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Re: CNM vs. MD From: Dr Eberhard Lisse (el@lisse.NA) Thu Feb 1 22:19:03 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard Lisse: "Re: CNM vs. MD" Previous message: Dr Eberhard Lisse: "Re: CNM vs. MD" In reply to: Len2976@aol.com: "Re: CNM vs. MD" Next in thread: Len2976@aol.com: "Re: CNM vs. MD" This nonsense, plain and simple. A nurse is a nurse, a midwife is a midwife, an obstetrician is an obstetrician. In a military setting (or in in State/County one) the patient is a patient of the "institution" rather than a of a private practitioner, and thus there is an institutional clinical hierarchy of supervision and support, but the buck stops with the Consultant. Specialists are not subject to clinical supervision (ie during an ongoing case, but certainly afterwards) If it is a private patient of another registered person, you do not want to supercede, because if you piss the other registered person off, and he reports you, it doesn't matter whether you are right or not, you'll have made yourself guilty of disgraceful conduct and the Medical Council will come after you. Slap on the wrist if you were clinically right, perhaps, but nevertheless it will sit on your record for many years. Whether the obstetrician is at fault, is a *SEPERATE* issue. Whether a mother endangers her unborn child (by whatever means these crazy US lawyers come up with) is a *SEPERATE* issue. That said, of course, I have always subscribed to having *EXTREMELY* good reasons to deviate from the suggestions of Senior Midwife. Especially if I trained her myself :-)-O. Or being married to her :-))-O el on 2/2/07 12:54 AM Len2976@aol.com said the following: > When I was in the Air Force, I disagreed with a management decision of a > staff obstetrician. I went to the hospital commander with my concerns. > Although the commander was a physician, he was not an obstetrician and > he called the OB Chief (who was at home, on leave). She (although > reluctant not to back up a fellow physician) agreed with my judgement. > When the obstetrician still protested it was his right as the > obstetrician on the case to make the final call, the commander called > the OB consultant at Travis AFB, who concurred with my position. > > I think there is a duty to the patient if you know you are > right--particularly if in your judgement the mother or baby's health or > life is at risk. Although if you take it that far--you'd better be right!! > > Lenora McCall, CNM -- Dr. Eberhard W. Lisse \ / Obstetrician & Gynaecologist (Saar) el@lisse.NA el108-ARIN / * | Telephone: +264 81 124 6733 (cell) PO Box 8421 \ / Please do NOT email to this address Bachbrecht, Namibia ;____/ if it is DNS related in ANY way Next message: Dr Eberhard Lisse: "Re: CNM vs. MD" Previous message: Dr Eberhard Lisse: "Re: CNM vs. MD" In reply to: Len2976@aol.com: "Re: CNM vs. MD" Next in thread: Len2976@aol.com: "Re: CNM vs. MD"

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