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Re: CS on demand From: Efrain Ramirez MD (eramirez@icepr.com) Sun Oct 24 18:14:49 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ND84MD@aol.com: "Re: Eggs for auction." Previous message: DoctorJoe@aol.com: "Re: CS on demand" In reply to: Carlos A. Roure MD: "Re: CS on demand" Next in thread: Geffrey Klein, MD: "Re: CS on demand" Reply: Geffrey Klein, MD: "Re: CS on demand" I am a bit confused -- excuse my ignorance or whatever-- everyone in this list who chose to do a C/S in the anencephalic fetus CAN be prosecuted for assault and battery-- I mean -- there is no INDICATION listed in ACOG for that BUT, there is CONSENT given by the patient for other REASONS--right--wrong? Let's see-- a carpenter does an elective cesarean section for a proper indication, with adequate informed consent and with excellent techniques and results -- he can be prosecuted for battery?-- because he is not a physician and the lady is not a "patient"? That is not a situation acceptable by the medical profession nor by society-- now--that same lady comes to my office a few years later with intolerable pains due to incurable cancer and I chose the MOST effective means of pain relief--the Kervorkian method--I get proper informed consent--do it right-- now -- that it is not accepted by the medical profession nor by society (for the time been--I believe our grandsons will the refusal by our society for euthanasia as cumbersome and awkward as a vaccum tube in a computer)---and I can be charge or prosecuted for what?-- Are these situations still apple and oranges?? Carlos--promise-- I'll read the article!! > >Dear Dr.Joe. Whereas I understand your point about the thousands of >people who mutilate themselves, may I add the thousands who sell drugs >and do all kinds of not-medically actions have nothing to do with >performing an elective primary cesarean section on demand. >Also, if there IS medical sentiment in favor of performing unnecesary >primary cesarean sections to prevent the unforeseen risks of labor and >pursue the unforeseen risks of cesarean is also besides the point. >Medical sentiment for a fee has nothing to do with this thread. >What I do not understand is how is it different from cutting one's hand >off (after adecuate informed consent) for no medical reason at all. >Specially how is it different if she develops uterine rupture or >placenta accreta in the next pregnancy, or malignant hyperthermia o >other serious complication in this surgery? It might be worse than >cutting one hands off. >There was a very interesting editorial in the green journal in July 199 >by Dr. Cruikshank called "Informed consent, patient choice, and >physician responsability" page 142-143. > >Carlos -- Efrain Ramirez MD FACOG "The things you learn after you know everything are the important ones" Next message: ND84MD@aol.com: "Re: Eggs for auction." Previous message: DoctorJoe@aol.com: "Re: CS on demand" In reply to: Carlos A. Roure MD: "Re: CS on demand" Next in thread: Geffrey Klein, MD: "Re: CS on demand" Reply: Geffrey Klein, MD: "Re: CS on demand"

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