Re: gynecologic oncologists

From: Efrain Ramirez MD (eramirez@icepr.com)
Wed Mar 31 15:56:52 1999


Well...what we have here...egos burning!!...finding anologies between "readily available" and "significant risk"...midwife---obstetrician...uf...look guys..let's keep this discussion simple...if you think that you can handle an ovarian malignancy...retroperitoneal lymphanedectomy, the works.....i.e.proper staging, then do it...do not consult nor do referrals..if can also do a better level II ultrasound than a good perinatologist..well go ahead....do them...I *know* that each one of you are aware of your one limitations..so the discussion is usless. You should do what is in the best interest for the patient..must individualized each and every case..medicine is not a cookbook.

Geff I liked your posting on the "vanishing" specialty..good stuff! :-)

At Wed, 31 Mar 1999, Braun, R. Daniel wrote: >
>Define "significant risk", please. The NIH consensus conference didn't .
>This is analogous to the ACOG "readily available" statement in the pitocin
>and VBAC guidelines.
>Dan
>R. Daniel Braun, MD FACOG
>Clinical Professor
>Department of Obstetrics and Gynecology
>Indiana U. School of Medicine
>Indianapolis, IN
>
> -----Original Message-----
> From: sunmoonie@aol.com [SMTP:sunmoonie@aol.com]
> Sent: Tuesday, March 30, 1999 8:21 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: gynecologic oncologists
>
> The following is an excerpt from the NIH Consensus Development
> Conference Statement, April 5-7, 1994:
>
> "Women with ovarian masses who have been identified preoperatively
>as
> having a significant risk of ovarian cancer should be given the
>option
> of having their surgery performed by a gynecologic oncologist"

--
Efrain Ramirez MD FACOG
"The things you learn after you know everything are the important ones"




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