tag:blogger.com,1999:blog-31146535.post1554981154894402680..comments2023-09-19T11:02:50.976-04:00Comments on Ob/Gyn Kenobi: Commentarydr. whoo?http://www.blogger.com/profile/10315615480530297472noreply@blogger.comBlogger44125tag:blogger.com,1999:blog-31146535.post-28600521342757297012013-06-12T17:55:45.496-04:002013-06-12T17:55:45.496-04:00Honestly, you sound like my ideal OB. Willing to w...Honestly, you sound like my ideal OB. Willing to wait and be patient but ready to jump in if there's a problem. Willing to listen to my preferences, but never at the expense of my safety or my baby's. You don't happen to practice in the Kansas City area, do you?<br /><br /><br /><br />Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-45635331219439222312009-02-13T15:49:00.000-05:002009-02-13T15:49:00.000-05:00Hi Dr WhooI really really enjoyed reading your blo...Hi Dr Whoo<BR/><BR/>I really really enjoyed reading your blog and am happy that such doctors exist in the USA. <BR/><BR/>I received horrible OB care and is described on my blog but all doctors arent good doctors and some are not even good humans.prachihttps://www.blogger.com/profile/11663235010094198080noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-29775185573720491792009-02-04T20:47:00.000-05:002009-02-04T20:47:00.000-05:00Dr Whoo, I loved what you, Lizard and coffee and t...Dr Whoo, I loved what you, Lizard and coffee and tea said. Couldn't agree more. <BR/>And my being here (and my mother still being here) is a testament to all that has been said - a crash Caesar was needed to deliver me (2.3kg and with lots of scary decels), saving my life, and half an hour later my mothers life was saved by the anesthetist when she VFibbed on the table. We have a great relationship despite often being separated geographically (despite many people telling me that Csections can interfere with bonding), and even though she didn't see me for 8 hours after I was born because we were both in ICU. And she went on to deliver my sister the natural way. So hooray for the anaesthetists, midwives and obgyns who were involved.Dragonflyhttps://www.blogger.com/profile/12759938692575603663noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-51404685566388644472009-01-31T00:44:00.000-05:002009-01-31T00:44:00.000-05:00I appreciated the dialogue here. Thanks for your ...I appreciated the dialogue here. Thanks for your comments, Dr. Whoo. To Sarai and other patients: Like many, I became a physician to help people. It's a hard job to do. We are trying to make our decisions on the best evidence available. That's because, believe it or not, we actually want what's best for you, our patient. We are trying very hard not to miss anything that could cause you bad long-term consequences. We don't want any harm to come to you or your baby. At the end of the day, if we schedule you an early induction, and then your baby has transient tachypnea and spends 3 weeks in the NICU, we are grieved, too. Or we hesitant to do an emergency C-Section because you don't want one when our experience and knowledge tell us that your baby is in danger and your baby dies or has long term damage, we don't ever forget about it. Yes, you as the patient, have to live with it. But we have to live with how our decisions affect you, too, and we've worked too hard, spent too much time away from our family, and gotten too much grief in our altruistic persuits to also loose sleep when you run the show and have a bad outcome. Not to mention the million dollar lawsuit that we might end up with. We are doing the best we can for you. We do a good job most of the time. Bad things happen enough even with our best showing. Sure, continue to keep us on our toes. But don't be too hard on us either. <BR/>-OB residentAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-13236122974600923082009-01-29T23:06:00.000-05:002009-01-29T23:06:00.000-05:00wow, ob-gyn, this is why I dont vent my really see...wow, ob-gyn, this is why I dont vent my really seep personal thoughts on my blog, when I started to it attracted email from people who had all sorts of projections and expectations of me. On top of it, I am a psychiatry resident and have my name on my blog, and it just took a few annoying comments to make the whole thing unpleasant! it bordered on harassment! so i just stopped the semi personal soft (no less!) commentary which I have butt-loads of to begin with. <BR/><BR/>Bless you for even going as far as you did in your response, you know you didn't have to... because these complaints had NOTHING to do with you. And there was nothing you could have said to make it better for her. I am sorry she is in pain.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-70543418549625051382009-01-26T18:37:00.000-05:002009-01-26T18:37:00.000-05:00Wow - this is the first time I've read your blog. ...Wow - this is the first time I've read your blog. I have quite a few questions for Sarai - If you read a cookbook, can you compete with Bobby Flay? When you got your driver's license, did you tell Richard Petty that he should ease up in the corners?