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Tactless Professional

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By (user no longer on site) OP   
over a year ago

Daughter and I went to visit her friend who has just given birth a couple of weeks back. Gorgeous little baba. While we were chatting she received a text message from her midwife saying she needed to test the baby again as the Cystic fibrosis blood result was 'inconclusive' and could she call back to arrange a convenient time ASAP to retest.

I saw his mummy visibly pale and panic. What an utterly stupid midwife to leave such a message on a mobile. Some things are best said face to face with a little reassurance to new parents, of how these tests can give such a result. It hung around in the air while we were there with intermittent reassuring noises from me and my daughter but I was also worried.

Pah!

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By (user no longer on site)
over a year ago


"Daughter and I went to visit her friend who has just given birth a couple of weeks back. Gorgeous little baba. While we were chatting she received a text message from her midwife saying she needed to test the baby again as the Cystic fibrosis blood result was 'inconclusive' and could she call back to arrange a convenient time ASAP to retest.

I saw his mummy visibly pale and panic. What an utterly stupid midwife to leave such a message on a mobile. Some things are best said face to face with a little reassurance to new parents, of how these tests can give such a result. It hung around in the air while we were there with intermittent reassuring noises from me and my daughter but I was also worried.

Pah!"

That's a very cold way of letting her know she needed more tests, hope everything worked out

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By *emima_puddlefuckCouple
over a year ago

hexham

Dear God that's awful,hope the baby is fine.Are they carriers of the cf gene?

This will become more and more common alas.Midwives and health visitors used to be experienced nurses who went on to specialise.Now u can qualify straight as them,i remember my health visitor student asking if my baby always made that noise when he fed.She had clearly never seen someone breastfeed!Now i am a breast feeding counsellor,so ignored her but if i had been a first time mum i could have worried i was doing something wrong.

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By *unky monkeyMan
over a year ago

in the night garden

WOW! Awesome bedside manner there or rather complete lack of it! I can't think of a worse way to approach that.

As a side note my carpet fitter turned up the other day but had forgot all his fittings.

A very tackless professional I thought!

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By (user no longer on site) OP   
over a year ago


"Dear God that's awful,hope the baby is fine.Are they carriers of the cf gene?

This will become more and more common alas.Midwives and health visitors used to be experienced nurses who went on to specialise.Now u can qualify straight as them,i remember my health visitor student asking if my baby always made that noise when he fed.She had clearly never seen someone breastfeed!Now i am a breast feeding counsellor,so ignored her but if i had been a first time mum i could have worried i was doing something wrong."

One of my soothing noises was 'Im sure you'd have found out by now if you were both carriers of the CF gene' but in my heart I thought highly unlikely. Sometimes its a pain in the arse being old and experienced in life. Should know results by end of week.

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By *orestersCouple
over a year ago

The Forest

Maybe the midwife thought that the patients already on her list needed seeing as a matter of importance, but that the message needed passing but she/he wasn't able to make a visit in good time. NHS staff are pretty busy these days and have to prioritise.

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By (user no longer on site) OP   
over a year ago


"Maybe the midwife thought that the patients already on her list needed seeing as a matter of importance, but that the message needed passing but she/he wasn't able to make a visit in good time. NHS staff are pretty busy these days and have to prioritise."

I totally agree re leaving a message - my daughter is a medic in nhs and I see her time scales first hand.. but midwife could have rang and said can you give me a ring to make an appointment without going into detail of why till they had the opportunity to speak. No new parents would ignore a midwife call would they?

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By (user no longer on site)
over a year ago

I feel sure that if a midwife, or any other medic for that matter, uses SMS as a means of communication with a patient; that medic will have the patient's explicit permission to use that method.

The problem with texting is that it's not a guaranteed or immediate sender to recipient technology - which is why it can't (or at least ought not to) be used for emergency building evacuation etc.

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By *ugby 123Couple
Forum Mod

over a year ago

O o O oo

I think it is a sad state of affairs, the midwife could have at least rang her.

I know they are busy but thats a bit off for me.

