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Re: Ob:  IVF candidate From: Gordon Goldman (obgyndoc@swbell.net) Tue Sep 30 09:07:21 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Henry Gregor: "Re: Short cervix progesterone and twins" Previous message: westsidebirthservice@juno.com: "Re: Ob: IVF candidate" In reply to: Ronald Ainsworth MD: "RE: Ob:  IVF candidate" Next in thread: Richard Chudacoff: "RE: Ob:  IVF candidate" Reply: Richard Chudacoff: "RE: Ob:  IVF candidate" All of that is acceptable, but also acceptable is my option of sending her elsewhere for that to be done. I am entitled to my medically verifiable opinions and entitled to decide whom I will or will not accept as a patient and the attendant liability. At no point did I infer or opine that she should not have the options if she so desired, only that I would not do it. Yes, the decision is always ultimately the patient's regarding any treatment for any condition, but my decision as to accept that responsibility is ultimately my own. Gordon On Sep 30, 2008, at 8:50 AM, Ronald Ainsworth MD wrote: > I agree with Joe. She should only be given the option of a > singleton pregnancy and needs to understand that she could end up > with a ruptured uterus, placenta acreta, etc. She needs to know > that she could end up with no baby and a hysterectomy and that her > living children could end up with no mother. Saying all that as > non-biased as possible, the decision is ultimately hers. > > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of > DoctorJoe@aol.com > Sent: Monday, September 29, 2008 9:30 PM > To: Multiple recipients of list OB-GYN-L > Subject: Re: Ob: IVF candidate > > In a message dated 9/29/08 10:36:44 PM, islesannie@gmail.com writes: > > I am interested in seeing what those doing OB say - and that may > include > telling me I am off base here! > > Well, I don't do OB now. But I think you're HALF way off base. > > There are two questions here: > > 1) wanting another baby -- who is to say how many is too many? If > you want to argue ZPG, go right ahead. But I don't think OBs (or > witches) are supposed to strong-arm patients into having "only" 2 > kids, or 3 kids, or 1 kid. Does RED CHINA mean anything to you? > > 2) purposefully trying for twins, especially with a scarred uterus > -- now THAT is something a responsible OB can go balistic on. > Primum non nocere is something that should be partially operative > here. Don't go making things more difficult (twins!!!) that you > have to. Don't go asking for trouble. > > There you go. You asked. > > Joe P. > Next message: Henry Gregor: "Re: Short cervix progesterone and twins" Previous message: westsidebirthservice@juno.com: "Re: Ob: IVF candidate" In reply to: Ronald Ainsworth MD: "RE: Ob:  IVF candidate" Next in thread: Richard Chudacoff: "RE: Ob:  IVF candidate" Reply: Richard Chudacoff: "RE: Ob:  IVF candidate"

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