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	<title>Comments on: $26.5M verdict against two OBs</title>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/265m-verdict-against-two-obs.html/comment-page-1#comment-81110</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 18 Oct 2007 10:17:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/265m-verdict-against-two-obs.html#comment-81110</guid>
		<description>&quot;Really? According to. . . you? And who are you exactly?&quot;&lt;br/&gt;&lt;br/&gt;Spoken by somebody with no balls of their own an anon CJD lol lol.&lt;br/&gt;&lt;br/&gt;&quot;How exactly were the experts for the plaintiff and defense able to come to their conclusions then?&quot;&lt;br/&gt;&lt;br/&gt;The plantiiff&#039;s conclusions aren&#039;t based on the evidence in the literature. Please do feel free to review it anytime. The breast implant cases were not based on objective data either. Goes to show you there are whore&#039;s in any profession. They will spin their tune based on what you pay them, evidence be damned.</description>
		<content:encoded><![CDATA[<p>&#8220;Really? According to. . . you? And who are you exactly?&#8221;</p>
<p>Spoken by somebody with no balls of their own an anon CJD lol lol.</p>
<p>&#8220;How exactly were the experts for the plaintiff and defense able to come to their conclusions then?&#8221;</p>
<p>The plantiiff&#8217;s conclusions aren&#8217;t based on the evidence in the literature. Please do feel free to review it anytime. The breast implant cases were not based on objective data either. Goes to show you there are whore&#8217;s in any profession. They will spin their tune based on what you pay them, evidence be damned.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/265m-verdict-against-two-obs.html/comment-page-1#comment-81097</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 18 Oct 2007 01:25:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/265m-verdict-against-two-obs.html#comment-81097</guid>
		<description>Really?  According to. . . you?  And who are you exactly?&lt;br/&gt;&lt;br/&gt;How exactly were the experts for the plaintiff and defense able to come to their conclusions then?</description>
		<content:encoded><![CDATA[<p>Really?  According to. . . you?  And who are you exactly?</p>
<p>How exactly were the experts for the plaintiff and defense able to come to their conclusions then?</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/265m-verdict-against-two-obs.html/comment-page-1#comment-81039</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 16 Oct 2007 21:16:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/265m-verdict-against-two-obs.html#comment-81039</guid>
		<description>&quot;Are you guys arguing that there is literally no way that a physician&#039;s actions or omissions during the birth of a cihld can cause brain damage resulting in CP?&quot;&lt;br/&gt;&lt;br/&gt;No, just that there is no way to distinguish such a case from one where no negligence occurred. They are indistinguishable to any objective observer.</description>
		<content:encoded><![CDATA[<p>&#8220;Are you guys arguing that there is literally no way that a physician&#8217;s actions or omissions during the birth of a cihld can cause brain damage resulting in CP?&#8221;</p>
<p>No, just that there is no way to distinguish such a case from one where no negligence occurred. They are indistinguishable to any objective observer.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/265m-verdict-against-two-obs.html/comment-page-1#comment-80952</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 15 Oct 2007 16:51:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/265m-verdict-against-two-obs.html#comment-80952</guid>
		<description>http://www.ninds.nih.gov/disorders/cerebral_palsy/cerebral_palsy.htm&lt;br/&gt;&lt;br/&gt;&quot;A small number of children have cerebral palsy as the result of brain damage in the first few months or years of life, brain infections such as bacterial meningitis or viral encephalitis, or head injury from a motor vehicle accident, a fall, or child abuse.&quot; &lt;br/&gt;&lt;br/&gt;http://gait.aidi.udel.edu/res695/homepage/pd_ortho/clinics/c_palsy/cpweb.htm#RTFToC3&lt;br/&gt;&lt;br/&gt;&quot;Nevertheless, the birthing process can be traumatic for the infant, and injuries occurring during birth do sometimes cause cerebral palsy. Modern prenatal care and improved obstetric care have significantly reduced the incidence of birth injury, but it is unlikely that it will ever be completely eliminated.&quot;&lt;br/&gt;&lt;br/&gt;Are you guys arguing that there is literally no way that a physician&#039;s actions or omissions during the birth of a cihld can cause brain damage resulting in CP?</description>
