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Re: Interesting D&E lawsuit Two more cents, and I'll raise you 2 more...From: Diane Castellanos RN/C, WHNP (tdrcaste@yahoo.com)Sat Mar 12 18:07:58 2005
Thank you Dr. Bills, This helps me understand. I didn't realize that standards of care were maleable but once adjusted up, were firm. I associated them with protocol, which is the minimum amount of care (which can be added to, but not subtracted from)that even the least safe practitioner, if following, would be safe in performing. I had learned about PCOS tx with insulin sensitizers several years back, through a free CEU offering by Joslin. Slowly doctors in surrounding communities began evaluating and treating this component. When I found out who thoroughly evaluated I told her who those physicians were. Yes, I had the same concern about the clinical fund. Ironically, it was probably what saved her life; she had normal menses and "felt good" and had success at weight loss on the Avandia. She couldn't afford to drive 66 miles for each doctors visit with the original doc) The operating docs were dealing with a large amount of corpus. She had been contemplating gastric bypass and would have, could have, should have, qualified but has lost about 70#'s with current treatment (for the CA). I am sorry I didn't make this clear on my original post-- Both ultrasounds were done by radiologists. As far as the physician who does ultrasounds.......even Radiologists put in a fairly broad disclaimer proclaiming obscuring somethinoranother or fetal anatomy could not be completely visualized and cannot rule out..... It is not perse the safety of the patient at the physicians' hands but the physician's defendability for not catching something on the ultrasound. I was looking at it (again, erroneously in comparison to protocol) that it can be included in the standards of care if ALL practitioners could safely perform it. Thank you Diane Castellanos RN,C/WHNP At Sat, 12 Mar 2005, Brickster0@aol.com wrote:
> Do you really want to do ultrasounds in your office?
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