Re: Fetal Lung Maturity Question
From: art fougner, md (evsono@pipeline.com)
Tue Feb 8 08:20:17 2000
if possible could we abandon the ad hominem arguments and return to the
issue of the validity of evaluating fetal lung maturity?
just a thought.
|Art
At Tue, 8 Feb 2000, Luis Sanchez-Ramos wrote:
>
>At Tue, 8 Feb 2000, Braun, R. Daniel wrote:
>
>>>I practised MFM for 25 years( I started 6 years before there was such a thing)<<
>
>What exactly do you mean by practising MFM? Twenty five years ago most
>full-time faculty at teaching programs practiced general obstetrics &
>gynecology and many if not most, dealt with high risk patients. However,
>high risk clinical obstetrics is not the only thing MFM is about. Your
>CV certainly doesn't reflect 25 years of MFM practice.
>
>>>then returned to being a Generalist, 5years ago, for personal reasons<<
>
>No formal training ? No sub-pecialty boards? Not wanting to perform
>amniocentesis, CV sampling, PUBS, etc. etc.??
>
>>>In general, Most MFM's are trained to do way too many procedures(My personal opinion)<<
>
>And of course, since you weren't trained to do these procedures you
>disagree with their use. So during your "25 years of MFM practise" you
>never performed amniocentesis for lung maturity?
>
>>>I do feel that 90% of those that are done today are not needed<<
>
>Of course, that is your PERSONAL and biased opinion.
>
>>> Amniocentesis is not a benign procedure, there are complications from it also(especially in patients with decreased or absent fluid)<<
>
>Amniocentesis is a pretty safe procedure. Its failure and complication
>rates depend on who is performing it. Of course if amniotic fluid is
>ABSENT, one couldn't obtain any!
>
>>>Why does it surprise you that there is a MFM who has been practising for 23 years whom you have not heard of<<
>
>The term MFM apparently means one thing to you and another to me. I
>consider an MFM someone who has been certified (generally by training)by
>the sub-pecialty boards. I feel the same about a Reproductive
>Endocrinologist or a Gyn Oncolgist. Yes, I feel that at one time or
>another, I have heard of most MFMs in this country.
>
>>>Not every good practioner publishes articles every week<<
>
>How do you know that the MFM in question is a good physician. Have you
>practised medicine in Chile?
>
>So basically you feel that tests for fetal lung maturity are not needed
>in modern obstetrics and that those who wrote the ACOG Educational
>Bulletin are aggressive young MFMs who have been trained to insert
>needles anywhere and everywhere. I suggest you read the Bulletin and
>note who the author is.
>
>LSR
--
art fougner, md
and what am i gonna do with all this food, bottled water,
and gasoline now that armageddon was called off for lack
of interest?
