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Re: Hospital admissions for obstetric patients From: Garry E. Siegel, M.D. (garrys@mindspring.com) Fri Oct 27 23:20:01 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: Hospital admissions for obstetric patients" Previous message: Meenan, Anna: "Re: Hospital admissions for obstetric patients" In reply to: D. Ashley Hill: "Re: Hospital admissions for obstetric patients" Next in thread: Rita Kucmierz: "Re: Hospital admissions for obstetric patients" Of course, Ashley--what you said regarding the critically ill patients is what I do, too. It was unsaid because it sounds like we're all on the same page here. Garry At Fri, 27 Oct 2006, D. Ashley Hill wrote: > >I appreciate the well-reasoned responses. I reviewed my original post >and need to clarify something. Our service will admit almost every >patient who is pregnant, regardless of condition, except for critically >ill patients. IMHO ob/gyn physicians usually do not have the knowledge >to admit critically ill patients to highly specialized units (for >example, neuro ICU). Unfortunately, because of the fear of liability >exposure when managing pregnant patients, we have a hard time finding >sub-specialists who will admit these patients. > >It's one thing to admit someone with asthma or diabetes or >pyelonephritis, but quite another to attempt management of a pregnant >patient with, for example, a debilitating cardiac lesion requiring ICU >admission and surgery. I work in a large hospital with a number of >specialized units. We don't normally go to those units and I worry that >not only do ob/gyn physicians have a knowledge deficit when managing >certain sub-specialty conditions, but we also may not know the >"language" of such units which increases the risk of miscommunication. >Thanks again, everyone. > >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 > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Joanne Bulley, MD: "Re: Hospital admissions for obstetric patients" Previous message: Meenan, Anna: "Re: Hospital admissions for obstetric patients" In reply to: D. Ashley Hill: "Re: Hospital admissions for obstetric patients" Next in thread: Rita Kucmierz: "Re: Hospital admissions for obstetric patients"

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