Re: Need opinions please

From: Len2976@aol.com
Fri Sep 21 07:35:46 2007


Gail--

#1

About 2 weeks ago, I received a call at night from a frantic mother--her baby had been circumcised that day and his diaper was "full of blood." I had her come to the L&D unit. She was not exaggerating. I saw no active bleeding, but we changed the gauze and he did start bleeding again. I sent her to ER, where the doctor sent her to the children's hospital in St. Petersburg.

The next day when I called to ask how the baby was, she asked--"Has that ever happened with that doctor (the obstetrician I work for) before?" I answered in the negative. She was obviously still shaken by the experienced and sounded angry. I explained that while this is very rare, bleeding can occur when everything was done correctly and is a risk of circumcision.

I called her again to express my concern for her and the baby--she brought him to the office to show us and I have since seen her back for her 2 week check.

#2

My husband had a triple by-pass about 3 weeks ago. He had a great cardiovascular surgeon--if I ever need a by-pass, I'll pick him. As per routine, he received heparin during the by-pass.

Mike has early onset Parkinson's and due to this his recovery and ability to ambulate was slow and he went to rehab. About a week later he was sent back to the hospital with DVTs in both legs and a moderate sized clot in his lung. The surgeon placed a Greenfield filter.

Of course on admission, heparin therapy was again initiated. This was until the hematologist discovered he has HIT (heparin induced thrombocytopenia). This is a very rare condition--the surgeon had no way of knowing this would happen. My husband is now doing well.

The point I'm trying to make is that there is such a thing as a risk of the procedure or childbirth. 4th degree lacerations and fistulas (while rare) do occur. The fact that it did does not mean something improper was done. You can't always look to blame someone for "bad luck."

Lenora McCall, CNM





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Tue Sep 2 05:11:21 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.