Is there a doctor in the house?

Small town paranoia and superstitions are worse than smalltown politics. It's why no one wants to practice in Kentucky. We're what...the number two state for frivolous medical malpractice lawsuits?

Kentucky medicine is a love-hate relationship. You get sued here like no other no matter how good you are, because it's part of the culture. But you see the best stuff here. I can walk 30 steps from here and see 20 people lighting up right by their O2 tanks. Take a puff of oxygen, take a puff of smoke. And they'll sue you if they blow themselves up.
 
And I'm sure it wasn't on the news that he was cleared and still practices in Michigan. Kentucky doesn't want to hear that. They want to hear about the big bad doctor they can sue for cashnow.

By the way, Madisonville is an AHEC center. That right there tells me this is smalltown paranoia getting the best of you. AHECs are freaking saints. They go through so much **** to become rural teaching centers it's unbelievable.
 
Dude also went to BAYLOR for his radiology training. Top 10 medical research center. GJ Kentucky. GJ. The guy's a friggin beast and we run him to Michigan.
 
You seem to exaggerate a bit much here, OP. On #4 in your list; You said the radiologist was a dropout, and the news article says otherwise. You said he'd misdiagnosed 800+ patients. The civil suit involves 3 patients, and the news article mentions 1200 films being reviewed. FYI, 1200 films =/= 1200 patients. A single CT or MRI can produce over a hundred images for a radiologist to review.

Your misunderstanding of the facts presented in that case makes me think that other items are being misrepresented as well.
 
Again, it's Kentucky medical folklore. 10 percent fact 90 percent embellishment. It's not really a lie. Just a culture of ignorance, superstition, and mistrust. You have to take these stories with a grain of salt, because they're more fables than anything. Old south culture with a new spin. In reality, Kentucky has some of the best medical centers and best physicians in the nation, because it has some of the worst diseases. Cancer, heart disease, diabetes. HUGE here. Smack dab in the middle of Hazard, Kentucky is a world-class medical center. Why? Because it freaking needs it.

People go to hospitals because they're damn sick, folks. You don't go there and expect peachy-keen. Pneumonia kills in spite of best medicine. People who break their hips usually don't ever get back out of bed. Babies have defects we can't fix, and babies die. 40 year old men get sent home with unstable hearts every single day.

We want you out of there ASAP too, trust me. It is not for well people. It is not for sick people. It is for sick people who are LOSING. They aren't there for your money. They would have gone to business school or law. They aren't there to kill you. They're there to help you. They don't guarantee it'll help.
 
Several years ago I got a pretty severe burn...2nd degree over alot of my body...and while I was in the hospital I was given massive doses of antibiotics to fight infection....BUT....no pain-killers. They said the pain-killers could cause addiction and wern't "that necessary" but the antibiotics were absolutely vital. The irony of this situation is that I was in agony for monthes before I was given pain-killers strong enough to numb so I could sleep....but the massive doses of antibiotics caused severe liver and kidney damage which I'm still paying for to this day.

As advanced as our medical science becomes it will always subject to laziness, incompetence and the many other "human" qualities we are all subject to.
 
I really need to type slower this late at night....Please excuse the sentence structure and words I dropped /blush
 
_Neosquall_ said:
Peregrine is a doctor. No, really.
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And yet, almost ironically, after Neo posts this statement in a droll and almost ironic manner, Peregrine shows some actual knowledge on the topics at hand.
 
Kimberely said:
Ok Peregrine, come down to Kentucky and drive your car into a fucking tree in Madisonville.
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I'd just like to point out that Peregrine seveal times referred to Kentucky as "Here".
 
Peregrine said:
Lol that says nothing about a posing radiologist. And that's a civil suit, which kinda begs the question...where did the real lawsuit go?
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What do you mean "real lawsuit"?

When you sue somebody in court for negligence or malpractice, it is a civil suit.
 
Well Kimberly, I'm sorry for any personal misfortune that may have occured to you, but it is blame Doctor's for misdiagnosis after the fact.

1. Reading chest xrays or other films is very subjective. Pneumonia's are diagnosed on Chest xrays by identifying consolidating areas of lung. A new pneumonia WILL not always be present on initial chest xrays. The MD who on the third day is saying the previous 2 xrays showed the pneumonia is likely full of crap and practicing his own form of CYA (cover your ass). It is very easy to look back at previous films once you have a clear picture and second guess the readings from the last few days. You have an inherent bias in rereading films.

