Re: Ob: staples at C/S

From: Efrain Ramirez (eramirezt@coqui.net)
Mon Jul 31 06:31:54 2006


I think you have some issue/attitude problems with your CNM's - you will deal with the complications, etc.. you decide -

I use staples - I have no problem with sutures if the patient asks me - and my assistants do them quiet nicely..better than me...I would not prefer to use sutures in obese patients or "juicy" ones..

Ef

>At Sat, 29 Jul 2006, Garry E. Siegel, M.D. wrote:
>
>Dear all:
>
>Over the last 3 years since being in a collaborative practice, many of
>our CNM patients who seem to be a bit more "natural" (maybe many of them
>have taken Bradley classes) are insistent to a fault about having
>subcuticular sutures, not staples, for their unplanned C/S closure.
>Honestly, it is almost as predictable as the sun rising in the east!
>When I tell them that I prefer staples, and haven't sutured skin in
>years (and thus am a bit out of practice), well, many seem taken aback.
>
>I have found that I don't want to tell the
>mechanic/gardener/plumber/electrician etc. how to do his job, yet this
>seems the opposite to me.
>
>What's up with that?
>
>Garry
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian




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