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By (user no longer on site)
over a year ago

I have regular blood test for anaemia. My surgery sends me a letter to come in for the results. They won't even give me the results over the phone, and the result is always the same: still anaemic keep taking the iron!

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By *emima_puddlefuckCouple
over a year ago

hexham


"Dear God that's awful,hope the baby is fine.Are they carriers of the cf gene?

This will become more and more common alas.Midwives and health visitors used to be experienced nurses who went on to specialise.Now u can qualify straight as them,i remember my health visitor student asking if my baby always made that noise when he fed.She had clearly never seen someone breastfeed!Now i am a breast feeding counsellor,so ignored her but if i had been a first time mum i could have worried i was doing something wrong.

One of my soothing noises was 'Im sure you'd have found out by now if you were both carriers of the CF gene' but in my heart I thought highly unlikely. Sometimes its a pain in the arse being old and experienced in life. Should know results by end of week. "

Usually carriers will know and have been for genetic counselling.i have a genetic disorder and it is a well planned pathway.It's possible they didnt consider it real untill the text came though.We all believe our babies are perfect.

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By (user no longer on site) OP   
over a year ago


"I feel sure that if a midwife, or any other medic for that matter, uses SMS as a means of communication with a patient; that medic will have the patient's explicit permission to use that method.

The problem with texting is that it's not a guaranteed or immediate sender to recipient technology - which is why it can't (or at least ought not to) be used for emergency building evacuation etc."

A new young mum says sms me with frightening news - yes Im sure the midwife had explicit instructions to do that. The point of my post is the content of the message not the receiving of it. At a time when this young mum can only hear cystic fibrosis on top of all of the million and one other things she is sensitive to after giving birth. A little tact from the professionals is all I was advocating.

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By (user no longer on site)
over a year ago


"I feel sure that if a midwife, or any other medic for that matter, uses SMS as a means of communication with a patient; that medic will have the patient's explicit permission to use that method.

The problem with texting is that it's not a guaranteed or immediate sender to recipient technology - which is why it can't (or at least ought not to) be used for emergency building evacuation etc.

A new young mum says sms me with frightening news - yes Im sure the midwife had explicit instructions to do that. The point of my post is the content of the message not the receiving of it. At a time when this young mum can only hear cystic fibrosis on top of all of the million and one other things she is sensitive to after giving birth. A little tact from the professionals is all I was advocating."

No, the question that would have been asked would have been 'if we need to contact you quickly can we .........' and SMS would have been one of the methods.

There's always a tension between sensitivity and urgency.

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By (user no longer on site) OP   
over a year ago


"I feel sure that if a midwife, or any other medic for that matter, uses SMS as a means of communication with a patient; that medic will have the patient's explicit permission to use that method.

The problem with texting is that it's not a guaranteed or immediate sender to recipient technology - which is why it can't (or at least ought not to) be used for emergency building evacuation etc.

A new young mum says sms me with frightening news - yes Im sure the midwife had explicit instructions to do that. The point of my post is the content of the message not the receiving of it. At a time when this young mum can only hear cystic fibrosis on top of all of the million and one other things she is sensitive to after giving birth. A little tact from the professionals is all I was advocating.

No, the question that would have been asked would have been 'if we need to contact you quickly can we .........' and SMS would have been one of the methods.

There's always a tension between sensitivity and urgency. "

I can only see your point to a certain extent. There shouldn't be a lack of sensitivity due to urgency, in my opinion. She had the time to sms her.... the content should not have been as explicit and so alarming at that stage. It could have conveyed the message without the panic it instilled. I wish you had seen the look on this young mothers face as she tried to phone the midwife back to get more facts..... sensitive news should be delivered verbally and not by an sms message which may have been picked up much later in the day when the midwife service was closed perhaps?

I don't want health care to deteriorate to leaving sms messages... does anyone else? My instinct was to ring the midwife and say what a chump I felt she was. Cos she was.

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By *ugby 123Couple
Forum Mod

over a year ago

O o O oo


"I feel sure that if a midwife, or any other medic for that matter, uses SMS as a means of communication with a patient; that medic will have the patient's explicit permission to use that method.

