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Re: Shoulder dystocia/legal impact From: Anna Meenan, MD (annam@uic.edu) Mon Aug 14 23:57:43 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: K Dew: "When ERT doesn't work. Let's start a new thread." Previous message: Braun, R. Daniel: "Re: Shoulder dystocia/legal impact" In reply to: DoctorJoe@aol.com: "Re: Shoulder dystocia/legal impact" Next in thread: Joanne Bulley, MD: "Re: When ERT doesn't work. Let's start a new thread." Reply: Joanne Bulley, MD: "Re: When ERT doesn't work. Let's start a new thread." Reply: Richard Chudacoff, MD: "Re: Shoulder dystocia/legal impact" Reply: Paula R. Dhanda, MD: "Re: Palm Vx" At Mon, 14 Aug 2000, DoctorJoe@aol.com wrote: > > >In the case of a patient/paralegal who "knows" the literature not to believe >the literature, the doctor is in a BAD position. You simply CANNOT reason >with someone who is unreasonable... it's a definition thing! > >And what's the genesis of the 300 pounds? What this means to me (pardon me >for casting stones at anyone on the list) is that the patient in question is >probably (not absolutely but "probably") a bit SELF-absorbed... And if so, >she will ALWAYS think that SHE'S right and the doctor is WRONG, no matter >what the doctor says, no matter what WE say, and obviously no matter what the >literature says. Self-indulgence to that extreme (and being 300 pounds IS >extreme, unless you're someone like Shaquille O'Neal) does NOT bode well for >doctor/patient relationship stuff. > >Joe P. > ><ducking and running for cover> The patient may not believe the literature, but if a brachial plexus palsy occurs, with or without a shoulder dystocia, it will be quite well documented that she was INFORMED of the risks, whether she chose to believe them or not, and that is what the jury will see in court, if it ever gets that far. I may be wierd, but I think I sometimes prefer to deal with patients who let you know up front that they are weighing all the possibilities and researching everything than the ones who sweetly go along with everything you say and then blindside you later when things don't go the way they decide in retrospect they should have. Good luck with her, Betsy. -- Anna Meenan, MD, FAAFP Next message: K Dew: "When ERT doesn't work. Let's start a new thread." Previous message: Braun, R. Daniel: "Re: Shoulder dystocia/legal impact" In reply to: DoctorJoe@aol.com: "Re: Shoulder dystocia/legal impact" Next in thread: Joanne Bulley, MD: "Re: When ERT doesn't work. Let's start a new thread." Reply: Joanne Bulley, MD: "Re: When ERT doesn't work. Let's start a new thread." Reply: Richard Chudacoff, MD: "Re: Shoulder dystocia/legal impact" Reply: Paula R. Dhanda, MD: "Re: Palm Vx"

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