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Re: April fools' marginal placenta previa.From: RModugno@aol.comMon Apr 2 12:24:26 2007
In a message dated 4/2/2007 12:52:06 P.M. Eastern Daylight Time, garrys@mindspring.com writes: FWIW, our MFMs quote 2 cm. as the cutoff for allowing a vaginal delivery. Recently saw a scan on a CNM patient, 37 weeks, 9 to 12 mm from the os, posterior placenta, previous vaginal delivery then LTC/S for breech. I got this scan on Friday at 3 PM, called her, and advised a section this week or if labors, and explained why. And I quote, "The midwife said it was OK." I told her that I was the obstetrician, and, well, my opinion was the senior one in this instance and that she was mistaken. She did not like my advice, and who knows what will happen when she comes in this week to see the CNM. Garry Yo Garry, I think we've said this before, but for a peaceful collaborative practice, y'all should have a weekly provider meeting to discuss these cases amongst yourselves - thus avoiding the patient's response quoted above. Patients should really get a unified message. Ours are usually at 7.30am so that providers can get to the satellite office about 20 minutes away to start office hours at a reasonable time. Robert Modugno MD MBA FACOG Sylva, NC (Home of the "Lady Mustangs" 2007 NC High School Basketball Champs) ************************************** See what's free at http://www.aol.com. -------------------------------1175534641 Content-Type: text/html; charset="US-ASCII" Content-Transfer-Encoding: quoted-printable <!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> In a message dated 4/2/2007 12:52:06 P.M. Eastern Daylight Time,
garrys@mindspring.com writes:
FWIW, our MFMs quote 2 cm. as the cutoff for allowing a vaginal Yo Garry, I think we've said this before, but for a peaceful collaborative
practice, y'all should have a weekly provider meeting to discuss these cases
amongst yourselves - thus avoiding the patient's response quoted above. Patients
should really get a unified message.
Ours are usually at 7.30am so that providers can get to the satellite
office about 20 minutes away to start office hours at a reasonable time.
Robert Modugno MD MBA FACOG
Sylva, NC
(Home of the "Lady Mustangs" 2007 NC High School Basketball
Champs) See what's free at AOL.com.
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