had a tough week so thought i'd seek solace
first i saw a nine day old baby with a mild dose of chicken pox; no
obvious contact; didn't think too much about it and was very reassuring;
3 days later said baby admitted urgently quite poorly and given iv
aciclovir; g'ma remarked to a partner the next day that the 'hospital
doctor' had said that the baby should have been admitted when first seen
by yours truly. a dr-pt relationship sliding down a slippery slope as
you can see; what to do?
secondly lady becomes pregnant with coil in situ, wants to keep baby,
question is what to do with the coil; i ask partners who suggest that
there is 'some evidence' to suggest its safer to leave it where it is; i
go along with this line, patient equivocal and obstetrician advises its
removal; patient trust in gp damaged, i did a retrospective medline
search this pm and couldn't find what looks like a decent study
so there you go
feeling touchy ;-) so only helpful comments (goes against the grain i
know..........)
owen dempsey
General Practitioner
Huddersfield,
work:01484-654504
home: 01484-654794
e-mail: [log in to unmask]
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