Re: low hgb- so far
From: art fougner, md (evsono@pipeline.com)
Thu Aug 2 07:52:48 2007
At the rate you're proceeding, the baby will be a toddler before this
work-up is completed. Pick up the pace.
Art
At Wed, 1 Aug 2007, Babycatchers@aol.com wrote:
>
>She went to the regional center this morning to see the Heme- no call or
>report yet.
>She then stopped at our hospital on the way home for her IV Fe infusion. NST
>still looks good. I am more worried about mom than baby right now. The baby
>seems blissfully unaware that there is a problem.
>No new 'attacks' so far and vital signs stable.
>
>The cost issue:
>The OB who has been my back up this week wants her to have the NSTs while
>she is getting the infusions- so that is 3 X week. He does the BPP on her visits
> to the office twice a week. He says it only gives fetal assessment for
>that snapshot of time and he wants to make sure it is ok. He trained in Canada
>25 years ago (if that makes a difference). He practices differently than our
>other OB (who is out of town right now) and he doesn't do BPP in the office at
>all. If they need one they are sent to the radiology dept once a week. He
>likes the 200K machine more than our 20K office machine.
>That is one of the reasons they wanted to see what the opinions were on this
>list. They get in some lively discussions about complicated patients like
>this when they swap call. I try to smile and nod and do whatever the one on call
> wants.
>I don't know what work up they did while she was up there. It takes them at
>least 2 weeks to get us any dictation on a patient. We have been begging for
>the labs and data, but so far they haven't sent it. They are not real good
>about follow up with those of us downstream.
>I also think it might be the time of year that they residents swap out. No
>one seems to want to give a straight answer to us, and they are a lot worse
>about that in the summer. Pt said she never saw the same doc twice.
>
>I will let you know when we figure out something or know anything. This one
>will be a great learning time- as long as mom and baby behave.
>
>Thanks you for so many great suggestions.
>Vicki
>Vicki Smith, CNM, MSN
>West Virginia
>Midwives- changing the world one baby at a time.
>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
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