Re: Defining Immediately Available

From: art fougner, md (evsono@pipeline.com)
Thu Apr 19 21:26:27 2001


and now the final conflict - ( i should live so long ) the economics of managed costs ( formerly managed care) vs the economics of the tort system. somewhere michael buffer steps to the microphone: Ladies and Gentlemen, LLLLLLLLLLLLET'S GET READY TO RUMBBBBBBBBBBBBBBBBLE!!!!

art

At Thu, 19 Apr 2001, D. Ashley Hill, MD wrote: >
>At Thu, 19 Apr 2001, Geffrey Klein, MD wrote:
>
>>L&D calls at 0700 on Monday morning to tell Dr. R that Mrs. Jones is
>>in labor and she has a prior CS. snip
>
>Nicely worded, Geff. I'm currently attending a Birth Injury/legal
>conference here in Orlando. One of the moderators, a very well-known
>ob/gyn who writes frequently about VBACs, predicted that VBACs will be a
>thing of the past within 5 years. Although he did not discuss his
>specific reasons, scenarios like the one Geff presented, an increasing
>awareness of the risks of uterine rupture in Internet-savvy patients,
>and informed consent forms that basically state "it's more dangerous for
>your baby to have a trial of labor than a repeat c/section" may indeed
>doom VBACs in all but a few patients. I'll take it one step further by
>predicting that by the year 2007 the US will have a 60% elective c/s
>rate.
>
>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.





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