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Re: OB: Fun with preeclampsia--very long!From: Garry Siegel (garrys@mindspring.com)Tue Jul 31 20:25:13 2001
At Mon, 30 Jul 2001, DoctorJoe@aol.com wrote: > >In a message dated 7/30/01 22:11:59, brommel@mindspring.com writes: > ><< Your histrionic diagnosis rests upon a single number...of undetermined >significance. That said, you pursue an unjustifiably protracted labor >induction in light of the claimed diagnosis. Vaginal delivery on >induction day 3 for severe preeclampsia is oxymoronic. The lucky >outcome is irrelevant. >> Betty: Our practice is looking to add another Ob/Gyn, as our junior partner is leaving and/or going part-time to be with her small children. I believe that the sensitivity and care that your exhibit would make you well suited for our middle/upper middle classs practice in north suburban Atlanta, GA. As a general rule, many women specifically ask for another woman, irrespective of qualifications/knowledge when they call. I especially would enjoy hearing how you (and Bob, and maybe Luis) would explain to the patient's husband why she had a seizure, or explain what DIC or HELLP is. Even better, I would love to hear the answer to the question: "Doctor, at 2 PM when my wife's BP was up and the lab test was abnormal, why didn't you go ahead and make a diagnosis and deliver the baby?" Lastly, if you, as an Obstetrician, believe that serial ripening/induction for severe pre-eclampsia has no place near term, support your belief. Garry Thanks to the listers who looked at this case realistically. Thanks to those who looked at it academically. In my wildest dreams, I never at all thought, and still do not think that there was any doubt about the diagnosis, or that anything but delivery was warranted. For those of you who belittle me, or are worried about my competence given my course of action, rest assured that I am real worried about yours if you didn't agree with my diagnosis, and agree that delivery (you can choose how) was necessary.
-- Garry E. Siegel, M.D., F.A.C.O.G. Roswell, GA Private Practice
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