<BR/><BR/>I have nothing nice to say, except I've instantly become a Dr. Whooo fan.Cindihttps://www.blogger.com/profile/18075625220697841636noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-77291499365267028782009-01-21T23:18:00.000-05:002009-01-21T23:18:00.000-05:00Oh my god, Dr. Whoo. I cannot believe this woman ...Oh my god, Dr. Whoo. I cannot believe this woman wrote all of this stuff - and I'm SO FREAKIN' PROUD of you for responding in this way.<BR/><BR/>ALSO - holy crap, that mention of the tax break reminded me - my co-worker knows a woman who insisted on a c-section super-early (or tried to insist; I can't remember whether she got away with it or not) because she "HAD to have this baby in 2008 for tax purposes". SERIOUSLY??? Who ARE these people?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-80696971266118238002009-01-20T22:37:00.000-05:002009-01-20T22:37:00.000-05:00where are ya now sarai! where are ya now?!where are ya now sarai! where are ya now?!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-37405201774242832172009-01-20T18:57:00.000-05:002009-01-20T18:57:00.000-05:00Oh. My. Goodness.She's a peach.Oh. My. Goodness.<BR/>She's a peach.Taking Hearthttps://www.blogger.com/profile/11582706569774851613noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-64846009282757938162009-01-20T18:05:00.000-05:002009-01-20T18:05:00.000-05:00Dr Whoo..I've been lurking a lot more than comment...Dr Whoo..I've been lurking a lot more than commenting, but WOW. This post was amazing. I can't understand where this woman is coming from (actually, as a CNM I have run across it, but still don't understand it).<BR/><BR/>@Lizard: You are very correct. It's about the baby. A safe delivery for both, and a healthy baby. I went to a great lecture by Ina May Gaskin several years ago. She said many of the things you did.MI Dawnhttps://www.blogger.com/profile/05511751704151268307noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-52325824659890819752009-01-20T15:25:00.001-05:002009-01-20T15:25:00.001-05:00Is there any way to block that nut job from readin...Is there any way to block that nut job from reading your blog? <BR/><BR/>Great response! Go Dr. Whoo go!<BR/><BR/>I hope her comments don't discourage you to post. I would miss your blog!<BR/><BR/>Mrs. MomAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-90496495091473247212009-01-20T02:35:00.000-05:002009-01-20T02:35:00.000-05:00Aww, your Mr. Whoo is so sweet! I just wanted to ...Aww, your Mr. Whoo is so sweet! <BR/><BR/>I just wanted to chime in and agree with all the previous supporters. What the hell is the point of going to a physician if you're just going to make demands, regardless of medical indication. I do like the idea of my doctor keeping me informed and seeking my opinion/preference when possible. That said, the initials after my name aren't MD or Do, so I will defer to them...<BR/><BR/>Finally, it's your blog, and you can say what you want!! Based on the way you write (i.e., your philosophies regarding the practice of medicine), I'd let you do my pelvic any day of the week. ;) Keep up the great work, Dr. Whoo!Return Of Saturnhttps://www.blogger.com/profile/11213074885041424996noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-56151937827521589512009-01-18T23:18:00.000-05:002009-01-18T23:18:00.000-05:00Dr. Whoo, I am another fan of your writing and poi...Dr. Whoo, <BR/><BR/>I am another fan of your writing and points of view.<BR/><BR/>My only but is that I think that MD venting can sound awfully harsh to non MDs. <BR/><BR/>Yet venting is a critical in order to keep us sensitive physicians who can truly hear our patients needs, both physical and emotional.<BR/><BR/>So keep venting in ways that are restorative to you.Tigermomhttps://www.blogger.com/profile/15525962425980447155noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-59312231337297085802009-01-18T17:08:00.000-05:002009-01-18T17:08:00.000-05:00God Love you Dr. Whoo...you are freakin' awesome.God Love you Dr. Whoo...you are freakin' awesome.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-62940776460141024812009-01-18T16:47:00.000-05:002009-01-18T16:47:00.000-05:00Wow! All support from this med student who seconds...Wow! All support from this med student who seconds coffeeandtea and anonymous' opinions.Milk and Two Sugarshttps://www.blogger.com/profile/17960085813041665939noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-73093080147481992442009-01-18T14:00:00.000-05:002009-01-18T14:00:00.000-05:00Wow....well not to restate the obvious but...(1)It...Wow....well not to restate the obvious but...