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Re: vbac on demand From: verner nellsch (vnellsch@eastex.net) Sun May 11 20:19:46 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: verner nellsch: "Re: vbac on demand" Previous message: verner nellsch: "Re: vbac on demand" In reply to: Dr Eberhard W Lisse: "Re: vbac on demand" Next in thread: Jamie: "Re: vbac on demand" Reply: Jamie: "Re: vbac on demand" thanks. witnesses and document. i still feel exposed, and subject to the whims of someone who just wants what they want, and to hell with other considerations. vnellsch >----- Original Message ----- From: "Dr Eberhard W Lisse" <el@lisse.na> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.obgyn.net> Sent: Sunday, May 11, 2008 8:38 AM Subject: Re: vbac on demand > Tape your discussion with the patient, get as many witnesses as you > can, call your lawyer, insurance, Chief of Staff, Chief of Nursing and > whoever else you can think of. > > And run as far away as you can. > > If you can't run away, get Peds, your assistant, OR and your anesthetist > to come in, deliver her and if it ruptures, take her to the OR and try > to save her life. > > We don't have EMTALA here, so in this particular situation I'd advise > her and if she didn't want to listen, I would unaccept her, and refer > her to the State Hospital. > > greetings, el > > On May 11, 2008, at 13:28, verner nellsch wrote: > >> question--you are an ob/gyn on call for a small community hospital (3 >> delivery beds) with the or crew and anesthetist at home on call. a 26 >> y/o g3p2 comes to the hospital, with a history of 2 previous cesareans, >> the first for cephalopelvic disproportion. she is unknown to you or the >> other ob/gyn practicing at the hospital. she is 1 cm, ruptured, at term. >> she demands a vbac, and refuses to have a repeat cesarean. > Next message: verner nellsch: "Re: vbac on demand" Previous message: verner nellsch: "Re: vbac on demand" In reply to: Dr Eberhard W Lisse: "Re: vbac on demand" Next in thread: Jamie: "Re: vbac on demand" Reply: Jamie: "Re: vbac on demand"

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