Re: Defining Immediately Available

From: art fougner, md (evsono@pipeline.com)
Wed Apr 18 22:17:52 2001


Geff -

if you are not in - house then you cannot be immediately available. OB's are truly in a no win situation on this.

art

At Wed, 18 Apr 2001, Geffrey Klein, MD wrote: >
>At 1:38 PM -0500 on 4/18/01, art fougner, md wrote:
>
>>btw - should there be any confusion - look for plaintiff's atty to
>>project this on a screen so large even ray charles could read -
>>
>>im…me…di…ate…ly
>>
>>without interval of time
>>
>>Merriam - Webster's Collegiate Dictionary.
>>
>>clear enough?
>>
>>art
>
>Not really.. This is practice out of excessive concern for
>medicolegal matters... Not only that, it does not say "in-house". I
>can envision scenarios where "in-house" docs would not be immediately
>available.. (ie delivering someone else, in a portion of the
>hospital where his pager does not function properly, etc..)
>
>I think we can define what it means to immediately perform a cesarean
>to a jury.. They can understand that you are not capable of doing a
>cs in the patient's LDR. There is at least that interval of
>transport to the OR built in. If I am there when she gets to the OR
>table then there is no "interval of time" because that is the soonest
>I could have done the procedure..
>
>--
>_______________________
>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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