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Re: Bilateral dermoidsFrom: Raymond Stephen (stephen.raymond@dhhs.tas.gov.au)Mon Mar 12 16:03:25 2007
Not angry - just frustrated at the way that Gynaecology has developed into an old woman's fusspot discipline in which tigers lurk behind every bush and a whole lot of effort, time, money, and patient inconvenience, not to mention suffering, accompanies investigation and management of even the simplest of things. Clinical acumen and judgment have disappeared in the face of debate about whether CT or MRI is the better modality, with the result that no-one examines their patients any more and we end up treating not patients, but standard of care, guidelines, protocols, ultrasounds, MRI reports. I know that issues of safety and of litigation cannot be discounted, but it is not right to say that the American System is the best in the world. By what standard do you judge systems? Mortality and morbidity are one criterion, but does that say anything about dollar per patient, about individual healthiness, about speed, efficiency, accuracy, lack of mistakes, time and money spent in court, time spent operating, time spent in hospital, return to work, patient bed occupancy, or any one of a number of other measures? I have been doing O&G for 35 years and I feel sure that obsession with covering one's tail has not done the discipline proud. Steve -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew Folley Sent: Saturday, 10 March 2007 1:47 AM To: Multiple recipients of list OB-GYN-L Subject: Re: Bilateral dermoids Stephen, as you mature you will come to realize that medicine is both art and science and there are often times several right ways to approach a problem. I think you misjudge the american system. It is still the best medical system in the world. I sense a great deal of frustration and anger in your thread. Lets use this wonderful internet exchange tool to be gentleman and colleagues. andrew
>From: "Raymond Stephen" <stephen.raymond@dhhs.tas.gov.au>
>that the patients suffer. If you had taken washings and aspirated and
>been quite justified if she had sued you for unnecessary surgery!
>seems to have come out of this thread. CONFIDENTIALITY NOTICE AND DISCLAIMER The information in this transmission may be confidential and/or protected by legal professional privilege, and is intended only for the person or persons to whom it is addressed. If you are not such a person, you are warned that any disclosure, copying or dissemination of the information is unauthorised. If you have received the transmission in error, please immediately contact this office by telephone, fax or email, to inform us of the error and to enable arrangements to be made for the destruction of the transmission, or its return at our cost. No liability is accepted for any unauthorised use of the information contained in this transmission. If the transmission contains advice, the advice is based on instructions in relation to, and is provided to the addressee in connection with, the matter mentioned above. Responsibility is not accepted for reliance upon it by any other person or for any other purpose.
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