I can see that you don't have the labor pain experience.
沒有病理產科徵象,沒有epidural使用的嚴格指證
What are the indications for epidural in pregnant woman?
不能因為她因窮困,使用的是公費,就覺得這事理所當然
That means the hospitals and doctors doing epidural for her are not for money
對中國社會有限的醫療資源是浪費
In China, most of free 有限的醫療資源 spend on few people, like all level special people, the ordinary people don't have much free 有限的醫療資源
mgoo: I don't believe this, epidural may relief pain and relax the uterus, but epidural drugs by nature decrease uterine contraction more or less, and yo
You are very welcome, although the healthcare system in US is not great, but there are still many things the Chinese system can learn to improve. Last year I went back to China and visiting hospitals there, beautiful buildings and operating rooms, better than most in US, but doctors』 knowledge and judgment, clinical patient care need at least one generation to improve, which include medical education, clinical training, licensing, practice regulations and standards, insurance, lawsuit etc. Some doctors just do the operations and never go back to see his patients next day, which is totally unacceptable in US and his license will be revoked immediately. Why? That is because these doctors go to other hospitals to make extra money. Malpractice rate is definitely higher. So there is a long way to go to improve.
Sorry, in my experiences, most of pregnant women like epidural, so I did make a wrong assumption. I can read Chinese, but don』t know how to type in computer. Sure, there are good doctors and bad doctors everywhere; I just talk about the fundamental differences. We probably know more medical stuff because we have friends and classmates practice medicine in US and China. When I visited operating rooms in China, I saw patient didn』t get monitored and taking care properly, even we use the same equipments and drugs. Anyway, I am still wondering what』ve happened when you got epidural, which made you feel so bad about it.
We go to conferences for CME (Continuing Medical Education) credit, which is required to maintain your license. We pay out of our pockets; it may or may not tax deduction.
Very true! I have a classmate in China, a GI doctor, want to learn to do ERCP, but the Chief didn』t want her to learn at all! 是主任壟斷了所有的機會! So all the 「Red Envelop Money」 goes to his pocket! Because GI doctor training in China is not regulated by medical authority, there are no standards to train a certified GI doctor. In US, all the GI doctors know how to do ERCP, which is required to pass the GI board.
In my practice before, I did lots epidurals, some of them were Chinese women too, they were very satisfied the epidurals and the service I gave them. All these years』 epidural experience can write a book too. So I am curious what her problem with epidural is before. Nothing is personal.
[quote]mgoo: "In my practice before, I did lots epidurals, some of them were Chinese women too, they were very satisfied the epidurals and the service I gave them. All these years』 epidural experience can write to a book too. So I am curious what her problem with epidural is before. Nothing is personal."
This is the reason why every time when I enter their rooms, the women and their family will say : "the anesthesiologists are most welcome people here in the labor and delivery unit!"
Born in the USA: How a Broken Maternity System Must be Fixed to Put Mothers and Infants First By Marsden Wagner Edition: illustrated Published by University of California Press, 2006 ISBN 0520245962, 9780520245969 295 pages