tag:blogger.com,1999:blog-23685740.post1882691702941207867..comments2023-11-03T02:07:30.240-07:00Comments on The Birth Book Blog: Our new baby, installment #21Tina Cassidyhttp://www.blogger.com/profile/14636705157835152712noreply@blogger.comBlogger15125tag:blogger.com,1999:blog-23685740.post-91441369558895641032010-01-21T20:28:50.304-08:002010-01-21T20:28:50.304-08:00This comment has been removed by a blog administrator.Aion Kinahhttp://www.randyrun.fr/Aion/Aion-Kinah:::5653_5654.htmlnoreply@blogger.comtag:blogger.com,1999:blog-23685740.post-48931297227491000202009-09-13T21:02:47.400-07:002009-09-13T21:02:47.400-07:00WoW nice blog buddy!Actually WoW is my favorite ap...WoW nice blog buddy!Actually WoW is my favorite appreciation keyword. I also like to play. <a href="http://www.randyrun.pl/World-of-Warcraft-EU/WoW-Gold-kaufen:::2220_5367.html/" rel="nofollow"> Wow Gold</a>. I was looking for info regarding that and saw your website. Its nice and very interesting.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23685740.post-20335525193544827222008-02-12T03:23:00.000-08:002008-02-12T03:23:00.000-08:00I am confused about the protein thing. What does e...I am confused about the protein thing. What does eating protein do for your blood pressure?pinkyhttps://www.blogger.com/profile/00198277802918823591noreply@blogger.comtag:blogger.com,1999:blog-23685740.post-63872395231604581272008-02-12T02:37:00.000-08:002008-02-12T02:37:00.000-08:00Emjaybee - I am very aware of Dr. Amy's participat...Emjaybee - I am very aware of Dr. Amy's participation in this and other blogs. In fact I have visited her site from time to time. Dr. Amy has a lot of good important information to offer but the problem is that she cannot communicate it the way most women would listen to it. Instead of conversational, she makes it adversarial which is too bad. It's kind of a waste, really of her expertise. But some people who are as passionate as she is needs a voice and she has found it here and on other blogs. Her comments are imoprtant - kind of balances things out. Keep up the good work Dr. Amy.momhttps://www.blogger.com/profile/13912881102031569038noreply@blogger.comtag:blogger.com,1999:blog-23685740.post-17966119174060616502008-02-11T19:13:00.000-08:002008-02-11T19:13:00.000-08:00Oh man, I'm loving this so much. Tina's Mom, Dr. A...Oh man, I'm loving this so much. Tina's Mom, Dr. Amy is notorious on every midwifery blog/birth blog I've ever visited...and now she's found you. Be prepared for constant trolling.<BR/><BR/>Tina, if you don't know what I mean, just visit a few midwife blogs and ask..ha. <BR/><BR/>I get white coat syndrome with BP myself, which is funny since even when pregnant, my pressure was usually low. I had one kind doc who finally told me to visit 3 different drugstore machnes on three different days and write down the measurements, then see what the median was...and whaddya know, my pressure was considerably lower than in her office. <BR/><BR/>Sort of the medical version of quantum physics, where to observe a particle is to affect it..patient stress levels (and what they tell docs) are always going to be affected by the dr./patient relationship.emjaybeehttps://www.blogger.com/profile/02702493830415324423noreply@blogger.comtag:blogger.com,1999:blog-23685740.post-69392399113230185822008-02-11T17:42:00.000-08:002008-02-11T17:42:00.000-08:00Dr. Amy - That's a very strong response. And, act...Dr. Amy - That's a very strong response. And, actually, dispite your answer I think you're borderline compassionate! But if I was a patient in your practice and I heard a 9 month pregnant woman being turned away because her concerns were being dismissed I would leave your practice immediately. You don't think women have the intelligence to know what their blood pressure history is? And furthermore, how would you know if it was a medical emergency if you didn't take her blood pressure? By any human account, you cannot convince me that your reasoning is correct. Lack of human decency is one of many reasons why people in general are looking for alternative healthcare options. I'm going to bed. Good night.momhttps://www.blogger.com/profile/13912881102031569038noreply@blogger.comtag:blogger.com,1999:blog-23685740.post-31566204285113089282008-02-11T17:14:00.000-08:002008-02-11T17:14:00.000-08:00Tina's mom:"What would you have done?"I would not ...Tina's mom:<BR/><BR/>"What would you have done?"<BR/><BR/>I would not have seen her and would not have allowed my staff to take her blood pressure. You simply can't walk in off the stree and ask for a medical evaluation, which taking her blood pressure would entail. I would have advised her in the strongest possible terms to see her own midwife since medical history is critical to evaluating pregnancy complications. Blood pressure can only be interpreted in light of the history of blood pressure throughout the pregnancy.<BR/><BR/>Had she asked me I would have told her that all the existing scientific evidence to date shows that homebirth has an increased risk of neonatal death compared to hospital birth for low risk women, that a home VBAC substantially further increases that risk and that eating extra protein to control high blood pressure is a scam fabricated by a charlatan.<BR/><BR/>On the other hand, if a pregnant woman walked in complaining of an emergency, I would have seen her immediately.Amy Tuteur, MDhttps://www.blogger.com/profile/08496583576036722794noreply@blogger.comtag:blogger.com,1999:blog-23685740.post-74257715481122145442008-02-11T16:56:00.000-08:002008-02-11T16:56:00.000-08:00Dr. Amy - I just think it's common sense. If I sa...Dr. Amy - I just think it's common sense. If I saw someone that pregnant come in for any kind of evaluation at that point - I'd drop whatever it was that I was doing to attend to her needs. What would you have done?momhttps://www.blogger.com/profile/13912881102031569038noreply@blogger.comtag:blogger.com,1999:blog-23685740.post-27017372086576176862008-02-11T16:43:00.000-08:002008-02-11T16:43:00.000-08:00Tina's mom:"It is inconceivable and inexcusable fo...Tina's mom:<BR/><BR/>"It is inconceivable and inexcusable for any health care provider to turn someone away - especially under these conditions."