Re: VBACs (long)
From: art fougner, md (evsono@pipeline.com)
Sun Apr 10 08:10:30 2005
Not going to end until somehow physicians figure out a way to unite.
art
At Sun, 10 Apr 2005, Efrain Ramirez wrote:
>
>I had to look that 3-strike ammendment stuff - I did not know - it seems
>to me that it further pushes the burden to the physicians to settle the
>lawsuit out of the Coliseum - less work for the trial lawyers - more
>turn over - more money -!!
>
>>At Sat, 9 Apr 2005, D. Ashley Hill wrote:
>>
>>Efrain-
>>
>>Like you, we embraced VBACs and generally found them satisfying. We
>>take in-house call so the "immediately available" dictum was not such a
>>big deal to us. After the 3-strikes amendment passed in Florida last
>>November, we quit offering VBACs. Our schedulers, OB nurse, staff, and
>>physicians all provide information regarding our policies to patients
>>and any "challenging" patients are forwarded to me. What amazes me most
>>is how patients acquiesce once I tell them that it's due to the legal
>>climate in Florida. Patients do know that ob/gyns are having a tough
>>time with medical liability issues, and, at least in our area, it seems
>>that they find this a more or less reasonable explanation of why they
>>cannot obtain certain services (VBACs, timely mammograms, certain
>>surgical procedures). Sadly, politics and economics seem to be
>>replacing evidence-based medicine for many of the services physicians
>>and hospitals offer patients. Best wishes,
>>
>>Ashley
>>
>>--
>>D. Ashley Hill, MD
>>Associate Director
>>Department of Obstetrics and Gynecology
>>Florida Hospital Family Practice Residency
>> and Loch Haven Ob/Gyn Group
>>Orlando, Florida
>>
>--
> I think I will do nothing for a long time but listen,
> And accrue what I hear into myself...and let sounds
> contribute toward me.
>
> ~walt whitman~
>
--
art fougner, md
"If you don't know where you are going, you will wind up somewhere else."
Lawrence Peter Berra