		<content:encoded><![CDATA[<p><a href="http://www.ninds.nih.gov/disorders/cerebral_palsy/cerebral_palsy.htm" rel="nofollow">http://www.ninds.nih.gov/disorders/cerebral_palsy/cerebral_palsy.htm</a></p>
<p>&#8220;A small number of children have cerebral palsy as the result of brain damage in the first few months or years of life, brain infections such as bacterial meningitis or viral encephalitis, or head injury from a motor vehicle accident, a fall, or child abuse.&#8221; </p>
<p><a href="http://gait.aidi.udel.edu/res695/homepage/pd_ortho/clinics/c_palsy/cpweb.htm#RTFToC3" rel="nofollow">http://gait.aidi.udel.edu/res695/homepage/pd_ortho/clinics/c_palsy/cpweb.htm#RTFToC3</a></p>
<p>&#8220;Nevertheless, the birthing process can be traumatic for the infant, and injuries occurring during birth do sometimes cause cerebral palsy. Modern prenatal care and improved obstetric care have significantly reduced the incidence of birth injury, but it is unlikely that it will ever be completely eliminated.&#8221;</p>
<p>Are you guys arguing that there is literally no way that a physician&#8217;s actions or omissions during the birth of a cihld can cause brain damage resulting in CP?</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/265m-verdict-against-two-obs.html/comment-page-1#comment-80951</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 15 Oct 2007 16:45:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/265m-verdict-against-two-obs.html#comment-80951</guid>
		<description>&quot;He was saying that the rate of C sections is way up, but the rate of CP is the same. This would lead us to believe that C sections do not have any affect on CP.&quot;&lt;br/&gt;&lt;br/&gt;If one were to assume that C-sections were only done in certain types of cases, we might be able to reach that conclusion.  However, C-sections are done for a variety of reasons, including physician and patient convenience, so simply saying there are additional C-sections tells us little.&lt;br/&gt;&lt;br/&gt;His logic is not hard to follow, it&#039;s just poor logic.</description>
		<content:encoded><![CDATA[<p>&#8220;He was saying that the rate of C sections is way up, but the rate of CP is the same. This would lead us to believe that C sections do not have any affect on CP.&#8221;</p>
<p>If one were to assume that C-sections were only done in certain types of cases, we might be able to reach that conclusion.  However, C-sections are done for a variety of reasons, including physician and patient convenience, so simply saying there are additional C-sections tells us little.</p>
<p>His logic is not hard to follow, it&#8217;s just poor logic.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/265m-verdict-against-two-obs.html/comment-page-1#comment-80950</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 15 Oct 2007 16:44:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/265m-verdict-against-two-obs.html#comment-80950</guid>
		<description>&quot;PS: Yet again I will say LOOK UP THE RESEARCH ON PUB MED.&quot;&lt;br/&gt;&lt;br/&gt;I&#039;ve read the ACOG study, and agree with it.  What&#039;s your point?  It doesn&#039;t say that CP is never caused by malpractice. &lt;br/&gt;&lt;br/&gt;Given that you haven&#039;t reviewed the evidence, how can you say this case was wrongly decided?  How is it possible that you are obviously right, and the physician who testified for the plaintiff obviously wrong?</description>
		<content:encoded><![CDATA[<p>&#8220;PS: Yet again I will say LOOK UP THE RESEARCH ON PUB MED.&#8221;</p>
<p>I&#8217;ve read the ACOG study, and agree with it.  What&#8217;s your point?  It doesn&#8217;t say that CP is never caused by malpractice. </p>
<p>Given that you haven&#8217;t reviewed the evidence, how can you say this case was wrongly decided?  How is it possible that you are obviously right, and the physician who testified for the plaintiff obviously wrong?</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/265m-verdict-against-two-obs.html/comment-page-1#comment-80943</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 15 Oct 2007 15:51:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/265m-verdict-against-two-obs.html#comment-80943</guid>