The problem with texting is that it's not a guaranteed or immediate sender to recipient technology - which is why it can't (or at least ought not to) be used for emergency building evacuation etc.

A new young mum says sms me with frightening news - yes Im sure the midwife had explicit instructions to do that. The point of my post is the content of the message not the receiving of it. At a time when this young mum can only hear cystic fibrosis on top of all of the million and one other things she is sensitive to after giving birth. A little tact from the professionals is all I was advocating.

No, the question that would have been asked would have been 'if we need to contact you quickly can we .........' and SMS would have been one of the methods.

There's always a tension between sensitivity and urgency. "

Sorry but thats still not right. No one would surely expect what could be bad news or potentially bad news in a text, nor should any nurse think that is acceptable. What happened to their bed side manner FFS.

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By (user no longer on site)
over a year ago

That's the point I was making about SMS not having an immediate guarantee of contact. The message could easily have arrived after midwife services had closed (although hospital midwifery is still 24x7).

Do you text a generic 'contact midwife ASAP' message which arrives at 2am and gives no info about what the issue might be or do you explain the situation as best you can and try to allay fears as much as possible.

I've never been a new mum so I don't pretend to understand what they must go through in those first days and weeks but when I've needed hospital intervention for other stuff I want to know as quickly as possible by whatever means.

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By (user no longer on site)
over a year ago


"I have regular blood test for anaemia. My surgery sends me a letter to come in for the results. They won't even give me the results over the phone, and the result is always the same: still anaemic keep taking the iron! "

It must depend on area... as I am also quite seriously anemic.. they only actually ring me if its worse than before..

I think that while it was perhaps shocking, that its the system, not the midwife... they are so short staffed.. and I think most feel they can not give new and expecting mums the time they need.. I looked at training to be a midwife..and was actually detered by a midwife as she said simply its no longer the job she signed up for..

Katie. x

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By (user no longer on site) OP   
over a year ago

Just a note. The testing for CF is a new one on me as Im an old bird... one of four that are carried out from the Guthrie or 'heel prick test' as a matter of course on all newborns and is not a requested test where they would be sitting waiting for a result due to family history. The blood drawn is pressed onto four paper areas on a test sheet, for each routine test. So in my eyes the sms should have arrived with a request to ring up to explain a point face to face i.e we have to retake one part of the mandatory blood test as it was inconclusive - this simetimes happens because of x ya and z please try not to worry until we retest. Simples really.

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By (user no longer on site)
over a year ago

Just after my C section my midwife who was with me throughout came into the room and announced my mother was outside but couldnt come in because your only allowed 2 people on delivery suite (my grandma and grandad were there)

I was so thrilled because my mum lives 5 hour drive from me and i said to my grandma that although i loved her being there for my daughters birth it should have been my mum with me really...

my grandparents said they would leave so my mum came in and see me... midwife vanishes.. then returns and says 'oh your not the Kimberly who just had a still birth are you?

How fucking stupid could she be, she helped deliver my daughter, but the worry i had over the next few nights i could hardly sleep

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By (user no longer on site) OP   
over a year ago


"Just after my C section my midwife who was with me throughout came into the room and announced my mother was outside but couldnt come in because your only allowed 2 people on delivery suite (my grandma and grandad were there)

I was so thrilled because my mum lives 5 hour drive from me and i said to my grandma that although i loved her being there for my daughters birth it should have been my mum with me really...

my grandparents said they would leave so my mum came in and see me... midwife vanishes.. then returns and says 'oh your not the Kimberly who just had a still birth are you?

How fucking stupid could she be, she helped deliver my daughter, but the worry i had over the next few nights i could hardly sleep "

Horrific!!! and one poster put off a career in midwifery by a jaded midwife - tactlesness in this profession seems a tad high!!

