Re: vbac on demand

From: Dr Eberhard Lisse (el@lisse.NA)
Fri May 23 12:11:29 2008


There are three rights here.

In addition to the two mentioned below, the one of the physicians discussing physicians' issues on a phycisians' list without non-physicians' input.

The point here is, for the thousand time, that the patient is abusing a statute created for emergencies only, to force a doctor who has never seen her before to perform a procedure that he doesn't want to perform.

(And of course later sue him for not talking her out of this stupid idea. But that's another matter).

As far as I am concerned she can have a VBAC, she can have one at home, even. No problem, stupidity is not a crime.

What is however so irritating that every five minutes another witch overstaying her welcome on this list ruminates old issues.

el

on 5/23/08 4:42 PM DoctorJoe@aol.com said the following: >
> In a message dated 5/23/08 9:54:06 AM, ajfields@pine-net.com writes:
>
>> Would that be that the physician's right to do whatever he wants trumps
>> the patient's right to informed consent? Or that the physician's legal
>> and financial risk are more important than the patient's physical risk?
>> Because I really can't see how the relative risks aren't important to
>> this woman's decision about her body.
>
> There are two "rights" here (if you ignore the baby's right):
>
> 1) The woman's right to take whatever risks with her body (after being
> informed what the risks are).
>
> 2) The physician's right to practice what he feels is good medicine
> (i.e. not be forced against his better judgment into a course of action
> that he feels is unacceptable, given the standards, the circumstances,
> etc.).
>
> How you balance those two "rights" is the question.
>
> We all talk of #1 a lot, as we should. But #1 does NOT automatically
> overrule #2, by any means.
>
> And sometimes, although I may be getting ahead of the argument here,
> there is no easy solution to the problem and it ends up being decided on
> policy grounds (e.g. you can't have patients willy-nilly showing up at
> hospitals and demanding unacceptable procedures or treatments when the
> doctors don't think they're warranted -- it would make the "system"
> unworkable).
>
> Joe P.
>

> (http://food.aol.com/tyler-florence?video=4&?NCID=aolfod00030000000002)

--
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
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