Re: Cord pH - Malpractice questionaire
From: art fougner, md (evsono@pipeline.com)
Wed Jun 27 15:37:27 2007
Bernard
In an American courtroom, Science is whatever the "experts" say it is.
Whichever expert puts on the best show wins.
Art
At Wed, 27 Jun 2007, Bernard Cristalli wrote:
>
>No, medically the blood gasses are useless.
>That's ACOG doing science and recommending this.
>Bernard
>
>art fougner, md a écrit :
>> Bernard
>>
>> There you go again ... thinking a malpractice action is about science.
>>
>> Art
>>
>> At Wed, 27 Jun 2007, Bernard Cristalli wrote:
>>
>>> Totally agreed Dan, no use in treatment. But...
>>> It's an "a posteriori" defencive action.
>>> If the pH is not < 7.00, and/or base deficit ≥ 12 mmol/L, nothing severe
>>> occured to the baby during the labor and a cerebral palsy couldn't be
>>> attributed to you.
>>> See the 4 essential criteria all 4 necessary to consider hypoxia the
>>> etiology of cerebral palsy.
>>> ACOG Task Force on Neonatal Encephalopathyand Cerebral Palsy (2003)
>>>
>>> R. Daniel Braun a écrit :
>>>
>>>> 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
>>>> <mailto: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.
>>>>
>> --
>> art fougner, md
>> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>>
--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
