Re: Cord pH - Malpractice questionaire

From: Joe Cutchin (forcep@intercom.net)
Thu Jun 28 09:10:40 2007


I am sure everyone knows that the trial lawyers have changed their name from American Association of Trial Lawyers to American Association for JUSTICE! Now there is a real joke. Caesar would have gotten a laugh. Joe C

art fougner, md wrote:

> 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
>>
>>---------------------------------
>>You snooze, you lose. Get messages ASAP with AutoCheck
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>>---------------------------------
>
>>---------------------------------
>
> --
> art fougner, md
> "May The Wings of Liberty Never Lose a Feather." - Jack Burton
>





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