinished charts (cardiologist) we now get weekly threats to
>> suspend our privileges in 3 days if we do not complete charts. I had 2 this
>> week- verbal orders I forgot to sign at delivery.
>> There was a bad outcome with one of the stack of patients and they couldn't
>> find the chart. The MDs are reluctant, but are beginning to get the idea.
>>
>> Vicki Smith, CNM, MSN
>>
>> Midwives- changing the world one baby at a time.
>>
>> -------------------------------1143670605
>> Content-Type: text/html; charset="US-ASCII"
>> Content-Transfer-Encoding: quoted-printable
>>
>> > Arial"
>> bottomMargin=7 leftMargin=7 topMargin=7 rightMargin=7>> e_document
>> face=Arial color=#000000 size=2>
>>
>> no
>>
>> suspend our privileges in 3 days if we do not complete charts. I had 2 this
>> week- verbal orders I forgot to sign at delivery.
>
>> dn't
>> find the chart. The MDs are reluctant, but are beginning to get the idea.> IV>
>>
>> >Vicki Smith,
>> CNM, MSN
>
>Midwives- changing the world one baby at a
>> time.
>
>> -------------------------------1143670605--
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Wed, 29 Mar 2006 17:24:16 EST
>> ------------------------------
>> From: JSBowpat@aol.com
>> ------------------------------
>> To: ob-gyn-l@obgyn.net
>> ------------------------------
>> Subject: Re: Protocols for NPs
>> Message-ID: <205.12d4eaa7.315c6310@aol.com>
>> MIME-Version: 1.0
>> Content-Type: multipart/alternative;
>> boundary="-----------------------------1143671056"
>>
>> -------------------------------1143671056
>> Content-Type: text/plain; charset="UTF-8"
>> Content-Transfer-Encoding: quoted-printable
>> Content-Language: en
>>
>> You may want to consider Nell Tharpe CNM RNFA's clinical guidelines book.
>>
>> lth
>> presents a compilation of current practices that includes evidence-based,
>> e moves
>> r
>> day-to-day clinical practice with diverse populations. The Guidelines are
>> of
>>
>> practice with physician colleagues.
>> Just a suggestion ....
>> Susan Paterson CNM
>> Bay City MI
>>
>> -------------------------------1143671056
>> Content-Type: text/html; charset="UTF-8"
>> Content-Transfer-Encoding: quoted-printable
>> Content-Language: en
>>
>> > Arial"
>> bottomMargin=7 leftMargin=7 topMargin=7 rightMargin=7>> e_document
>> face=Arial color=#000000 size=2>
>>
>You may want to consider Nell Tharpe CNM RNFA's clinical guidelines
>> book.
>
>> cal
>> Practice Guidelines for Midwifery & Women’s
>> Health presents a compilation of current practices that
>> f
>> sources. Each Guideline moves through problem identification and
>> treatment using a standardized format for day-to-day clinical practice with
>> diverse populations. The Guidelines are currently in use by many
>> practices as a way of meeting the > ME
>> w:st="on">> size=2>American > face="Verdana, Helvetica, sans-serif"
>> size=2>College > face="Verdana, Helvetica, sans-serif" size=2>of Nurse Midwives (ACNM)
>> n
>> colleagues.
>
>> face=Verdana>
>
>> a
>> suggestion ....
>
>> face=Verdana>
>
>> n Paterson
>> CNM
>
>> City MI
>>
>> -------------------------------1143671056--
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Wed, 29 Mar 2006 19:41:43 -0500
>> ------------------------------
>> From: Grace Loehr
>> ------------------------------
>> To: ob-gyn-l@obgyn.net
>> ------------------------------
>> Subject: Re: Brain damaged baby case (long)
>> Message-ID:> Mime-Version: 1.0 (Apple Message framework v553)
>> Content-Type: text/plain; charset=US-ASCII; format=flowed
>> Content-Transfer-Encoding: 7bit
>>
>> Re: Joanne, Lynn, &c's comments on physician discipine/ retraining of
>> problem docs.
