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Re: Family practice and OBFrom: Glen Elrod (dr99645@yahoo.com)Sun Dec 30 17:27:01 2007
el, I had deluded myself over the last three years that Alaska wasn't really that cold. Now that I'm back having lived in a milder climate for those three years, it is f*&* cold up here! -14 F on my first night having to go in to L&D was just bone chilling. But I can't give up the views of the mountains out my home and office windows. The idea of calling the malpractice carrier is a good idea. As I know it, there are only two malpractice carriers in the state. I use one and my office partner uses the other. We could both easily poll the carriers and approach it like that. I think Joe asked how the staff is set up. We have a Maternal Child section that includes OB, peds and FP, primary care has a section that includes peds, IM and FP and there is a Surgery Tissue section that includes Ob and the other surgical specialties. In talking to the credentials officer, the OB subcommittee of the Maternal Child can meet separately and make recommendations back to the MC section and then up the Executive Committee of the hospital. So far I've keep my mouth shut, but I also haven't been put in any situation yet. My concern is merely what happens if I as the on call c/s dude, don't agree with the indication or worse if I agree but wanted it to be done 3 hours ago. I just think its taking a big liability risk to put your name on the chart for a patient you don't know a thing about at that particular time in labor. Glen
>----- Original Message ---- Glen, welcome back, to the World, though some would disagree with Alaska :-)-O I suggest you wait a while before you start making major waves, and, from my own experience, if you do, go in heavy, shock and awe, shysters blazing. My friend google shows me in http://www.emtala.com/dollard.htm that EMTALA does not apply to admitted patients. I would in this case, go to the MPS, my malpractice carrier, ask them for advice and directions and would do exactly as they say from then on, not only to be covered, but also, because they give very good advice (they are non- profit). greetings, el On Dec 29, 2007, at 06:02, Glen Elrod wrote:
> I can't figure it out, though. The OBs all don't agree with it. ____________________________________________________________________________________ Be a better friend, newshound, and
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