This case report is entirely bizarre. Patient gets awarded more than $800,000 after visit to doctor resulted in incorrect diagnosis of cancer when the patient really had pneumonia and caused patient to have amputation of her foot. A trial was held on the case four years ago with a verdict in favor of the doctor, but the judge declared a mistrial because Washington State jurors were referring to the plaintiff’s Japanese attorney as “Mr. Miyagi” and were making other racist comments against him.
Then, the article notes that the doctor had been disciplined by state regulators for making “erroneous diagnoses” and for prescribing methadone to drug-addicted patients. So now Washington State physicians’ licenses can be on the line for failing to perfectly diagnose patient symptoms and for prescribing medication for one of its intended uses.
I admit we don’t have all the information behind the license actions, but the article makes the Washington State Medical Board sound a little overeager to discipline physicians.
Congratulations! You delivered a healthy 6 month old! 15 lb 7 oz baby delivered vaginally in UK. More than 20 doctors reportedly assisted in the delivery.
Curing patients gone wild? Australian hospital emergency department guards petitioning to carry guns at work. Medical workers claim that it will make emergency departments more dangerous.
Australian patient held four days in emergency department waiting for psychiatric bed to open up. Shortage of beds creates high demand. Patient’s mother alleges that his condition worsened because of the long wait.
Not that anything like this could happen in the US. Oh wait. What a coincidence. LSU is closing their mental health emergency department, resulting in other hospital emergency departments having to care for “an additional 2,000 people who are a danger to themselves or others, who are desperately in need of stabilization and potential further hospitalization.”
When medical services are curtailed, the patients needing those services don’t just disappear.
Kevin Pho’s latest USA Today article advocates expanding New York-style limitations on opioid prescriptions to hospitals all over the country.
If we do implement strict opioid policies all over the country — just like when hospitals close their emergency departments — patients aren’t just going to disappear. If patients can’t get the medications they need at one facility, they’ll go to another facility where they can get the medications. Or they’ll visit the same facility multiple times to get the same number of medications which will increase costs to the hospitals when government “insurance” doesn’t pay its bills for the patient care.
Some will argue that the guidelines are voluntary [wink wink]. No uninformed journalists would write scathing articles about doctors who prescribed more than the limits suggested in the guidelines if a bad outcome occurred – especially if the bad outcome occurred in NY City, right? And no administrator would threaten a physician’s job for failing to strictly adhere to the “voluntary” guidelines, right?
One of the biggest problems that I have with this and so many other policies that are created for our own good is that they haven’t been vetted to see if they are effective. We wouldn’t start treating cancer with antibiotics just because some sphincter mayor thought it sounded like a good idea. We’d create studies and control populations then study the results to see if the proposed treatment achieved its desired benefit before implementing the treatment on a widespread basis.
We’ll have to see how things turn out in New York … if anyone is even going to look at the “before and after” effects.
Right now, I think this is an idea with good intentions that will have many unwanted unintended consequences.
Resident work hour limitations cause MORE errors – 15-20% more. In addition, shorter shifts have not improved young doctors’ mental health or the amount of sleep they get.
Study author cites “unintended consequences” of policies to decrease work hours because there “wasn’t good data to support them.”
Where have I heard that before?
Trenton, New Jersey’s emergency departments are “clogged” with patients who have no health insurance. One patient who has diabetes and kidney failure and who often left his dialysis sessions early ended up costing the system more than $1 million in one year.
Do people think that things will change for the better with “insurance” under the UnAffordable Care Act?
Cancer patient advocates for closing insurance loophole. Intravenous cancer medications are covered by a flat co-pay, oral cancer medications are covered on a percentage basis – leaving patients with huge medical costs that are allegedly based on the route of medication administration.
Making an appointment to have your emergency treated. More and more emergency departments are allowing advance online registration for emergency patients. According to this article, the only people who weren’t happy with the patient using the service “were those in the lobby watching as she walked right by them to be seen.”
Advance registration of emergency patients is such a big EMTALA violation it isn’t even funny.
Valley Fever is increasingly prevalent in Southwestern States. No, it doesn’t cause you to dress up in Spandex and repeatedly say “Oh my Gawd!” You’ll get a cough and some flu-like symptoms that don’t go away. It is caused by a soil fungus called Coccidioides and is most commonly seen in Arizona and California.
Man awarded $2.1 million after radiologist failed to report “destructive lesion” noted in patient’s spine. Surgery to repair the lesion was delayed by two weeks resulting in a compression to the patient’s spinal cord.