>>
>> Your comments reinforce the observation of many nurses that docs stick
>> together and stick up for each other (I know, the example is about
>> incompetent even the other docs want to get remedial treatment or
>> license revoked, but I think the principle applies), whereas nurses
>> will use gossip, lying, maliciousness and not liking somebody to get a
>> nurse written up, fired, or license suspended. Nurses and management
>> are very willing to throw the book at nurses for any excuse, it seems.
>> There are names for this: nurses eat their young, oppressed group
>> behavior, bullying in the workplace, &c. Very sad. I've liked how
>> docs stick together, in contrast, although of course this tendency can
>> be counterproductive and dangerous for pt safety, as with the examples
>> given. I envy how female MDs stick together and help each other.
>>
>> Grace
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Wed, 29 Mar 2006 16:48:03 -0800
>> ------------------------------
>> From: "fran wilson" <530rose@msn.com>
>> ------------------------------
>> To: ob-gyn-l@obgyn.net, ob-gyn-l@dns.obgyn.net
>> ------------------------------
>> Subject: Re: Brain damaged baby case (long)
>> Message-ID:> Mime-Version: 1.0
>> Content-Type: text/html; format=flowed
>>
>In my experience, that is very
>> true. Nurses not only go after other nurses, but also nurse
>> midwives. Of course, this is a generalization, but it really has been the
>> trend in the hospitals where I have practiced both as a nurse and a nurse
>> midwife.
>
>Fran Wilson, CNM
>Kennewick, WA
>
>> From: Grace Loehr <divinegracie@earthlink.net>
>
>Reply-To:
>> ob-gyn-l@obgyn.net
>
>To: Multiple recipients of list OB-GYN-L
>> <ob-gyn-l@dns.obgyn.net>
>
>Subject: Re: Brain damaged baby case
>> (long)
>
>Date: Wed, 29 Mar 2006 18:43:23 -0600
>Re: Joanne, Lynn,
>> &c's comments on physician discipine/ retraining of problem
>> docs.
>
>Your comments reinforce the observation of many nurses that docs
>> stick together and stick up for each other (I know, the example is about
>> incompetent even the other docs want to get remedial treatment or license
>> revoked, but I think the principle applies), whereas nurses will use gossip,
>> lying, maliciousness and not liking somebody to get a nurse written up, fired,
>> or license suspended. Nurses and management are very willing to throw the book
>> at nurses for any excuse, it seems. There are names for this: nurses eat
>> their young, oppressed group behavior, bullying in the workplace, &c. Very
>> sad. I've liked how docs stick together, in contrast, although of course this
>> tendency can be counterproductive and dangerous for pt safety, as with the
>> examples given. I envy how female MDs stick together and help each
>> other.
>
>Grace
>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Wed, 29 Mar 2006 17:22:18 -0800
>> ------------------------------
>> From: "fran wilson" <530rose@msn.com>
>> ------------------------------
>> To: ob-gyn-l@obgyn.net, ob-gyn-l@dns.obgyn.net
>> ------------------------------
>> Subject: This you will not believe
>> Message-ID:> Mime-Version: 1.0
>> Content-Type: text/html; format=flowed
>>
>> href="http://www.msnbc.msn.com/id/12056405/">http://www.msnbc.msn.com/id/1205640
>> 5/
>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Wed, 29 Mar 2006 20:34:00 -0500
>> ------------------------------
>> From: Joe
>> ------------------------------
>> To: ob-gyn-l@obgyn.net
>> ------------------------------
>> Subject: Re: book
>> Message-ID: <442B3588.3020202@intercom.net>
>> MIME-Version: 1.0
>> Content-Type: text/plain; charset=us-ascii; format=flowed
>> Content-Transfer-Encoding: 7bit
>>
>> Abdominally so.
>>
>> doctorjoe@aol.com wrote:
>> > Yeah, doesn't John Burch usually do most of his stuff on the far right?
>> >
>> > Joe P.
