tag:blogger.com,1999:blog-18943510.post4194814153239454679..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: On The DefensiveDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-18943510.post-69467805500748824372009-03-27T23:56:00.000-05:002009-03-27T23:56:00.000-05:00In reality at 36 weeks organogenesis is over. Risk...In reality at 36 weeks organogenesis is over. Risks are minimal but if something goes wrong you can bet a lawyer will blame you. How about another example which you are very familiar with...cisapride. Yes it has a dangerous side effect profile. However it does have a role in those gastroparesis patients that have failed everything else. Thanks to the lawyers no doc would ever prescribe it under Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-3365267408638434602009-03-25T10:56:00.000-05:002009-03-25T10:56:00.000-05:00That's a shame - if they would have given it to th...That's a shame - if they would have given it to the kid outside the womb, at 36 weeks, everything is formed, why not give it now? <BR/><BR/>I would not have delivered her in a fib. <BR/><BR/>Nice post.Margaret Polaneczky, MD (aka TBTAM)https://www.blogger.com/profile/16555722791007332247noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-25979077832596509342009-03-25T07:37:00.000-05:002009-03-25T07:37:00.000-05:00anony 07:25-In medicine, these scenarios are all t...anony 07:25-<BR/><BR/>In medicine, these scenarios are all too common. Hopefully, it's called "using our best judgement."<BR/><BR/>emmy-<BR/><BR/>Yes, this was considered (and Mom was at the point she would have been happy to comply), but her obstetrician wanted to wait at this point, because she was hemodynamically stable and baby appeared to be doing fine - (maybe because of potential legal DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-83946300682275490812009-03-25T07:26:00.000-05:002009-03-25T07:26:00.000-05:00A baby delivered at 36 weeks is considered full te...A baby delivered at 36 weeks is considered full term. Did anyone think of just delivering the baby and then treating mom?Lisa https://www.blogger.com/profile/09324961653370110887noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-85247839992817229052009-03-25T07:25:00.000-05:002009-03-25T07:25:00.000-05:00From the perspective of the patient...when one has...From the perspective of the patient...when one has several overlapping medical conditions, several specialists in various fields, and gets conflicting opinions such as you've described - what the heck is the patient supposed to do?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-28175706576032014032009-03-25T07:00:00.000-05:002009-03-25T07:00:00.000-05:00shadowfax-There is no question I would have treate...shadowfax-<BR/><BR/>There is no question I would have treated this patient differently in a no-litigation environment. Ibutilide, a newer Class III antiarrhythmic, is very short-acting (gone in 4 hours, typically) and quite effective at terminating atrial fibrillation. People are awake when we give it (no need to be NPO), it avoids the risk of sedation or anesthesia (for cardioversion), has DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-48894105287543843372009-03-25T06:53:00.000-05:002009-03-25T06:53:00.000-05:00This comment has been removed by the author.DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-32785484588491256082009-03-25T01:24:00.000-05:002009-03-25T01:24:00.000-05:00Would you have treated differently in a no-litigat...Would you have treated differently in a no-litigation environment? It's no secret that docs are risk-averse in general. Sometimes I think docs use "liability" as a proxy for all the other stuff that happens when "something bad" happens -- post-facto criticism by supervisors, having to defend yourself at QA meetings, and of course the human cost when things go bad. These are all powerful shadowfaxhttps://www.blogger.com/profile/11648279307230813762noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-71072940123703458052009-03-24T21:58:00.000-05:002009-03-24T21:58:00.000-05:00Aw, I saw how excited you were. You loved it anywa...Aw, I saw how excited you were. You loved it anyway.<BR/><BR/>catherineAnonymousnoreply@blogger.com