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Re: 'How childbirth went industrial' From: Gordon Goldman (obgyndoc@swbell.net) Sat Oct 14 08:40:33 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Betsy Hyde: "Re: 'How childbirth went industrial'" Previous message: Andrew Folley: "Re: Retire forceps and vacuums?" In reply to: Andrew Folley: "Re: 'How childbirth went industrial'" Next in thread: Betsy Hyde: "Re: 'How childbirth went industrial'" And how about GYN?? Remember when we used to do open laparotomy for hysterectomy for huge fibroids, before the advent of the morcellator via 'scope?? The numbers of hysterectomies done for menorrhagia is so low secondary to endometrial ablation, some hospitals in our area are closing down GYN rooms for lack of cases and the university training programs are sending residents to the outlying community hospitals for exposure to Gyn as well as OB. Now we will MRgFUS the big fibroids and residents will eventually not be exposed to those procedures, either. Is that good or bad? Or, just different? -- Gordon M. Goldman, M.D., FACOG Private Practice, St. Louis, Missouri On Oct 14, 2006, at 8:09 AM, Andrew Folley wrote: > We are definitely moving away from the art and craft of medicine to > rote "industrialized" process. > I am afraid that ours is the last generation to practice "skillful > obstretrics". Essentially anyojne graduating in the past 5-10 > years of residency will not be trained or doing vaginal twins, > breeches, forceps etc. Babies will either fall out or be > sectioned. andrew > >> From: garrys@mindspring.com (Garry E. Siegel, M.D.) >> Reply-To: ob-gyn-l@obgyn.net >> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >> Subject: Re: 'How childbirth went industrial' >> Date: Fri, 13 Oct 2006 21:08:27 -0500 >> >> Today, my partner and I were lamenting the demise of forceps skills >> today, as our junior partner did a section on someone fully dilated >> after pushing for a long while (CNM patient who pushed longer than 3 >> hours, primigravida with an epidural) that sounds like she might have >> been "deliverable" by an obstetrician more comfortable with operative >> vaginal delivery. >> >> Garry >> >> -- >> Garry E. Siegel, M.D. >> Private Practice >> Roswell, GA > > direct/01/?href=http://www.get.live.com/spaces/features > Next message: Betsy Hyde: "Re: 'How childbirth went industrial'" Previous message: Andrew Folley: "Re: Retire forceps and vacuums?" In reply to: Andrew Folley: "Re: 'How childbirth went industrial'" Next in thread: Betsy Hyde: "Re: 'How childbirth went industrial'"

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