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Re: gynecologic oncologists From: Braun, R. Daniel (rbraun@iupui.edu) Wed Mar 31 12:58:18 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: gynecologic oncologists" Previous message: Braun, R. Daniel: "Re: gynecologic oncologists" Maybe in reply to: Robin: "gynecologic oncologists" Next in thread: Braun, R. Daniel: "Re: gynecologic oncologists" There are rare cases where that is true. I personally can think of some specifics which I better not go into. Dan R. Daniel Braun, MD FACOG -----Original Message----- From: evsono@pipeline.com [SMTP:evsono@pipeline.com] Sent: Wednesday, March 31, 1999 1:08 PM To: Multiple recipients of list OB-GYN-L Subject: Re: gynecologic oncologists Bob, are you suggesting that a gyn-oncologist would be less qualified to deal with suspected ovarian carcinoma than a generalist? Art At Tue, 30 Mar 1999, Robert J. Woolley wrote: > >In message <4.1.19990330232830.009f8010@mail.enter.net> writes: >> Bob: >> >> I don't think that's his (or her) position at all. It was just a quote. The >> case could be made that with a significant risk for ovarian CA, a gyn onc >> should at least be available. I don't disagree that the patient should be >> given the option of a gyn onc for this type of surgery. In practice, >> however, I find most women are happy to have them on standby. If I truly >> believe it is an ovarian cs, I send right to the oncologist, because they >> do a better job than I do > >Allow me to make my point more explicitly, then. I have particular interests in >certain pieces of a general medical practice. In these particular areas (e.g., >specific diseases or procedures), I am likely to have both more interest and >more knowledge than the average specialist (say, dermatologist). Suppose I take >the view that patients always have the "right" (whatever that means) to be >referred to a specialist. If the patient before me has one of the things in >which I have special knowledge and interest, then the referral may well send him >or her to a person less qualified. This does not seem in the patient's best >interest. (Not to say that I *wouldn't* if pressed, just that it seems a shame >to go from a more qualified physician to a less qualified one.) > >In order to maintain that a patient with ovarian Ca always has the right to >choose a gyn onc (meaning, presumably, more "right" than any other patient has >to choose any other physician), one would, it seems to me, have to believe that >such a choice is always going to be in her best interest. (Unless you want to >bestow a special right to lesser-quality care, and if you do, I'd like to know >why.) > >-- >--------------------------------------------------------------------------- > >--------------------------------------------------------------------------- >Bob Woolley >--------------------------------------------------------------------------- >St. Paul, Minnesota > >"Life is made up of sobs, sniffles, and smiles, >with sniffles predominating." > > -- O. Henry > -- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com Next message: Braun, R. Daniel: "Re: gynecologic oncologists" Previous message: Braun, R. Daniel: "Re: gynecologic oncologists" Maybe in reply to: Robin: "gynecologic oncologists" Next in thread: Braun, R. Daniel: "Re: gynecologic oncologists"

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