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By (user no longer on site)
over a year ago

I told a different midwife about it during the night because i couldn't sleep and she felt obliged to form a complaint.. it really did worry me. Was feeling horrible knowing someone else with my name had lost her child on xmas eve when i was fortunate to have mine...

emotions were all over the place

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By *heekychezzaWoman
over a year ago

warrington


"Horrific!!! and one poster put off a career in midwifery by a jaded midwife - tactlesness in this profession seems a tad high!!"

I think its a bit harsh to judge all midwives on the basis of two or three incidents.

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By (user no longer on site) OP   
over a year ago

Did I make a judgement of all midwives? I think if you read again I was referring to the incidents reported on this thread.... three already seeming a tad high. Food for thought not a judgement.

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By (user no longer on site)
over a year ago

I had this terror when it was announced to me that my first born had a heart murmur. What a horrible feeling and what worry.

It turned out to be benign after investigation but the way they announced it was very abrupt.

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By (user no longer on site)
over a year ago


"............I looked at training to be a midwife..and was actually detered by a midwife as she said simply its no longer the job she signed up for..

Katie. x"

I'm sorry if something put you off your chosen career, particularly this one.

A cousin runs a midwife led unit in a smallish north of England town and has done for many years. It's impossible to walk down the street with her without being stopped time after time by grateful mums (and dads). Many of the kids she's delivered over the years are now mums themselves.

It's probably not the job she signed up for all those years ago but she says it's still the best job in the world.

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By *umourCouple
over a year ago

Rushden

The delightful Mrs Rumour had the news of our sons hole in his heart announced as an after thought! "Yes, you seem to be doing OK and I think you will be home tomorrow... Oh, not sure about Phillip though, may have to keep him in. They found he has a hole in his heart!!"

I was at work when I got a frantic call from Les, she was devastated! All we got from the hospital was “Well, there is no good way to tell a new mother that her baby is not perfect!” That nurse was lucky I was as upset as Les! She had no compassion and couldn’t see what the fuss was about.

She also had problems when she told the midwife that she wanted to breast feed. The midwife said very sternly that the nurses have “better things to do than look over your shoulder all the time!” And went on to tell Les that there were bottles ready made up and there at all hours, make the most of it!

Could tell you about the “Date Rape Drug” incident, but wouldn’t want to make it seem that all NHS staff are bad! Quite why people get indignant when someone criticises one of the “caring” professions I don’t know! They are only human and to many it is just a job. I suppose they are always mindful that they may need them one day…

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By *etillanteWoman
over a year ago

.

My doctor told me over the phone that I'd probably had a miscarriage and to get myself to hospital. To have it confirmed and get rid of any residue.

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By (user no longer on site) OP   
over a year ago


"My doctor told me over the phone that I'd probably had a miscarriage and to get myself to hospital. To have it confirmed and get rid of any residue."

Poor you xxx But you had the signs I'm assuming and he was giving sound medical advice - we can all take it face to face, so to speak. Texts with medical test results and/or problems - no thank you.

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By (user no longer on site)
over a year ago

From an information governance point of view then it wouldnt be ideal to send a text with personal details about someones results, and it isnt a very sensitive way of receiving news. I once heard of a member of staff translating the initials DOA as dead on arrival when it actually stood for date of admission.

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By (user no longer on site)
over a year ago

I got left a voicemail on my day off telling me a client who i had been looking after in his home for about 3 months murdered his wife and their cat 5 years before ... they forgot to tell me

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By *etillanteWoman
over a year ago

.

I didn't know I was pregnant. I'd put it down to jet lag lol

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By *atisfy janeWoman
over a year ago

Torquay


"I got left a voicemail on my day off telling me a client who i had been looking after in his home for about 3 months murdered his wife and their cat 5 years before ... they forgot to tell me "

Bet you stopped taking your cat with you on jobs after that!

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By (user no longer on site) OP   
over a year ago


"I didn't know I was pregnant. I'd put it down to jet lag lol"

Then my mind is boggling... Iv'e had jet lag and I've had a miscarriage the difference in symptoms well to be honest... vastly different!! Typical you!! xxxxx

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By (user no longer on site)
over a year ago


"I got left a voicemail on my day off telling me a client who i had been looking after in his home for about 3 months murdered his wife and their cat 5 years before ... they forgot to tell me

Bet you stopped taking your cat with you on jobs after that!

