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Re: malpractice case (long) - factsFrom: zbnewton (zbnewton@mindspring.com)Mon Jan 28 18:33:57 2002
Re: malpractice case (long) - facts
> ----- Original Message ----- I don't see them until 8 weeks gestation because of the potential for pregnancy loss prior to that time. They will get charged for an initial OB visit and more importantly, initial OB labs that are out-of-pocket expenses. If they miscarry after you have done all this at 5-6 weeks, the expense was all for nothing. By seeing them at 8 weeks for the initial visit, I have saved many patients unnecessary expense and they realize the good business sense in this practice... Lynn -- Lynn- One may take another view, wearing the hat of the woman late with a period with possibility of pregnancy. Today, most of those seen in private preactice would buy a home pregnancy at some point. Whether +/-, there exists the need, in many/most to close the loop of uncetainty. There is a reasonable need for such to have access to her source of care, if requested, prior to the remoteness and psychic state of abeyance of a deferred encounter "ages" away from point of recognition. The matter of when to kick in with pre-packaged ob global and baseline ob lab package is independent of response sought for evaluation of delayed menses in those who seek our care. Glibness by provider does not fulfill the needs of those we provide for. Cost justification? Fulfillment of a needed service. It is fair to say that the niceties of responding to the soft edges of declared needs do not exist when supply/demand/cost are unbalanced. My remarks were directed when the costs for the early hand-holding is compensated. This can be twisted into a greed motive. A philosophical treatise could flow from that bullshit. Zach Newton Z. B. Newton, III, M.D. Atlanta/Gyn
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