OB-GYN-L Messages for March, 2006: Re: Still 3/29/06!! at the web site

Re: Still 3/29/06!! at the web site

From: Zachariah Newton

zbnewton@bellsouth.net

Fri Mar 31 20:05:59 2006

As the Jewish say, "Oy vey!"

---

>----- Original Message ----- From: "Efrain Ramirez" <eramirezt@coqui.net> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> Sent: Friday, March 31, 2006 9:54 PM Subject: Still 3/29/06!! at the web site

> At Thu, 30 Mar 2006, gmarnas@comcast.net wrote: >> >>unsubscribe stat >> george arnas md >>

>>>>-------------- Original message -------------- >>From: ob-gyn-l@obgyn.net >> >>> OB-GYN-L Digest 4749 >>> >>> Topics covered in this issue include: >>> >>> 1) Re: Pain management >>> by islesannie@yahoo.com (Joanne Bulley, MD) >>> 2) Re: Brain damaged baby case (long) >>> by rmodugno@aol.com >>> 3) Re: Pain management >>> by "fran wilson" <530rose@msn.com> >>> 4) Re: Pain management >>> by islesannie@yahoo.com (Joanne Bulley, MD) >>> 5) Protocols for NPs >>> by >>> 6) Re: Brain damaged baby case (long) >>> by Babycatchers@aol.com >>> 7) Re: Protocols for NPs >>> by JSBowpat@aol.com >>> 8) Re: Brain damaged baby case (long) >>> by Grace Loehr >>> 9) Re: Brain damaged baby case (long) >>> by "fran wilson" <530rose@msn.com> >>> 10) This you will not believe >>> by "fran wilson" <530rose@msn.com> >>> 11) Re: book >>> by Joe >>> 12) Re: book >>> by Joe >>> 13) Re: Protocols for NPs >>> by Joe >>> 14) HepB/Preg >>> by Terrence.Jones@kp.org >>> 15) RE: Brain damaged baby case (long) >>> by "ainsron" >>> >>> ---------------------------------------------------------------------- >>> >>> ---------------------------------------------------------------------- >>> ---------------------------------------------------------------------- >>> ---------------------------------------------------------------------- >>> Date: Wed, 29 Mar 2006 13:07:42 -0600 (CST) >>> To: OB-GYN-L@OBGYN.net >>> Subject: Re: Pain management >>> Message-ID: <200603291907.k2TJ7gg30733@dns.obgyn.net> >>> >>> 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). >>> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> Date: Wed, 29 Mar 2006 15:56:41 -0500 >>> ------------------------------ >>> From: rmodugno@aol.com >>> ------------------------------ >>> To: ob-gyn-l@obgyn.net >>> ------------------------------ >>> Subject: Re: Brain damaged baby case (long) >>> Message-ID: <8C8218A69F2A659-1DFC-B6D@FWM-D41.sysops.aol.com> >>> Content-Type: multipart/alternative; >>> boundary="--------MailBlocks_8C8218A69F2A659_1DFC_BAF_FWM-D41.sysops.aol.com" >>> MIME-Version: 1.0 >>> >>> ----------MailBlocks_8C8218A69F2A659_1DFC_BAF_FWM-D41.sysops.aol.com >>> Content-Type: text/plain; charset="iso-8859-1" >>> Content-Transfer-Encoding: quoted-printable >>> >>> he intrepretations do not make sense. >>> >>> Robert Modugno MBA FACOG >>> Marietta, GA >>> >>> -----Original Message----- >>> From: Seele, Mona >>> To: Multiple recipients of list OB-GYN-L >>> Sent: Wed, 29 Mar 2006 12:34:26 -0600 >>> Subject: RE: Brain damaged baby case (long) >>> >>> to follow or face sanctions by those regulatory bodies. >>> >>> Mona Seele, RN, MSN, CNS >>> >>> or >>> Sent: Wednesday, March 29, 2006 11:17 AM >>> To: Multiple recipients of list OB-GYN-L >>> Subject: Re: Brain damaged baby case (long) >>> >>> th inhouse management. >>> >>> Hank >>> >>> Joe Cutchin wrote: >>> Lynn: I'll bet that most of us have similar stories. Hospitals are >>> little kingdoms unto themselves ,supported by a national and state >>> hospital associations ,made legit by