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Re: neonatal methadone withdrawal From: Dr Eberhard Lisse (el@lisse.NA) Thu Jan 29 01:22:16 2009 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Meenan, Anna: "Re: OB in Chicago area" Previous message: Dr Eberhard Lisse: "Re: OB-GYN-L digest 6782" on 1/29/09 5:23 AM Charlie Chambers said the following: > Patient is on 40mg methadone per day. Was a heroin user, last use about > one month ago. hep c carrier. Last use a month ago? I am rolling on the floor laughing. >> In a message dated 1/28/09 8:19:55 PM, ricechaz@me.com >> <mailto:ricechaz@me.com> writes: >> >>> We have a patient who delivered about 3 years ago at our level >>> facility who remained on methadone. Baby was cared for by a local FP, >>> and did remarkably well though eventually taken by child protective >>> services. Patient is now back in our practice at 35 weeks again on >>> methadone. We discussed with local peds MD who is agreeable to care >>> for the baby. >>> However, behind the scenes, nursing supervisors were >>> concerned with caring for this patient at our facility. Without >>> prompting from ob or peds, they contact neonatal doc at tertiary care >>> center regarding appropriateness of this plan. You see this is what happens when you allow lay people (such as nurses) to involve themselves in professional issues. We should make the first step and enforce the rules on this list which only allow professionals and kick those witches and crybabies off. >>> Opinion was given that >>> there are new guidelines which mandate in patient management of these >>> kids for 3-6 weeks. The local peds doesn't want to go against these >>> "guidelines" and I can't seem to find the source. Are other aware of >>> this ? Would you agree that delivery at level one facility is >>> inappropriate? Opinions please. What's the issue? Do what the Peds say, if you don't want to, turf. el Next message: Meenan, Anna: "Re: OB in Chicago area" Previous message: Dr Eberhard Lisse: "Re: OB-GYN-L digest 6782"

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