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Re: Collaborative practice - was Grande Multip From: ainsron (ainsron@sbcglobal.net) Mon May 1 16:54:42 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Barbara Nicol: "Re: Collaborative practice - was Grande Multip" Previous message: Efrain Ramirez: "Re: Uterine rupture after VBAC**Grand Multip." In reply to: Garry E. Siegel, M.D.: "Re: Collaborative practice - was Grande Multip" Next in thread: Betsy Hyde: "Re: Collaborative practice - was Grande Multip" Yes. We review cases weekly, they call if anything comes up between our meetings. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Monday, May 01, 2006 2:37 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Collaborative practice - was Grande Multip You are quite perceptive regarding this case. For those with CNM/collaborative practice, do you always ask for an induction to be "cleared" with an MD first? Garry At Mon, 01 May 2006, rmodugno@aol.com wrote: > >At Sun, 30 Apr 2006, Garry E. Siegel, M.D. wrote: >>> >>>This brings up a recent case. >>> >>>38-ish year old with 8+ pregnancies and deliveries (may have been >>>11--can't remember) was one of our CNM patients. >>> >>>She was brought in near term for elective induction with cervidil >>>overnight, then pitocin. >>> >>>I found out about it in the AM after cervidil and before pitocin, and >>>asked the CNM why this grand multip. was being electively ripened and >>>induced. >>> >>>The answer, "Because she was induced/I induced her the last 2 or 3 and >>>all went well." >>> >>>What say you at this point? >>> >>>Garry >*********************************** >Ah, the joys of "collaborative practice". The definition of to collaborate is:"To work together, especially in a joint intellectual effort." >*********************************** > > Protocols should be in place so that the ob is not "blind-sided" by a situation such as this . You will be "Dr Evil" should you decide that this is not the way to go. The statement: "Because she was induced/I induced her the last 2 or 3 and all went well." would look great in the plaintiff's deposition for the ruptured uterus. It's just a case of at which "running of the red light" will you get caught? > > Being the devil's advocate. > >Robert Modugno MD MBA FACOG >Marietta, GA >(Moving to a collaborative CNM/MD practice in N.Carolina) -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Barbara Nicol: "Re: Collaborative practice - was Grande Multip" Previous message: Efrain Ramirez: "Re: Uterine rupture after VBAC**Grand Multip." In reply to: Garry E. Siegel, M.D.: "Re: Collaborative practice - was Grande Multip" Next in thread: Betsy Hyde: "Re: Collaborative practice - was Grande Multip"

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