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Re: Dr.Klein, where are youFrom: ainsron (ainsron@sbcglobal.net)Wed Nov 30 17:05:19 2005
My take on it is that if studies have not been done in a particular country to document a similar prevalence and pathogenicity of GBS, there is no evidence to base a standard of routine cultures. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Elrod Darryl G MAJ 48 MDOS/SGOBO Sent: Wednesday, November 30, 2005 12:22 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Dr.Klein, where are you Steve, I'm curious about something in that statement. Knowing that in the US it is standard of care to test for and to treat GBS, what would you say to a relative that moved to a country that did not practice along those same lines? It is that way in at least a few of our host nations where our service women and dependants are seen. Should that be seen as a breech of US standards, or just being assimilated into their culture and practices and deemed an acceptable risk as we are in their country? Glen _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Raymond Stephen Sent: Wednesday, November 30, 2005 1:17 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Dr.Klein, where are you The difference between obstetrics in the USA and that in Britain comes down to a fundamental difference in the organisation of medicine in the two countries - socialised medicine (the NHS) and capitalist medicine. Despite all its faults the NHS allows for an integration of obstetrics into a model which covers all needs under one organisation. The thread about GBS highlights the fact that different societies have different rates of Streptococcal colonisation, and what is appropriate in one country is not in another. Steve _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Henry Gregor Sent: Wednesday, 30 November 2005 12:02 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Dr.Klein, where are you Amen! Clearly Zach is correct in noting the degradation of this topic to trivial responses, which is not the same as saying the thread topic is trivial. However, it is an apples and orange thing to compare practices from two different venues w/o noting (albeit sadly, no doubt) that what occurs in one place or the other is not free of the cultural, legal and other sociological factors that impact on the process. Gosh, I'd like to do midwifery in GB, with a social compact society that accepts both the advantages and any possible disadvantages inherent to the process. For the many reasons noted earlier, that practice model doesn't work here. To say folks should work for change is admirable, though it is not gonna' happen...perhaps we should all think "Serenity Prayer" here...as in Lord give me the wisdom to...etc., etc. (I suspect most respondents have no trouble acknowledging the aptness of the prayer.) We might all remember the line re a fa! natic being one who cannot stop talkiing about a subject and who cannot change the subject. Gail, I hope you ultimately do well without your nicotine. Hank RModugno@aol.com wrote: In a message dated 11/29/2005 7:00:47 PM Eastern Standard Time, ricechaz@gorge.net writes: I wouldn't jump to the assumption that anyone posting here is guilty of trivializing our patients problems. Especially Zach Newton! Robert Modugno MD MBA FACOG Marietta, GA _____ Yahoo! <http://pa.yahoo.com/*http:/us.rd.yahoo.com/evt6035/*http:/music.yahoo.com /unlimited/> Music Unlimited - Access over 1 million songs. Try it free. Tasmania Together 5 Year Review: Have your say http://www.tasmaniatogether.tas.gov.au/
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