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Re: Is this legal?From: Thomas (anonymous@obgyn.net)Wed, 31 Mar 1999 15:14:15 -0600 (CST)
I have been lurking for a few days. Flames appear in the professionals forum so often that they seem to be a daily part of life!! Barabara has done well to keep the character of THIS forum in her last post. However, it does bring to light a number of points (sorry not to let it die). The points are TRANSFERENCE (doctor patient relationship) EVIDENCE (the basis by which doctors practice) DISAPPOINTMENT (an example seen here) and GRIEF (often ones response to disappointment). Transference is a perceived opinion of a doctor. No doctor, however good, can relate to every patient. In my opinion(both as someone who has seen doctors and who is a doctor)if you are angry or don't like your doctor you should change as if you were changing a pair of shoes. It only means that that doctor is not good for you. It doesn't mean that that doctor is not good. Evidence based medicine is a method of practicing medicine according to the best evidence in the scientific literature. The problem is that doctors disagree with the literature which is why you can get more than one opinion. Furthermore, there is a skill in relating that evidence to an individual (the art of medicine). Doctors argue this evidence which is why you get strong words such as those quoted on the professionals forum. Those extreme views expressed amoungst doctors are never the same as the balanced opinions based around an individual that a patient receives. Disappointment comes in pregnancy when hopes have been dashed. Regrettably (and sometimes potentiated by happy stories such as those posted on this forum) the expectations are not realistic. There is always a possibilty of things not going exactly to plan which is why an open mind often reduces the possibility of disappointment. At the end of the day one must always remember that 20% of pregnancies before 8 weeks end in miscarriage, 2% of babies have an abnormality, 10 - 25% of deliveries occur by caesarean section, and 40% of labours in first pregnancies do not go the way described in the lay literature. If you fall into one of these categories, it is more likely that you are unlucky that your doctor being negligent, deceitful, or bad. Grief has many manesfestations. They include self blame, blame of others, anger, depression, and denial. Self blame and blame of others can stand in the way of support needed. It is often unavoidable but an insight into the feelings that are being perceived help shorten grief and help an individual come out the other end a stronger person. Hope everyone is happier now.
-- Thomas Ind MB BS MD MRCOG London UK
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