Re: Near Term Twins/Delivery Mode--long reply

From: art fougner, md (evsono@pipeline.com)
Sat Dec 23 11:58:57 2000


as an aside - who will foot the bill for fetal pulse oximetry during labor? the patient, the hospital, the doc, the insurance company?

art

At Sat, 23 Dec 2000, Geffrey Klein, MD wrote: >
>At 11:21 AM -0600 on 12/23/00, Garry Siegel wrote:
>
>>2. Geff, again FWIW, as you do this more and more (I've been out since
>>1986), you realize that experience is an important part of what we do.
>>If you are like me, when you came out, you knew more than everybody,
>>knew the latest, etc.. Well, as you do this a few years, you realize
>>that maybe experience does count for a bit, and you tend to want to
>>cover you tushie a bit more, because you learn that some people are
>>going to blame you for anything that isn't picture perfect.
>>
>I don't discount experience. I have changed many things since
>residency based on experience. Experience has been invaluable in the
>operating room, as well. However, the pitfall of following
>experience can be ignoring science. I encounter a great many older
>doctors who practice on experience and fail to educate themselves
>about recent advances in their specialty. They are so set in their
>ways and resistant to change that they are actually put off at the
>suggestion that their approach is antiquated.
>
>As for the cover your tushie issue.. No problem.. If you really
>feel that a cord gas at every delivery covers your tushie, and I
>would assert this is not really the case, then you should pay for it,
>not the patient..
>
>--
>_______________________
>Geffrey H. Klein, MD
>_______________________
>_______________________
>geffrey.klein@obgyn.net
>200 Medical Center Blvd Suite 103
>Webster, TX 77598
>(281) 332 6723
>
>http://www.geffreyklein.com
>

--
art fougner, md

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





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