Re: Bilateral dermoids
From: R. Daniel Braun (rd.braun@gmail.com)
Mon Mar 12 17:42:47 2007
Right on, Steve.
Dan
On 3/12/07, Raymond Stephen <stephen.raymond@dhhs.tas.gov.au> wrote:
>
> Not angry - just frustrated at the way that Gynaecology has developed
> into an old woman's fusspot discipline in which tigers lurk behind every
> bush and a whole lot of effort, time, money, and patient inconvenience,
> not to mention suffering, accompanies investigation and management of
> even the simplest of things. Clinical acumen and judgment have
> disappeared in the face of debate about whether CT or MRI is the better
> modality, with the result that no-one examines their patients any more
> and we end up treating not patients, but standard of care, guidelines,
> protocols, ultrasounds, MRI reports.
> I know that issues of safety and of litigation cannot be discounted, but
> it is not right to say that the American System is the best in the
> world. By what standard do you judge systems? Mortality and morbidity
> are one criterion, but does that say anything about dollar per patient,
> about individual healthiness, about speed, efficiency, accuracy, lack of
> mistakes, time and money spent in court, time spent operating, time
> spent in hospital, return to work, patient bed occupancy, or any one of
> a number of other measures?
>
> I have been doing O&G for 35 years and I feel sure that obsession with
> covering one's tail has not done the discipline proud.
>
> Steve
>
> --
> R. Daniel Braun, MD FACOG(L) CMT
> Professor Emeritus
> Dept. of Obstetrics and Gynecology
> Indiana U. School of Medicine
>
> R. Daniel Braun
>
> "The way to health is an aromatic bath and scented massage
> everyday".
> Hippocrates
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