Re ron address
From: diaasm (diaasm@soficom.com.eg)
Fri Dec 29 12:40:12 2000
ob-gyn-l@obgyn.net wrote:
> OB-GYN-L Digest 1292
>
> Topics covered in this issue include:
>
> 1) FRI:
> by Eberhard W Lisse <el@ac.lisse.na>
> 2) hyperthyroidism & pregnancy
> by freda seddon <fseddon@interlog.com>
> 3) RE: Family in the LDR and the poop hits the fan
> by "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
> 4) RE: OB: Family in the LDR and the poop hits the fan
> by "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
> 5) RE: OB: Family in the LDR and the poop hits the fan
> by "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
> 6) Re: hyperthyroidism & pregnancy
> by DoctorJoe@aol.com
> 7) Re: OB: Family in the LDR and the poop hits the fan
> by garrys@mindspring.com (Garry Siegel)
> 8) OB: OP versus OA
> by garrys@mindspring.com (Garry Siegel)
> 9) Re: OB: Family in the LDR and the poop hits the fan
> by Eberhard W Lisse <el@ac.lisse.na>
> 10) Re: OB: Family in the LDR and the poop hits the fan
> by croure@attglobal.net (Carlos Roure)
> 11) "multiracial baby" was family in LDR
> by "K Dew" <kdew@bellsouth.net>
> 12) Re: OB: Family in the LDR and the poop hits the fan
> by evsono@pipeline.com (art fougner, md)
> 13) Re: OB: Family in the LDR and the poop hits the fan
> by Eberhard W Lisse <el@ac.lisse.na>
> 14) Re: OB: Family in the LDR and the poop hits the fan
> by croure@attglobal.net (Carlos)
> 15) RE: OB: Family in the LDR and the poop hits the fan
> by "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
> 16) Re: OB: OP versus OA
> by john.robertson@medispecialty.com (John Robertson MD)
> 17) Re: 'multiracial baby' was family in LDR
> by john.robertson@medispecialty.com (John Robertson MD)
>
> ----------------------------------------------------------------------
>
> ----------------------------------------------------------------------
> Date: Thu, 28 Dec 2000 18:29:59 +0100
> ----------------------------------------------------------------------
> From: Eberhard W Lisse <el@ac.lisse.na>
> To: ob-gyn-l@obgyn.net
> Cc: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net>,
> el@lisse.na
> Subject: FRI:
> Message-ID: <20001228173005.E8ACC60A0E@ac.lisse.na>
>
> In the beginning God created the heavens and the Earth. And the Earth
> was without form, and void, and darkness was upon the face of the
> deep.
>
> And Satan said, "It doesn't get any better than this."
>
> And God said, "Let there be light," and there was light.
>
> And God said, "Let the earth bring forth grass, the herb yielding
> seed, and the fruit tree yielding fruit," and God saw that it was
> good.
>
> And Satan said, "There goes the neighborhood."
>
> And God said, "Let us make Man in our image, after our likeness, and
> let them have dominion over the fish of the sea, and over the fowl of
> the air and over the cattle, and over all the Earth, and over every
> creeping thing that creepeth upon the Earth." And so God created Man
> in his own image; male and female created he them. And God looked upon
> Man and Woman and saw that they were lean and fit.
>
> And Satan said, "I know how I can get back in this game."
>
> And God populated the earth with broccoli and cauliflower and spinach,
> green and yellow vegetables of all kinds, so Man and Woman would live
> long and healthy lives.
>
> And Satan created McDonald's. And McDonald's brought forth the 99-cent
> double cheeseburger.
>
> And Satan said to Man, "You want fries with that?"
>
> And Man said, "Supersize them." And Man gained 5 pounds.
>
> And God created the healthful yogurt, that woman might keep her figure
> that man found so fair.
>
> And Satan brought forth chocolate. And Woman gained 5 pounds.
>
> And God said, "Try my crispy fresh salad."
>
> And Satan brought forth Ben and Jerry's. And Woman gained 10 pounds.
>
> And God said, "I have sent thee heart-healthy vegetables and olive oil
> with which to cook them."
>
> And Satan brought forth chicken-fried steak so big it needed its own
> platter.
>
> And Man gained 10 pounds and his bad cholesterol went through the
> roof.
>
> And God brought forth running shoes and Man resolved to lose those
> extra pounds.
