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provider in missouri this year as the state was trying to yank that clinic s license and she shared some new important and startling details about the conversation she had with those state investigators, the ones who were instituting this new medically unnecessary pelvic exam requirement. you mentioned that during chart review of cairn she had brought up why planned parenthood doesn t do a second pelvic exam. did you explain to her why during that conversation? i did explain to her why we didn t do a second pelvic exam. i explained to her it wasn t medically necessary, but he can explain medically why it was unnecessary. how did she respond when you explained to her why? so she said that she understood that we hadn t been doing it this way, and she also understood it may not have been medically necessary but they felt we should be doing it. we went back and forth with it so much she actually said plook, i m sorry that it feels like
spreadsheet tracking womens menstrual periods, today there was testimony from shannon who s been a guest on this show, she s the director of surgical services at that planned parenthood. she testified today in the state hearing about what it was like when randall williams sent his inspectors to the last abortion provider in missouri this year as the state was trying to yank that clinic s license and she shared some new important and startling details about the conversation she had with those state investigators, the ones who were instituting this new medically unnecessary pelvic exam requirement. you mentioned that during chart review of karen she had brought up why planned parenthood doesn t do a second pelvic exam. did you explain to her why during that conversation? i did explain to her why we didn t do a second pelvic exam. i explained to her it wasn t medically necessary, but he can explain medically why it was unnecessary. how did she respond when you explained to her why?
don t know what s going to come through the door. in a home environment, say a medical home or a hospital environment where collaboration can occur, then they fulfill a great role. but an independent, autonomous practice, i have a problem with that as do most people. doctor, what do you say to at that? i say that right now, when we say collaboration and supervision in the united states, there s an implication that there s a physician looking over our shoulder. here in new york state where i practice, i have a collaborative practice agreement, but that collaborative practice agreement does not assure quality, indeed a collaborative practice in new york state is a retro-effective chart review, no need for a physician on site or mileage requirement. i can have a physician in rochester be collaborative with hee in new york. a retro effective chart review is not someone over my shoulder. an interesting point and important one is that there are 16 states in the united states, there is no
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