<BR/>(1)It's your blog and you can really write whatever you want, no one is forced to read/agree with it...in fact rather than leaving rambling messages they can not read it<BR/><BR/>(2)people seem to forget that pregnancy is more than cute maternity wear and weight gain the list of things that can go wrong in the peri and postpartum period are huge<BR/><BR/>(3)childbirth is very natural and naturally remains a major cause of death for women and infant in the developing world.<BR/><BR/>(4)as for calling the shots, I'm an M.D. and when I delivered while a discussed options with my OB I inherently trusted her to make objective decisions that I knew I couldn't do<BR/><BR/>(5)It's easy to play monday morning quaterback but much harder to call the shots as its happening<BR/><BR/>(6) this won't be popular BUT..I've heard nurses complaining in hospital about they're plan for patients not being followed and guess what....ITS MY ASS ON THE LINE...it's easy to complain and wax poetic when the responsiblity for outcome doesn't ultimately falll on you, so spare me.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-64459291680824407902009-01-18T08:11:00.000-05:002009-01-18T08:11:00.000-05:00thank you thank you thank you. I am a small town ...thank you thank you thank you. I am a small town doc who struggles daily with so many of these issues you so eloquently post about on your blog. I was feeling so alone and just plain sad until I found your blog and the mothers in medicine blog. Thank you because I now do not feel that I am alone! <BR/><BR/>This post is just why I find it so hard to do medicine some days and wish I was doing something else - anything else! But, it's the responses above and people who do appreciate my expertise and respect me that bring me back to why I'm here - out in the prairie, doing my best, and trying to be patient when my patient asked about their hemorrhoids in the grocery story last night, and trying not to take it personal when a patient I have worked so hard for asks to switch to my partner. <BR/><BR/>so, keep venting, and sharing why this is one of the toughest jobs out there - thanks again!!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-59101317910713507342009-01-17T23:18:00.000-05:002009-01-17T23:18:00.000-05:00Many times I feel sorry for my docs. You are damn...Many times I feel sorry for my docs. You are damned if you do and damned if you don't and if the results are less than perfect then you are always at fault. Keep doing what you do and remember that most people are reasonable and not as judgemental.Theresahttps://www.blogger.com/profile/02184746356575793266noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-33955399779704871412009-01-17T15:46:00.000-05:002009-01-17T15:46:00.000-05:00Great reply, Dr. Whoo.I think it is ironic that so...Great reply, Dr. Whoo.<BR/><BR/>I think it is ironic that someone would post on your blog that you should take a page out of the midwives' book, and then tells you to do early inductions because the pregnant mom is tired. I can't believe she tells you to know that they will live with the consequences of your actions for the rest of their lives, and then tells you to do unindicated care with statistically worse outcomes (elective cesarean, early inductions).<BR/><BR/>And, I can't believe she would tell you that you don't listen to your patients. Sorry about that. It's hard to put it out there and be subject to people's reactions.<BR/><BR/>I have all the sympathy in the world. I think informed consent is sacred, but as long as both parties know (practitioner and patient) what the risks are of a procedure, the practitioner gets to decide what to do, and the patient gets to decide whether to accept that decision or to shop for another practitioner. <BR/><BR/>Obviously this isn't possible in all situations, if there is an emergent condition or the patient doesn't have the financial or social means to shop around. But, otherwise, that's how it should work.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-46528053259157834922009-01-17T14:27:00.000-05:002009-01-17T14:27:00.000-05:00I think that your responses to these comments are ...I think that your responses to these comments are very reasoned and logical. Well done, Dr. Whoo, and thanks for sharing.Dr. Khttps://www.blogger.com/profile/01917649627184978778noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-79540702957609254792009-01-17T13:48:00.000-05:002009-01-17T13:48:00.000-05:00Wow Dr. Whoo. I'm sorry that you had to respond t...Wow Dr. Whoo. I'm sorry that you had to respond to that. I cannot begin to imagine going into a doctor's office (ob or any) and demanding to be treated as I desired. I think my favorite part of this comment from Sarai was the part about down on their luck people needing a planned delivery for a tax break. Right. That's a great reason to have a child.