Re: Bilateral dermoids
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Fri Mar 9 16:57:04 2007
My gray hairs are smiling at your comments!
Garry
I don't think
>we give bad care by any means, but I think rare things (such as this)
>need someone with time under their belt to have the knowledge of how to
>deal with them.
>
>Glen
>
>//SIGNED//
>
>D. Glen Elrod, Maj., USAF, MC
>
>Obstetrician/Gynecologist
>
>Chief of Obstetrics
>
>48 MDOS/SGOBO
>
>RAF Lakenheath, England
>
>Telephone DSN: 314-226-8130
>
> Comm: +44 (0) 1638 52 8130
>
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>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr
>Eberhard Lisse
>Sent: Friday, March 09, 2007 10:14 PM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Bilateral dermoids
>
>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
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
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