JACHO,herd MD's with hy-laws that >>> the hospital uses for its own purposes,etc. Oh my, here I am getting >>> cynical. Joe C >>> >>> Lynn Montgomery, MD wrote: >>> >>> > Now I am not advocating suing physicians, but let me play the devil's >>> > advocate here based on my personal experience: >>> > >>> > -Current hospital setting without ANY quality assurance in the OB >>> > Section for eight years. >>> > >>> > -Two JCAHO inspections during that time and >>> > passed with flying colors. >>> > >>> > -Several previous hospitals with QA programs, but when deficiencies >>> > identified, no action is taken. >>> > >>> > -At least two instances where a significant problem was identified >>> > with >>> > patient management where the physician refused to respond to any >>> > inquiry >>> > on advice from his counsel - despite the supposed confidentiality of >>> > peer review. No action taken regarding the cases. >>> > >>> > -Two and now possibly three physicians with a literal stack of charts >>> > with untoward outcomes. QA recommendation that privileges be suspended >>> > pending additional training, etc, only to be laughed at by hospital >>> > counsel who state that we will all be sued and the suspension will not >>> > likely stand. >>> > >>> > So, given these issues, how are we supposed to accomplish "Physician >>> > police thy self". And if we cannot police ourselves, which we have >>> > apparently shown we can't; who is going to? >>> > >>> > It is easy to be critical of lawyers suing us, but I feel that we bear >>> > a >>> > good share of the responsibility by engendering a "good ole boys club" >>> > and rubber stamping our peer's practice patterns, whether appropriate >>> > or >>> > not - fearing that if we are critical of a peer's practice patterns, >>> > we >>> > may be next. >>> > >>> > I learned quality assurance from Bob Carpenter and Ray Kaufman and >>> > have >>> > been struggling my entire career to duplicate their approach, only to >>> > be >>> > met with frustration at every turn. >>> > >>> > Lynn >>> > >>> >>> ow rates. >>> >>> Methodist. Leading Medicine. >>> >>> Named by FORTUNE magazine's "100 Best Companies to Work For" in 2006 >>> Named by U.S.News & World Report as one of "America's Best Hospitals" >>> >>> ***CONFIDENTIALITY NOTICE*** >>> This e-mail is the property of The Methodist Hospital and/or its >>> relevant affiliates and may contain confidential and privileged >>> material for the sole use of the intended recipient(s). Any review, >>> use, distribution or disclosure by others is strictly prohibited. If >>> you are not the intended recipient (or authorized to receive for the >>> recipient), please contact the sender and delete all copies of the >>> message. Thank you. >>> >>> ----------MailBlocks_8C8218A69F2A659_1DFC_BAF_FWM-D41.sysops.aol.com >>> Content-Type: text/html; charset="iso-8859-1" >>> Content-Transfer-Encoding: quoted-printable >>> >>> ten the intrepretations do not make sense. >> >>Robert Modugno MBA FACOG >> >>Marietta, GA >> >>-----Original Message----- >>From: S= > eele, Mona <Mseele@tmh.tmc.edu> >>> GYN-L <ob-gyn-l@dns.obgyn.net> >>> 0 >> >>Subject: Re: Brain damaged baby case (long) >> >>> regulatory bodies. >> >>Mona Seele, RN, MSN, CNS> > >> >>> l@obgyn.net] On Behalf Of Henry Gregor >>> ch 29, 2006 11:17 AM >> >>To: Multiple recipients of list OB-GYN-L >>> B>Subject: Re: Brain damaged baby case (long) >> >>> nprofit with inhouse management. >> >>Hank >> >>> rote: >> >>> ries. Hospitals are >>> onal and state >>> hy-laws that >>> am getting >> >>cynical. Joe