>
> And Satan brought forth cable TV with remote control so Man would not
> have to toil to change channels between ESPN and ESPN2.
>
> And Man gained another 20 pounds.
>
> And God said, "You're running up the score, Devil." And God brought
> forth the potato, a vegetable naturally low in fat and brimming with
> nutrition.
>
> And Satan peeled off the healthful skin and sliced the starchy center
> into chips and deep-fat fried them. And he created sour cream dip
> also.
>
> And Man clutched his remote control and ate the potato chips swaddled
> in cholesterol. And Satan saw and said, "It is good."
>
> And Man went into cardiac arrest.
>
> And God sighed and created quadruple bypass surgery.
>
> And Satan created HMO's.
>
> ------------------------------
>
> ------------------------------
> Date: Tue, 26 Dec 2000 22:47:18 -0500
> ------------------------------
> From: freda seddon <fseddon@interlog.com>
> To: ob-gyn-l@obgyn.net
> Subject: hyperthyroidism & pregnancy
> Message-ID: <a05001901b66f14b73750@[154.5.232.111]>
> Mime-Version: 1.0
> Content-Type: text/plain; charset="us-ascii" ; format="flowed"
>
> New case
> Interesting findings in a 26 yr old, G3, P2. Physical assessment at
> 13 wks remarkable for neck mass 4x3 cm, supraclavicular near midline.
> Non-tender and non-mobile.
> GP followed up with TSH and T4
> tsh <0.05 MU/l - norm 0.30-4.70
> T4 36.7 norm 9.1-23.8
> Hyperthryoidism
>
> no symptoms
> ultrasound of neck in a few days, and referral to endocinologist
>
> I am interested in fellow list members experience with this condition
> in pregnancy and labour, outcomes, management, fetal concerns.
> thanks,
> --
> Freda Seddon, RN, RM
> Community Midwife
> Midwifery Care Scarborough
> 2680 Lawrence Ave. East, Suite 211
> Toronto, Ontario M1P 4Y4
> (416) 757-4848 fax 757-1562
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 28 Dec 2000 14:37:00 -0600
> ------------------------------
> From: "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
> To: <ob-gyn-l@obgyn.net>
> Subject: RE: Family in the LDR and the poop hits the fan
> Message-ID: <LAEEJEBMFIKDMOCFFABMKEOKCIAA.rchudacoff@mylinuxisp.com>
> MIME-Version: 1.0
> Content-Type: text/plain;
> charset="iso-8859-1"
> Content-Transfer-Encoding: 7bit
>
> Gary
>
> Where do you practice? You have some of the most interesting cases. Still,
> I'll stick to my bread and butter.
>
> Richard Chudacoff, MD
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Garry
> Siegel
> Sent: Wednesday, December 27, 2000 10:01 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: OB: Family in the LDR and the poop hits the fan
>
> 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
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 28 Dec 2000 14:39:00 -0600
> ------------------------------
> From: "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
> To: <ob-gyn-l@obgyn.net>
> Subject: RE: OB: Family in the LDR and the poop hits the fan
> Message-ID: <LAEEJEBMFIKDMOCFFABMOEOKCIAA.rchudacoff@mylinuxisp.com>
> MIME-Version: 1.0
> Content-Type: text/plain;
> charset="us-ascii"
> Content-Transfer-Encoding: 7bit
>
> 1) Vaginal delivery, likely fetal distress a -
> 2) After delivery of head, shoulder dystocia is noted d-
> 3) Routine operative vaginal delivery for arrest of 2nd stage d-
> 4) operative vaginal delivery for fetal distress d-
> 5) routine 3 or 4th degree repair. a -
> 6) extensive vaginal repair as described above d-
>
> Richard Chudacoff, MD
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Paul Prior
> MD
> Sent: Wednesday, December 27, 2000 11:15 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: OB: Family in the LDR and the poop hits the fan
>
> On Wed, 27 Dec 2000 22:00:51 -0600, garrys@mindspring.com (Garry
> Siegel) wrote:
>
> .deleted...
>
> >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.
>
> I usually do, in part because often nurses are bringing in other
> equipment and I can't count how many times some relative has
> contaminated my table (and that's just the ones I know about...).
