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Re: malpractice case - conclusion From: Anna Meenan, MD (annam@uic.edu) Sun Jan 27 18:34:00 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Geffrey Klein, MD: "Re: malpractice case - conclusion" Previous message: Garry Siegel: "GYN: Prior abdominoplasty--for LAVH" In reply to: RModugno@aol.com: "malpractice case - conclusion" Next in thread: Geffrey Klein, MD: "Re: malpractice case - conclusion" On the flip side of that, i often catch flak from pts because the policy in our office is that we will never do "just a pregnancy test" without a consultation. If a pt wants just a test, she can go to the local pharmacy and buy one. If she wants my expert opinion on the implications for her of a positive test or a negative one, she can come into the office and I will be paid for my expertise. Don't know if I would call it standard of care, but it works for us. -- Anna Meenan, MD It's amazing to me that anyone would think it appropriate to sue a doc for just telling the husband of a pt who collapsed to call 911, or to sue a doc who does a laparoscopy when his pt gets an ectopic 2 years later. But then, this is the USA so what can one expect? At Sun, 27 Jan 2002, RModugno@aol.com wrote: > >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 Next message: Geffrey Klein, MD: "Re: malpractice case - conclusion" Previous message: Garry Siegel: "GYN: Prior abdominoplasty--for LAVH" In reply to: RModugno@aol.com: "malpractice case - conclusion" Next in thread: Geffrey Klein, MD: "Re: malpractice case - conclusion"

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