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Re: CNM asking questions for the OBsFrom: DoctorJoe@aol.comThu Apr 13 21:04:29 2006
In a message dated 4/13/06 5:56:28 PM, Babycatchers@aol.com writes:
> I just have more time to read and do the Internet searching. I also used to Just remember the old maxim: The bottom 10% of the medical school class was divided by whether they could lift 200 pounds or not (and I have no clue how many stone that is). Those that COULD lift 200 pounds went into ORTHO. Those that could NOT lift 200 pounds went into OB. (Of course, with the advent of modern orthopedic machines, coupled with the increased weight of the populace in general, these specialties reversed.) The point is made. Those of us who remember when Prolactin didn't exist, and then was discoverd as a "factor" and when a pregnancy test meant some animal had to be sacrificed also remember when an OB-GYN was someone who was probably good-looking, had a good way with women, could learn by rote how to do simple operations, and who could stay up for 24 hours straight and still catch a baby. However, times have changes. The advent of the subspecialties, with their implication (or trickle-down-academics) for the generalist, has changed the landscape of OB-GYN. The heretofore modestly ignorant practitioner now has to cope with molecular biology and genetics, complex laparoscopic and pelviscopic procedures, and pretty dauntingly ambiguous science (e.g. Well, does vaginal delivery hurt, or not, the perineum? When does a positive GBS culture need to be acted on? Yada, yada, yada.) I'm fond of remembering a local OB who consulted on a woman who may have been exposed to toxoplasmosis. When I recommended getting an IgM level, as opposed to IgG level, for anti-toxoplasma antibodies, he searched for a pen and asked: "Okay, how do you spell that? I-G-what?" Dinosaurs are extinct for a reason. Joe P.
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