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Re: cerclage patientFrom: Lynn D. Montgomery, M.D. (apgar10@montanadsl.net)Wed Jul 2 14:44:28 2003
Gary, First, there is a provision for doing a tubal on a patient when delivery occurs prior to the EDC - under emergency circumstances. Second, but most importantly, you have been placed in a "no win" situation by the referral doc. To repeatedly attempt a vaginal cerclage in a patient who has failed before is very poor judgment on his/her part. This is a case of "if we don't police ourselves, then how can we complain when others do" (lawyers for instance). That said, I would be very tempted to enlighten this patient about her care prior to transfer of care... Lynn
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