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Fri, 31 Mar 2000 22:59:44 -0800 |
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Jan B (writes) -- hoping a few more people will get into this dialogue.
We've got a
few docs on this list -- what do you think?
Yes, I've been following this thread and have been thankful I'm a doc and
can prescribe what I want - reglan, diflucan, abx, etc. I recommend
cabbage freely and occasionally fenugreek. But beyond that, I don't do
herbs - why? I don't have a comfortable knowledge base... and I haven't
seen many good studies to convince me that xyorz is a tool I should be
using.
The bottom line for me is this: don't do something you're not comfortable
with, whether it's a procedure, or recommending a medication [or an herb]
or even referring a patient to someone [yes, there are people I won't even
refer patients to]. Find someone you can refer to in these situations to
get the job done.
Regarding being sued - anyone can sue you for anything. It doesn't matter if
they don't "have a just case" - you'll still get dragged through it.
Fortunately for you guys, you are small potatoes - docs pay big malpractice
insurance.
And speaking of malpractice, as I remember, it consists of 4 parts:
1. departure from "standard of care" [this is the point you're debating,
right?]
2. incident due to this departure
3. injury due to incident
4. injury has permanent effect??? help me on this one - any JD's out there?
Gail Hertz, MD, IBCLC
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