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fetal monitoring--response to Dr. PastorekFrom: Arthurfree@aol.comSun Dec 24 16:55:23 1995
Dr. Pastorek, Let me preface this by saying that I appreciate the common sense demonstrated by your frequent contributions to the list, and my point today is one of "view", not of substancial difference. I take the liberty of forwarding back your entire first post on this subject as it seems to contain an assumption that may have escaped notice. The examples you give are very good ones of the benefit medicine has in treating disease and "fooling mother nature". To apply these to the current thread makes the assumption that: a)all pregnancies are high risk, or b)pregnancy must be considered a pathologic condition. The examples of pathology you give beg for intervention, a low risk pregnancy/labor does not. Obstetricians see many high risk pregnancies, and many unfortunate outcomes/situations. It tends to cause us to view every pregnancy as a time bomb that may need defusing at any second. It is precisely this approach that causes many patients to prefer the care of family physicians and midwives. Arthur Freeland Centerville Iowa --------------------- Forwarded message: --------------------- From: DoctorJoe@aol.com --------------------- Sender: ob-gyn-l@listserv.bcm.tmc.edu Reply-to: ob-gyn-l@listserv.bcm.tmc.edu To: arthurfree@aol.com Date: 95-12-24 11:37:40 EST << ...refusing an induction for 42+ weeks gestation because of knowing that everything will be OK if we just let nature take its course (why come at all then, I wonder)...>> This is exactly the problem I see in many arguments. I think Ashely Hill addressed it some just recently. If mother nature takes _her_ course (see, no male chauvinism), then lots of people are going to DIE. After all, pneumonia is a 'natural' phenonmenon. But ask Kermit the Frog (Jim Henson) if he like the fact that mother nature took her course with him. Obviously, _Pasturella pestis_ is a natural phenomenon (and we an consider the bacterium one of "God's creatures" - as in "Save the Germ". But millions of people in medeval Europe certainly were not happy with God for THAT creature ("Ring around the rosey... ashes, ashes, we all fall down!"). Let's face it, from its inception, MEDICINE has been the art and science of FOOLING mother nature. The two concepts cannot coexist rationally. Either you want to be 'natural', and risk dying from things that may have a cure or treatment, or you want 'medicine', and risk having strangers stick tubes in your body and suck your blood. And so it goes... ************************************************* doctorjoe@aol.com "All things are connected. Joseph Pastorek, MD Some things are just more Department of OB-GYN connected than others." LSU Medical Center - Dirk Gently New Orleans, LA U.S.A. *************************************************
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