> Baby is out, send them along with the baby to the nursery window and
> get to work. I let husband stay (though usually encourage him to
> accompany baby to nursery as well, but some do stay), but ask him to
> stay up top away from my table. Haven't had any big problems with
> this approach.
>
> >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.
>
> Doesn't sound like -she- is the problem. Maybe mom will settle down
> once the situation is a bit more stable, she may have just been taking
> out her frustration on an easy target - you. Treat the patient with
> kid gloves and hope mom turns her anger elsewhere.
>
> >I am not inclined to communicate with the mother again, as I have no
> >duty to her.
>
> Absolutely.
>
> --
> Actually I would be interested in people's habits with regards to the
> following:
>
> answers are:
> a - everyone stays and video is fine (all other, no video)
> b - let everyone stay
> c - let only husband/FOB stay
> d- let nobody except patient stay
>
> 1) Vaginal delivery, likely fetal distress
> 2) After delivery of head, shoulder dystocia is noted
> 3) Routine operative vaginal delivery for arrest of 2nd stage
> 4) operative vaginal delivery for fetal distress
> 5) routine 3 or 4th degree repair.
> 6) extensive vaginal repair as described above
>
> personally for me it's
> c
> b
> c
> b
> c
>
> --
> Paul Prior MD Cash rebates from online purchases -up to 30% back.
> Coshocton, OH Includes: Disney,Borders,Wine.com,800.com,Dell,petstore
> Solo Practice uBid,more.com,JCrew,800-flowers,Avon, WWF & hundreds more.
> OB/GYN, FACOG Try: http://www.ebates.com/index.jhtml?referrer=pprior
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 28 Dec 2000 15:16:25 -0600
> ------------------------------
> From: "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
> To: <ob-gyn-l@obgyn.net>
> Subject: RE: OB: Family in the LDR and the poop hits the fan
> Message-ID: <LAEEJEBMFIKDMOCFFABMCEOLCIAA.rchudacoff@mylinuxisp.com>
> MIME-Version: 1.0
> Content-Type: text/plain;
> charset="us-ascii"
> Content-Transfer-Encoding: 7bit
>
> Call Nathanson. I'm sure he can give you some good advice. :-) LOL
>
> Richard Chudacoff, MD
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of
> DoctorJoe@aol.com
> Sent: Thursday, December 28, 2000 7:09 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: OB: Family in the LDR and the poop hits the fan
>
> In a message dated 12/27/00 10:01:17 PM, garrys@mindspring.com writes:
>
> << 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. >>
>
> People do and say things in the heat of the moment. As long as you've
> documented everything and can explain everything, then just let it be.
> Hopefully the mother will focus her emotions properly (i.e. the child's
> origins, etc) and you'll be properly left in the background. Otherwise,
> "firing" the patient because of the mother won't prevent a suit, if the
> mother pushes for one. So don't penalize the patient (who IS the point)
> because of the mother.
>
> Also, how many good, supportive, helpful, etc, etc. people will you keep out
> of the delivery room to prevent one such disruptive person as this mother?
>
> Joe P.
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 28 Dec 2000 18:25:11 EST
> ------------------------------
> From: DoctorJoe@aol.com
> To: ob-gyn-l@obgyn.net
> Subject: Re: hyperthyroidism & pregnancy
> Message-ID: <35.eaed1d3.277d25d7@aol.com>
> MIME-Version: 1.0
> Content-Type: text/plain; charset="US-ASCII"
> Content-Transfer-Encoding: 7bit
>
> In a message dated 12/28/00 1:11:37 PM, fseddon@interlog.com writes:
>
> << New case
> Interesting findings in a 26 yr old, G3, P2. Physical assessment at
> 13 wks remarkable for neck mass 4x3 cm, supraclavicular near midline.
> Non-tender and non-mobile.
> GP followed up with TSH and T4
> tsh <0.05 MU/l - norm 0.30-4.70
> T4 36.7 norm 9.1-23.8
> Hyperthryoidism
>
> no symptoms
> ultrasound of neck in a few days, and referral to endocinologist
>
> I am interested in fellow list members experience with this condition
> in pregnancy and labour, outcomes, management, fetal concerns. >>
>
> Mediastinal/retrosternal goiter... She's hyperthyroid and should be treated
> as per "routine" treatment of hyperthyroidism???
>
> Joe P.