2. Are you really sure the medicine was the cause. Kinda hard to make a definite comment on this not knowing the actual medicine. People have this general thought that a new medicine or change of medicine is to blame or to cheer a change in any condition. For instance, i can't tell you how many calls i get for people blaming every thing undert the sun on a recent immunization. When in fact, immunizations RARELY have any side effect beyond pain in the area of injection (duh) or a slight fever. Yet, ppl continuosly blame constipation, swelling in their big toe, or w/e on those shots.
If your Grandmother broke her hip, she is in bad shape and is likely gonna be in bad shape no matter what care is provided for her. As peregrine mentioned earlier, Morbidity and Mortality for hip fractures in elderly is terrible.

3. I agree with peregrine about this. That many injuries screams congenital defect. It also follows the malpractice patterns of OB/GYN in that those doctors get sued for BAD OUTCOMES and not necessarily mistakes. People see a dead baby and they immediately think it has to be OB's fault. Why is that? Women are pregnant for 40 weeks, yet any problem with the baby OBVIOUSLY happens inthe 12-24 hours the baby is delivered in.......

4. LoL at this. An established hospital hired a med school dropout.... So this person isn't even an MD and is reading films. Right......

5. I don't see the mistake in there? How are MDs supposed to treat a patient in which the coroner/pathologist are unable to get a cause of death from a tissue diagnosis? Unexplained deaths happen all the time, once again this is a case of people being upset over a BAD OUTCOME v. a medical mistake.

Also, someone mentioned about how Dr.s are paid so well or w/e. Go to hell.
I've earned every right to my salary through 8 years of hard work in college and med school. In addition, right now, being a resident physician I make the equivalent of 8-10 bucks an hour for my 75-80 hr work week. I make hard decisions that carry huge financial liability every day. I make a mistake and you guys have your shark attorneys lining up outside my door the next day. I'll deserve my nice income in a few years and won't ever apologize for it.
 
Ceasar33 said:
Well Kimberly, I'm sorry for any personal misfortune that may have occured to you, but it is blame Doctor's for misdiagnosis after the fact.

1. Reading chest xrays or other films is very subjective. Pneumonia's are diagnosed on Chest xrays by identifying consolidating areas of lung. A new pneumonia WILL not always be present on initial chest xrays. The MD who on the third day is saying the previous 2 xrays showed the pneumonia is likely full of crap and practicing his own form of CYA (cover your ass). It is very easy to look back at previous films once you have a clear picture and second guess the readings from the last few days. You have an inherent bias in rereading films.

2. Are you really sure the medicine was the cause. Kinda hard to make a definite comment on this not knowing the actual medicine. People have this general thought that a new medicine or change of medicine is to blame or to cheer a change in any condition. For instance, i can't tell you how many calls i get for people blaming every thing undert the sun on a recent immunization. When in fact, immunizations RARELY have any side effect beyond pain in the area of injection (duh) or a slight fever. Yet, ppl continuosly blame constipation, swelling in their big toe, or w/e on those shots.
If your Grandmother broke her hip, she is in bad shape and is likely gonna be in bad shape no matter what care is provided for her. As peregrine mentioned earlier, Morbidity and Mortality for hip fractures in elderly is terrible.

3. I agree with peregrine about this. That many injuries screams congenital defect. It also follows the malpractice patterns of OB/GYN in that those doctors get sued for BAD OUTCOMES and not necessarily mistakes. People see a dead baby and they immediately think it has to be OB's fault. Why is that? Women are pregnant for 40 weeks, yet any problem with the baby OBVIOUSLY happens inthe 12-24 hours the baby is delivered in.......

4. LoL at this. An established hospital hired a med school dropout.... So this person isn't even an MD and is reading films. Right......

5. I don't see the mistake in there? How are MDs supposed to treat a patient in which the coroner/pathologist are unable to get a cause of death from a tissue diagnosis? Unexplained deaths happen all the time, once again this is a case of people being upset over a BAD OUTCOME v. a medical mistake.

Also, someone mentioned about how Dr.s are paid so well or w/e. Go to hell.
I've earned every right to my salary through 8 years of hard work in college and med school. In addition, right now, being a resident physician I make the equivalent of 8-10 bucks an hour for my 75-80 hr work week. I make hard decisions that carry huge financial liability every day. I make a mistake and you guys have your shark attorneys lining up outside my door the next day. I'll deserve my nice income in a few years and won't ever apologize for it.
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I generally agree with your post.

But, I have to object to your characterization of "shark attorneys".

I do not personally handle medical malpractice cases. I do, however, take initial consultations and make referrals to attorneys who handle medical malpractice. I have talked to around 50 people with med mal complaints. Out of those 50 I have rejected 45. Out of the 5 I referred, the med mal attorney only accepted 1.