C >> >>Lynn Montgomery, MD wrote: >> >>> Now I am not advocating suing physicians, but let me play the devil's >>> t; advocate here based on my personal experience: >>> >>> BR>> Section for eight years. >>> >>> ing that time and >>> passed with flying colors. >>> >>> ral previous hospitals with QA programs, but when deficiencies >>> tified, no action is taken. >>> >>> significant problem was identified with >>> he physician refused to respond to any inquiry >>> ounsel - despite the supposed confidentiality of >>> tion taken regarding the cases. >>> >>> physicians with a literal stack of charts >>> QA recommendation that privileges be suspended >>> raining, etc, only to be laughed at by hospital >>> hat we will all be sued and the suspension will not >>> likely stand.> R>> >>> >>> d to accomplish "Physician >>> e ourselves, which we have >>> to? >>> >>> suing us, but I feel that we bear a >>> y by engendering a "good ole boys club" >>> r's practice patterns, whether appropriate or >>> we are critical of a peer's practice patterns, we >>> may be next. >>>>> > >>> >>> er and Ray Kaufman and have >>> licate their approach, only to be >>> n. >>> >>> Lynn >>> >>> rates. >>> >>Methodist. Leading Medicine. >> >>> s "100 Best Companies to Work For" in 2006 >>> Report as one of "America's Best Hospitals" >> >>> E*** >> >>This e-mail is the property of The Methodist Hospital and/or its> >> >relevant affiliates and may contain confidential and privileged >>> for the sole use of the intended recipient(s). Any review, >>> tion or disclosure by others is strictly prohibited. If >>> ntended recipient (or authorized to receive for the >>> ntact the sender and delete all copies of the >> >>message. Thank you. > G> >> >>> ----------MailBlocks_8C8218A69F2A659_1DFC_BAF_FWM-D41.sysops.aol.com-- >>> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> Date: Wed, 29 Mar 2006 13:17:29 -0800 >>> ------------------------------ >>> From: "fran wilson" <530rose@msn.com> >>> ------------------------------ >>> To: ob-gyn-l@obgyn.net, ob-gyn-l@dns.obgyn.net >>> ------------------------------ >>> Subject: Re: Pain management >>> Message-ID:> Mime-Version: 1.0 >>> Content-Type: text/html; format=flowed >>> >>I want to move to Keene! Here in >>> Kennewick, even women who specifically tell the staff that they don't >>> want to be >>> offered pain medication get an (at least) hourly question about whether >>> they >>> have changed their mind, and warnings that if they don't do it now it >>> will be >>> too late for an epidural. Docile epiduralized women demand so much less >>> of >>> the nursing staff... >> >>Fran Wilson, CNM >>Kennewick, WA >> >>> From: islesannie@yahoo.com (Joanne Bulley, MD) >> >>Reply-To: >>> ob-gyn-l@obgyn.net >> >>To: Multiple recipients of list OB-GYN-L >>> <ob-gyn-l@dns.obgyn.net> >> >>Subject: Re: Pain >>> management >> >>Date: Wed, 29 Mar 2006 13:09:14 -0600 >>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). >> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> Date: Wed, 29 Mar 2006 15:54:04 -0600 (CST) >>> To: OB-GYN-L@OBGYN.net >>> Subject: Re: Pain management >>> Message-ID: <200603292154.k2TLs4514372@dns.obgyn.net> >>> >>> Fran >>> >>> Feel free to contact the Cheshire Medical Center - Dartmouth Hitchcock >>> Keene dept of Ob and see if they are recruiting. 