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Re: OB: Family in the LDR and the poop hits the fanFrom: Carlos Roure (croure@attglobal.net)Thu Dec 28 03:34:39 2000
At Wed, 27 Dec 2000, Garry Siegel wrote: > >We all have debated about who can be in the LDR, how many, video, etc. > >A couple of days ago, I had a low forceps with rotation (LOP, Kiellands, >+2) for distress under a fair epidural in a multip. Unbeknownst to me, >she had a multiracial child (didn't know that until it came out), and >her husband, who was not there, is not the father. Only her mother was >there, and this patient was a bit young, and a bit slow. >I give this background because after the delivery, she had a long >vaginal sidewall tear up to the fornix, and it was a bear to repair. > >I had to get the L and D nurse to suit up, as well as an OR tech, two >lights, vag hyst retractors, etc. It was repaired fine, but it took a >good amount of time, and I was concentrating and working very hard, such >that I really didn't chat with the patient or Mom much. > >After completion, the Mom walked out behind me, and asked for a word. >Sensing her unhappiness (maybe with me, the delivery, the whole nine >yards), she unloaded on me about how I "butchered her daughter", yada, >yada, essentially told her to shut up, and she insisted that I call my >partner (the patient's regular doc) now--it was midnight. > >Well, I've done damage control with the patient privately (no Mom, but a >nurse as a witness the next day), documented like crazy, and basically >have done all that I can do. > >Here's the issue: > >Next time, when I see that I'm going to have a difficult and/or lengthy >repair, I think that I'm going to ask the family to leave, even if it is >a husband (hmm. . .), under the guise that we are "operating", and >that we don't have visitors in operations. I think that the family >knowing nothing beats is better than them seeing what can be >misconstrued, and they've already been there for the birth. > >This is the first time I've ever felt that I needed to ask family to >leave, and regret not having done so. > >What do others think and do? >Would you fire this patient at 6 weeks? I don't feel inclined to, as I >think it will generate ill will. >I am not inclined to communicate with the mother again, as I have no >duty to her. > >Garry > >-- >Garry E. Siegel, M.D., F.A.C.O.G. >Roswell, GA >Private Practice What a nightmare you went through!!!!!! Obviously there are and will be lots of family problems that simply got vented on you. When family relations are good, baby is beautiful and maybe even the sex desired we are the target of love (though we had nothing to do with it, we usually love that) but when the rreverse is true then we are the target of hate (though again we had nothing to do with that. When you say you have no visitors in operatins, does that mean cesarean sections also?? It certainly is my policy though it is a poor business policy. I would have taken this lady to the OR for repair which I think is bettter and that way do not have to ask family to leave. They stay, the patient and I leave. Was all of this on video?????? That would have been good. Of course, no videos in LR.
Carlos
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