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Re: No Guts Not Glory, was Re: Open Mind, Brains Fell Out (was Re: Practice philosophy: was Defi From: art fougner, md (evsono@pipeline.com) Sat Apr 21 12:29:27 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Eberhard Lisse: "Re: No Guts Not Glory, was Re: Open Mind, Brains Fell Out (was Re: Practice philosophy: was Defi" Previous message: art fougner, md: "Re: No Guts Not Glory, was Re: Open Mind, Brains Fell Out (was Re: Practice philosophy: was Defi" In reply to: Efrain Ramirez: "Re: No Guts Not Glory, was Re: Open Mind, Brains Fell Out (was Re: Practice philosophy: was Defi" Next in thread: Gerald P. Rodriguez: "Re: No Guts Not Glory, was Re: Open Mind, Brains Fell Out (was Re: Practice philosophy: was Defi" Ultimately, it's not about language but safety. can one truly justify a trial of scar ( those europeans have a knack for hitting the nail on the head) in a community hospital in wyoming in the middle of a blizzard? woman arrives at a small unit in preterm labor with triplets. this hospital has two working ventilators? the OB is adamantly opposed to maternal transport despite the fact that a tertiary unit is literally less than 15 minutes away. finally, one of the pediatricians who was rounding stopped by and asked him which infant he should be willing to sacrifice should all three need the vents. we periodically fall victim to our own hubris. is it our consummate skill or the relatively rarity of a bad outcome which protects our patients? i do know that when lightning strikes in the middle of a drought, the resulting fire quickly rages out of control. these issues we must each address for ourselves. as always, just my opinion, i could be wrong. art At Sat, 21 Apr 2001, Efrain Ramirez wrote: > >English isn't my first language neither but I see it the way you do - >maybe a certain judge or jury may not - who knows? - but I'll rather >follow the Webster's definition. I think that VBAC's, and I believe >Ashley does also, for many reasons -not only pecuniary - (liability, >sleepless nights, non-optimal care, etc) will eventually be a minor >portion of our practice. > > At Sat, 21 Apr 2001, Eberhard Lisse wrote: >> >>English isn't my first language, but the way I see this immediately >>available means immediately available. >> >>That means you have to be in the building, ie step out of the office >>or get out of bed and walk a few steps to the labor unit. >> >>Now, one can, maybe, argue whether ACOG is right in demanding >>immediate availability during VBAC, though, as you all know I think >>this is right. >> >>But to argue about semantics, when we all know it is for pecuniary >>reasons (whether you call it rescheduling of office appointments, >>stock options, Porsches or Country Club memberships) is sick. >> >>It reaffirms my belief that something is seriously wrong with US >>health care. >> >>el > >-- >"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 > -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Eberhard Lisse: "Re: No Guts Not Glory, was Re: Open Mind, Brains Fell Out (was Re: Practice philosophy: was Defi" Previous message: art fougner, md: "Re: No Guts Not Glory, was Re: Open Mind, Brains Fell Out (was Re: Practice philosophy: was Defi" In reply to: Efrain Ramirez: "Re: No Guts Not Glory, was Re: Open Mind, Brains Fell Out (was Re: Practice philosophy: was Defi" Next in thread: Gerald P. Rodriguez: "Re: No Guts Not Glory, was Re: Open Mind, Brains Fell Out (was Re: Practice philosophy: was Defi"

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