Re: Legal question

From: Gerald P. Rodríguez (geraldpr@cybermesa.com)
Fri Mar 17 10:06:48 2006


With all due respect, Ron, I for one don't (didn't) have that many hours in the day.

Gerald P. Rodríguez, M.D., FACOG Santa Fe

>----- Original Message -----
From: "ainsron" <ainsron@sbcglobal.net> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Friday, March 17, 2006 9:56 AM Subject: Re: Legal question

>I think with patients you sometimes have to use the carrot rather than the
> stick approach. What does she want that you could trade for removal of
> the Foley catheter and to get her moving? My guess is that she wants
> something that you can use as a bargaining chip to encourage her to allow
> good medical care. Is there one member of her healthcare team who she
> either respects or listens to more than others? Is there a family member
> who has her ear and can be convinced to work with the healthcare team?
>
> Ronald E. Ainsworth, MD, FACOG
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Anna
> Meenan, MD
> Sent: Thursday, March 16, 2006 6:06 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Legal question
>
> OK, for the lawyers: A doc on another forum is having problems with a
> patient who is refusing to comply with the recommended treatments during
> her hospitalization for pneumonia (yes, I know this is an OB-gyn board,
> but this could come up for one of you guys too), notably she is refusing
> to allow discontinuation of her foley after the acute phase of her
> illness is over, mainly because she also doesn't want to get out of bed.
> Apparently she is a large woman with no inclination to move. I say just
> deflate the baloon and yank the foley and ignore her request to leave it
> in. Would it be considered assault to DISCONTINUE a foley? I say if
> there is no medical need for it, the doc could be liable if the lady
> gets septic from a UTI. What say the medico-legal experts?
>





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