Re: vbac on demand

From: Dr Eberhard Lisse (el@lisse.NA)
Wed May 14 10:19:53 2008


She's not his patient in the first place, because we are discussing EMTALA which deals with patients who don't have doctors (or insurance).

And the statute clearly says, if she doesn't want the recommended treatment she's history. In this particular case there are ACOG recommendations which say Vaginal Bypass.

If you get a Justice of the Piece (and the Politburo) to come witness the failure of getting the signature for informed consent, which implies witnessing the informed consent, you can leave the building.

Might even happen that the insurance will come up and say, you recommended the right one, she refused you did the wrong thing, which you were not forced to do under EMTALA, so we are not covering you.

During a lull in the war, ask you insurance what they say.

greetings, el

on 5/14/08 12:36 PM Charles Bloom said the following: > The statute reads:
>
> ...The hospital shall take all reasonable steps to secure the
> individual's (or person's) written informed consent to refuse such
> examination and treatment.
>
> That dosen't mean she is not still your patient.
>
> Check out: http://icanofportland.org/VBACBan.aspx
>
> http://www.ican-online.org/vbac/enforcing-and-promoting-rights-women-seeking
> -vaginal-birth-after-cesarean-vbac-primer
>
> We are all in a quagmire my friends. There are many no-win situations in
> obstetrics.
>
> Charles
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr
> Eberhard W Lisse
> Sent: Wednesday, May 14, 2008 1:24 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: vbac on demand
>
> Read the statute :-)-O
>
> el
>
> On May 14, 2008, at 02:48, Efrain Ramirez wrote:
>
>> el - I don't think you can do that in this case...EMTALA has been
>> triggered IMHO..
>>
>> Ef
>>
>>> At Tue, 13 May 2008, Dr Eberhard Lisse wrote:
>>>
>>> Nope,
>>>
>>> you document, document and *DUMP* her for disqualifying herself from
>>> EMTALA as she is not your patient.
>>>
>>> el
>>>
>> --
>> "I can accept failure, but I can't accept not trying." - Michael
>> Jordan
>>
>

--
Dr. Eberhard W. Lisse  \        / Obstetrician & Gynaecologist (Saar)
el@lisse.NA el108-ARIN / *     |   Telephone: +264 81 124 6733 (cell)
PO Box 8421             \     /   Please do NOT email to this address
Bachbrecht, Namibia     ;____/        if it is DNS related in ANY way




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Tue Dec 2 04:56:21 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.