Re: Ob: IVF candidate
From: vnellsch (vnellsch@eastex.net)
Tue Sep 30 15:56:50 2008
Re: Ob: IVF candidateno, i don't think so, steve. should is a verb indicating that something is the right thing to do, often used to express the conditionality of an occurrence and suggest that it is not a given. have to, in this case seems to express compulsion, or obligation, or necessity. vnellsch, with regards to encarta college dictionary.
> ----- Original Message -----
From: Raymond Stephen
To: Multiple recipients of list OB-GYN-L
Sent: Tuesday, September 30, 2008 12:50 AM
Subject: RE: Ob: IVF candidate
...think that I HAVE TO NOT make this... Why not just say ...I SHOULD NOT...? Better English anyway and conveys what you are trying to say more clearly.
Steve
------------------------------------------------------------------------------
------------------------------------------------------------------------- From: ob-gyn-l@obgyn.net on behalf of Joanne Bulley, MD
--
------------------------------------------------------------------------- Sent: Tue 30/09/2008 2:58 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: Ob: IVF candidate
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
>THAT is something a responsible OB can go balistic on. Primum non nocere is
>something that should be partially operative here. Don't go making things more
>difficult (twins!!!) that you have to. Don't go asking for trouble.
>
>There you go. You asked.
>
>Joe P.
>
--
Joanne Bulley, MD
solo gyn
Keene, NH
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