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Re: Problem patientFrom: ainsron (ainsron@sbcglobal.net)Mon Apr 10 13:53:48 2006
I agree, but at least the wheels are in motion and it makes her completely aware that you don't agree with her behavior and choices. I'll bet she will either jump to another provider quickly or agree to follow your recommendations. She may have a substantial problem finding anyone else who will follow her because of her recalcitrant behavior. Did I see in the initial post that she was a RN? If so, it would be even more annoying to me. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Larry Glazerman Sent: Monday, April 10, 2006 10:21 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Problem patient The problem with that, is even after referring her to other docs, you're still responsible for her for at least 30 days. She's likely to deliver, seize, or worse in that time :-( Larry R. Glazerman, MD Ob-Gyn at Trexlertown, PC _____ From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of ainsron Sent: Monday, April 10, 2006 1:12 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Problem patient Give her a list of other available Obs and discharge her from your practice. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of doctorjoe@aol.com Sent: Monday, April 10, 2006 8:53 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Problem patient Registered/certified letter containing laundry list of possible complications, including death. Make sure to RE-call phone numbers, of any kind, that you have on the patient's chart (mother? husband? work?). Notify the hospital you were planning to use (L&D or whatever) of situation and to notify you ASAP if patient presents. Then document all of that in the chart. Joe P. -----Original Message----- From: rmodugno@aol.com To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Sent: Mon, 10 Apr 2006 10:44:17 -0500 Subject: Problem patient Patient is a 34 year old RN, P1G2, with probable chronic hypertension and superimposed pre-eclampsia. Re-admitted for BP control at 33.4 weeks. On labetalol 200mg BID. Pressures at 150/100 running 1100mg protein 24 hours. Does not want to be induced. Goes to car "to get something'. Never comes back. On call MD calls patient's home: husband tells him: "She's sleeping". Calls the next day. Phone disconnected. Next step? Robert Modugno MD MBA FACOG Marietta, GA
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