<BR/><BR/>It was my understanding that this was about convenience, not a medical emergency. A medical emergency would be an entirely different circumstance. I don't think there is a doctor alive who hasn't, on more than one occasion, rushed to the emergency aid of a complete stranger in a restaurant, on an airplane or by the side of a road after an auto accident.Amy Tuteur, MDhttps://www.blogger.com/profile/08496583576036722794noreply@blogger.comtag:blogger.com,1999:blog-23685740.post-41705839597152304472008-02-11T16:31:00.000-08:002008-02-11T16:31:00.000-08:00Dr. Amy - Are you kidding me when you say "Why, ex...Dr. Amy - Are you kidding me when you say "Why, exactly, should a healthcare professional see you without an appointment, simply because his or her office is more blah, blah, blah"? Because, these are human beings responding to a 9 month pregnant woman who is concerned that her blood pressure is dangerously elevated. She didn't just stroll in to get some medical advice. It is inconceivable and inexcusable for any health care provider to turn someone away - especially under these conditions. That a mother and baby could die is reason enough to say to patients waiting, "if you could just give us a minute or two to help this woman" would do more for their practice than to turn someone away and risk a catastrophic outcome. The more I went through this process with my daughter, the more understanding I became of her need for compassion and support. Would you have helped her? Or would the practice that you worked for make you turn her away because of liability? You don't think there's liability in turning someone away that could be seriously ill? I will reserve my final opinion of the HBAC until Tina has written her last installment. But insurance is driving the direction of healthcare. Who really is in charge? You seem so passionate about womens healthcare - and you're smart too. For the sake of humanity, why don't you work toward reform so that the medical profession can do their job the way they were trained instead of weeding out high risk patients who don't have an appointment because of liability. I would hardly liken this visit to the medical practice to ordering a cheeseburger at McDonalds, but I bet McDonalds could give them some tips on treating people like people.momhttps://www.blogger.com/profile/13912881102031569038noreply@blogger.comtag:blogger.com,1999:blog-23685740.post-70811834585903839212008-02-11T15:35:00.000-08:002008-02-11T15:35:00.000-08:00I did call my midwife. She even offered to come to...I did call my midwife. She even offered to come to me. I was feeling fine. Just wanted to get it checked. For my own convenience, the local clinic worked and I did not need an appointment. As for stopping at my other provider's office, I did not go in and demand I be seen, as if placing an order at McDonald's. I went in because it was on my way to someplace else, and I merely inquired if it would be possible to have my blood pressure checked, as this was the office our family had been going to for nearly a decade. Didn't seem unreasonable to me since drug stores have blood pressure machines near the front doors. But Dr. Amy hit the nail on the head. Everyone is worried about malpractice. The was clearly what I had run up against. No doctor wants to see for the first time a woman who is 9 months pregnant.Tina Cassidyhttps://www.blogger.com/profile/14636705157835152712noreply@blogger.comtag:blogger.com,1999:blog-23685740.post-65525306042622998082008-02-11T15:30:00.000-08:002008-02-11T15:30:00.000-08:00Howdie, thanks for the edit. Duly fixed.Howdie, thanks for the edit. Duly fixed.Tina Cassidyhttps://www.blogger.com/profile/14636705157835152712noreply@blogger.comtag:blogger.com,1999:blog-23685740.post-68177495957669696092008-02-11T15:20:00.000-08:002008-02-11T15:20:00.000-08:00Shouldn't this be installment #21 Tina?I am also c...Shouldn't this be installment #21 Tina?<BR/><BR/>I am also confused as to why you didn't just call your midwife?Howdiehttps://www.blogger.com/profile/02902092539122389987noreply@blogger.comtag:blogger.com,1999:blog-23685740.post-32023058584696644412008-02-11T13:10:00.000-08:002008-02-11T13:10:00.000-08:00Well, I am nervous now. It is interesting you did...Well, I am nervous now. It is interesting you didn't just have your midwife come over and check you out. How were you feeling at this point? Were you nervous or did you feel like everything was really ok. It seems like you were concerned, hence the desire to find a place as close as possible to get checked out.<BR/>I hope with all the protein you are eating and relaxing you are able to get it under control!Enjoy Birthhttps://www.blogger.com/profile/13227246774801636777noreply@blogger.comtag:blogger.com,1999:blog-23685740.post-84217884601365957352008-02-11T12:49:00.000-08:002008-02-11T12:49:00.000-08:00I'm confused. Why were you fuming about the health...I'm confused. Why were you fuming about the healthcare system? Can you go to a lawyer without an appointment, just to ask a quick question? Can you go to a psychologist without an appointment, just to get a little bit of help because you are feeling down? Why, exactly, should a healthcare professional see you without an appointment, simply because his or her office is more convenient for you than seeing the provider that you hired?<BR/><BR/>What about the legal liability for the provider? Suppose your blood pressure had been 140/95. Do you think the doctor could just let you walk out on your merry way? Obviously not. He or she would have to interrupt office hours, inconveniencing patients who have do have appointments, while he counsels you, examines you, arranges for your transfer to the hospital, etc. <BR/><BR/>I'd be the first to agree that the healthcare system could be far more responsive, but is it reasonable to expect that every doctor's office is like McDonalds. you just step up to the counter and order what you'd like?Amy Tuteur, MDhttps://www.blogger.com/profile/08496583576036722794noreply@blogger.com