Re: CNMs

From: Joe Cutchin (forcep@intercom.net)
Tue Jul 8 20:58:44 2003


Marilyn Ringstaff wrote: >
> << You really do not believe your last sentence,do you?>>
>
> you mean where I said "they’d go bankrupt to pursue cases without clear
> liability?" Absolutely, I believe that. You've got to remember most if
> not all states require an affidavit of merit from a member of the same
> profession to even get the case filed. So where lies the problem?
>
> <<< If you do let me briefly describe a case.Breast cancer,death.Lesion
> at 4 oclock in left breast becomes cancer in tail of breat 3 years
> later.Expert opinion.Lesion at 4 oclock was missed and that became
> cancer in tail of breast.Why? Because the breast rotates! >>
>
> yeah, i've heard that one before. Still don't believe it. I'd place
> money on the fact that the 'expert' statement was taken out of context.
> My guess is he was trying to explain positional changes from a woman
> lying flat to side lying and the 4 oclock lesion in a supine position
> may be palpable elsewhere when you shift the position. Did you ever
> tell us why the lesion at 4 o'clock was missed, and this wasn't picked
> up until 3 yrs later?
>
> BTW, in one of my first nursing aide positions, I was trying to adjust a
> patients pillow that was falling off the stretcher. I didn't know why
> everyone was laughing hysterically at me until I realized I was tugging
> on the woman's breast. %&$^ thing had rotated all the way off the
> stretcher!
>
> --
> Marilyn Ringstaff, CNM

It was me so I presume to know the case. Correct? There was no lesion at 4 oclock both on 2 mammograms and a surgical consult.Do they call this a case "manufactured"? I think I've heard that term.

--
    Joseph H. Cutchin MD FACOG    4105463125
    314 West Carroll Street       4105463128 Fax
    Salisbury,Maryland 21801




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