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Re: Co-management From: Garry E. Siegel, M.D. (garrys@mindspring.com) Fri Apr 25 06:48:53 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Dr Eberhard W Lisse: "Re: Spontaneous rupture of symphysis pubis" Previous message: Joe: "Re: Spontaneous rupture of symphysis pubis" In reply to: Joanne Bulley, MD: "Re: Co-management" Next in thread: Glen Elrod: "Re: Co-management" Thanks, and the patient used some good sense, too! Garry At Thu, 24 Apr 2008, Joanne Bulley, MD wrote: > >Garry > >That is really what seems to me the best way to handle this issue. > >Joanne > >At Wed, 23 Apr 2008, Garry E. Siegel, M.D. wrote: >> >>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 >> >-- >Joanne Bulley, MD >solo gyn >Keene, NH > -- Garry E. Siegel, M.D. Private Practice Roswell, GA Next message: Dr Eberhard W Lisse: "Re: Spontaneous rupture of symphysis pubis" Previous message: Joe: "Re: Spontaneous rupture of symphysis pubis" In reply to: Joanne Bulley, MD: "Re: Co-management" Next in thread: Glen Elrod: "Re: Co-management"

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