Re: Go figure. What would you do?

From: art fougner, md (evsono@pipeline.com)
Tue Dec 5 14:46:29 2000


ask her to whom to address a copy of her records. don't lose sleep or take this personally. it happens.

art

At Tue, 5 Dec 2000, Anna Meenan, MD wrote: >
>I have a patient who is 25 weeks along. Her sister had a baby who was
>born with VATER deformities several years ago. I did the sister's
>prenatal care but when the kid was found to be breech with an AFI of 0,
>he got delivered by section and an Obstetrician did the C-section. I
>caught the baby and referred him straight to NICU when I saw the
>imperforate anus and other abnormalities.
>The sister (the one I am seeing now at 25 weeks) told my nurse
>practitioner today that she doesn't want me to deliver the baby because
>of what happened to her sister's baby. She says she is fine with
>continuing her prenatal care with me (for covenience, I'm guessing) but
>just doesn't want me to deliver. I am in a 1/6 call group, so there is
>a good chance I won't be delivering the baby anyway, but Murphy's law
>usually kicks in in situations like this. By the way, the sister with
>the VATER baby did see a lawyer but we never heard anything back after
>the records were requested, and I have explained to multiple family
>members many times that VATER deformities are due to an early
>intrauterine event that no one can control or predict.
>
>--
> Anna Meenan
>

--
art fougner, md

A series of 1000 cases begins with but a single anecdote.





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