Re: no subject received Fri, 8 Aug 2003 15:18:19 -0500

From: Anna Meenan, MD (annam@uic.edu)
Fri Aug 8 17:40:51 2003

Geez, how awful. That's one of the things that has me less and less enthused with this whole thing, the (usually) unspoken accusation that whatever happens is going to be my fault, no matter how badly the pt screwed up. Saw a lady today who told me she hadn't felt ANY fetal movement since last Sunday. She went to the local ER Monday and they found FHT's and told her to call me the next day but she "doesn't have long distance service" so just waited til outreach clinic today. Baby hasn't moved ALL WEEK. She still has FHT's, U/S shows a baby that just lays there without any movement at all, and she was sent to the hospital for NST. Still waiting on results. 

--
                         Anna Meenan, MD


At Fri, 8 Aug 2003, Lynn D. Montgomery, M.D. wrote:
>
>Heh y'all,
>Had a great experience that makes me want to keep doing this business.
>Following a patient for her pregnancy with the only complication being
>gestational diabetes - diet controlled.  She was 39 weeks and presented
>for her scheduled OB visit.  I greeted her then had her recline to check
>the baby - since the u/s is sitting there, I do my OB checks with it.  I
>note a fetal demise, put down the transducer and tell her as
>empathetically as you can do something like that.  Without hesitation,
>she sat bolt upright and called me a fu----- and said I was responsible
>for the loss of her baby.  She continued to scream obscenities at me and
>threw a towel at me.  She then told me that there would be a guaranteed
>law suit and that she was holding me responsible for her loss - that I
>should have delivered her at 37 weeks.  Then she turned to her husband,
>who was sobbing and said, "I told you we should have come in a couple of
>days ago cause the baby wasn't moving".  She then stormed out of the
>office.
>
>Got called the next morning by a family doc North of here who delivered
>her.  True knot in the cord, combined with a nuchal cord x 2 and it was
>his opinion that the baby had been gone for several days by appearances.
>
>Have never experienced anything like that in 15 years of practice.
>
>Love doing a job when it is a given that its always my fault - always...
>Lynn



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