Re: Hospital admissions for obstetric patients FRI
From: R. Daniel Braun (rd.braun@gmail.com)
Fri Oct 27 08:28:23 2006
I have always found that admission to the OB with consultations as
appropriate and a good working relationship with the consultant was the best
way to go. 42 years of good relationships.
Dan
On 10/27/06, art fougner, md <evsono@pipeline.com> wrote:
>
> Re ZBN's post -
>
> "My views are about the same as Casey's."
> Mickey Mantle - 1958
> Testimony to The Kefauver Committee
>
> Art
>
> At Fri, 27 Oct 2006, Zachariah Newton wrote:
> >
> >Ashley-
> >
> >Leaving puristics aside, the ob is the triage officer for all medical
> care
> >during pregnancy. This is the source of trust for the patient, and,
> frankly,
> >any consultant who sees an ob patient with heavy trepidation. Such
> patients,
> >as in your posit, are usually really sick and really sick. A phalanx of
> >consultants typically flow through the assessment. The consultants, if
> >watched closely, frequently have the palsy of trepidation, derived from
> the
> >pregnancy status. A general is needed to contain the process from getting
> >out of hand. On your service, you are in control, the key element. The
> >consultants provide assessment & recommendations, but remain in harness
> on
> >your service.
> >
> >As the patient's advocate in a delerious system of health care, admit her
> to
> >your service, reins in hand, and send out the requests for consultation.
> You
> >can then make your own judgment on accepting recommendations for
> >intervention that we have all seen can be wildly off the wall and
> >inappropriate on basis of pregnancy status.
> >
> >zbn
> >
> >---
> >
>> >>----- Original Message -----
> >From: "D. Ashley Hill" <dahmd@cfl.rr.com>
> >To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net>
> >Sent: Thursday, October 26, 2006 11:24 PM
> >Subject: Hospital admissions for obstetric patients
> >
> >> Listmembers:
> >>
> >> I have always been of the opinion that patients with a non-obstetric
> >> medical problem should be admitted to the physician best suited to care
> >> for that problem, with consultation by an obstetrician or
> perinatologist
> >> if indicated. (For example, patients with cardiac problems are
> admitted
> >> to a cardiologist and patients with end-stage renal disease are
> admitted
> >> to a nephrologist)
> >>
> >> Others believe that all OB patients should be admitted to the OB, with
> >> consultation by other specialists as indicated. Does anyone have
> >> experience and opinions on either of these schemes? Thanks in advance.
> >>
> >> 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
> >>
>
> --
> art fougner, md
> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
--
R. Daniel Braun
"The way to health is an aromatic bath and scented massage everyday".
Hippocrates
