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Re: Vag condyloma and juvenile laryngeal papillomatosisFrom: dahmd@gate.netThu Dec 21 17:32:16 1995
I have always believed that our society would be much better off with an entirely different system for deciding medical malpractice cases. Just about anything would be better than what we have now. Juries are being asked to absorb 8 or 10 years of medical training in a few days, and render opinions about scientific evidence, when we live in a country that pretty much shuns scientific thought from grade school forward. In the end, juries go "on a hunch", and we end up with ridiculous decisions (and awards). Clearly, there are no data to support performing cesarean sections for patients with genital condyloma, unless the actual condyloma themselves create the rare soft-tissue dystocia making vaginal delivery impossible. If we started doing c/sections for condyloma, when would we start doing them for HPV alone? I am sure that if one of us did a c/section tomorrow for genital condyloma, and the patient developed atony and underwent a cesarean hysterectomy, the lawyers would come after us for doing an "unecessary procedure". Truly, you can't win with the system we have. I think practicing high quality medicine, doing right by your patients, documenting everything, and talking with our patients is still the best way to ward off the legal vultures. Ashley Hill D. Ashley Hill, M.D. Orlando, FL dahmd@gate.net
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