On Mon, 8 Jun 1998 15:06:25 +0100
"Mark O'Connor" <[log in to unmask]> wrote:
mark.oconnor> Graham and other learned folk on GPUK . Some advice please
mark.oconnor>
mark.oconnor> I saw a 30 week gestation fit lady in her second so far
uncomplicted
mark.oconnor> pregnancy today. She has just registered so no previous history
available
mark.oconnor> except by chatting to her of course.
mark.oconnor>
mark.oconnor> Didnt come for an antenatal but to request a letter of fitness
to fly as she
mark.oconnor> is off to Canada at 31 weeks gestation and flying back at 32
weeks
mark.oconnor> gestation.
mark.oconnor>
mark.oconnor> She is a doctor. (Anaestethics - SR (4th year))
mark.oconnor>
mark.oconnor> I have agreed to do a letter and charged her £7.50 coz I'm in
that sort of
mark.oconnor> mood today.
With all due respect, Mark, *even* a SR gasperson is still a colleague
and should *never* be charged IMHO.
mark.oconnor> It is a general To whom it may concern... I see no reason as of
todays date
mark.oconnor> why this lady should not persue her intended journey blah blah.
Should I add
mark.oconnor> a disclaimer that I give no guarentees that an obstetric
emergency will not
mark.oconnor> arise. I dont want the bill for a 747 redirection landibg on
the practice
mark.oconnor> mat?
mark.oconnor>
mark.oconnor> What are my liabilites in this area? Should I have refused to
do one?
mark.oconnor> Oh of course I forgot to mention she flies on Thursday, so I
have to do the
mark.oconnor> letter and "make my mind up quickly" [sic] So get cracking you
guys/gals I'm
mark.oconnor> depending on you.
mark.oconnor>
mark.oconnor> Off to a bad start with this one :(
Agree. However, colleague or no, she should still appreciate the
position she is putting you in, landing you with such a request on her
first visit. If she is unimpressed, she knows what she can do, doesn't
she?
Ultimately, it boils down to whether you feel clinically able to justify
the request. Why not ask your local O&G bod if *they* would prescribe?
If they would not, then you are perfectly safe in declining her request.
Why has she dumped this on you at this time, anyway?
Good luck, and remember you can't win 'em all so don't worry if you
don't!
Cheerio,
Graham
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