>> >
>> > -----Original Message-----
>> > From: Joe Cutchin
>> > To: Multiple recipients of list OB-GYN-L
>> > Sent: Wed, 29 Mar 2006 10:41:41 -0600
>> > Subject: book
>> >
>> > Just found copy of "Hysterectomy" by John C. Burch MD 1954. Obviously
>> > excellent technique described. It just struck me that although the tools
>> > might be different surgical technique is quite old. Joe C
>> >
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Wed, 29 Mar 2006 20:36:36 -0500
>> ------------------------------
>> From: Joe
>> ------------------------------
>> To: ob-gyn-l@obgyn.net
>> ------------------------------
>> Subject: Re: book
>> Message-ID: <442B3624.1090100@intercom.net>
>> MIME-Version: 1.0
>> Content-Type: text/plain; charset=us-ascii; format=flowed
>> Content-Transfer-Encoding: 7bit
>>
>> Hank: hard bound book
>>
>> Henry Gregor wrote:
>>
>> > Interesting post...any chance of listing a reference? Would be worth the
>> > read, I'm sure.
>> >
>> > Hank
>> >
>> > Joe Cutchin wrote:
>> >
>> > Just found copy of "Hysterectomy" by John C. Burch MD 1954. Obviously
>> > excellent technique described. It just struck me that although the
>> > tools
>> > might be different surgical technique is quite old. Joe C
>> >
>> > 666/*http://beta.messenger.yahoo.com>
>> > Call regular phones from your PC for low, low rates.
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Wed, 29 Mar 2006 20:46:51 -0500
>> ------------------------------
>> From: Joe
>> ------------------------------
>> To: ob-gyn-l@obgyn.net
>> ------------------------------
>> Subject: Re: Protocols for NPs
>> Message-ID: <442B388B.4070702@intercom.net>
>> MIME-Version: 1.0
>> Content-Type: text/plain; charset=us-ascii; format=flowed
>> Content-Transfer-Encoding: 7bit
>>
>> Talk about the chicken or the egg. Lets the CRNP's and CNM's develope
>> the protocols and you approve or adjust. They have the resources. Joe C
>>
>> sdoesterling-obgyndotnet@yahoo.com wrote:
>>
>> > As part of my hospital's NP/CNM committee, they want
>> > me to provide protocols for the practice of Family
>> > Nurse Practitioners, CNM's, and NPs in the area of
>> > OB/GYN.
>> >
>> > Does anyone know of a good resource? I'd rather adopt
>> > a book than write all the guidelines.
>> >
>> > I'm currently looking at "practice Guidelines for Ob
>> > &Gyn " by Geri Morgan.
>> >
>> > Thanks,
>> >
>> > Scott Osterling
>> >
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Wed, 29 Mar 2006 18:27:16 -0800
>> ------------------------------
>> From: Terrence.Jones@kp.org
>> ------------------------------
>> To: ob-gyn-l@forum.obgyn.net
>> ------------------------------
>> Subject: HepB/Preg
>> Message-ID:> MIME-Version: 1.0
>> Content-type: text/plain; charset=us-ascii
>>
>> Anyone with experience using Lamivudine (in combination with the usual
>> passive/active immunization) in last month of pregnancy to prevent vertical
>> transmission (van Zonneveld (2003), J Viral Hepatol, 10:294-7)? Is Rx
>> stratified to maternal viral load? Any concerns re: NRTI's and mitochondria
>> in cardiac myocytes? /tj
>>
>> CONFIDENTIAL OR PRIVILEGED: This communication contains information
>> intended only for the use of the individuals to whom it is addressed and
>> may contain information that is privileged, confidential or exempt from
>> other disclosure under applicable law. If you are not the intended
>> recipient, you are notified that any disclosure, printing, copying,
>> distribution or use of the contents is prohibited. If you have received
>> this in error, please notify the sender immediately by telephone or by
>> returning it by reply email and then permanently deleting the communication
>> from your system. Thank you.
