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malpractice case - conclusionFrom: RModugno@aol.comSun Jan 27 16:15:25 2002
In this case, three physicians were sued - the physician who had done the laparoscopy 2 years before, the physician who was in the office the day she was in the office, and the on call physician who advised calling 911. Subsequently, a forth physician - the owner of the practice and his corporation was sued, and the other three physicians were dropped from the suit. It was the contention of the plaintiff that it was the standard of care that the nurse should have read the chart, shown it to the physician in the office, determined that the patient was at risk for an ectopic and then followed with serial hcgs, ultrasounds, etc. Some questions still remain in my mind: 1) Is it below the standard of care to see the patient for a "pregnancy test only", then set her up for an appointment in three weeks time when she is one week late for her menses after giving her instructions outlining the symptoms of miscarriage and ectopic pregnancy? Do you all do as Geff does and see all patients who come in for a pregnancy test on that day no matter the length of gestation? 2) Was failure to read her chart below the standard of care? 3) Joe said it best - that stupidity is not criminal. However it is with the greatest "degree of medical certainty " that this woman would have survived if her acute symptoms had been reported earlier. Steve Ory MD, nationally-renowned for his work on ectopic prgnancy was a defense expert for this case. Thanks for your replies. Robert Modugno MD MBA FACOG Marietta, GA
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