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Re: OB-GYN-L digest 4115From: Charlie Chambers (ricechaz@gorge.net)Sun Aug 28 15:57:21 2005
The patients had a choice. (1) Accept that birth/pregnancy though low risk has risks and some of those are significant. Or (2) sue everyone even marginally involved to make them "pay" for the bad outcome regardless of fault. You cannot have both. People are always shocked to hear some of the details of our current malpractice crisis. All you have to do is let them know that prior to moving, you have to buy a tail to cover deliveries for the next 18 tears, How many other professions require you to spend 100 or 200,000 merely to relocate or take another job? Choice is not mandating the care to health care providers, then when the baby doesn't turn out perfectly suing the provider and asserting that you did not refuse any of the suggested interventions. Didn't happen to me, but did to someone close to me. When I left Salt Lake City, a rather large suit was found for the plaintive when she ruptured her prior scar, and the baby died. She explained that she didn't understand the attendant risks. When I was in Minnesota the local station ran a "news" segment to show how women were being forced to have a trial of labor against their wishes because it was saving the 3rd party payers money and that doctors were in collusion with the payers. Now we're accused of taking choice away from patients because they don't have access to a trial of labor. Which way do you want it? Throughout this entire swinging of the pendulum, my approach in care to these patients has not changed, and my patient advocacy hasn't diminished. Needless to say, I get a little peeved when people start throwing around the concept of no choice. And I'm a very mild mannered guy that doesn't get riled up about too much. But patients have been making choices all along the way, and now they've essentially painted themselves into a corner on VBAC. Don't blame the providers, or cry, "they've taken my choice" away. Trust me, all of us in this profession which I still love and enjoy wish that a different route had been chosen to get us to here. Sorry for the tirade. ************************************************************************ ****** Charlie Chambers Hood River, OR USA cchamber@alumni.rice.edu "All good things...come by grace, and grace comes by art, and art does not come easy." Norman Maclean ************************************************************************ ******* On Aug 28, 2005, at 10:18 AM, Huladoula1@aol.com wrote:
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