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Re: Pain management From: Joanne Bulley, MD (islesannie@yahoo.com) Wed Mar 29 12:07:45 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: rmodugno@aol.com: "Re: Brain damaged baby case (long)" Previous message: Seele, Mona: "Re: Brain damaged baby case (long)" In reply to: Henry Gregor: "Re: Pain management" Next in thread: fran wilson: "Re: Pain management" Reply: fran wilson: "Re: Pain management" Here in Keene, it has gone the other way. They do the water births and the staff are so into no meds for labor that when there is a patient who really wants that intrathecal narcotic - the nurses are almost pathologic in how they avoid assessing the patient's labor progress and tell her either she is too early in labor for it or "oops" you are too late to get it. Really really PO'd a couple of women who are professionals themselves and wives of MDs on staff. Along with some community folks as well. Back in the old days I and my two partners did our own epidurals and it was great to just do it when it was the right time and not have to put up with complaining anesthesiaologists! Joanne At Wed, 29 Mar 2006, Henry Gregor wrote: > >Intersting thoughts, all...in light of Grace's comments...years ago it seemed a struggle to avoid patients' repetitively hearing remonstrations and disincentives to accepting epidural analgesia, even with patients having obviously horrific labor pain not responsive to psychoprophylactic or parenteral options. Now, its tough for a patient not wanting an epidural to get through a delivery without being subtly or overtly encouraged to epidural use, and three plus hour second stages with stressed out patients and family are more and more common...oh well, must another aspect of geezer hood sounding off here. > > H > -- Joanne Bulley, MD Keene, NH, USA "Love is indescribable and unconditional. I could tell you a thousand things that it is not, but not one that it is." — Duke Ellington, American jazz artist (1899-1974). Next message: rmodugno@aol.com: "Re: Brain damaged baby case (long)" Previous message: Seele, Mona: "Re: Brain damaged baby case (long)" In reply to: Henry Gregor: "Re: Pain management" Next in thread: fran wilson: "Re: Pain management" Reply: fran wilson: "Re: Pain management"

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