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Re: "patient seeing exam"From: James S Smeltzer MD (gaperina@mindspring.com)Mon Aug 31 05:23:10 1998
Tom, You are quite correct in your statement that what you say and when you say what to the patient has to be based on a relationship of prior understanding & trust between you & the referring or interpreting physician (& what their percieved roles are). Personally I do not delegate the news-breaking of demise to sonographers, even though I would absolutely trust each of them on this critical diagnosis. Medically, I am in a better position to discuss with the patient the potential causes and the action plan for evaluation and treatment, that are inherent in this process. BTW - "Previa at what GA???!!!!" There goes your sex life, Mr. Know Too Much! Jim SMeltzer MD (perinatal@perinatal.net) At 04:54 PM 8/27/1998 -0500, you wrote: My wife and I shared the FIRST images of our first pregnancy last night! We spent about 45 minutes looking and laughing! Ladies truly bond with the U/S experience! So did I...DUH! I also found an abnormality last night...Placenta Previa (complete). So life is a challenge, and I will deal with it. In parting...I have spent the better part of 2 hours writing this.. I do hope that I have not started a mess... I am an older bird, but I still have most of my feathers because I don't fly when lightning is striking, but I love the smell of ozone.
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