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Re: Was:no subject - anemia at term From: art fougner, md (evsono@pipeline.com) Tue Aug 7 09:36:48 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ainsron: "Re: Signatures" Previous message: ainsron: "Re: [PHISHING]: Re: OB: Everyone out of a job?" In reply to: rmodugno@aol.com: "Re: Was:no subject - anemia at term" Next in thread: rmodugno@aol.com: "Re: Was:no subject - anemia at term" Reply: rmodugno@aol.com: "Re: Was:no subject - anemia at term" Any prelim results on the nature of her anemia? Art At Tue, 7 Aug 2007, rmodugno@aol.com wrote: > >Patient went into spontaneous labor this am, should deliver shortly. Two units typed and crossed. Would not accept a "top up" transfusion. Informed refusal signed. News at eleven! > >Robert Modugno MD MBA FACOG >Sylva, NC > >-----Original Message----- >From: Douglas Krell <dkrell@msn.com> >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Sent: Tue, 7 Aug 2007 9:39 am >Subject: Re: no subject received Mon, 6 Aug 2007 07:55:31 -0500 > >This is a tough call because if you don't know the patient, she could have an occult condition that could? >be compromised by profound anemia (AMA?, smoker? HTN?, obesity etc..). Or w/ any adverse outcome an attorney could clearly blame a very low Hgb and convince a medically naive jury. Unless I knew this patient well, I think I would offer the blood w/ informed consent and give it if going to section. I would have it on hand for a vaginal delivery. Or get a signed refusal and a note on the chart.? >? >Douglas Krell MD? >? > >________________________________________________________________________ >AOL now offers free email to everyone. Find out more about what's free from AOL at AOL.com. >________________________________________________________________________ > >-- >________________________________________________________________________ > >________________________________________________________________________ -- art fougner, md "May The Wings of Liberty Never Lose a Feather." - Jack Burton Next message: ainsron: "Re: Signatures" Previous message: ainsron: "Re: [PHISHING]: Re: OB: Everyone out of a job?" In reply to: rmodugno@aol.com: "Re: Was:no subject - anemia at term" Next in thread: rmodugno@aol.com: "Re: Was:no subject - anemia at term" Reply: rmodugno@aol.com: "Re: Was:no subject - anemia at term"

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