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Re: Gestational Diabetes --**now noncompliant patients From: art fougner, md (evsono@pipeline.com) Wed Apr 18 12:28:40 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Rising HCG levels, normal pelvic ultrasound scan ? nongondal germ cell tumor" Previous message: Eberhard Lisse: "Re: Rising HCG levels, normal pelvic ultrasound scan ? nongondal germ cell tumor" In reply to: D. Ashley Hill, MD: "Re: Gestational Diabetes --**now noncompliant patients" Next in thread: D. Ashley Hill, MD: "Re: Gestational Diabetes --**now noncompliant patients" Reply: D. Ashley Hill, MD: "Re: Gestational Diabetes --**now noncompliant patients" in the oh so distant past - one of the pre-requisites for the outpatient management of suspected ectopic was the patient's willingness to comply with intensive follow-up. was the same for pregnant diabetics too. what has changed? was this a medical judgement or something else? once Michael DeBakey was told that one of his post-ops had exceeded the length of stay. his reply was essentially - no problem, you want him out then you come up here and discharge him. what exactly is wrong with admitting a woman with suspected ectopic for observation if she is felt to be a poor candidate for outpatient monitoring? just my opinion - i could be wrong. art At Wed, 18 Apr 2001, D. Ashley Hill, MD wrote: > >At Wed, 18 Apr 2001, Richard Chudacoff, MD wrote: >> >>The following is a copy of my dismissal letter, written original by Baylor's >>legal department. > >Similar to ours, although yours is more eloquent. I am continually >fascinated that the most noncompliant patients are those with the >potentially most devastating problems. We provide ER services for >unassigned patients at our hospital, and find that the diagnostic group >with the most no-shows and refusals of treatment are patients with >ectopic pregnancies. I write more darn certified letters to patients >with ectopics trying to get them to come in for HCG levels and follow-up >appointments. > >Ashley > >-- >D. Ashley Hill, MD >Associate Director >Department of Obstetrics and Gynecology >Florida Hospital Family Practice Residency >Orlando, Florida > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: art fougner, md: "Re: Rising HCG levels, normal pelvic ultrasound scan ? nongondal germ cell tumor" Previous message: Eberhard Lisse: "Re: Rising HCG levels, normal pelvic ultrasound scan ? nongondal germ cell tumor" In reply to: D. Ashley Hill, MD: "Re: Gestational Diabetes --**now noncompliant patients" Next in thread: D. Ashley Hill, MD: "Re: Gestational Diabetes --**now noncompliant patients" Reply: D. Ashley Hill, MD: "Re: Gestational Diabetes --**now noncompliant patients"

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