Re: vbac on demand

From: Raymond Stephen (Stephen.Raymond@dhhs.tas.gov.au)
Sun May 25 02:10:58 2008

All of the concern about losing one's career and livelihood really applies in a different way when you are faced with a patient who doesn't want to accept your blanket policies. Is she more likely to sue you and win, if you do what she wants and she has a bad outcome, or is it more likely, if you don't do what she wants and has a different bad (to her) outcome. I would have thought that, given that most litigation arises out of a situation where a patient's expectations haven't been met, it is likely that the bad outcome that you predicted will not lead to litigation, if you do what she wants.

Steve

________________________________

From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of 

--
________________________________
DoctorJoe@aol.com
Sent: Saturday, 24 May 2008 1:43 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: vbac on demand


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)


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