Malpractice? I wonder.

[Darkdante]

"or something" "or whatever" sounds like you don't really know what's going on, criticizing people who stand a 99.9 percent chance of it. I'm not thinking wtf...at least not about the doctors. Seriously, if you want to tackle a pelvic mass "or something" with your vast Google knowledge and common sense, go ahead.

That you say she has a lump but they don't know if it's in her colon or uterus or ovaries says nothing but that it's you that doesn't know what you're talking about. But I guess on the internet everyone's the same as a top doctor, and your opinions on the diagnosis of pelvic masses "or whatever" is just as valid.

This pathologic mistrust of doctors needs to stop. You have an option if you're not happy. We've revolutionized patient care away from a paternalistic view where you STFU and do what you're told to a system where you have a say and a voice, and your perspective comes first. For that, yall need to stop the ignorant shit. As a doctor to a patient, I'll give you the right of way because that's the superior way to handle patients. As a poster to a poster, get real and get a clue before jerking your opinion off on medical care. Otherwise you're just an internet dumbass criticising something over your head. Stick to commenting on their bedside manner, their communication skills, and their empathy. You can do that, and you SHOULD do that. But you have no business criticizing their technical or intellectual proficiency as you sit there completely ignorant as to the technical or intellectual content. You have no idea what you're talking about. You're comparing their merit to some made-up personal vision about how it should be. Your vision, while noble, is worthless until you get a clue.

Again, you need to be commenting on the things about healthcare that you're the professional in. Behavior. Manner. Communication. When they pick you to judge how well the doctors handled workup for pelvic pain is the day you do your own damn healthcare.

"When he went in he found something else" happens all the fucking time in gyn-onc and benign gyn. You go in with a pre-op working diagnosis. You come out with a surgical diagnosis. They're not always the same, nor is it bad for them not to be the same. There are many things down there that imaging cannot diagnose. It can only prepare you for possibilities and give you likeliness of type of disease.

But again, you don't know anything about that. Hence the superior option to not open your mouth.

Geez. All of that calling me stupid and you still say the same thing. Its no wonder Doctors get sued with attitudes like that.

A failure of good medical care indeed, it starts with a nice caring attitude, not the STFU dumbass attitude.

Your attitude stinks Peregrine and if you really are a Doctor thats just sad, I would sue you in a heartbeat simply because of how you act. YOu wouldn't even have to act that way to me, I simply would need to hear if from a friend.

So the next time you feel the need to complain about Doctors getting sued, look to yourself first, and you'll have your answer. But then again I'm guessing your simply not mature enough to "get it".

Amirite?

 

[Odon]

^ E-Thug.

 

[Shady]

Geez. All of that calling me stupid and you still say the same thing. Its no wonder Doctors get sued with attitudes like that.

Amirite?

No.. not really. He's not calling you stupid he's saying think before you you speak. You can't sue doctor's because they weren't nice to you. Or because something may or may not have been diagnosed correctly before the results from a second third or even fourth opinion come in. And he's saying it the way it is. Reminds me of that movie with, can't remember the name, with Jamie Foxx and that other dude from In Living Color where his friend goes in for surgery but his chart gets switched with the guy next to him getting his tubes tied. Foxx's friend is out cold, and they're about to start the surgery but right when they're about to make the incision Foxx is like "Wait! He doesn't have insurance!!" the doctor's like "No insurance!! Forget this I'm gonna play golf!" Yea, little exaggeration but it gets the point across, people without insurance are treated like second class citizens. Sucks,but it's life <sorry this happened>

 

[Peregrine]

Geez. All of that calling me stupid and you still say the same thing. Its no wonder Doctors get sued with attitudes like that.

A failure of good medical care indeed, it starts with a nice caring attitude, not the STFU dumbass attitude.

Your attitude stinks Peregrine and if you really are a Doctor thats just sad, I would sue you in a heartbeat simply because of how you act. YOu wouldn't even have to act that way to me, I simply would need to hear if from a friend.

So the next time you feel the need to complain about Doctors getting sued, look to yourself first, and you'll have your answer. But then again I'm guessing your simply not mature enough to "get it".

Amirite?

Culture of ignorance, and bred mistrust in the medical community blaring loudly. You wouldn't sue me in a heartbeat on behalf of your aunt. You wouldn't come close, because you can't. Can't as in aren't able to. First, no one would take your complaint that I act like you're an idiot. Second, I wouldn't act like your aunt is an idiot, and I'd tell your ass to leave the room since you have nothing to do with her care, and you would comply one way or another. Second, you'd lose if they did take that case. You're one of those frivolous lawsuit self-entitled difficult people that nobody likes dealing with. You drive my insurance up, making me charge the rest of my patients more. And why? Because you have a chip on your shoulder, you think you have any business at all deciding the standards of care for things you have not the SLIGHTEST clue about, and you think, for some mind-boggling reason, that you're smarter than the doctors because you have what? Common sense? As a what? Haubergeon-wearer? Or as just a run-of-the-mill ignorant layman?

