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Re: low hgbFrom: Barbara Nicol (blnicol@ix.netcom.com)Tue Jul 31 21:39:23 2007
<HEAD> <STYLE>body{font-family: Geneva,Arial,Helvetica,sans-serif;font-size:9pt;background-color: #ffffff;color: black;}</STYLE> <META content="MSHTML 6.00.2900.3132" name=GENERATOR></HEAD> <BODY id=compText> <P>Yeah, it's the little hospitals that get no public respect and are often - at the same time - pulling off the most difficult tasks. (As we see here.)</P> <P>- Barb Nicol, M.D.</P> <BLOCKQUOTE style="PADDING-LEFT: 5px; MARGIN-LEFT: 0px; BORDER-LEFT: #0000ff 2px solid">-----Original Message----- <BR>From: Henry Gregor <HENRYGREGOR@YAHOO.COM><BR>Sent: Jul 31, 2007 7:27 PM <BR>To: Multiple recipients of list OB-GYN-L <OB-GYN-L@DNS.OBGYN.NET><BR>Subject: Re: low hgb <BR><BR>Sad but true, not to imply that I have not overwhelmingly been supported by triage centers, but I have also had the frustrating experiences of being told "no beds" but if the baby latter needs transport we'll find a place...<BR><BR><B><I>Babycatchers@aol.com</I></B> wrote: <BLOCKQUOTE class=replbq style="PADDING-LEFT: 5px; MARGIN-LEFT: 5px; BORDER-LEFT: #1010ff 2px solid"><ZZZMETA content="MSHTML 6.00.2900.3132" name="GENERATOR"><FONT id=role_document face=Arial color=#000000 size=2> <DIV>We end up pulling our hair out a lot because we ship our high risk patients there and they are usually back in our office the next week. We have had trouble 3 different times this year with those high risk moms or babies and struggling to keep them stable until the transport unit can get here.</DIV> <DIV> I think you may be right about the DRG. They didn't have anything bad enough to hang their hats on, so they sent her back until something bad happened and they could have a DX to pin on her.</DIV> <DIV>The Ped and I end up taking care of these babies a lot. The OB doc usually cuts the cord, hands the baby off to us and then the Ped and I deal with it until we can get them to go away. He did say the one thing he liked about midwives is that they can help with babies and he is not stuck alone with a mess he did not create. I guess all those years in ER and NICU paid off.</DIV> <DIV>We do not have a staffed nursery, so it is whoever we can pull, so I usually stay until the patient is gone.</DIV> <DIV> </DIV> <DIV><FONT lang=0 face=Arial size=2 PTSIZE="10" FAMILY="SANSSERIF">Vicki Smith, CNM, MSN<BR>West Virginia<BR>Midwives- changing the world one baby at a time.</FONT></DIV></FONT><BR><BR><BR> <DIV><FONT style="FONT: 10pt ARIAL, SAN-SERIF; COLOR: black"> <HR style="MARGIN-TOP: 10px"> Get a sneak peek of the all-new <A title=http://discover.aol.com/memed/aolcom30tour/?ncid=AOLAOF00020000000982 href="http://discover.aol.com/memed/aolcom30tour/?ncid=AOLAOF00020000000982" target=_blank>AOL.com</A>.</FONT></DIV></BLOCKQUOTE><BR> <P> <HR SIZE=1> <A href="http://us.rd.yahoo.com/evt=48250/*http://searchmarketing.yahoo.com/arp/sponsoredsearch_v9.php?o=US2226&cmp=Yahoo&ctv=AprNI&s=Y&s2=EM&b=50" target=_blank>Pinpoint customers </A>who are looking for what you sell. </BLOCKQUOTE></BODY>
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