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FOB (was Placenta percreta)From: Joanne Bulley, MD (islesannie@yahoo.com)Sat Jun 19 20:58:58 2004
At Sat, 19 Jun 2004, Anna Meenan, MD wrote: > >Oooops, * that she "couldn't possibly have gotten pregnant in March" >because she did. She wanted me to order a third U/S, hoping it would >somehow change her due date. I'm guessing that the preferred FOB was >out of town in March. You think? > ----- Anna - I think you hit it absolutely right! Since switching to gyn only in 1998 -- I have at times thought about "what if I move and would I add back OB and how much re-training would it take after X years" (now nearly 6)? Watching the discussions here -- why would I go back? OB appears to have devolved into either it drops out on its own (and a monkey can attend the totally uncomplicated birth) or it is a C/S. There is NO room for the "art" that underlies all of medicine and used to be important in OB. And even if it is a midwife vaginal delivery or call in the OR -- we are probably no better off in the litigious situation than before. They'll just find something other than "oh - you did a forceps with metal blades" so "you owe that Johnny was exposed to cigarettes - alcohol - neglect etc" The Obstetrician (in the USA if no where else - though I understand that is changing) is just a big lottery ticket -- why would any of us stay in it? So -- I guess even if I move - or do Locums stuff -- I will stick to gyn only. We will soon be back to midwives (CNMs and lay) (instead of FPs) with general surgeons for when they need a CS. Back in 84/85 I was recruited in a couple of places to be ther first OB in areas where the FPs did all the deliveries and the general surgeons were called for teh CS and the FPs frequently scrubbed as the assistants. I suppose the MFMs will still have jobs. But are there going to even BE any general Ob-Gyn's who will be able to afford to do Ob -- and I mean that for the stress as much or more than the $$$$$ liability premiums! Joanne
-- Joanne Bulley, MD Keene, NH, USA
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