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Re: Ob: staples at C/SFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Sat Jul 29 13:25:57 2006
an). > >And no, you wouldn't argue with a "professional" about his job, e.g. the >ood >was prepared. So does that make you feel like more of a "server" than a >"professional?" It should. > >And therein lies one of the major problems with medicine today. Patient and >ge >of "client." > >Joe P. I explain my experience to patients and they typically understand. I to have had my midwives comment on this and have had to explain my way out of situations because they have told patients that I do it because it is faster. That is true, but not the reason I do it. Bottom line is there is no difference in the ultimate outcome so you do what you are most comfortable doing, as the surgeon. Can you imagine the cardiovascular surgeons response to somebody telling them how to close a chest... Lynn Bingo, and thanks. I am the patient's (not the husband, thank you Bradley method) physician, not their waiter. I have a greater calling and responsibility than the waiter, or the plumber, with no disrespect to those fine individuals. Obviously, there must be something out there in the circles in which these patients travel, and I bet that the time factor ("the DOCTOR is in a hurry") may be some part of it. Dr. Potur's comment regarding courtesy is important, but I contend that, at the end of the day, a courteous request to do that which you don't think proper (i.e. I want you to use stitches, even though that's not what you're good at) is simply foolhardy and so inappropriate. Yesterday, I did two sections for patients of our CNMs, both of whom asked for stitches, and both of whom got staples. The first, a failed VBAC, when asked why she wanted stitches, said: "Because staples are so impersonal." That was a new one. Garry That said, I wish that the tile man and the plumber would get finished in our bathroom!
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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