Re: GBS--> ramblings

From: art fougner, md (evsono@pipeline.com)
Mon Apr 10 05:58:18 2006


All in all, just another brick in the wall ...

Art

At Sun, 9 Apr 2006, DoctorJoe@aol.com wrote: >
>In a message dated 4/9/06 6:18:35 PM, splaz@cyllene.uwa.edu.au writes:
>
>> So what do you do with the 20% percent??
>> 20 % or 1 in 5 is still a large group of women.
>>
>> My local experience says that when there is universal screening - the
>> alertness for GBS babies drops precipitously to the detriment of the
>> baby. Because how the baby have GBS when the mother is "negative" or she
>> is "positive" and already on iv antibiotics.
>>
>Hmmmm. So what you're asking makes for an observation:
>
>When a "protocol" or "pathway" is developed to make something idiot proof,
>the idiots find a way to screw it up.
>
>An observation I've made before: The cookbook method of modern medicine was
>developed to keep less-than-competent doctors (and others) from making glaring
>mistakes. This looks on its face to be a good maneuver. However, this only
>mediocritizes (or dumbs down, if you will) medical care, since the better
>practitioners are often either lulled into a sense of complacency, or they are
>threatened into following the protocol ONLY, because if they excel beyond it, for
>the betterment of the patient, they're targetted by the mediocre masses out of
>jealousy.
>
>The protocol is developed to be a "floor" and it ends up as a "ceiling."
>
>Joe P.

--
art fougner, md
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