Re: Problem patient

From: Henry Gregor (henrygregor@yahoo.com)
Mon Apr 10 16:05:08 2006


Combine Joe and Ron's approach and hope for sake of fetus and all others that 30 days go by uneventfully...though it doesn't sound as though it will.

Hank

Larry Glazerman <l.glazerman@rcn.com> wrote:

v\:* {behavior:url(#default#VML);} o\:* {behavior:url(#default#VML);} w\:* {behavior:url(#default#VML);} .shape {behavior:url(#default#VML);} st1\:*{behavior:url(#default#ieooui) } 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 L

Larry R. Glazerman, MD Ob-Gyn at Trexlertown, PC larry.glazerman@lvh.com

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of ainsron --------------------------------- Sent: Monday, April 10, 2006 1:12 PM

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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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