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Re: questions From: charlie chambers (cchamber@mnic.net) Sun Feb 27 20:01:30 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: RModugno@aol.com: "Re: Collaboration by Integration of Practices" Previous message: Zach Newton: "Re: questions" Maybe in reply to: charlie chambers: "questions" Thanks for the comments. Paul was right, my preop was leiomyoma. QA kicked the case out. Patient with sound informed consent. Happy as hell that she had the surgery. But path showed no fibroids. QA thinks the surgery was unindicated. I think it's a bunch of crap. Sorry to burden the group with this devil advocacy. Fortunately, I'm leaving to a different location in the next couple of months. As to the 28 week fetus with oligo. I would go along with the consensus that you need to get this baby delivered. The maternal incubator is no longer as sufficient as the NICU incubator. Given that you have undoubtedly gone to all extremes to r/o lethal anomaly, I think you can safely proceed to delivery. Only other thing to do would be prenatal genetics which even if you just did FISH would make me nervous awaiting the results. As to practice integration, throwing in your lot with primary care physicians has it's advantages and disadvantages. I think you have to decide which drawbacks will given you the smallest ulcers and drop your crit the least. A large integrated practice has the advantage of "economies of scale" but you are throwing in your production with a lot of different sort of species, hence why many large groups have gone to RBRVS which lets low medicare/medicaid specialities, i.e. ob, subsidize the polar opposite, e.g. internal medicine. -- ############################################################################ Charlie Chambers, MD "No matter where you go... 1765 Denmark Pl there you are." Owatonna, MN 55060 (507)444-9716 Dr. Buckaroo Banzai cchamber@alumni.rice.edu ############################################################################ Next message: RModugno@aol.com: "Re: Collaboration by Integration of Practices" Previous message: Zach Newton: "Re: questions" Maybe in reply to: charlie chambers: "questions"

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