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 28 Dec 2000 21:35:42 -0600 (CST)
> ------------------------------
> From: garrys@mindspring.com (Garry Siegel)
> To: OB-GYN-L@OBGYN.NET
> Subject: Re: OB: Family in the LDR and the poop hits the fan
> Message-ID: <200012290335.VAA32142@mail.medispecialty.com>
>
> >
> >People do and say things in the heat of the moment. As long as you've
> >documented everything and can explain everything, then just let it be.
> >Hopefully the mother will focus her emotions properly (i.e. the child's
> >origins, etc) and you'll be properly left in the background. Otherwise,
> >"firing" the patient because of the mother won't prevent a suit, if the
> >mother pushes for one. So don't penalize the patient (who IS the point)
> >because of the mother.
>
> GES:
> Joe--you are always so wise and practical, and I did all of the
> above--document, etc. You should see the note the day after!
>
> I agree that the patient should not be penalized due to the mother, and
> that the heat of the moment is a large factor.
>
> >
> >Also, how many good, supportive, helpful, etc, etc. people will you keep out
> >of the delivery room to prevent one such disruptive person as this mother?
> >
> A whole lot.
>
> Carlos:
>
> Yes, the husband and maybe a mom/sister routinely attend sections,
> unless general anesthesia is required--then they leave per the
> anesthesiologist.
>
> In retrospect, the smartest thing I should have done was just take her
> to the OR.
>
> Garry
>
> --
> Garry E. Siegel, M.D., F.A.C.O.G.
> Roswell, GA
> Private Practice
>
> ------------------------------
>
> ------------------------------
> Date: Thu, 28 Dec 2000 21:38:12 -0600 (CST)
> ------------------------------
> From: garrys@mindspring.com (Garry Siegel)
> To: OB-GYN-L@OBGYN.NET
> Subject: OB: OP versus OA
> Message-ID: <200012290338.VAA00554@mail.medispecialty.com>
>
> My recent case brings up a question--when a baby is OP, or LOP, +2, and
> needs delivery, I have always felt that an attempted rotation with
> Kielland forceps is best, as babies "fit" better OA. I am aware that
> delivering OP is acceptable, too, and that the decision as to which
> probably depends on the skill/experience/lack of common sense (LOL) of
> the operator.
>
> That said, what do others think in regard to how babies best fit--OP or
> OA?
>
> What do others do when faced with this?
>
> Garry
>
> --
> Garry E. Siegel, M.D., F.A.C.O.G.
> Roswell, GA
> Private Practice
>
> ------------------------------
>
> ------------------------------
> Date: Fri, 29 Dec 2000 06:09:37 +0100
> ------------------------------
> From: Eberhard W Lisse <el@ac.lisse.na>
> To: ob-gyn-l@obgyn.net
> Cc: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net>,
> el@lisse.na
> Subject: Re: OB: Family in the LDR and the poop hits the fan
> Message-ID: <20001229050942.83BD960A12@ac.lisse.na>
>
> Gary
>
> I overlooked something on the first read:
>
> In message <200012281034.EAA09306@mail.medispecialty.com>, Carlos Roure writes:
> > At Wed, 27 Dec 2000, Garry Siegel wrote:
>
> > >Unbeknownst to me, she had a multiracial child (didn't know
> > >that until it came out),
>
> Could you, please, explain to me the reference to race in this
> context, in particular what informaton it contributes to the
> understanding of the management of the situation?
>
> el
>
> ------------------------------
>
> ------------------------------
> Date: Fri, 29 Dec 2000 07:28:06 -0600 (CST)
> ------------------------------
> From: croure@attglobal.net (Carlos Roure)
> To: OB-GYN-L@OBGYN.NET
> Subject: Re: OB: Family in the LDR and the poop hits the fan
> Message-ID: <200012291328.HAA29123@mail.medispecialty.com>
>
> At Fri, 29 Dec 2000, Eberhard W Lisse wrote:
> >
> >Gary
> >
> >I overlooked something on the first read:
> >
> >In message <200012281034.EAA09306@mail.medispecialty.com>, Carlos Roure writes:
> >> At Wed, 27 Dec 2000, Garry Siegel wrote:
> >
> >> >Unbeknownst to me, she had a multiracial child (didn't know
> >> >that until it came out),
> >
> >Could you, please, explain to me the reference to race in this
> >context, in particular what informaton it contributes to the
> >understanding of the management of the situation?
