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Re: Patient responsibility From: Anna Meenan, MD (annam@uic.edu) Sun Jan 8 10:04:42 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Re: mammography in new patients" Previous message: Garry E. Siegel, M.D.: "Re: Patient responsibility and common sense medicine" In reply to: D. Ashley Hill: "Re: Patient responsibility" Next in thread: GIN11153@aol.com: "Re: Patient responsibility" Totally agree, and isn't it sad that there are women who would prefer to sentence a tiny newborn to a stay in the NICU (with all that entails) and possibly a stint on a respirator, just to avoid inconveniencing a family member? (and isn't it just as sad that there are family members and even employers who will put that kind of pressure on a pregnant woman?) People wonder what's wrong with kids today--I still say it's their parents. Mr. Spock is wise. -- Anna Meenan, MD At Sun, 8 Jan 2006, D. Ashley Hill wrote: > >This thread made me think of the many patients and their families who >show up angry that I will not induce the mom because of X, Y or Z reason >(none medical). Even when I tell them that there is a risk that the >baby will need a ventilator and neonatal ICU stay, they "are willing to >take that risk" to get the baby out on their schedule. I'm glad we have >come a long way from the "doctor knows best just do what I say" >mentality, but medical consumerism has created a lot of unnecessary >communication problems for physicians and others who provide care. > >Whether it's direct-to-consumer advertising, or the desire to undergo >the latest (and most expensive) test, or requests for unindicated >procedures (this week I turned down a request for a cosmetic labioplasty >for a now angry patient with completely normal labia), we are bombarded >with patients who want things that we feel are unsafe. I'm not going to >induce someone at 35 1/2 weeks because the patient's mom is visiting >from Kansas that week! Anna, you were a saint with this patient. Earlier >in my career I felt more obligated to do the things you did, but I >realize that I have hundreds of patients who have important health care >problems and sometimes you can't help everyone. As Mr. Spock says, >"the needs of the many outweigh the needs of the one." > >-- >D. Ashley Hill, MD >Associate Director >Department of Obstetrics and Gynecology >Florida Hospital Family Practice Residency > and Loch Haven Ob/Gyn Group >Orlando, Florida > Next message: Anna Meenan, MD: "Re: mammography in new patients" Previous message: Garry E. Siegel, M.D.: "Re: Patient responsibility and common sense medicine" In reply to: D. Ashley Hill: "Re: Patient responsibility" Next in thread: GIN11153@aol.com: "Re: Patient responsibility"

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