Many doctors are intimidated by pregnant patients… thanks to @DrEveryWoman for joining me! Check out the DocSwag Doc Schmidt merch presale here! www.merchbucket.com/collectio...
The way I see it, it's more like "ok, the patient has a medical condition that does complicate some treatment options. Let's consult with OB first because they would know more than we do about the risks here regarding pregnancy." Drs may work in silos, but the human body doesn't.
I wonder if the new laws regarding super-early-term pregnancies are going to cause doctors to be even more terrified of treating a pregnant (or suspected pregnant) patient?
Sadly we don't have to wonder. I've read several news stories about exactly that happening, sometimes with severe consequences for the patients. I... have no words honestly.
I know this is supposed to be a funny, but I did once have a patient who had rectal bleeding/melena while pregnant. She didn't get scoped until after she delivered and she died about 2 years later from gastric cancer. I think about her a lot.
I was having chest pain (!) and the hospital wanted to send me to L&D. I was only about 9 weeks pregnant. L&D wouldn’t have been helpful there. I ended up staying in the cardiac ward for a couple days - and it ended up being from the pregnancy - but both departments were freaked out.
To be fair ER doesn't want anyone. They're there to try and stop you from immediately dying then you get moved to another part of the hospital, go home, or...well...they tried.
@@JoonasD6 No. That isn't what they did. 🙄 I don't even think I got 1. Among other things. The monitored for contractions, fetal heart rate & pre term labor
I remember doing my L&D tour before having my first and the last thing they said was "if you have (medical) problems or any kind, come here. Don't go to ER. We are your ER from now until the baby comes."
It's so accurate tho. Wife straight up kept getting referred back to OB for everything non-baby related. Took straight up hollering at them in a couple cases.
It's funny because it's true. Called to ED for all manner of things; admit to medicine. 'why can't surgery manage 1 hypertensive patient..." But the moment ED adds they are pregnant; immediate consult on/gun, Dx could be anything.. ANYTHING..😮
to see it from their perspective. Maybe they just dont feel that they have enough expertise and need help from the obgyn! Doctors and nurses dont know everything and that's the reason we got specialties in XYZ. look at it as a sign of quality!
OB should have an answering machine that says "If the patient is in labor or is about to undergo treatment for which pregnancy is a documented contraindication, press 2. If you just want to make sure you can safely treat this patient, press 3." Whn you press 3 the machine says: "The patient will be fine. Goodbye."
Sorry to burst your bubble, but only women, a biological female, can get pregnant, gestate, and deliver. No man can, and ya, if you have "northern twins" and a internal baby cooker, you are 100% female. Identity, ala any if the 76 million genders, are feelings, NOT facts.
One of my coworkers was working blood bank a couple weeks ago and saw an order for a Type and Screen from L&D. The patient was 13!!😢 Would that be L&D or Pediatrics by that logic? 🤔
@@InoueTsubasa it’s been nearly 20 years ago now. My memory could be playing tricks on me… but even if I’ve got the exact age off a bit, it’s not by much. Hopefully things have changed since then.
We did an open heart on a 28 year female. We had to do pregnancy tests once a month for 3 months to ensure there was no pregnancy prior to surgery. Baby would definitely not survive that surgery just due to all the meds and bypass. Not to mention the amount of heparin given to go on bypass would alone cause great harm to the fetus
And what would have happened to the patient if the surgery wasn't done? Could a patient with severe heart problems survive a pregnancy? Just asking because I'm currently pregnant and a perfectly healthy young woman, but growing a baby is harder for my body than I expected... Maybe these checks were your patients wish and than it's fine and understandable, but if not, why would an early pregnancy be a reason to set a humans life on risk? (Sorry for my English and I probably speak of a very European point of view...)
I get it, but would've it make more sense if she could come and see the patient with you Doc, and the two of you work together to figure out whats going on? Put your two heads together? I feel like this poor patient is falling through the cracks.
Not every pregnant person is a woman. Most, but not all. Some are trans men and some are non binary or another gender. But I think you're well aware of that, you're just transphobic 🙄
My god every single time the same plot, a dr. specialised in adults, calling an obgyn totally lost asking something obvious. Not funny anymore, not sure it ever was. Also, obgyn is not a "baby doc".
The general lack of knowledge about the process in which every single human enters the world, is the joke. It's less 'funny ha ha', and more 'darkly comic indictment of current and historic practice.' The Joke will continue until Situations Improve.
@@sakurakiyori Yup, you got it. A doctor literally tried to refer me to an OBGYN for rectal bleeding... like, DUDE, I've had a period for 20 years, I KNOW that this is not a period. Ugh. At least Doc Schmidt has some fun with it. I appreciate it for sure.
@@sakurakiyoriNot in the medical field at all, but the vibe I get isn't so much "lack of knowledge" but "lack of confidence in the face of perceived higher stakes". IOW, the fear that there *might* be something in the ordinary colonoscopy procedure that is too dangerous for a pregnant patient, and that if you screw it up you'll be on the news for killing both mother and child and will be facing a huge malpractice suit. I've seen it happen in other industries that as soon as two separate areas of expertise are needed to solve a problem, the experts on either side are too afraid of what they don't know about the other field for either to be willing to take the lead on solving the problem.
@@JonBrase An honest admission of concern for complications outside your field is one thing, in my view. Another thing entirely, is the assumption that something that is specifically in your field happening on anything other than the " default " patient, is the responsibility of the specialist of the other field.
@@sakurakiyori Whatever we think about it or its consequences, in my experience it seems to be a very common human impulse, perhaps especially among people with deep knowledge of a field: "the more you know the more you know you don't know".
