Re: Hospital admissions for obstetric patients
From: Efrain Ramirez (eramirezt@coqui.net)
Fri Oct 27 07:10:36 2006
Ashley –I agree with Zach.. the trust and confidence of the patient is
in the Ob man.. one of the reasons is that she instinctively knows that
we care for her baby, more so than any other consultant .. she must
have that special bond.
Ef
>At Fri, 27 Oct 2006, Zachariah Newton wrote:
>
>Ashley-
>
>Leaving puristics aside, the ob is the triage officer for all medical care
>during pregnancy. This is the source of trust for the patient, and, frankly,
>any consultant who sees an ob patient with heavy trepidation. Such patients,
>as in your posit, are usually really sick and really sick. A phalanx of
>consultants typically flow through the assessment. The consultants, if
>watched closely, frequently have the palsy of trepidation, derived from the
>pregnancy status. A general is needed to contain the process from getting
>out of hand. On your service, you are in control, the key element. The
>consultants provide assessment & recommendations, but remain in harness on
>your service.
>
>As the patient's advocate in a delerious system of health care, admit her to
>your service, reins in hand, and send out the requests for consultation. You
>can then make your own judgment on accepting recommendations for
>intervention that we have all seen can be wildly off the wall and
>inappropriate on basis of pregnancy status.
>
>zbn
>
>---
>
>>>----- Original Message -----
>From: "D. Ashley Hill" <dahmd@cfl.rr.com>
>To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net>
>Sent: Thursday, October 26, 2006 11:24 PM
>Subject: Hospital admissions for obstetric patients
>
>> Listmembers:
>>
>> I have always been of the opinion that patients with a non-obstetric
>> medical problem should be admitted to the physician best suited to care
>> for that problem, with consultation by an obstetrician or perinatologist
>> if indicated. (For example, patients with cardiac problems are admitted
>> to a cardiologist and patients with end-stage renal disease are admitted
>> to a nephrologist)
>>
>> Others believe that all OB patients should be admitted to the OB, with
>> consultation by other specialists as indicated. Does anyone have
>> experience and opinions on either of these schemes? Thanks in advance.
>>
>> Ashley
>>
>> --
>> D. Ashley Hill, MD
>> Associate Director
>> Department of Obstetrics and Gynecology
>> Florida Hospital Family Practice Residency
>> Medical Director, Loch Haven Ob/Gyn Group
>> Division Director, Dept. of Ob/Gyn, Florida Hospital Orlando
>> Orlando, Florida
>>
--
“ The greatest obstacle to knowledge is not ignorance,
it is the illusion of knowledge.” Daniel J. Boorstin - Historian
