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Re: Today was a GOOD dayFrom: AllanHo@aol.comSun Mar 2 02:17:27 2008
In a message dated 3/1/2008 8:44:44 PM Eastern Standard Time, annam@uic.edu writes: Yes, I think you must be a perfectionist, Allen, and I'm guessing most of your patients must be too. How sad for you. The patient and her mother (who is a very knowledgeable medical assistant, BTW) were ecstatic, and hugs were exchanged all around after the baby came. No one was unhappy. We all understand that the world is not perfect. Conditioning patients to expect perfection is what has gotten our profession into trouble in the first place. It is refreshing to care for patients who know that stuff happens and go with the flow. Anna Meenan, MD, FAAFP Anna, as I said before, I was not critical of your management of the case. I was just curious about your happy reaction. Why do you refuse to see flaws in your system? If your unit was so busy, why didn't you send her home right away instead of having her "waited and waited and waited" for a c/s? Complacency is an enemy for progress. And now since you are mean to me ... I am not sure I would let this patient push for an hour with deep variable decels. (Everybody got busy again, and when we checked her after 3 hours, she had gone from 1 to 9! Hooray! Broke her bag and got her started pushing. Deep variables with pushing...1 cm to baby in 4 hours.) I know it's unwise to argue with a good outcome, but I have heard of tragic ones under similar circumstances too. If you weren't so lucky, your good day could easily turn into a nightmare. Most patients can be very understanding when the outcome is good, she may not be so understanding if things had gone south. Again, I did not mean to offend you or rain on your parade. Allan
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