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Re: Co-management From: R. Daniel Braun (rd.braun@gmail.com) Thu Apr 24 20:21:10 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: R. Daniel Braun: "Re: Spontaneous rupture of symphysis pubis" Previous message: Glen Elrod: "Re: Co-management" In reply to: Glen Elrod: "Re: Co-management" Next in thread: Charlie Chambers: "Re: Co-management" In most rural settings, my experience is that they will do what they want and then call you to bail them out after they have gotten in trouble. That is what is meant by co management. GP cares for a quad pregnancy until she goes into labor at 30 weeks then calls the OB and says "Come do this Section for me, BOY!!! GP attempts vag. del of breech and calls OB when head gets stuck. that is Co-Management. I have seen both of those situations. On Thu, Apr 24, 2008 at 6:13 PM, Glen Elrod <dr99645@yahoo.com> wrote: > It looks like the patient decided to do the speaking for me and transferred > her care to my practice. We'll still have a discussion in the near future > regarding what they define as co-management. > > Thanks for the suggestions. > > Glen > >> ----- Original Message ---- > From: "Garry E. Siegel, M.D." <garrys@mindspring.com> > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@mail.obgyn.net> > Sent: Wednesday, April 23, 2008 6:54:19 PM > Subject: Re: Co-management > > Glen: > > I can't appreciate the politics, if any, of your situation and/or > hospital. Thus, my thought may be out of bounds. That said: > > Twins are infrequent. Problems with twins are not. > > Thus, it makes sense that for the infrequent twins in the FP's practice, > that she simply say "This is not something I should handle as the > primary caregiver" and let the patient be cared for by a specialist in > Obstetrics. > > If a second accoucher is needed, call in the FP to be the assistant at > delivery and you run the show. You'll thus use her definition of > co-management! > > As an aside, we decided that in our 3 MD, 3 CNM practice that all twins > become MD patients (one CNM argued for co-management) using the same > rationale, i.e twins are infrequent, and problems aren't, so why not use > your "best player" in those infrequent situations. The CNM is the > second accoucher if one is needed. > > Garry > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA > > now.<http://us.rd.yahoo.com/evtQ733/*http://mobile.yahoo.com/;_ylt=Ahu06i62sR8HDtDypao8Wcj9tAcJ> > -- R. Daniel Braun, MD FACOG(L) ABMP CMTh 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 Next message: R. Daniel Braun: "Re: Spontaneous rupture of symphysis pubis" Previous message: Glen Elrod: "Re: Co-management" In reply to: Glen Elrod: "Re: Co-management" Next in thread: Charlie Chambers: "Re: Co-management"

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