Re: Hospital admissions for obstetric patients FRI
From: art fougner, md (evsono@pipeline.com)
Fri Oct 27 07:47:25 2006
Re ZBN's post -
"My views are about the same as Casey's."
Mickey Mantle - 1958
Testimony to The Kefauver Committee
Art
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
>>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
