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Re: vbac on demand From: Charles Bloom (cdsb@bellsouth.net) Thu May 15 05:36:27 2008 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charles Bloom: "Re: vbac on demand" Previous message: Efrain Ramirez: "Re: procardia and magnesium" In reply to: Dr Eberhard W Lisse: "Re: vbac on demand" Next in thread: DoctorJoe@aol.com: "Re: vbac on demand" El, The patient is not refusing or examination treatment. She is declining Cesarean but not natural delivery. We deal with this sort of thing all the time and it has been our policy based on risk management and counsel that we're stuck with the patient. Since we, as an institution, offer VBAC as an option, we're stuck with the patient. If your counsel says otherwise, I would love to know so that we can change policy at our hospital. 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 2:05 PM To: Multiple recipients of list OB-GYN-L Subject: Re: vbac on demand 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 > Next message: Charles Bloom: "Re: vbac on demand" Previous message: Efrain Ramirez: "Re: procardia and magnesium" In reply to: Dr Eberhard W Lisse: "Re: vbac on demand" Next in thread: DoctorJoe@aol.com: "Re: vbac on demand"

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