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Res Ipsa Loquitur

Linda M. Sacks, MD
JAMA. 1997;278(6):471-472. doi:10.1001/jama.1997.03550060045019.
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I awoke at 6:40 AM to NPR's "Morning Edition," shut off the alarm, and dialed voice mail for an update of my partner's night on call.

Joe Gates' voice droned on, "... and the third admission at County is Baby Girl Gunther, a31-weeker bornat Sherman Hospital by STAT C/S for abruption. She has severe RDS and hypotension that did not respond to two boluses of Plasmanate. She got surfactant, is on maximum dopamine infusion, and probably needs the jet ventilator. I'll continue on the next tape."

So far, pretty routine. Sherman Hospital is a few miles from County, and we attend deliveries there. Half asleep, I punched zero to hear more.

"Just before the transport team departed with the baby, Mr Gunther motioned me aside," Joe continued. "He confided that although his wife had begged him not to, he felt compelled to give me information before we doctors found out on


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