"

lol it was a well publicised cased round here Jane.. the man in question is dead now though. was just a big shock when i then added 2 and 2 together.

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By *orestersCouple
over a year ago

The Forest

I was a paramedic for 15 years before taking further qualifications, and I was never taught how to "talk" to people professionally. The worst cases were where a patient had died in their home, and their wife/husband/partner had to be told their loved one had died. Of all the horrible jobs I did as a paramedic, that was the worst for me because I was never a great verbal communicator. I know that most medical staff aren't taught specifically how to talk to patients regarding bereavement or the giving of bad medical news, it's just down to the individual's "people skills".

I was a bloody good paramedic - if you wanted your life saving, you would want me there. If you wanted a nice chat about your varicose veins, talk to someone else.

All I can say to the OP is, get in touch with your local health authority PALS, and tell them your concerns. If you want the midwife's methods of communications to change, it'll start from there.

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By (user no longer on site) OP   
over a year ago

I don't think its my place to do so. My place was to sooth and empathise with the new mummy. Her husband was furious, though, I don't think he will let it go unnoted.

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By *iamondsmiles.Woman
over a year ago

little house on the praire

To my knowledge the medical profession are supposed to only give out such details speaking to the person not on an answer machine or text. They wont even leave anything on my answer machine and they know i live alone. I would check up on this one

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By (user no longer on site) OP   
over a year ago

[Removed by poster at 21/03/11 17:15:44]

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By (user no longer on site) OP   
over a year ago


"To my knowledge the medical profession are supposed to only give out such details speaking to the person not on an answer machine or text. They wont even leave anything on my answer machine and they know i live alone. I would check up on this one"

What do you mean check up on this one? I told it as it unfolded during my visit - the baby has still had to have a retest, which makes me thankful the system of testing works. I was making a post about a tactless professional error of judgement and how others felt about it and perhaps have anecdotes of similar experiences - and yes other errors have happened - a lot it seems. I am not in a position to follow up on anything officially - simply not my place to do so, as I have already mentioned.

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By (user no longer on site)
over a year ago


"To my knowledge the medical profession are supposed to only give out such details speaking to the person not on an answer machine or text. They wont even leave anything on my answer machine and they know i live alone. I would check up on this one"

That may location specific. The STI clinic in Glasgow has my permission to text or leave voicemail and they've done so in the past.

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By (user no longer on site) OP   
over a year ago


"To my knowledge the medical profession are supposed to only give out such details speaking to the person not on an answer machine or text. They wont even leave anything on my answer machine and they know i live alone. I would check up on this one

That may location specific. The STI clinic in Glasgow has my permission to text or leave voicemail and they've done so in the past."

So you're cool to receive a text with the news of perhaps an HIV test coming back positive and the chances you get it on a Friday evening when the GP surgery is closed till Monday. You must have some nerves of steel there.

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By (user no longer on site)
over a year ago


"To my knowledge the medical profession are supposed to only give out such details speaking to the person not on an answer machine or text. They wont even leave anything on my answer machine and they know i live alone. I would check up on this one

That may location specific. The STI clinic in Glasgow has my permission to text or leave voicemail and they've done so in the past.

So you're cool to receive a text with the news of perhaps an HIV test coming back positive and the chances you get it on a Friday evening when the GP surgery is closed till Monday. You must have some nerves of steel there."

I don't know about nerves of steel but I'm certainly not the kind of person who gets into a flap about anything.

On the matter of finding out you're HIV+ on a Friday and your GP being shut till Monday - so what? There's not a lot of difference saving 72 hours is going to make to the diagnosis, prognosis or treatment.

