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Re: ob profession (was postpartum intercourse) From: Richard Chudacoff, MD (richardc@bcm.tmc.edu) Mon Jun 30 14:02:57 1997 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Malcolm Griffiths: "Re: Archie Cochrane" Previous message: Richard Chudacoff, MD: "Re: A Proposal for the Dissolution of the Specialty of Obstetric" Maybe in reply to: David Hunter: "ob profession (was postpartum intercourse)" >However, if you took the approach that the default condition is to not perfrom a >procedure unless the benefits are clearly shown to outweigh the risks (which I >would argue is the correct view), then you're right: we shouldn't be doing them. >I prefer not to, and try to talk parents out of them on just this basis. >However, since there is evidence of benefit, I'm not stubborn, and I'll yield to >the parents' wishes either way. > Now how the heck can you to this, Bob? As far as I remember, there are no RTC's taking into consideration that patients, and parents, have any right determining the course a physician should take. Someone like you, heads and shoulders above us working types who may have to grovel in patient desires, an educated, literate, journal fed superscientist, should never have to consider non randomized assumptions that there may be perceived benefits in a procedure against all published data. I had you up on a pedistal, Bob, but do you mean to tell me that on those rare occassions that you actually see a patient (usually coinciding with the appearance of Halley's coment) you consider their desires above any published trial stating the facts? My worldly foundation just shattered, just pondering the possibility. The fact that you 'prefer not to' perform a procedure, yet do so when you cannot talk those illiterate patients/parents out of the procedure, just means your human like the rest of us. Welcome to the human race, man. Rick -- Richard Chudacoff, MD Assistant Professor, OB/GYN Baylor College of Medicine Practice Medical Director BaylorMedCare 1601 Main St., STE 505 Richmond, TX 77469 tel 281-344-0277 fax 281-344-0288 Advisory Board-OBGYN.net http://www.obgyn.net/board/chudacoff.htm Next message: Malcolm Griffiths: "Re: Archie Cochrane" Previous message: Richard Chudacoff, MD: "Re: A Proposal for the Dissolution of the Specialty of Obstetric" Maybe in reply to: David Hunter: "ob profession (was postpartum intercourse)"

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