Re: vbac on demand

From: Dr Eberhard W Lisse (el@lisse.na)
Wed May 14 13:04:18 2008


Charles,

EMTALA was not written for this patient, it was written for emergencies and not ones created by the patient. As soon as she refuses examination or treatment, as in this case, she is not covered by EMTALA any longer.

Wouldn't that not be something one could bring up in meetings with the politbureau? Proactively?

el

On May 14, 2008, at 17:21, Charles Bloom wrote:

> El,
>
> EXACTLY. EMTALA was written for this patient and is precisely why the
> physician is stuck with her as his patient because he was on-call
> when she
> came in.
>
> Charles
>
> -----Original Message-----
> From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr
> Eberhard Lisse
> Sent: Wednesday, May 14, 2008 11:24 AM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: vbac on demand
>
> 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).
>
> 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-s
>> eeking -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
>





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