Re: Malpractice questionairre
From: R. Daniel Braun (rd.braun@gmail.com)
Wed Jun 27 13:34:40 2007
What do you do diferent in the treatment of either the Mother or the baby
based on the blood gas results? If nothing, the test is worthless and
unwarranted.
Dan
On 6/27/07, Henry Gregor <henrygregor@yahoo.com> wrote:
>
> I agree with Ef...for all the stress and responsibility ob's bear for each
> delivery until that child reaches legal majority, it's money well spent.
> I've seen several cases of obs and peds getting stung with a suit seven to
> twelve years down the line, and in each instance that I interacted with any
> of the involved docs, there were regrets expressed about not having done
> some things that would have been to their advantage later down the line.
> It's sorta' like an automotive seatbelt...cars would cost less if that
> protective device weren't added to each one made, but when you need one and
> benefit from it, its pretty cheap equipment and money well spent. Placental
> path falls into the same category, IMO.
>
> Hank
>
> *Efrain Ramirez <eramirezt@coqui.net>* wrote:
>
> I totally disagree... they are an objective parameter of the baby's
> condition at birth... and cheap - for $20 you have a good information--
> not a waste of money at all. I do them to all my deliveries..I am sure
> it will, someday, become the standard of care.
>
> Ef
>
> > At Tue, 26 Jun 2007, R. Daniel Braun wrote:
> >
> >All cord gases do is cover the insurance comany's ass at the expense pf
> the
> >patient. They are of no value to the mother or the newborn and are a
> waste
> >of money.
> >I can say that since I am now retired and don't have to purchase
> Malpractice
> >insurance any longer.
> >
> >Dan
> >
> >On 6/26/07, Elrod, Darryl G Maj 48 MDOS/SGOBO <
> >Darryl.elrod@lakenheath.af.mil> wrote:
> >>
> >> Joe,
> >>
> >> Yeah! I know. There are a bunch of questions all like that.
> >> Thankfully, most I 'do' the right thing and don't have to explain
> >> myself. It just got me questioning if on this one I SHOULD be
> >> collecting a sample of cord for gases on each and every delivery. Did I
> >> miss some new policy statement that makes it standard of care? Of
> >> course the malpractice carrier will be the first ones to pick up on
> this
> >> for sure.
> >>
> >> Glen
> >>
> >> -----Original Message-----
> >> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Joe
> >> Sent: Tuesday, June 26, 2007 1:34 AM
> >> To: Multiple recipients of list OB-GYN-L
> >> Subject: Re: Malpractice questionairre
> >>
> >> Elrod, Darryl G Maj 48 MDOS/SGOBO wrote:
> >> > I am filling out my first malpractice questionnaire. It read through
> >> a
> >> > list of questions and if you pick the 'wrong' answer (ie Do you apply
> >> > fundal pressure for relief of shoulder dystocia? If YES, then
> >> explain)
> >> > they make you explain the answers.
> >> >
> >> > One of the questions is 'Do you routinely collect cord blood at ALL
> >> > deliveries' If NO, then explain.
> >> >
> >> > Somehow, because I was trained that way, just doesn't seem salient.
> >> > What do you all do with regard to cord blood collection at delivery
> >> and why?
> >> >
> >> > Thanks,
> >> >
> >> > Glen
> >> >
> >> Is this for your own insurance carrier? From legal point of view
> >> whatever you put in print may come back to haunt you. Joe C
> >>
> >--
> >R. Daniel Braun, MD FACOG(L) CMT
> >Professor Emeritus
> >Dept. of Obstetrics and Gynecology
> >Indiana U. School of Medicine
> >
> >R. Daniel Braun
> >
> > "Science without Religion is LAME; Religion without Science is BLIND"
> > Einstein 1941
> >
>
> --
> " The greatest obstacle to knowledge is not ignorance,
> it is the illusion of knowledge." Daniel J. Boorstin - Historian
>
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--
R. Daniel Braun, MD FACOG(L) CMT
Professor Emeritus
Dept. of Obstetrics and Gynecology
Indiana U. School of Medicine
R. Daniel Braun
"Science without Religion is LAME; Religion without Science is BLIND"
Einstein 1941