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> Date: Wed, 29 Mar 2006 19:56:35 -0800
>> ------------------------------
>> From: "ainsron"
>> ------------------------------
>> To:
>> ------------------------------
>> Subject: RE: Brain damaged baby case (long)
>> Message-ID: <003a01c653ad$f4b94cf0$0728a8c0@DOCTOR>
>> MIME-Version: 1.0
>> Content-Type: multipart/alternative;
>> boundary="----=_NextPart_000_003B_01C6536A.E6960CF0"
>>
>> ------=_NextPart_000_003B_01C6536A.E6960CF0
>> Content-Type: text/plain;
>> charset="US-ASCII"
>> Content-Transfer-Encoding: quoted-printable
>>
>> their
>> then.
>>
>> Ronald E. Ainsworth, MD, FACOG
>>
>> -----Original Message-----
>> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of fran
>> wilson
>> Sent: Wednesday, March 29, 2006 4:50 PM
>> To: Multiple recipients of list OB-GYN-L
>> Subject: Re: Brain damaged baby case (long)
>>
>> nurses,
>> really
>> nurse
>> and a nurse midwife.
>>
>> Fran Wilson, CNM
>> Kennewick, WA
>>
>> _____
>>
>> From: Grace Loehr
>> Reply-To: ob-gyn-l@obgyn.net
>> To: Multiple recipients of list OB-GYN-L
>> Subject: Re: Brain damaged baby case (long)
>> Date: Wed, 29 Mar 2006 18:43:23 -0600
>> Re: Joanne, Lynn, &c's comments on physician discipine/ retraining of
>> problem docs.
>>
>> Your comments reinforce the observation of many nurses that docs stick
>> together and stick up for each other (I know, the example is about
>> license
>> gossip,
>> lying, maliciousness and not liking somebody to get a nurse written up,
>> throw
>> the book at nurses for any excuse, it seems. There are names for this:
>> workplace,
>> of
>> safety,
>> help
>> each other.
>>
>> Grace
>>
>> ------=_NextPart_000_003B_01C6536A.E6960CF0
>> Content-Type: text/html;
>> charset="US-ASCII"
>> Content-Transfer-Encoding: quoted-printable
>>
>> > charset=us-ascii">
>>
>> school, she
>> evidence of
>> that on a regular basis, ever since then.
>
>> Roman">> style='font-size:12.0pt;color:black'>
>
>> FACOG
>
>> Roman">> style='font-size:12.0pt;color:black'>
>
>> Message-----
>
>> From: ob-gyn-l@obgyn.net
>> Behalf Of fran
>> wilson
>
>> 29, 2006
>> 4:50 PM
>
>> of list
>> OB-GYN-L
>
>> damaged baby
>> case (long)
>
>> face="Times New Roman">> style='font-size:12.0pt'>
>
>> Roman">> style='font-size:12.0pt'>
>
>> other
>> generalization, but
>> both as a
>> nurse and a nurse midwife.
>
>> Roman">> style='font-size:12.0pt'>Fran Wilson, CNM
>
>> Kennewick, WA
>
>> 1.5pt;padding:0in 0in 0in 4.0pt;
>> >
>>
>> style='margin-left:.5in;text-align:center'>> size=1 face=Tahoma>> style='font-size:8.5pt;font-family:Tahoma'>
>>
>> style='margin-right:0in;margin-bottom:12.0pt;margin-left:
>> .5in'>> style='font-size:8.5pt;font-family:Tahoma'>From:
>> Grace Loehr
>> <divinegracie@earthlink.net>
>
>> Reply-To: > style='font-style:italic'>ob-gyn-l@obgyn.net
>
>> OB-GYN-L
>> <ob-gyn-l@dns.obgyn.net>
>
>> case (long)
>
>> -0600
>
>> of
>> problem docs.
>
>> together
>> even the
>> think the
>> and
>> suspended.
>> any
>> oppressed
>> how
>> be
>> given. I
>> envy how female MDs stick together and help each other.
>
>> Grace
>
>> ------=_NextPart_000_003B_01C6536A.E6960CF0--
>>
>> ------------------------------
>>
>> ------------------------------
>> ------------------------------
>> ------------------------------
>> End of OB-GYN-L Digest 4749
>> ------------------------------
>> ***************************
>> ------------------------------
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>
>unsubscribe stat
> george arnas md
>
>
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