> >
>
> I can not answer for Garry, but having a "slow" patient, dumped by her
> husband, dumped also by the father of this child, with a "multiracial
> child" in USA (and probably elsewhere too) ALL contribute to a very
> pissed mother/grandmother on whose shoulders a good portion if not all
> of the consequences of this will fall upon. It doesn't contribute
> anything obstetrically, but socially and animically.
>
> BTW, she has been bumped by her husband and "boyfriend", I do not think
> the doctor should also bump her.
>
> Carlos
> >el
>
> ------------------------------
>
> ------------------------------
> Date: Fri, 29 Dec 2000 08:34:15 -0500
> ------------------------------
> From: "K Dew" <kdew@bellsouth.net>
> To: "Ob-Gyn-L@Obgyn.Net" <ob-gyn-l@obgyn.net>
> Subject: "multiracial baby" was family in LDR
> Message-ID: <LOBBLHDGJEPNIJEICNFLKELHDLAA.kdew@bellsouth.net>
> MIME-Version: 1.0
> Content-Type: text/plain;
> charset="Windows-1252"
> Content-Transfer-Encoding: 7bit
>
> A question was asked why the reference to the race of the baby.
>
> >From my fairly extensive experience in delivering mixed race babies where no
> one except the mother knew that it was a possibility, (sometimes even she
> didn't know) the sh*( really can hit the fan. I've witnessed fist-fights,
> some involving the parturient, cursing matches and the whole gamut of
> possibilities.
>
> My last experience was when the parturient, white, suspected that the child
> she was carrying might be by a black man. Her "white family" was in the
> room when the baby was born. She had hinted that there might be a
> possibility of a bi-racial baby to a sister but only after she was 8 cm and
> +2 no one else had a clue. Then the baby was born.
>
> It obviously was bi-racial. The "white family" immediately left the room
> amidst must cursing and "thing throwing" and the "black family", who were
> waiting in the wings so to speak, came in the room. I have no idea where
> they were hiding. It was almost an immediate changing of the guard.
>
> The message I'm trying to impart is that emotions can run amuck if an
> unsuspected bi-racial baby is born. Thanks to our trial lawyers, it
> immediately becomes the doctor's fault.
>
> Jerry Springer has nothing on some of the scenes I've encountered in my
> delivery room. In fact, I have had two patients on the show at separate
> times. Both pregnant by their brother or other family member and "loving
> it"
>
> Kevin Dew, MD
> OB/GYN
> Bardstown, KY
>
> ------------------------------
>
> ------------------------------
> Date: Fri, 29 Dec 2000 07:38:53 -0600 (CST)
> ------------------------------
> From: evsono@pipeline.com (art fougner, md)
> To: OB-GYN-L@OBGYN.NET
> Subject: Re: OB: Family in the LDR and the poop hits the fan
> Message-ID: <200012291338.HAA32534@mail.medispecialty.com>
>
> el -
>
> grandma did not appreciate the child's lineage - most likely the spark
> which ignited her outburst.
>
> art
>
> At Fri, 29 Dec 2000, Eberhard W Lisse wrote:
> >
> >Gary
> >
> >I overlooked something on the first read:
> >
> >In message <200012281034.EAA09306@mail.medispecialty.com>, Carlos Roure writes:
> >> At Wed, 27 Dec 2000, Garry Siegel wrote:
> >
> >> >Unbeknownst to me, she had a multiracial child (didn't know
> >> >that until it came out),
> >
> >Could you, please, explain to me the reference to race in this
> >context, in particular what informaton it contributes to the
> >understanding of the management of the situation?
> >
> >el
>
> --
> art fougner, md
>
> A series of 1000 cases begins with but a single anecdote.
>
> ------------------------------
>
> ------------------------------
> Date: Fri, 29 Dec 2000 14:39:51 +0100
> ------------------------------
> From: Eberhard W Lisse <el@ac.lisse.na>
> To: ob-gyn-l@obgyn.net
> Cc: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net>,
> el@lisse.na
> Subject: Re: OB: Family in the LDR and the poop hits the fan
> Message-ID: <20001229133956.C2ABF60A16@ac.lisse.na>
>
> Carlos,
>
> just to tget this straight, if the father had been what is commonly
> referred to as "white trash" it would be ok?