Attorneys generally do a very good job of weeding out the "bad outcome" cases from the actual malpractice cases. Bad cases that aren't weeded out by the attorneys are usually dismissed by the court or lost to the jury. Med mal attorneys generally have a low success rate.

There are some bad attorneys who file frivolous lawsuits. Unlike MDs, attorneys are not guaranteed a decent salary for our 7 years of hard work. Our profession is financially risky and we have to fight for every penny. My collection rate for privately retained cases is somewhere around 30%. These factors lead some unscrupulous attorneys to file frivolous suits hoping for a nuisance settlement, but they are a lot less common than doctors think and would have you believe.

I'm NOT saying doctors are over paid. I actually think they should make more than they do. I'm just saying it's a lot easier to collect your fee when it's usually an insurance company paying your bill.

There are also some bad doctors who slip through the cracks. Malpractice actually does happen occasionally, due to bad doctors, poor hospital policy established by non-M.D. administrators, over-worked staff, or any number of factors.

The one case I referred out was a mis-diagnosed brain tumor. I looked at the film and spotted the tumor very quickly. I'm not a doctor (and I do not play one on T.V.). The only relevant experience I had was one semester after undergrad working with a clinical neuropsychologist, wherein I had to read films from time to time. That radiologist's mistake was unexcusable.

Medical malpractice lawsuits are not designed to punish reasonable decisions made by doctors that unfortunately have a bad outcome. They are designed to compensate and deter future malpractice in cases where doctors actually act carelessly. Attorneys and courts understand that sometimes doctors have to make difficult decisions between courses of treatment. The case is decided on the facts known at the time of the decision/act, not in hindsight.
 
/i dont understand.
yes, doctors can misdiagnose but thats what second opinions by other doctors are for. i dont know how it works in KY but i know when i read an EKG before determining therapy i always ask another medic to review and agree on a treatment. god forbid i push the wrong drug on someone when they are having a dysrhythmia i am personably liable. it all boils down to how well that person knows their profession and wants to do it correctly. bottom line. but yes, shit does happen.
 
Did you hear about the case in Kentucky where numerous patients died due to a doctor's neglect? He was running around the ER, calling everyone beggars and fanboys. He also spent most of his time in the Research Department using the computers to post on an internet forum.
 
Before I even started talking about the problems that I know with this hospital....I clearly stated that I know that we can't cure everything with modern technology. If we could then bird flu wouldn't be a threat would it? We wouldnt have people dieing of AIDS (ok smart ass mo'fos I know it isn't AIDS that kills you but the diseases that you catch while your immune system is supressed).

But most of you people dont know how to read apparently. Well, you don't know how to read every little aspect of something before you open your mouth. I stated in the first sentence, yeah this pisses me off... so when anyone is "mad" so to speak about something they do exagerate the facts. Also given that this shit happened 3 years ago kinda leaves me at the disadvantage of being able to recall all of the facts off the top of my head.

Seriously try it. Try and remember something that happened in the news where you live a few years ago and then try and remember every specific detail off the top of your head.

Last I checked the flameboard was never so tied up in the facts of the subject.

Go me for posting something that stayed on topic for 4 pages.. XD
 
Before I even started talking about the problems that I know with this hospital....I clearly stated that I know that we can't cure everything with modern technology. If we could then bird flu wouldn't be a threat would it? We wouldnt have people dieing of AIDS (ok smart ass mo'fos I know it isn't AIDS that kills you but the diseases that you catch while your immune system is supressed).

But most of you people dont know how to read apparently. Well, you don't know how to read every little aspect of something before you open your mouth. I stated in the first sentence, yeah this pisses me off... so when anyone is "mad" so to speak about something they do exagerate the facts. Also given that this shit happened 3 years ago kinda leaves me at the disadvantage of being able to recall all of the facts off the top of my head.

Seriously try it. Try and remember something that happened in the news where you live a few years ago and then try and remember every specific detail off the top of your head.

Last I checked the flameboard was never so tied up in the facts of the subject.

Go me for posting something that stayed on topic for 4 pages.. XD
 
Kimberely said:
Last I checked the flameboard was never so tied up in the facts of the subject.
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Damn those pesky facts. Always getting in the way of a good argument.
 
MajorHavoc said:
Did you hear about the case in Kentucky where numerous patients died due to a doctor's neglect? He was running around the ER, calling everyone beggars and fanboys. He also spent most of his time in the Research Department using the computers to post on an internet forum.
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I know this is the flameboard, but was that really necessary?

Peregrine's posts have been germane to the OP and he's been exercising unusual restraint. Why provoke him?
 
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