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Re: Breech dilemmaFrom: Deborah J. Wage FNP, CNM (wagedj@ctrvax.Vanderbilt.Edu)Tue Mar 3 07:21:36 1998
Dan, This is a response to all three of your posts. I couldn't agree with you more. But the fact is that we are the ONLY clinic in town that will provide AP care plus full-scope family practrice to this particular population. I know this seem unbelievable in this day and age, but their status in our community is not one of generalized acceptance. The medical community has not hung shingles saying "Undocumented, illegal Hispanic, get your health care here!" They have no insurance and little money. Therefore, due to the very unsuitable dilemma of providing AP care without IP follow-up has been the exact impetence for our group to obtain privileges at this hospital, to be 'in effect' probably in 2 weeks. This had been a long and arduous negotiation process over the last year. We are an external agency and no one has ever been privileged without being officially connected to the hospital (i.e., employee or faculty). We have set a precedent. We have about 1500 Hispanic families utilizing our clinic, expanding every day. We 3 clinicians who speak Spanish, including myself. We hired MAs that are bilingual and sent the remaining staff to Spanish classes. We receive federal money for providing health care to this population (sort of ironic, I think). So you see we aren't choosing to do something that had a better option, the situation sort of chose us and we have risen to the occasion. We have indeed acted to rectify the situation the minute we realized we had the problem. But, as you well know, I'm sure, things do not happen overnight. We now will have a 2 hospital practice, 4-500/deliveries a year...4 IP providers. We are jubilant that we will be able to provide full-spectrum care to this wonderfully gracious and deserving population. We have worked very hard to get where we are. R. Daniel Braun, M.D. wrote:
> Send her to someone who provides care in the hospital to which she will go
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