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Re: Cephalocentesis-question From: Joanne Bulley, MD (jbulley@cheshire.net) Mon May 29 19:47:28 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Joanne Bulley, MD: "Re: new case" Previous message: Betsy Hyde: "Re: new case" In reply to: Dr.Mohamed Saeed: "Re: Cephalocentesis-question" The Death Certificates I have had to fill out have several lines to the cause of death - 1) the proximate cause which may be due to 2) which may be due to 3) etc. As the baby was born LIVE, then the cephalocentesis was not the PROXIMATE or immediate cause of death. If the baby was stillborn, then it would be harder to say. If the cephalocentesis was not the #1 cause of the proximate cause of death (sepsis, respiratory failure, cardiac failure) then your cephalocentesis was just one more procedure that the baby had during its final 6 days. What do these infants usually die of? If it is usually one of the above and this child died of the same, then it would have happened anyway. If all of such affected infants die anyway, then why would the Neonatologist be backstabbing? Fanatic on saving all infants regardless? This points out the need for sgnificant communication between the Neonatologist, the Obstetrican AND the Parents. It the defect is known ahead of time (US etc) then this discussion can be had PRIOR to labor so all members of the team (noe, ob, parents) are agreed on the plan of management. After the fact, I would expect other members of the team to present a unified front- you can admit that various managements would be equally appropriate WITHOUT saying or implying that another team member did the wrong thing. If your Neonatologist is the type who stabs you in the back - I would have a serious behind closed doors with the Neonatologist - preferably with a neutral party to mediate on this type of issue. (or did the dad misunderstand the neonatologist?) Joanne B At Mon, 29 May 2000, Dr.Mohamed Saeed wrote: > >Now let's go to the final step: The reason for which I asked those two >silly questions. >I was critisized by the father of this died child for being the >responsible for her death because of the procedure I'd done >(Cephalocentesis). >Unfortunately, -if you could imagine- the source of such opinion and >such ideas behind my silly questions was the neonatologist let me >repeate the neonatologist how told the father such things >So now every one AM I GUILTY EVEN IN THE PRESENCE OF JUST INFORMED >CONSENT? >Finally, I apologize for you all because I was asking such silly >questions. -- Joanne Bulley, MD Keene, NH, USA Next message: Joanne Bulley, MD: "Re: new case" Previous message: Betsy Hyde: "Re: new case" In reply to: Dr.Mohamed Saeed: "Re: Cephalocentesis-question"

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