|
|
 |
 |
 |
|
|
|||
|
||||
|
||||
Re: Bilateral dermoidsFrom: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)Fri Mar 9 15:25:26 2007
I don't think there IS an Air Force regulation. Despite what most think, the Air Force by and large lets us practice medicine the way we want to without much interference. I did actually do just as El has suggested, I got verbal consent right there on the table and did it under what I had considered the best interest of the patient. As thoughts ran through my head as to how to manage these, I thought of leaving them to be looked at later, but the thought of two 8cm ovaries potentially torsing as the uterus involutes over the next few weeks demanding surgical intervention never seemed like a pleasant idea. Putting the cyst and its contents in a bucket at the time and looking at what was left of the ovaries at 6 weeks seemed much better. I will say one thing that does pertain to the military and military medicine and that is the decided lack of gray hair. We may have a good number of commanders that have been out of residency several years, but there are just not enough truly experienced Ob/Gyns that stay in the service. Is it pay, moving, threat of having to be shipped off? At 6 years out of residency my most senior partner has me by a year. The four of us have a combined 14 years of postgraduate training! There are many on this list that have that much and so much more. I don't think we give bad care by any means, but I think rare things (such as this) need someone with time under their belt to have the knowledge of how to deal with them. Glen //SIGNED// D. Glen Elrod, Maj., USAF, MC Obstetrician/Gynecologist Chief of Obstetrics 48 MDOS/SGOBO RAF Lakenheath, England Telephone DSN: 314-226-8130 Comm: +44 (0) 1638 52 8130 Notice of Confidentiality Under the Privacy Act of 1974, you must safeguard all information reflected on this e-mail and, if applicable, all attachments. Disclosure of information is IAW AFI 33-119, AFI 33-127, AFI 37-131, AFI 37-132, AFI 33-219, and PL 93-579" This e-mail message including any attachments is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message. Any questions pertaining to disclosure should be directed to the privacy officer. -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr Eberhard Lisse Sent: Friday, March 09, 2007 10:14 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Bilateral dermoids Andrew, with all due respect, you haven't got a silly clue who you are talking to or about. I've actually met the man. And I know people having worked with him. Never mind what you are talking about. To misquote Independence Day, I can not imagine that they have let you out much :-)-O, but to state that the US health system is the best or even among the top is simply nonsense, and contrary to all available evidence. Infant mortality, maternal mortality, teenage pregnancies are neither on the top in absolute figures, nor in relative figures, taking expenditure into account. Access to health care? Disposable income by Ob&Gyns? And the list could go on and on. I would love very much to have access to your resources, or just have the same resources I have for a minority of my patients in the one hospital available for the majority of my patients in the other (State Hospital). Or even only having more that four Drape Packs available for this weekend, and I used one already this afternoon. But as we say here: "We'll make a Plan" and try to cross this bridge when we come nearer to it :-)-O. But not only is it my country, I actually like it here, in spite of all its issues. Or maybe because. So this translates into Me Three :-)-O These things come out. Right now! In any case since she is under a spinal you can even get verbal consent. By the way, this is Lakenheath, and I am quite sure the Air Force has a regulation for this particular situation. el
on 3/9/07 11:23 PM Efrain Ramirez said the following:
> Me too - leaving bilateral dermoids makes no sense - as I said -
-- 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
|
|
Return to
|
Mail a New Message to the Forum: ob-gyn-l@obgyn.net Forum Administrator: geffrey.klein@obgyn.net Report Technical Problems: webmaster@obgyn.net Last Updated: Wed Jul 2 04:46:13 2008 |
The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.