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Re: EBM to the rescue? From: Robert J Woolley (wooll005@tc.umn.edu) Mon Feb 28 00:11:53 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Luis Sanchez-Ramos: "Re: Opinions please!" Previous message: DoctorJoe@aol.com: "FRI: thought you guys would like this" In reply to: Paul Prior MD: "Re: EBM to the rescue?" On Sun, 27 Feb 2000, Paul Prior MD wrote: > I remember about 4 years ago they published in the same issue two > cases of rectal incontinence following vaginal delivery. Both > produced large settlements or judgements (I think at least one went to > trial, but can't recall for sure). You guessed it, one sued because > an epis was cut, and the other sued because it was not.... The law > and EBM just don't have anything to do with one another, and until > they do, folks fighting on the front line have other considerations to > give attention to. > It also shows the futility of practicing acording to what you think will prevent a lawsuit. It may be those very actions which trigger the suit you would have avoided if you had done just what you thought right. I decided years ago not to try to prevent a suit by practice decisions. I make each decision the best I can on the basis of what is most likely to be beneficial to the patient, and let the chips fall where they may. I ran into a problem with a heavily interventionist hospital OB QA committee, but no suits filed in my 10+ years of practice. (Anybody have some wood to knock on?) Next message: Luis Sanchez-Ramos: "Re: Opinions please!" Previous message: DoctorJoe@aol.com: "FRI: thought you guys would like this" In reply to: Paul Prior MD: "Re: EBM to the rescue?"

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