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Re: Forwarded article from timesunion.comFrom: Lynn Montgomery (apgar10@thebirthcentermt.com)Mon Sep 17 09:54:28 2007
I am sure we all have seen or participated in cases with an equally tragic outcome. This case brings to mind a case that occurred while I was in fellowship in Houston in '95. The parents were both attorneys. The patient was in labor with her third and the pregnancy had been uneventful. My fellowship classmate was following her in labor - an excellent and knowledgeable practitioner. At 8 cm, the patient looked at the labor nurse and said that something was wrong. Immediately, she had what appeared to be seizure activity, then asystole. The attending physician immediately summoned assistance, CPR was started and she was taken to the OR for delivery. She was briefly resuscitated, but died shortly after in the ICU. The husband (an attorney), immediately left the room without mourning the loss what-so-ever and summoned his entire law firm to the hospital. He yelled that all the records needed to remain untouched and stationed his partners at all the various stations where his wife had received care, "to assure nothing is tampered with". He demanded an immediate autopsy and refused to allow any pathologist who had any ties to the hospital or academic program to participate in the post. The post ultimately confirmed amniotic fluid embolus and nothing came of the case. The truly tragic aspect of the case was that the other two children were in the hospital and left unattended during the legal posturing being orchestrated by their father, with nobody to comfort them during the fray and console them on the loss of their mother. Priorities! Lynn
-- Lynn D. Montgomery, M.D. Obstetrics & Gynecology, Maternal-Fetal Medicine The Birth Center/Rocky Mountain Women's Health 1211 S. Reserve St. Missoula, Montana, 59801 406-549-0978 fax 406-549-0987 e-mail: apgar10@thebirthcentermt.com
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