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Re: Ob: IVF candidateFrom: Joanne Bulley, MD (islesannie@gmail.com)Mon Sep 29 23:57:38 2008
At Mon, 29 Sep 2008, DoctorJoe@aol.com wrote: >> >Well, I don't do OB now. But I think you're HALF way off base. > >There are two questions here: > >1) wanting another baby -- who is to say how many is too many? If you want to >argue ZPG, go right ahead. But I don't think OBs (or witches) are supposed to >strong-arm patients into having "only" 2 kids, or 3 kids, or 1 kid. Does RED >CHINA mean anything to you? > I would NOT strong arm her ... As far as this one - because of the recognition of my personal bias - I quit doing reversals long long ago and have never been involved with IVF directly. While I politically think that maybe I should say something like this - I professionally think that I HAVE TO NOT make this commentary to the patient. (and for those interested in split infinitives, I do think that there are times when the emphasis is TO NOT do something.) I think it is really important, ethically and professionally, for me to recognize when my professional responsibilities and politics collide - and how to subtract the politics and handle it with professional ethics. (I don't necessarily separate it all out on the ObGynList) I could (& would if this were my patient) easily put all of my medical / professional discussion for this patient on Joe's second comment:
>2) purposefully trying for twins, especially with a scarred uterus -- now
-- Joanne Bulley, MD solo gyn Keene, NH
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