Re: very long response to the anonymous A@#hole not her again
From: art fougner, md (evsono@pipeline.com)
Thu Apr 25 08:41:35 2002
c'mon Kevin don't hold back - tell us how you really feel!
art
At Thu, 25 Apr 2002, Kevin D. Dew, MD wrote:
>
>Heavily snipped, but in response to "not her again" My comments are
>preceded by ?????
>
>I am a long time lurker to this list, never post as I am not a med pro,
>but I'd venture to say my credentials are as good as a doula's,
>
>?????Boy, are we impressed that you are as qualified as a doula. If you are
>a lurker, you are aware that Doulas aren't considered as professional by
>most list members, (myself NOT included, although I'd argue the
>"professional" label)
>
>True enough, based on the existing literature. But how were the
>protocols for appropriate use determined? Through experimentation.
>
>?????? And how else, other than experimentation are we to learn anything?
>That
>means a lot of women and babies were treated inappropriately in the
>quest for the appropriate protocol. In the process of that
>experimentation, some women had ruptured uteri, and some babies died.
>
>??????Ynfortunate, yes, but an indication of a heartless, cruel approach, I
>doubt it.
>A
>while ago, an article about Cytotec was discussed on this list. The
>article included the story of a woman (primip) who was induced with
>Cytotec and had a uterine rupture, her baby died, and she had a
>hysterectomy. Not one member of this list expressed compassion for this
>woman's multiple losses. Instead, everyone jumped to defend Cytotec.
>
>???????A caring health care professional such as yourself knows that we all
>start from a position of concern for our patients and dismay over bad
>outcomes. For the entire list to write "poor pitiful woman" is redundant
>
>Why can't physicians admit that people are sometimes harmed by
>medicine's quest for new technologies and new treatments?
>
>??????? And how many people are harmed by NOT seeking new treatments?
>
>I know, I
>know, it's those circling sharks that make you afraid to stick your toes
>in the water...but still.
>
>?????? Yes, and those people without the intestinal fortitude (read balls)
>to sign their own name instead of the bullshit hiding you are doing.
>
>>This research suggests that one should not use it if the patient has had
>major uterine surgery or a prior cesarean delivery, >
>?????? And one should use pitocin with caution in similar cases
>
>Again, the recommendation that it not be used when there has been prior
>uterine surgery was arrived at only after the fact...after thousands of
>women with prior scars were given Cytotec experimentally, increasing
>their risk of rupture.
>?????and we are supposed to inherently know that this medication would be a
>problem. I suppose you are a proponent of using only computer models for
>medical research. Where do you think the data that gets fed into the
>programs is derived?
>
> Furthermore, I haven't yet seen studies documenting the potential long term
>effects (or
>lack thereof) of Cytotec. If anyone can point me to a study that has
>looked at the impact on the subsequent pregnancy of a previous Cytotec
>induction, I'd appreciate it.
>
>????? Okay, lets publish a long term followup on a medication that's been
>used for 4 years. What rubbish And how are we to know the long term effects
>if we don't continue to use the medication and various protocols of
>administration?
>
>Anyway, sorry to intrude upon your professionals-only forum, but I think
>that this list suffers from a bit of groupthink at times, and perhaps an
>outside perspective is needed when no one in the group seems able to be
>objective. I'll remain anonymous since some of you know me or know of
>me.
> ?????? And you are a coward, not a health care professional, and certainly
>untrained and unknowledgeable in the workings of medical research.
>
> I think I can safely say for the group, AND GROUP, IF I'M WRONG
>PLEASE FLAME ME, that for a spineless piece of refuse that you are, speaking
>anonymously from a position of ALMOST being a professional you can kiss our
>collective arses.
>
>--
>Kevin D. Dew, MD
>300 W. John Fitch, #200
>Bardstown, KY 40004
>502 348 9988
>
--
art fougner, md
ich bin ein New Yorker
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