Re: Ob: Cesareans galore and no discussion about staples (long)
From: Jamie (ajfields@pine-net.com)
Thu Aug 17 17:56:03 2006
Interesting you should bring this up. An former acquaintance of my
husband died yesterday of bilateral pneumonia. He was 48, a crack
addict and heavy smoker, and probably waited far too long to seek
medical care.
At Thu, 17 Aug 2006, Henry Gregor wrote:
>
>Good comments Ashley, but I would say those same misconceptions and unrealistic expectations apply to numerous other procedures, surgeries, treatments, etc....universal human capacity to not hear what one doesn't want to hear or know, unrealistic tort system feeding into those misperceptions. Once some years ago I asked about ten patients in one week if they though it was possible in this day and age to die from pneumonia...a typical response "Not in this day and age, what with all the antibiotic and other treatments that could be used."
>
>"D. Ashley Hill" <dahmd@cfl.rr.com> wrote: Notwithstanding the potential for recurrent SD and fistula formation you
>describe, we have created our own problems when it comes to informed
>consent for both cesareans and "minimally invasive" surgery. I couldn't
>count how many patients feel a cesarean is a "procedure" and not a major
>surgery, and are suprised when I talk about the potential for blood
>transfusion, etc. Additionally, many patients don't believe us when we
>warn that their laparoscopy could convert to a laparotomy with bowel
>repair or ureteral reanastomosis. Patients have extraordinary
>expectations and they and their families (and expert witnesses) are
>shocked when things don't turn out exactly as they planned. I hammer
>into my patients that any operation can turn bad quickly despite
>excellent care, due to a variety of reasons, and keep hitting them with
>this so that they understand, among other things, that one should not
>undergo surgery lightly, and that performing these operations takes a
>lot of practice and skill. Have a good week.
>
>Ashley
>
>--
>D. Ashley Hill, MD
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>Medical Director, Loch Haven Ob/Gyn Group
>Division Director, Dept. of Ob/Gyn, Florida Hospital Orlando
>Orlando, Florida
>
> Get on board. You're invited to try the new Yahoo! Mail Beta.
>
--
JFields, RN, BSN
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