		<description>He wasn&#039;t saying anything about the specifics of this case.  He was saying that the rate of C sections is way up, but the rate of CP is the same.  This would lead us to believe that C sections do not have any affect on CP.  &lt;br/&gt;&lt;br/&gt;This assumption can be applied to all CP cases though where they claim that a C section was not done soon enough...  I don&#039;t think his logic is that hard to follow?</description>
		<content:encoded><![CDATA[<p>He wasn&#8217;t saying anything about the specifics of this case.  He was saying that the rate of C sections is way up, but the rate of CP is the same.  This would lead us to believe that C sections do not have any affect on CP.  </p>
<p>This assumption can be applied to all CP cases though where they claim that a C section was not done soon enough&#8230;  I don&#8217;t think his logic is that hard to follow?</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/265m-verdict-against-two-obs.html/comment-page-1#comment-80942</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 15 Oct 2007 15:40:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/265m-verdict-against-two-obs.html#comment-80942</guid>
		<description>CJD:&lt;br/&gt;You know nothing behind the science behind the above statements. In fact you don&#039;t even appear have to have the ability to look it up. Do you even know how to do research on your own instead of quoting ATLA mantra. You spew your nonsense about this issue, breat implants, vaccine debate, you name it without even having a rudimentary understanding behind the science and the research involved. With your complete lack of understanding with science you would have made a great judge during the spanish inquistion.   &lt;br/&gt;&lt;br/&gt;PS: Yet again I will say LOOK UP THE RESEARCH ON PUB MED.</description>
		<content:encoded><![CDATA[<p>CJD:<br />You know nothing behind the science behind the above statements. In fact you don&#8217;t even appear have to have the ability to look it up. Do you even know how to do research on your own instead of quoting ATLA mantra. You spew your nonsense about this issue, breat implants, vaccine debate, you name it without even having a rudimentary understanding behind the science and the research involved. With your complete lack of understanding with science you would have made a great judge during the spanish inquistion.   </p>
<p>PS: Yet again I will say LOOK UP THE RESEARCH ON PUB MED.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/265m-verdict-against-two-obs.html/comment-page-1#comment-80939</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 15 Oct 2007 13:58:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/265m-verdict-against-two-obs.html#comment-80939</guid>
		<description>&quot;You cannot demonstrate why CP happened, other than to say that it may be caused by birth trauma in 5-10% of the cases. Still, without knowing conclusively whether birth trauma occurred, you sue.&quot;&lt;br/&gt;&lt;br/&gt;Are you arguing that it is impossible to tell whether birth trauma occurred?  You must be joking.  &lt;br/&gt;&lt;br/&gt;&quot;C-sections are at an all-time high, and CP rates haven&#039;t changed. Ergo, C-sections are ineffective. Yet you&#039;ll crucify us for not performing them. &quot;&lt;br/&gt;&lt;br/&gt;You are chock full of assumptions, aren&#039;t you?  You have no idea what acts or omissions constituted malpractice in this case.  None.&lt;br/&gt;&lt;br/&gt;I hope you don&#039;t practice medicine with as little information as you practice law.  If ignorance is bliss, you&#039;re the happiest person on the planet.</description>
		<content:encoded><![CDATA[<p>&#8220;You cannot demonstrate why CP happened, other than to say that it may be caused by birth trauma in 5-10% of the cases. Still, without knowing conclusively whether birth trauma occurred, you sue.&#8221;</p>
<p>Are you arguing that it is impossible to tell whether birth trauma occurred?  You must be joking.  </p>
<p>&#8220;C-sections are at an all-time high, and CP rates haven&#8217;t changed. Ergo, C-sections are ineffective. Yet you&#8217;ll crucify us for not performing them. &#8220;</p>
<p>You are chock full of assumptions, aren&#8217;t you?  You have no idea what acts or omissions constituted malpractice in this case.  None.</p>
