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Re: GYN: RV fistula From: Garry E. Siegel, M.D. (garrys@mindspring.com) Wed Aug 31 18:21:10 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Peter Wein: "Re: off topic posts" Previous message: Henry Gregor: "Re: OB-GYN-L digest 4115" In reply to: William D. McIntosh, M.D: "Re: GYN: RV fistula" Next in thread: ainsron: "Re: GYN: RV fistula" It is abysmal that a proper table and light are not available in most places. Luckily, at one small hospital where I mainly practice, we have a regular table and portable delivery lights in a spare room off of L and D. We regularly move patients there for proper exams, and I simply keep it supplied with GenProbes, slides, q-tips, etc. from the office for ease, as it isn't used much, but those things are nice to have handy. The ER has multipurpose tables which are crappy for exams, and the plastic speculae with lights don't really help visualize the perineum. Thanks for opinions as to how to proceed. Garry At Wed, 31 Aug 2005, William D. McIntosh, M.D wrote: > >I don't think he was talking about the lack of an exam table in a >nursing home, but rather in the hospital itself. My hospital does not >have a single exam table for inpatient exams. The ER has a couple, but >you can't use them for inpatients. I actually had to give a patient a 6 >hour pass to leave the hospital to come to my office so that I could do >a reasonable exam. We did have an exam room years ago, but the hospital >filled it with the dreaded "nurses with clipboards" long ago. After >all, yet another cohort of administrative nurses is much more useful >that actually performing patient care. > >WD McIntosh, MD FACOG >Clarksville, TN > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. >Ainsworth >Sent: Wednesday, August 31, 2005 10:19 AM >To: Multiple recipients of list OB-GYN-L >Subject: Re: GYN: RV fistula > >Love those nursing home consults with not equipment available. You >described my experiences to a "T." I think you are exactly right, she >needs a colonoscopy, exam under anesthesia and would probably benefit >from a diversion, which could be temporary if you find a repairable RV >fistula and no malignancy. Inflammatory bowel disease is also a >possible cause. At her age with poor surgical risks, she would more >likely be a candidate for a permanent diverting colostomy. >-------------------------------------------------------- > >-------------------------------------------------------- >Premier Medical Group's HIPAA Compliance Policy states that unencrypted Protected Health Information (PHI) will not be sent to external email recipients. If this email contains PHI, please inform both the original sender and Premier Medical Group's Security Officer (securityofficer@premiermed.com or 931-245-7044) of this policy violation. Thank you for assisting us in our commitment to safeguard our patients' personal information. >-------------------------------------------------------- >-------------------------------------------------------- -- >-------------------------------------------------------- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Peter Wein: "Re: off topic posts" Previous message: Henry Gregor: "Re: OB-GYN-L digest 4115" In reply to: William D. McIntosh, M.D: "Re: GYN: RV fistula" Next in thread: ainsron: "Re: GYN: RV fistula"

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