590 Court St Keene NH >>> 03431 603-354-5400 >>> >>> http://www.cheshire-med.com/programs/wachu.html >>> http://www.cheshire-med.com/programs/ob/cbonline.html >>> >>> Joanne >>> >>> At Wed, 29 Mar 2006, fran wilson wrote: >>> > >>> >I want to move to Keene! Here in Kennewick, even women who specifically >>> >tell >>> the staff that they don't want to be offered pain medication get an (at >>> least) >>> hourly question about whether they have changed their mind, and warnings >>> that if >>> they don't do it now it will be too late for an epidural. Docile >>> epiduralized >>> women demand so much less of the nursing staff... >>> >Fran Wilson, CNMKennewick, WA >>> > >>> >>> -- >>> 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). >>> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> Date: Wed, 29 Mar 2006 14:08:12 -0800 (PST) >>> ------------------------------ >>> From: >>> ------------------------------ >>> To: ob-gyn-l@obgyn.net >>> ------------------------------ >>> Subject: Protocols for NPs >>> Message-ID: <20060329220812.62703.qmail@web80808.mail.yahoo.com> >>> MIME-Version: 1.0 >>> Content-Type: text/plain; charset=iso-8859-1 >>> Content-Transfer-Encoding: 8bit >>> >>> As part of my hospital's NP/CNM committee, they want >>> me to provide protocols for the practice of Family >>> Nurse Practitioners, CNM's, and NPs in the area of >>> OB/GYN. >>> >>> Does anyone know of a good resource? I'd rather adopt >>> a book than write all the guidelines. >>> >>> I'm currently looking at "practice Guidelines for Ob >>> &Gyn " by Geri Morgan. >>> >>> Thanks, >>> >>> Scott Osterling >>> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> Date: Wed, 29 Mar 2006 17:16:45 EST >>> ------------------------------ >>> From: Babycatchers@aol.com >>> ------------------------------ >>> To: ob-gyn-l@obgyn.net >>> ------------------------------ >>> Subject: Re: Brain damaged baby case (long) >>> Message-ID: <27a.774f2b7.315c614d@aol.com> >>> MIME-Version: 1.0 >>> Content-Type: multipart/alternative; >>> boundary="-----------------------------1143670605" >>> >>> -------------------------------1143670605 >>> Content-Type: text/plain; charset="US-ASCII" >>> Content-Transfer-Encoding: 7bit >>> >>> Even in our small rural hospital, because of 1 doc with a 6 foot high >>> (no >>> joke) stack of unfinished charts (cardiologist) we now get weekly >>> threats to >>> suspend our privileges in 3 days if we do not complete charts. I had 2 >>> this >>> week- verbal orders I forgot to sign at delivery. >>> There was a bad outcome with one of the stack of patients and they >>> couldn't >>> find the chart. The MDs are reluctant, but are beginning to get the >>> idea. >>> >>> Vicki Smith, CNM, MSN >>> >>> Midwives- changing the world one baby at a time. >>> >>> -------------------------------1143670605 >>> Content-Type: text/html; charset="US-ASCII" >>> Content-Transfer-Encoding: quoted-printable >>> >>> > Arial" >>> bottomMargin=7 leftMargin=7 topMargin=7 rightMargin=7>> e_document >>> face=Arial color=#000000 size=2> >>> >>> no >>> >>> suspend our privileges in 3 days if we do not complete charts. I had 2 >>> this >>> week- verbal orders I forgot to sign at delivery. >> >>> dn't >>> find the chart. The MDs are reluctant, but are beginning to get the >>> idea.