<p>I hope you don&#8217;t practice medicine with as little information as you practice law.  If ignorance is bliss, you&#8217;re the happiest person on the planet.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2007/10/265m-verdict-against-two-obs.html/comment-page-1#comment-80936</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 15 Oct 2007 02:57:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2007/10/265m-verdict-against-two-obs.html#comment-80936</guid>
		<description>Anon 2:20, some things do not change.  One of those things is your opinion, at least not by my influence.  Still, since you didn&#039;t get it the first time around, let&#039;s re-iterate.  Bad things happen, without it being anyone&#039;s fault.  Call it an act of God, and let insurance deal with it, the way they&#039;d deal with a lightning strike.&lt;br/&gt;&lt;br/&gt;For those others who still (ha.) have an open mind, lets begin with the fact that rates of CP in the population have not changed in the past 40 years.  To some open-minded people, this would suggest the possibility that further intervention has been futile.  To explain it in little words, we can&#039;t stop it happening, even with best practices and andvances in technique and technology.  This is medicine, not miracle making.  You want a cure for something we can&#039;t cure.  It isn&#039;t there.  It has never been there.  You can sue us into non-existence, and CP will still be there.  &lt;br/&gt;&lt;br/&gt;You cannot demonstrate why CP happened, other than to say that it may be caused by birth trauma in 5-10% of the cases.  Still, without knowing conclusively whether birth trauma occurred, you sue.  For every CP case, it&#039;s a 1 in 10 or 1 in 20 chance that birth trauma could, maybe, have had something to do with it.  The lawyer is betting that the jury will see it his way.  If he tries often enough, or is manipulative enough, or gets the right jury, he wins, and the doctor loses, regardless of malpractice.&lt;br/&gt;&lt;br/&gt;So what&#039;s the doctor to do?  To avoid birth trauma, he/she&#039;s going to make all his/her patients have c-sections?  Let&#039;s try to look objectively at this.  C-sections are at an all-time high, and CP rates haven&#039;t changed.  Ergo, C-sections are ineffective. Yet you&#039;ll crucify us for not performing them.  What a sick, tragic waste.  And even sicker, you don&#039;t even understand what you do.  Ignorance really is bliss.</description>
		<content:encoded><![CDATA[<p>Anon 2:20, some things do not change.  One of those things is your opinion, at least not by my influence.  Still, since you didn&#8217;t get it the first time around, let&#8217;s re-iterate.  Bad things happen, without it being anyone&#8217;s fault.  Call it an act of God, and let insurance deal with it, the way they&#8217;d deal with a lightning strike.</p>
<p>For those others who still (ha.) have an open mind, lets begin with the fact that rates of CP in the population have not changed in the past 40 years.  To some open-minded people, this would suggest the possibility that further intervention has been futile.  To explain it in little words, we can&#8217;t stop it happening, even with best practices and andvances in technique and technology.  This is medicine, not miracle making.  You want a cure for something we can&#8217;t cure.  It isn&#8217;t there.  It has never been there.  You can sue us into non-existence, and CP will still be there.  </p>
<p>You cannot demonstrate why CP happened, other than to say that it may be caused by birth trauma in 5-10% of the cases.  Still, without knowing conclusively whether birth trauma occurred, you sue.  For every CP case, it&#8217;s a 1 in 10 or 1 in 20 chance that birth trauma could, maybe, have had something to do with it.  The lawyer is betting that the jury will see it his way.  If he tries often enough, or is manipulative enough, or gets the right jury, he wins, and the doctor loses, regardless of malpractice.</p>
<p>So what&#8217;s the doctor to do?  To avoid birth trauma, he/she&#8217;s going to make all his/her patients have c-sections?  Let&#8217;s try to look objectively at this.  C-sections are at an all-time high, and CP rates haven&#8217;t changed.  Ergo, C-sections are ineffective. Yet you&#8217;ll crucify us for not performing them.  What a sick, tragic waste.  And even sicker, you don&#8217;t even understand what you do.  Ignorance really is bliss.</p>
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