Re: Cord pH - Malpractice questionaire
From: art fougner, md (evsono@pipeline.com)
Thu Jun 28 07:58:34 2007
Send the bill to the American Association for Justice.
Art
At Wed, 27 Jun 2007, Henry Gregor wrote:
>
>No, he/she should not pay for it. It is part of the overhead of performing the services.
>
> H
>
>"R. Daniel Braun" <rd.braun@gmail.com> wrote:
> Then since it is for the benefit of the OB-GYN or his/her insurance company, they should pay for it. How much is a set of gasses in your hospital. I would guess they will be somewhere between $50 and $200 in most hospitals. I got a $53 bill for a fasting blood sugar this week.
> Let me see 3 million births in USA last year X's $100 = $300,000,000 per year wasted. Send me a mere 1% and I will be happy.
>
> Dan
>
> On 6/27/07, Bernard Cristalli <bcrist@club-internet.fr> 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 ¡Ý 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 ¨¦crit :
>> 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.
>>
>--
>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
>
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--
art fougner, md
"May The Wings of Liberty Never Lose a Feather." - Jack Burton
