WOMENS-HEALTH Messages for October, 1998: Re: Patients with previous elective abortion

Re: Patients with previous elective abortion

From: William D. McIntosh, MD (anonymous@obgyn.net)
Wed, 28 Oct 1998 17:21:31 -0600 (CST)

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At Wed, 28 Oct 1998, anonymous@obgyn.net wrote: >
>Thanks for your thoughts Lea!
>
>The pediatrician did not ask me about this -- I did fill out a separate
>form for him. The question was asked by the L & D nurse when I checked
>in for delivery. This was recorded on a sheet that was then included in
>my son's records for the pediatrician. This seemed to be part of the
>routine birth record that included stuff like apgars, type of delivery,
>blood types, etc. I first saw this last year when my pediatrician gave
>me a copy of his records because we were moving to another state.
>
>Because of this, I'm not sure I will tell the labor nurse this in the
>future. I don't know why it would be relevant to my care in the
>delivery room.
>

This is such a common feature of a woman's medical record as to pass without comment. I see this in new patient records daily. I recognize your feelings in this matter, and your concerns, but I BEG OF YOU, PLEASE RESIST THE TEMPTATION TO PROVIDE ONLY THOSE FEATURES OF YOUR MEDICAL HISTORY THAT YOU THINK ARE PERTINENT. You never know what is important, and what is not. 80% of all medical diagnosis are made by the history alone. If the history is incomplete, you cannot expect to get accurate results.

This is also a standard part of a pediatrician's data base. Patient confidentiality is a critical part of all health care workers canon of ethics. There is nothing that you can tell them that they have not heard a hundred times before. Please, please, do not hamstring your doctor by withholding information.

-- William D. McIntosh, MD Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.

Next message: Jas: "Re: PROM"
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In reply to: anonymous@obgyn.net: "Re: Patients with previous elective abortion"
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