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By *oantrimcpl2010Couple
over a year ago

Lisburn

sms is all to easy to do now, and yes can be used by professionals to deliver a quick "please get in touch" "can u phone the dept/office" "you can now phone for your resluts" ect but when its a sms that the OP identified its wrong and tactless, in that case it would have been just as quick and easy to phone the person, and give a little more information and reasurance

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By (user no longer on site) OP   
over a year ago


"To my knowledge the medical profession are supposed to only give out such details speaking to the person not on an answer machine or text. They wont even leave anything on my answer machine and they know i live alone. I would check up on this one

That may location specific. The STI clinic in Glasgow has my permission to text or leave voicemail and they've done so in the past.

So you're cool to receive a text with the news of perhaps an HIV test coming back positive and the chances you get it on a Friday evening when the GP surgery is closed till Monday. You must have some nerves of steel there.

I don't know about nerves of steel but I'm certainly not the kind of person who gets into a flap about anything.

On the matter of finding out you're HIV+ on a Friday and your GP being shut till Monday - so what? There's not a lot of difference saving 72 hours is going to make to the diagnosis, prognosis or treatment."

Emotional support. But you apparently don't need it so it works for you.

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By (user no longer on site) OP   
over a year ago

Update: Unfortunately the baby is a CF carrier, but does not have CF... which now means both of his parents have to be tested to see who he has inherited the gene from. Worse case scenario is both may have it and this baba was lucky not to have CF, but of course it has consequences for subsequent children. So all in all its still a worrying time.

They complained to their GP about the handling of it and thats being dealt with and thats being investigated.

I read up about these blood tests and CF has just been carried out on newborns for the past 5 years and so its building up an excellent database for the population which can be used as cross reference to helpo couples make decisions in future.

I wondered if we were behind in this testing as I know in the US citizens have to have a blood test prior to marriage.... but that was originally started to check if either had syphillis which is considered a bigger public health risk - ah a wonderful and mysterious world we live in....

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By *etillanteWoman
over a year ago

.

Blood tests open up a can of worms

If you knew you had a 50/50 chance of passing on a horrific condition to your baby, what would you do?

Thats the choice I had to make and it's worked out that I made the correct decision to not have children.

Kills me that I was never a Mum, but in the circumstances was the right choice

I hope you friends baby is ok

xx

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By (user no longer on site) OP   
over a year ago


"Blood tests open up a can of worms

If you knew you had a 50/50 chance of passing on a horrific condition to your baby, what would you do?

Thats the choice I had to make and it's worked out that I made the correct decision to not have children.

Kills me that I was never a Mum, but in the circumstances was the right choice

I hope you friends baby is ok

xx"

Absolutely thriving which is the main thing.

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By *etillanteWoman
over a year ago

.


"Blood tests open up a can of worms

If you knew you had a 50/50 chance of passing on a horrific condition to your baby, what would you do?

Thats the choice I had to make and it's worked out that I made the correct decision to not have children.

Kills me that I was never a Mum, but in the circumstances was the right choice

I hope you friends baby is ok

xx

Absolutely thriving which is the main thing."

Thats great

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By (user no longer on site) OP   
over a year ago

And no Yvonne, I'm like you. I wouldn't have had children if there was a 50/50 chance of passing on a genetic condition.. we're not always going to be around to look after them are we? Sad decision for you xxxxxxx

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By *iamondsmiles.Woman
over a year ago

little house on the praire


"To my knowledge the medical profession are supposed to only give out such details speaking to the person not on an answer machine or text. They wont even leave anything on my answer machine and they know i live alone. I would check up on this one

What do you mean check up on this one? I told it as it unfolded during my visit - the baby has still had to have a retest, which makes me thankful the system of testing works. I was making a post about a tactless professional error of judgement and how others felt about it and perhaps have anecdotes of similar experiences - and yes other errors have happened - a lot it seems. I am not in a position to follow up on anything officially - simply not my place to do so, as I have already mentioned."

Check up on whether they are supposed to leave messages like that via text messages, not check up on the tests

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By (user no longer on site) OP   
over a year ago

[Removed by poster at 03/04/11 21:19:33]

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By *iamondsmiles.Woman
over a year ago

little house on the praire


"[Removed by poster at 03/04/11 21:19:33]"

Well thats fine then, maybe i should of said they check up on it. But its obviously been resolved

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