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Re: Subject: Section on demandFrom: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)Thu Apr 27 03:23:20 2006
I thought that device went by the wayside. I used it occasionally in residency. (Being trained in Cincinnati and home of Ethicon had its perks) but didn't know you could still get it. Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard Chudacoff, MD Sent: Tuesday, April 25, 2006 4:22 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Subject: Section on demand I've also started using the ON-Q pain buster pump. Anyone have experience with this device (epidural like catheters that go under the incision (( I place one below and one above the fascia)) that last for 5 days) Richard Chudacoff, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of D. Ashley Hill Sent: Tuesday, April 25, 2006 10:06 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Subject: Section on demand
At Tue, 25 Apr 2006, Richard Chudacoff, MD wrote:
> Agreed. My non-researched experience is that healthy patients with a good attitude and an elective cesarean almost always do extremely well post-op (short and long-term). For example, I found my wife wandering around the hospital cafeteria in street clothes on post-op day 1.5 after her first cesarean, and we went to a movie on post-op day 2.5 after her second. We use ketorolac IV for pain control, then convert to ibuprofen and oxycodone for home management. Obviously we all know patients who were miserable after elective cesareans, but I can't think of many. Conversely, most patients do well after vaginal deliveries, but most of my patients with a 3rd- or 4th-degree tear would gladly undergo an abdominal delivery rather than walk (and sit) with pain or suffer from short or long term GU or GI incontinence or dyspareunia. Everybody is different. One cannot make blanket statements in the modern era that one type of delivery is always easier or harder to recover from than another. As many folks have stated here, it requires discussing options with your patient and thoughtful informed consent. Ashley
-- D. Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency and Loch Haven Ob/Gyn Group Orlando, Florida
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