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Re: April fools' marginal placenta previa. From: Garry E. Siegel, M.D. (garrys@mindspring.com) Mon Apr 2 15:00:13 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: April fools' marginal placenta previa." Previous message: art fougner, md: "Re: April fools' marginal placenta previa." In reply to: RModugno@aol.com: "Re: April fools' marginal placenta previa." You're right, but this came up and was sufficiently emergent such that the patient needed to be informed. The CNM involved had no clue, I bet--and she's out of town so I can't ask her. Garry At Mon, 2 Apr 2007, RModugno@aol.com wrote: > >In a message dated 4/2/2007 12:52:06 P.M. Eastern Daylight Time, >garrys@mindspring.com writes: > >FWIW, our MFMs quote 2 cm. as the cutoff for allowing a vaginal >delivery. > >Recently saw a scan on a CNM patient, 37 weeks, 9 to 12 mm from the os, >posterior placenta, previous vaginal delivery then LTC/S for breech. > >I got this scan on Friday at 3 PM, called her, and advised a section >this week or if labors, and explained why. And I quote, "The midwife >said it was OK." I told her that I was the obstetrician, and, well, my >opinion was the senior one in this instance and that she was mistaken. > >She did not like my advice, and who knows what will happen when she >comes in this week to see the CNM. > >Garry > >Yo Garry, I think we've said this before, but for a peaceful collaborative >practice, y'all should have a weekly provider meeting to discuss these cases >amongst yourselves - thus avoiding the patient's response quoted above. >Patients should really get a unified message. > >Ours are usually at 7.30am so that providers can get to the satellite office >about 20 minutes away to start office hours at a reasonable time. > >Robert Modugno MD MBA FACOG >Sylva, NC >(Home of the "Lady Mustangs" 2007 NC High School Basketball Champs) > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Garry E. Siegel, M.D.: "Re: April fools' marginal placenta previa." Previous message: art fougner, md: "Re: April fools' marginal placenta previa." In reply to: RModugno@aol.com: "Re: April fools' marginal placenta previa."

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