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Re: PP TLFrom: ainsron (ainsron@sbcglobal.net)Tue Mar 28 11:14:21 2006
I just did a LSTF on a 22 yo G2 P2 who came to me because her gynecologist in a nearby city would not do it. I have also done TLs on other young patients because their husband could not get a vasectomy because the urologist did not feel they were old enough. I always counsel them, as you do, regarding the risks of regret, "what if something happens to your family, your children, your marriage, etc." Ultimately, if they meet the government mandated age of 21 and are competent, I will do the procedure. In residency we used the artificial rule of 75 (age times parity had to be at least 75). It never made sense to me. If a patient is motivated, informed and competent, who am I to refuse to perform a sterilizing procedure. It comes down to autonomy and choice. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Monday, March 27, 2006 1:52 PM To: Multiple recipients of list OB-GYN-L Subject: OB: PP TL 23 YO P1001 at 36 weeks adamantly desires PPTL. I have advised against it, and discussed alternatives ad nauseum. I am in a 3 doctor group, and I feel strongly that I do not want to do this regardless of the patient's request; I know one of my partners--and this is OK--probably would not be bothered by doing so. Needless to say, this represents a small glitch, i.e. may deliver and need surgery when I'm on call. Also, it represents some division within the group, albeit very minor division which is not an issue in terms of how we get along. Any suggestions welcome. Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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