>
> el
>
> In message <200012291328.HAA29123@mail.medispecialty.com>, Carlos Roure writes:
> > At Fri, 29 Dec 2000, Eberhard W Lisse wrote:
> > >
> > >Gary
> > >
> > >I overlooked something on the first read:
> > >
> > >In message <200012281034.EAA09306@mail.medispecialty.com>, Carlos Roure writ
> > es:
> > >> At Wed, 27 Dec 2000, Garry Siegel wrote:
> > >
> > >> >Unbeknownst to me, she had a multiracial child (didn't know
> > >> >that until it came out),
> > >
> > >Could you, please, explain to me the reference to race in this
> > >context, in particular what informaton it contributes to the
> > >understanding of the management of the situation?
> > >
> >
> > I can not answer for Garry, but having a "slow" patient, dumped by her
> > husband, dumped also by the father of this child, with a "multiracial
> > child" in USA (and probably elsewhere too) ALL contribute to a very
> > pissed mother/grandmother on whose shoulders a good portion if not all
> > of the consequences of this will fall upon. It doesn't contribute
> > anything obstetrically, but socially and animically.
> >
> > BTW, she has been bumped by her husband and "boyfriend", I do not think
> > the doctor should also bump her.
> >
> > Carlos
> > >el
> >
>
> ------------------------------
>
> ------------------------------
> Date: Fri, 29 Dec 2000 09:40:58 -0600 (CST)
> ------------------------------
> From: croure@attglobal.net (Carlos)
> To: OB-GYN-L@OBGYN.NET
> Subject: Re: OB: Family in the LDR and the poop hits the fan
> Message-ID: <200012291540.JAA27176@mail.medispecialty.com>
>
> At Fri, 29 Dec 2000, Eberhard W Lisse wrote:
> >
> >Carlos,
> >
> >just to tget this straight, if the father had been what is commonly
> >referred to as "white trash" it would be ok?
>
> You got it!!!!!! If the mother is "white trash" and the father is "white
> trash" that would be a perfect couple and child. Now, if the baby comes
> out black, that is a different scenario
>
> Carlos
> >
> >el
> >
> >In message <200012291328.HAA29123@mail.medispecialty.com>, Carlos Roure writes:
> >> At Fri, 29 Dec 2000, Eberhard W Lisse wrote:
> >> >
> >> >Gary
> >> >
> >> >I overlooked something on the first read:
> >> >
> >> >In message <200012281034.EAA09306@mail.medispecialty.com>, Carlos Roure writ
> >> es:
> >> >> At Wed, 27 Dec 2000, Garry Siegel wrote:
> >> >
> >> >> >Unbeknownst to me, she had a multiracial child (didn't know
> >> >> >that until it came out),
> >> >
> >> >Could you, please, explain to me the reference to race in this
> >> >context, in particular what informaton it contributes to the
> >> >understanding of the management of the situation?
> >> >
> >>
> >> I can not answer for Garry, but having a "slow" patient, dumped by her
> >> husband, dumped also by the father of this child, with a "multiracial
> >> child" in USA (and probably elsewhere too) ALL contribute to a very
> >> pissed mother/grandmother on whose shoulders a good portion if not all
> >> of the consequences of this will fall upon. It doesn't contribute
> >> anything obstetrically, but socially and animically.
> >>
> >> BTW, she has been bumped by her husband and "boyfriend", I do not think
> >> the doctor should also bump her.
> >>
> >> Carlos
> >> >el
> >>
>
> ------------------------------
>
> ------------------------------
> Date: Fri, 29 Dec 2000 10:23:59 -0600
> ------------------------------
> From: "Richard Chudacoff, MD" <rchudacoff@mylinuxisp.com>
> To: <ob-gyn-l@obgyn.net>
> Subject: RE: OB: Family in the LDR and the poop hits the fan
> Message-ID: <LAEEJEBMFIKDMOCFFABMAEPFCIAA.rchudacoff@mylinuxisp.com>
> MIME-Version: 1.0
> Content-Type: text/plain;
> charset="iso-8859-1"
> Content-Transfer-Encoding: 7bit
>
> ?Beige trash?
>
> Richard Chudacoff, MD
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Carlos
> Sent: Friday, December 29, 2000 9:43 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: OB: Family in the LDR and the poop hits the fan
>
> At Fri, 29 Dec 2000, Eberhard W Lisse wrote:
> >
> >Carlos,
> >
> >just to tget this straight, if the father had been what is commonly
> >referred to as "white trash" it would be ok?
