Re: Gel, Pit, & VBAC tragedy
From: art fougner, md (evsono@pipeline.com)
Fri Mar 2 06:25:07 2001
collect a few more legal actions such as this and i think you'll start
seeing in house anesthesia.
art
At Thu, 1 Mar 2001, John Robertson MD wrote:
>
>It is nice that you have the luxury of saying these things. Many of us
>do not have a 24 hour in house anaesthetist and by your standards should
>be sending them 1&1/2 hours down the road while they're in labour - bet
>you it's better on the baby to call an anaesthetist in than it is to
>rupturre the uterus in transport. John
>
>At Thu, 1 Mar 2001, Efrain Ramirez wrote:
>>
>>Immediately available - you can be next room doing a hysterectomy and if
>>you are not "available" you can be liable - IMHO- "doing something that
>>prevents you from doing an immediate C/S" or you can be in the cafeteria
>>drinking coffee - holding somebody's else hand -- as long as you can get
>>the baby out in 17 minutes or less --- you do the calculations or get a
>>good lawyer - he will do it for you ;-) An *anesthesiologist* and a crew
>>must be in-house - the same principles apply to them. I would not do a
>>VBAC if an anesthetist is the only person in-house - in fact - in these
>>days I would not do obstetrics without an in-house anesthesiologist.
>>
>> At Thu, 1 Mar 2001, John Robertson MD wrote:
>>>
>>>Be specific Efrain - In the room holding her hand, with his undivided
>>>attention on her for the complete length of her labour? On the labour
>>>floor, less than 5 seconds from her side for the entire labour? In the
>>>hospital and available in under 5 minutes? In the area and available in
>>>under 10 minutes?
>>>
>>>and while you are answering the question don't forget that as good as we
>>>are, it's still hard to do a section without an anaesthetist - which of
>>>the above apply to him/her?
>>>
>>>At Wed, 28 Feb 2001, Efrain Ramirez wrote:
>>>>
>>>>A VBAC patient in active labor requires an Ob present - wherever.
>>>>
>>>>--
>>>>"Life is neither the notes nor the silence between the notes, but the music that
>>>> arises out of sound and silence felt as a living whole. Stop choosing...between
>>>> chaos and order, and live at the boundary between them, where rest and action
>>>> move together..." David Whyte
>>>>
>>>--
>>>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
>>>
>>--
>>"Life is neither the notes nor the silence between the notes, but the music that
>> arises out of sound and silence felt as a living whole. Stop choosing...between
>> chaos and order, and live at the boundary between them, where rest and action
>> move together..." David Whyte
>>
>--
>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
>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
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