Re: Hospital admissions for obstetric patients
From: R. Daniel Braun (rd.braun@gmail.com)
Fri Oct 27 08:29:37 2006
AMEN!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Dan
On 10/27/06, Zachariah Newton <zbnewton@bellsouth.net> 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
> >
>
--
R. Daniel Braun
"The way to health is an aromatic bath and scented massage everyday".
Hippocrates