>
> You got it!!!!!! If the mother is "white trash" and the father is "white
> trash" that would be a perfect couple and child. Now, if the baby comes
> out black, that is a different scenario
>
> Carlos
> >
> >el
> >
> >In message <200012291328.HAA29123@mail.medispecialty.com>, Carlos Roure
> writes:
> >> At Fri, 29 Dec 2000, Eberhard W Lisse wrote:
> >> >
> >> >Gary
> >> >
> >> >I overlooked something on the first read:
> >> >
> >> >In message <200012281034.EAA09306@mail.medispecialty.com>, Carlos Roure
> writ
> >> es:
> >> >> At Wed, 27 Dec 2000, Garry Siegel wrote:
> >> >
> >> >> >Unbeknownst to me, she had a multiracial child (didn't know
> >> >> >that until it came out),
> >> >
> >> >Could you, please, explain to me the reference to race in this
> >> >context, in particular what informaton it contributes to the
> >> >understanding of the management of the situation?
> >> >
> >>
> >> I can not answer for Garry, but having a "slow" patient, dumped by her
> >> husband, dumped also by the father of this child, with a "multiracial
> >> child" in USA (and probably elsewhere too) ALL contribute to a very
> >> pissed mother/grandmother on whose shoulders a good portion if not all
> >> of the consequences of this will fall upon. It doesn't contribute
> >> anything obstetrically, but socially and animically.
> >>
> >> BTW, she has been bumped by her husband and "boyfriend", I do not think
> >> the doctor should also bump her.
> >>
> >> Carlos
> >> >el
> >>
>
> ------------------------------
>
> ------------------------------
> Date: Fri, 29 Dec 2000 10:58:56 -0600 (CST)
> ------------------------------
> From: john.robertson@medispecialty.com (John Robertson MD)
> To: OB-GYN-L@OBGYN.NET
> Subject: Re: OB: OP versus OA
> Message-ID: <200012291658.KAA16661@mail.medispecialty.com>
>
> At Thu, 28 Dec 2000, Garry Siegel wrote:
>
> In this arena my experience fits exactly with the textbooks - OA is a
> better fit than OP. Having said that, when faced with an OP
> presentation, I will try to turn it, but if it doesn't turn easily I
> will deliver it directly OP (provided I can deliver it vaginally at all
> ;) ). John
>
> >
> snip
> >
> >That said, what do others think in regard to how babies best fit--OP or
> >OA?
> >
> >What do others do when faced with this?
> >
> >Garry
> >
> >--
> >Garry E. Siegel, M.D., F.A.C.O.G.
> >Roswell, GA
> >Private Practice
> >
>
> --
> J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9
> (604) 793-9988 e-mail john.robertson@obgyn.net
> Who is wise and understanding among you? Let him show it by his good life,
> by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV
>
> ------------------------------
>
> ------------------------------
> Date: Fri, 29 Dec 2000 11:04:38 -0600 (CST)
> ------------------------------
> From: john.robertson@medispecialty.com (John Robertson MD)
> To: OB-GYN-L@OBGYN.NET
> Subject: Re: 'multiracial baby' was family in LDR
> Message-ID: <200012291704.LAA19100@mail.medispecialty.com>
>
> At Fri, 29 Dec 2000, K Dew wrote:
>
> snip
>
> >
> >Jerry Springer has nothing on some of the scenes I've encountered in my
> >delivery room. In fact, I have had two patients on the show at separate
> >times. Both pregnant by their brother or other family member and "loving
> >it"
> >
> >Kevin Dew, MD
> >OB/GYN
> >Bardstown, KY
>
> Occasionally there are days when I realize how relatively uncomplicated
> my life is. Thanks Kevin for making this one of them. John.
>
> --
> J.G.M.Robertson MD, 109-9181 Main St. Chilliwack, B.C. V2P 4M9
> (604) 793-9988 e-mail john.robertson@obgyn.net
> Who is wise and understanding among you? Let him show it by his good life,
> by deeds done in the humility that comes from wisdom. James 3 vs 13, NIV
>
> ------------------------------
>
> ------------------------------
> End of OB-GYN-L Digest 1292
> ------------------------------
> ***************************
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