Re: VBAC Revisited
From: art fougner, md (evsono@pipeline.com)
Wed Jul 4 16:26:08 2001
with the exception of possibly John Stossel - the media could care less.
docs are viewed by the public in the same way they view their landlords.
i am active in both county and state medical societies and have spoken
with our elected leaders on many occasions. only one response was
substantive - "you guys should form a union."
art
At Wed, 4 Jul 2001, Braun, R. Daniel wrote:
>
> And what is the local or state Medical Society doing about this? Have they
>demanded equal time and press to counter this story?
>If not, get on the stick and demand that they do. If you don't belong, join
>and then demand that they do.
>
>Dan
>
>-----Original Message-----
>From: Paul Prior MDTo: Multiple recipients of list OB-GYN-L
>Sent: 7/4/2001 9:54 AM
>Subject: Re: VBAC Revisited
>
>On Wed, 4 Jul 2001 08:57:45 -0500, "Myer Bornstein"
><mborn@massmed.org> wrote:
>
>>Joe is being facetious in his reply but the courtroom scenario isn't in
>>this day and age. I have been encouraging all my patience that have
>had
>>previous cesarean sections and that were eligible to undergo a VBAC to
>>try, and have had about a 70 percent success rate. We have trained on
>>labor room nurses to scrub so we have people immediately available to
>do
>>a section in case of a catastrophe. When there is a VBAC in labor, the
>>obstetrician and the anesthesiologist are in-house. However, with this
>>article and the editorial scientific knowledge is pushed to the
>>background because of lawyers.
>>
>>My wife is a visiting nurse; one of the patience that she saw yesterday
>>had a cesarean section. The patient developed a hematoma in the wound.
>>It was drained and is being packed to allow healing. The patient's
>>mother, who is a nurse, told the patient that they are to see a lawyer
>>because she had a complication.
>
>A local paper ran a front page headline article about a general
>surgeon who had multiple complaints filed against him. As you read
>the article it detailed in laypersons terms several people who had had
>wound breakdown after colon surgery. They lamented about the horrible
>care that this surgeon was providing and sensationalized the fact that
>these wounds were "breaking open" and made it quite clear that this
>MUST represent some sort of malpractice.
>
>Totally biased reporting, showing a total lack of understanding about
>the incidence of expected wound infection after contaminated surgery
>such as colon resections. So it's not just the stinking lawyers, the
>whole society is not only ignorant, but like one big lynch mob out
>there, ready to pounce on the slightest less-than-ideal outcome.
>
>I almost wish we could return to the days when maternal mortality
>rates were 1-2%, infant mortality was much higher, and surgery
>invariably killed people. Maybe people might have a little more
>perspective then instead of freaking out over an expected outcome from
>a dirty surgery. The poor general surgeon (I didn't know him) is just
>like that one zebra running in the pack that gets picked out by the
>lions. We are those other zebras and we just keep running and hoping
>it's someone else, but sooner or later....
>
>--
>Paul Prior MD They that can give up essential liberty to obtain a
>little
>Coshocton, OH temporary safety deserve neither liberty nor safety.
>Solo Practice - Benjamin Franklin, 1759.
>OB/GYN, FACOG
>
--
art fougner, md
A series of 1000 cases begins with but a single anecdote.
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