<BR/><BR/>I hate how people assume that they can always do someone's job better than they can. It seems that no matter what field we go into, they way society has shaped people into having an inflated sense of self worth makes them think they are the know all and end all. It seems no profession is exempt from this!Victoriahttps://www.blogger.com/profile/05001504333296382139noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-78897041044909666212009-01-17T10:37:00.000-05:002009-01-17T10:37:00.000-05:00wow. and may I say again, WOW. I hadn't read the c...wow. and may I say again, WOW. I hadn't read the comments on the last post, and his blows my mind. <BR/><BR/>I am from what would appear to be the opposite camp, in that I am a naturopathic physician and midwife, so I do home births. I am often the person people come to when they have had unpleasant experiences previously, or worse when they have read and watched scary things that tell them they *will* have one if they aren't careful. <BR/><BR/>I agree with everything Dr. Whoo says in both of these posts, and in general. Everything. EVERYTHING. I am the supposedly touchy-feely "hippie vaginal birth" midwife, and I can't and wouldn't pick a single point. <BR/><BR/>One of my biggest problems these days is that women think that being educated and choosing, say, a home birth, means that they will get one. It doesn't work that way. Sometimes we have to go to the hospital. Some babies need to come by c-section. Some even need to come by crash c-section, which is certainly no one's first choice. <BR/><BR/>However, to say "I want to schedule a c-section so I can avoid a crash c-section" is insane. Really. No responsible physician will say yes to that, especially for a first time mom. It pretty much guarantees her repeat c-sections, and every doc I know around here will work his or her butt off to protect the vaginal birth, especially for the primip. <BR/><BR/>Doctors do make decisions. Just because you have researched and read about the choices doesn't mean you get to choose what your birth will be. It doesn't work that way. This is not buying a damned car, people, it is an entirely unpredictable event and you can hope for the best and have lots of dreams, but I have news for you, from the hippie midwife: giving birth is NOT about the mother. It is about the baby, and what the baby needs. The mother's desire for a vaginal birth does NOT trump the baby's need to get out right now, or suffer brain damage. It just doesn't. <BR/><BR/>So now I sound like a cold, unfeeling, um, female dog. But you know what? I'm not. I think that my biggest job is to make women OK with birth, no matter what happens. My best successes are the women who transport to the hospital and have c-sections and don't feel traumatized by them. Who feel that they were heard and that they tried and that they made the best decisions they could for THEIR BABIES. Who really understand at the end of it all that the most important decision they made as a mother was when they ignored everything they wanted and dreamed about in the face of evidence that their baby needed something different. <BR/><BR/>So there we are. Feel free to tell me what a terrible midwife I must be.Lizardhttps://www.blogger.com/profile/01718844284081950852noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-5687733072674575652009-01-17T05:45:00.000-05:002009-01-17T05:45:00.000-05:00Go get 'em Dr. Whoo!! I think you're friggin fant...Go get 'em Dr. Whoo!! I think you're friggin fantastic and would take you as a doc any day!!!nataliehttps://www.blogger.com/profile/02887223684611707582noreply@blogger.comtag:blogger.com,1999:blog-31146535.post-13871643760186194042009-01-16T20:58:00.000-05:002009-01-16T20:58:00.000-05:00Dr. Whoo, continue to use this blog as your outlet...Dr. Whoo, continue to use this blog as your outlet for the things you feel you need to rant about. People forget that pregnancy/childbirth can be potentially hazardous. People died (and still die all the time in developing nations) from something as natural as giving birth. All those interventions sarai named(the induction, the elective cesareans) can lead to complications, something she would have known had she and her physician had a discussion about them. This is the only speciality where everyone wants a perfect outcome. When it doesn't happen, it's the doctor's fault. I say hell no to that. I, as an OB, am sick and tired of the misinformed, the skewed info from people like Ricki Lake and even Lady O, dictating how I am to practice my field. Do not let this obviously uninformed witch (but i wanted to say the other word) sway you from the right to blog the way you want. She doesn't like what you have to say , she doesn't have to read. Congrats again on board certification =)Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-31146535.post-67341926048477874962009-01-16T20:57:00.000-05:002009-01-16T20:57:00.000-05:00Let the lot of 'em give birth in the third world. ...Let the lot of 'em give birth in the third world. Docs will start looking a whole lot better. Chin up, Dr. Whoooo. I'm just sorry there's not more like you.Anonymousnoreply@blogger.com