Re: Bilateral dermoids

From: Dr Eberhard Lisse (el@lisse.NA)
Fri Mar 9 15:12:39 2007

Andrew,

with all due respect, you haven't got a silly clue who you are talking to or about. I've actually met the man. And I know people having worked with him.

Never mind what you are talking about. To misquote Independence Day, I can not imagine that they have let you out much :-)-O, but to state that the US health system is the best or even among the top is simply nonsense, and contrary to all available evidence.

Infant mortality, maternal mortality, teenage pregnancies are neither on the top in absolute figures, nor in relative figures, taking expenditure into account. Access to health care? Disposable income by Ob&Gyns?

And the list could go on and on.

I would love very much to have access to your resources, or just have the same resources I have for a minority of my patients in the one hospital available for the majority of my patients in the other (State Hospital).

Or even only having more that four Drape Packs available for this weekend, and I used one already this afternoon. But as we say here: "We'll make a Plan" and try to cross this bridge when we come nearer to it :-)-O.

But not only is it my country, I actually like it here, in spite of all its issues.

Or maybe because.

So this translates into Me Three :-)-O These things come out. Right now! In any case since she is under a spinal you can even get verbal consent.

By the way, this is Lakenheath, and I am quite sure the Air Force has a regulation for this particular situation.

el

on 3/9/07 11:23 PM Efrain Ramirez said the following: > Me too - leaving bilateral dermoids makes no sense - as I said - another
> anesthesia, etc... I don't see Andy's point about "keep in mind that
> you are setting this patient up for a potentially devastating infection
> with tubo ovarian abcess formation and hysterectomy." ??
>
> And I am not sure about USA having the best "medical system" in the
> world..
>
>> Ef
>
>> At Fri, 9 Mar 2007, art fougner, md wrote:
>>
>> I actually have to side with Steve on this one ... tortuous
>> interference has not enhanced clinical acumen.
>>
>> Art
>>
>> At Fri, 9 Mar 2007, Andrew Folley wrote:
>>> Stephen,
>>> as you mature you will come to realize that medicine is both art and science
>>> and there are often times several right ways to approach a problem. I think
>>> you misjudge the american system.
>>> It is still the best medical system in the world. I sense a great deal of
>>> frustration and anger in your thread. Lets use this wonderful internet
>>> exchange tool to be gentleman and colleagues. andrew
>>>
>>>> From: "Raymond Stephen" <stephen.raymond@dhhs.tas.gov.au>
>>>>
>>>> There is no doubt from the description that they were dermoids, and
>>>> washings and other hand-wringing grandma type fussing is just weasel
>>>> madness from an American system so stuffed up by the fear of litigation
>>>> that the patients suffer. If you had taken washings and aspirated and then
>>>> left them and had to go back afterwards for them the patient would have
>>>> been quite justified if she had sued you for unnecessary surgery!
>>>>
>>>> I can't believe the absolute lack of clinical acumen and judgement that
>>>> seems to have come out of this thread.
>>>>
>>>> Steve

--
Dr. Eberhard W. Lisse  \        / Obstetrician & Gynaecologist (Saar)
el@lisse.NA el108-ARIN / *     |   Telephone: +264 81 124 6733 (cell)
PO Box 8421             \     /   Please do NOT email to this address
Bachbrecht, Namibia     ;____/        if it is DNS related in ANY way



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