Re: Still 3/29/06!! at the web site
From: Efrain Ramirez (eramirezt@coqui.net)
Fri Mar 31 20:28:57 2006
Perpesctive
"Failure is simply the opportunity to begin again, this time more
intelligently."
Ef
At Fri, 31 Mar 2006, Zachariah Newton wrote:
>
>There are millionaires losing there ass in the market, and you are worried
>about some missing e-mails!
>
>As the Jewish say, "Oy vey!"
>
>z
>
>---
>
>>>----- 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 & Womenâ?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
>>
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