> IV> >>> >>> >Vicki Smith, >>> CNM, MSN >> >>Midwives- changing the world one baby at a >>> time. >> >>> -------------------------------1143670605-- >>> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> Date: Wed, 29 Mar 2006 17:24:16 EST >>> ------------------------------ >>> From: JSBowpat@aol.com >>> ------------------------------ >>> To: ob-gyn-l@obgyn.net >>> ------------------------------ >>> Subject: Re: Protocols for NPs >>> Message-ID: <205.12d4eaa7.315c6310@aol.com> >>> MIME-Version: 1.0 >>> Content-Type: multipart/alternative; >>> boundary="-----------------------------1143671056" >>> >>> -------------------------------1143671056 >>> Content-Type: text/plain; charset="UTF-8" >>> Content-Transfer-Encoding: quoted-printable >>> Content-Language: en >>> >>> You may want to consider Nell Tharpe CNM RNFA's clinical guidelines >>> book. >>> >>> lth >>> presents a compilation of current practices that includes >>> evidence-based, >>> e moves >>> r >>> day-to-day clinical practice with diverse populations. The Guidelines >>> are >>> of >>> >>> practice with physician colleagues. >>> Just a suggestion .... >>> Susan Paterson CNM >>> Bay City MI >>> >>> -------------------------------1143671056 >>> Content-Type: text/html; charset="UTF-8" >>> Content-Transfer-Encoding: quoted-printable >>> Content-Language: en >>> >>> > Arial" >>> bottomMargin=7 leftMargin=7 topMargin=7 rightMargin=7>> e_document >>> face=Arial color=#000000 size=2> >>> >>You may want to consider Nell Tharpe CNM RNFA's clinical guidelines >>> book. >> >>> cal >>> Practice Guidelines for Midwifery & Women�?Ts >>> Health presents a compilation of current practices that >>> f >>> sources. Each Guideline moves through problem identification and >>> treatment using a standardized format for day-to-day clinical practice >>> with >>> diverse populations. The Guidelines are currently in use by many >>> practices as a way of meeting the > ME >>> w:st="on">> size=2>American > face="Verdana, Helvetica, sans-serif" >>> size=2>College > face="Verdana, Helvetica, sans-serif" size=2>of Nurse >>> Midwives (ACNM) >>> n >>> colleagues. >> >>> face=Verdana> >> >>> a >>> suggestion .... >> >>> face=Verdana> >> >>> n Paterson >>> CNM >> >>> City MI >>> >>> -------------------------------1143671056-- >>> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> Date: Wed, 29 Mar 2006 19:41:43 -0500 >>> ------------------------------ >>> From: Grace Loehr >>> ------------------------------ >>> To: ob-gyn-l@obgyn.net >>> ------------------------------ >>> Subject: Re: Brain damaged baby case (long) >>> Message-ID:> Mime-Version: 1.0 (Apple Message framework v553) >>> Content-Type: text/plain; charset=US-ASCII; format=flowed >>> Content-Transfer-Encoding: 7bit >>> >>> Re: Joanne, Lynn, &c's comments on physician discipine/ retraining of >>> problem docs. >>> >>> Your comments reinforce the observation of many nurses that docs stick >>> together and stick up for each other (I know, the example is about >>> incompetent even the other docs want to get remedial treatment or >>> license revoked, but I think the principle applies), whereas nurses >>> will use gossip, lying, maliciousness and not liking somebody to get a >>> nurse written up, fired, or license suspended. Nurses and management >>> are very willing to throw the book at nurses for any excuse, it seems. >>> There are names for this: nurses eat their young, oppressed group >>> behavior, bullying in the workplace, &c. Very sad. I've liked how >>> docs stick together, in contrast, although of course this tendency can >>> be counterproductive and dangerous for pt safety, as with the examples >>> given. I envy how female MDs stick together and help each other. >>> >>> Grace >>> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> Date: Wed, 29 Mar 2006 16:48:03 -0800 >>> ------------------------------ >>> From: "fran wilson" <530rose@msn.com> >>> ------------------------------ >>> To: ob-gyn-l@obgyn.net, ob-gyn-l@dns.obgyn.net >>> ------------------------------ >>> Subject: Re: Brain damaged baby case (long) >>> Message-ID:> Mime-Version: 1.0 >>> Content-Type: text/html; format=flowed >>> >>In my experience, that is very >>> true. Nurses not only go after other nurses, but also nurse >>> midwives. Of course, this is a generalization, but it really has been >>> the >>> trend in the hospitals where I have practiced both as a nurse and a >>> nurse >>> midwife. >> >>Fran Wilson, CNM >>Kennewick, WA >> >>> From: Grace Loehr <divinegracie@earthlink.net> >> >>Reply-To: >>> ob-gyn-l@obgyn.net >> >>To: Multiple recipients of list OB-GYN-L >>> <ob-gyn-l@dns.obgyn.net> >> >>Subject: Re: Brain damaged baby case >>> (long) >> >>Date: Wed, 29 Mar 2006 18:43:23 -0600 >>Re: Joanne, Lynn, >>> &c's comments on physician discipine/ retraining of problem >>> docs. >> >>Your comments reinforce the observation of many nurses that docs >>> stick together and stick up for each other (I know, the example is about >>> incompetent even the other docs want to get remedial treatment or >>> license >>> revoked, but I think the principle applies), whereas nurses will use >>> gossip, >>> lying, maliciousness and not liking somebody to get a nurse written up, >>> fired, >>> or license suspended. Nurses and management are very willing to throw >>> the book >>> at nurses for any excuse, it seems. There are names for this: nurses eat >>> their young, oppressed group behavior, bullying in the workplace, &c. >>> Very >>> sad. I've liked how docs stick together, in contrast, although of course >>> this >>> tendency can be counterproductive and dangerous for pt safety, as with >>> the >>> examples given. I envy how female MDs stick together and help each >>> other. >> >>Grace >> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> Date: Wed, 29 Mar 2006 17:22:18 -0800 >>> ------------------------------ >>> From: "fran wilson" <530rose@msn.com> >>> ------------------------------ >>> To: ob-gyn-l@obgyn.net, ob-gyn-l@dns.obgyn.net >>> ------------------------------ >>> Subject: This you will not believe >>> Message-ID:> Mime-Version: 1.0 >>> Content-Type: text/html; format=flowed >>> >>> href="http://www.msnbc.msn.com/id/12056405/">http://www.msnbc.msn.com/id/1205640 >>> 5/ >> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> Date: Wed, 29 Mar 2006 20:34:00 -0500 >>> ------------------------------ >>> From: Joe >>> ------------------------------ >>> To: ob-gyn-l@obgyn.net >>> ------------------------------ >>> Subject: Re: book >>> Message-ID: <442B3588.3020202@intercom.net> >>> MIME-Version: 1.0 >>> Content-Type: text/plain; charset=us-ascii; format=flowed >>> Content-Transfer-Encoding: 7bit >>> >>> Abdominally so. >>> >>> doctorjoe@aol.com wrote: >>> > Yeah, doesn't John Burch usually do most of his stuff on the far >>> > right? >>> > >>> > Joe P. >>> > >>> > -----Original Message----- >>> > From: Joe Cutchin >>> > To: Multiple recipients of list OB-GYN-L >>> > Sent: Wed, 29 Mar 2006 10:41:41 -0600 >>> > Subject: book >>> > >>> > Just found copy of "Hysterectomy" by John C. Burch MD 1954. Obviously >>> > excellent technique described. It just struck me that although the >>> > tools >>> > might be different surgical technique is quite old. Joe C >>> > >>> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> Date: Wed, 29 Mar 2006 20:36:36 -0500 >>> ------------------------------ >>> From: Joe >>> ------------------------------ >>> To: ob-gyn-l@obgyn.net >>> ------------------------------ >>> Subject: Re: book >>> Message-ID: <442B3624.1090100@intercom.net> >>> MIME-Version: 1.0 >>> Content-Type: text/plain; charset=us-ascii; format=flowed >>> Content-Transfer-Encoding: 7bit >>> >>> Hank: hard bound book >>> >>> Henry Gregor wrote: >>> >>> > Interesting post...any chance of listing a reference? Would be worth >>> > the >>> > read, I'm sure. >>> > >>> > Hank >>> > >>> > Joe Cutchin wrote: >>> > >>> > Just found copy of "Hysterectomy" by John C. Burch MD 1954. Obviously >>> > excellent technique described. It just struck me that although the >>> > tools >>> > might be different surgical technique is quite old. Joe C >>> > >>> > 666/*http://beta.messenger.yahoo.com> >>> > Call regular phones from your PC for low, low rates. >>> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> Date: Wed, 29 Mar 2006 20:46:51 -0500 >>> ------------------------------ >>> From: Joe >>> ------------------------------ >>> To: ob-gyn-l@obgyn.net >>> ------------------------------ >>> Subject: Re: Protocols for NPs >>> Message-ID: <442B388B.4070702@intercom.net> >>> MIME-Version: 1.0 >>> Content-Type: text/plain; charset=us-ascii; format=flowed >>> Content-Transfer-Encoding: 7bit >>> >>> Talk about the chicken or the egg. Lets the CRNP's and CNM's develope >>> the protocols and you approve or adjust. They have the resources. Joe C >>> >>> sdoesterling-obgyndotnet@yahoo.com wrote: >>> >>> > As part of my hospital's NP/CNM committee, they want >>> > me to provide protocols for the practice of Family >>> > Nurse Practitioners, CNM's, and NPs in the area of >>> > OB/GYN. >>> > >>> > Does anyone know of a good resource? I'd rather adopt >>> > a book than write all the guidelines. >>> > >>> > I'm currently looking at "practice Guidelines for Ob >>> > &Gyn " by Geri Morgan. >>> > >>> > Thanks, >>> > >>> > Scott Osterling >>> > >>> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> Date: Wed, 29 Mar 2006 18:27:16 -0800 >>> ------------------------------ >>> From: Terrence.Jones@kp.org >>> ------------------------------ >>> To: ob-gyn-l@forum.obgyn.net >>> ------------------------------ >>> Subject: HepB/Preg >>> Message-ID:> MIME-Version: 1.0 >>> Content-type: text/plain; charset=us-ascii >>> >>> Anyone with experience using Lamivudine (in combination with the usual >>> passive/active immunization) in last month of pregnancy to prevent >>> vertical >>> transmission (van Zonneveld (2003), J Viral Hepatol, 10:294-7)? Is Rx >>> stratified to maternal viral load? Any concerns re: NRTI's and >>> mitochondria >>> in cardiac myocytes? /tj >>> >>> CONFIDENTIAL OR PRIVILEGED: This communication contains information >>> intended only for the use of the individuals to whom it is addressed and >>> may contain information that is privileged, confidential or exempt from >>> other disclosure under applicable law. If you are not the intended >>> recipient, you are notified that any disclosure, printing, copying, >>> distribution or use of the contents is prohibited. If you have received >>> this in error, please notify the sender immediately by telephone or by >>> returning it by reply email and then permanently deleting the >>> communication >>> from your system. Thank you. >>> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> Date: Wed, 29 Mar 2006 19:56:35 -0800 >>> ------------------------------ >>> From: "ainsron" >>> ------------------------------ >>> To: >>> ------------------------------ >>> Subject: RE: Brain damaged baby case (long) >>> Message-ID: <003a01c653ad$f4b94cf0$0728a8c0@DOCTOR> >>> MIME-Version: 1.0 >>> Content-Type: multipart/alternative; >>> boundary="----=_NextPart_000_003B_01C6536A.E6960CF0" >>> >>> ------=_NextPart_000_003B_01C6536A.E6960CF0 >>> Content-Type: text/plain; >>> charset="US-ASCII" >>> Content-Transfer-Encoding: quoted-printable >>> >>> their >>> then. >>> >>> Ronald E. Ainsworth, MD, FACOG >>> >>> -----Original Message----- >>> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of fran >>> wilson >>> Sent: Wednesday, March 29, 2006 4:50 PM >>> To: Multiple recipients of list OB-GYN-L >>> Subject: Re: Brain damaged baby case (long) >>> >>> nurses, >>> really >>> nurse >>> and a nurse midwife. >>> >>> Fran Wilson, CNM >>> Kennewick, WA >>> >>> _____ >>> >>> From: Grace Loehr >>> Reply-To: ob-gyn-l@obgyn.net >>> To: Multiple recipients of list OB-GYN-L >>> Subject: Re: Brain damaged baby case (long) >>> Date: Wed, 29 Mar 2006 18:43:23 -0600 >>> Re: Joanne, Lynn, &c's comments on physician discipine/ retraining of >>> problem docs. >>> >>> Your comments reinforce the observation of many nurses that docs stick >>> together and stick up for each other (I know, the example is about >>> license >>> gossip, >>> lying, maliciousness and not liking somebody to get a nurse written up, >>> throw >>> the book at nurses for any excuse, it seems. There are names for this: >>> workplace, >>> of >>> safety, >>> help >>> each other. >>> >>> Grace >>> >>> ------=_NextPart_000_003B_01C6536A.E6960CF0 >>> Content-Type: text/html; >>> charset="US-ASCII" >>> Content-Transfer-Encoding: quoted-printable >>> >>> > charset=us-ascii"> >>> >>> school, she >>> evidence of >>> that on a regular basis, ever since then. >> >>> Roman">> style='font-size:12.0pt;color:black'> >> >>> FACOG >> >>> Roman">> style='font-size:12.0pt;color:black'> >> >>> Message----- >> >>> From: ob-gyn-l@obgyn.net >>> Behalf Of fran >>> wilson >> >>> 29, 2006 >>> 4:50 PM >> >>> of list >>> OB-GYN-L >> >>> damaged baby >>> case (long) >> >>> face="Times New Roman">> style='font-size:12.0pt'> >> >>> Roman">> style='font-size:12.0pt'> >> >>> other >>> generalization, but >>> both as a >>> nurse and a nurse midwife. >> >>> Roman">> style='font-size:12.0pt'>Fran Wilson, CNM >> >>> Kennewick, WA >> >>> 1.5pt;padding:0in 0in 0in 4.0pt; >>> > >>> >>> style='margin-left:.5in;text-align:center'>> size=1 face=Tahoma>> >>> style='font-size:8.5pt;font-family:Tahoma'> >>> >>> style='margin-right:0in;margin-bottom:12.0pt;margin-left: >>> .5in'>> style='font-size:8.5pt;font-family:Tahoma'>From: >>> Grace Loehr >>> <divinegracie@earthlink.net> >> >>> Reply-To: > style='font-style:italic'>ob-gyn-l@obgyn.net >> >>> OB-GYN-L >>> <ob-gyn-l@dns.obgyn.net> >> >>> case (long) >> >>> -0600 >> >>> of >>> problem docs. >> >>> together >>> even the >>> think the >>> and >>> suspended. >>> any >>> oppressed >>> how >>> be >>> given. I >>> envy how female MDs stick together and help each other. >> >>> Grace >> >>> ------=_NextPart_000_003B_01C6536A.E6960CF0-- >>> >>> ------------------------------ >>> >>> ------------------------------ >>> ------------------------------ >>> ------------------------------ >>> End of OB-GYN-L Digest 4749 >>> ------------------------------ >>> *************************** >>> ------------------------------ >>--NextPart_Webmail_9m3u9jl4l_16090_1143692072_0 >>> ------------------------------ >>> *************************** >> >>Content-Type: text/html

>>Content-Transfer-Encoding: 8bit >> >>unsubscribe stat >> george arnas md >> > > -- > " The greatest obstacle to knowledge is not ignorance, > it is the illusion of knowledge." Daniel J. Boorstin - Historian >

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