Re: "Hand, Foot, and Mouth Disease"

From: Robert J. Woolley (wooll005@tc.umn.edu)
Wed Dec 30 21:24:44 1998


In message <28c50f73.368add76@aol.com> writes: > Help Lister--
>
> I have a G2, P1 at 22 weeks who told me her son was diagnosed by their family
> physician with "hand, foot, and mouth" disease. She was concerned about
> possible effects on the fetus.
>
> Since I have never heard of this, I had no idea whether this is a viral or
> bacterial infection. I had the patient ask the family physician for the
> medical diagnosis.
>
> Is anyone familiar with this and any potential fetal effects? Thanks in
> advance.
>
> Lenora McCall, CNM

I was about to say, "Anybody who doesn't know this shouldn't be taking care of pregnant patients." But I thought better of it, and decided that wasn't quite true. Here's the revised version, which I will stand by: Anybody who doesn't know this *and* doesn't have the resources on hand to look up such an answer in his/her office in about 5 minutes shouldn't be taking care of pregnant patients.

(As a generalist, I long ago gave up on knowing everything that I "need" to know. A good set of reference materials--combined with the skill and habit of using them--can make up for many of the inevitable lacunae in knowledge.)

---------------------------------------------------------------------------

--------------------------------------------------------------------------- Bob Woolley

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St. Paul, Minnesota

"Laws are like spiders' webs which, if anything small falls into them they ensnare it, but large things break through and escape."

-- Solon (ca. 600 BCE)





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