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Re: malpractice case - conclusion From: Geffrey Klein, MD (gklein@icsi.net) Sun Jan 27 18:34:59 2002 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Gail Waldby MD: "Re: GYN: Prior abdominoplasty--for LAVH" Previous message: Anna Meenan, MD: "Re: malpractice case - conclusion" In reply to: RModugno@aol.com: "malpractice case - conclusion" Next in thread: Richard Chudacoff, MD: "Re: malpractice case - conclusion" Reply: Richard Chudacoff, MD: "Re: malpractice case - conclusion" At 5:17 PM -0600 on 1/27/02, RModugno@aol.com wrote: > >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? I suppose if you can document that she was instructed on symptoms of ectopic pregnancy that you would have some defense. Some docs in our geographic area do not see new OB patients until 8 weeks of amenorrhea, so it is a community standard.. I just think it is poor customer service to make someone wait 3 more weeks to see the doctor.. As an aside, I think it is also poor business practice. You can usually bill separately for the first visit outside the global OB package as a pregnancy confirmation/amenorrhea evaluation. >2) Was failure to read her chart below the standard of care? Probably. It likely would have made me order HCGs or a scan earlier, thus preventing the outcome. >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. absolutely, spouse has some culpability, but how you assess his percentage is subjective.. -- _______________________ Geffrey H. Klein, MD _______________________ geffrey.klein@obgyn.net 450 Blossom Suite C Webster, Texas 77598 832 553 5430 http://www.geffreyklein.com Next message: Gail Waldby MD: "Re: GYN: Prior abdominoplasty--for LAVH" Previous message: Anna Meenan, MD: "Re: malpractice case - conclusion" In reply to: RModugno@aol.com: "malpractice case - conclusion" Next in thread: Richard Chudacoff, MD: "Re: malpractice case - conclusion" Reply: Richard Chudacoff, MD: "Re: malpractice case - conclusion"

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