Again, you can get your aunt's pelvic pain worked up at Denny's if you think the top doctors are idiots. Otherwise yeah. I'd only tolerate your mouth if you were in my face and I was in charge of your medical care. But that's not the case, so you're just ignorant and yapping, and it's amusing to see you try to talk about your aunt's pelvic masses with authority when you can't even tell me a single diagnosis on the differential other than "cancer or something," and you have no idea what the doctors are even looking for, and where, and WHY. Again, you can run your mouth when you don't open the conversation with, "Yeah my aunt has a pelvic lump or whatever and they're scoping her or something and they're all idiots." Because the only thing you're saying, in all your huff and puff, is that you don't have any idea what you're complaining about.

Like I said, you can judge me and my peers on manners and communication skill all you want with your pocket book. If you threaten to sue me over bullshit though, you can go fuck yourself in a corner and have a nice day, chump. I know when I'm in malpractice. I'll transfer your ass in a heartbeat, drop you off the healthcare map, stick a big red sticker on your chart indicating that you're a frivolous problem to the medical field, and you'll spend the rest of your life getting your care from the public health department or the downtown free clinic with the hobos and crack addicts where you couldn't try to sue so much as a dog's pisspuddle.

Go ahead. Make my day. Calling your bluff. Now get your ass out of the room while the doctors try to help your lovely aunt to the best of their abilities, which is certainly greater than your ignorant ass's. Come back when you're willing to come at this from a family-oriented perspective from your own side of the line. You automatically fail when you try to step over here with me and talk about standards that you're ignorant about. You belong on the other side of the line, advocating your side of the line. Where we interact is where you're free to talk. What goes on behind the scenes, we do. You don't. We don't ask you how you think we're handling your differential diagnosis and workup, because your opinion on the matter is significant only in that we need to address any stress or frustrations you have. But your opinions are not going to change what we do, because while your frustration is significant, your opinion is not. Most people would agree that doctors shouldn't ask family what should be done next, and most people wouldn't offer their layman's opinion even if asked. There's always the internet-types though, who would take the scaplel from you like a fool if given the opportunity.

If I charged you with the healthcare workup of your aunt you wouldn't even be scared shitless. You don't even know enough to be scared shitless. So sit down and shut up already, because you're not helping, and I know your ass isn't suing. I'm the only one who'se going to give you the slightest attention in all your huffing and puffing. Everyone else just ignores you and waves you off like you're nothing, because really, all you are is unfortunate. You don't trust the people who you show up to get care from. That, more than anything, sucks for you dude. Nobody else cares.

 

[Reauland]

Hi there!

Glad to hear that you're on the mend, Kari ^^

As for the soapbox routine that is fast developing here, why don't we take that somewhere else? Kari asked a question and it's more or less been answered. Is it malpractice? If and only if the surgeon's actions, or lack thereof, lead to complications further down the line.

If anyone would care to address some questions I have, here they are:

1) Why is it the care-giver's business to know whether or not a patient has insurance? Shouldn't that perhaps be privileged information in the hands of hospital administration and the billing department? Now I know that this is very much an "in a perfect world" scenario, but it really seems to me that in situations like Kari's, the good very quickly get tossed in with the bad. Perhaps a baseline standard of treatment really should be established for everyone who walks through the door.

2) Has health care really moved so far afield from the concept that doctors and nurses are in the business of saving lives and providing care, while the hospital itself is in the business of making money, paying for the best in staffing, equipment, etc., in order to attract more solvent clientele?

3) How effective is garnishment in procuring payment from the wastes of space who abuse the system?

That being said, I'd like to wish Kari a speedy and worry-free recovery

 

[Peregrine]

1. There is competition for resources. The patient who can't pay is sitting by a patient who can. Since this is not a national healthcare where you have to wait for months just to get an ultrasound, as in Canada and the Netherlands, it is unfair to the paying patients to make them wait on the resources if the non-paying patients are still seen. Again, if you make the paying patients wait, they may take their money elsewhere. University hospitals already get tides of people without insurance because private hospitals like Babtist and Methodist and Good Sam outright tell you that if you can't pay, see ya. Not so much as a "screw you" see you. A "go to the university and wait for your care if you have nothing for us. They'll take care of you, guaranteed" see ya. I hope it is clear why not just the Administration needs to know who can pay or who can't now, even before I bring up the point that I very much tailor my care to a patient's ability to pay. If they can't afford the drug I prescribe, they won't get it. If they don't get it, there's no point in prescribing it. I will thus prescribe a cheaper drug in hopes that they are more likely to get it, because cheaper, outdated drugs are better than none. There are dozens of things that physicians tailor to non-paying patients, not all of them bad. We still look out for them. They just have to wait.

2) Yes. If we treat everyone equally we will sink. You can thank the sue-happy states, insurance companies gouging their cuts out of healthcare, and an aging population for that. You are correct in pointing out that patient care comes first, which is why we and only we serve people who can't pay. You have to choose between a capitalist healthcare system where you get quick, unrivaled treatment and someone has to pay, or a national system where you wait months for simple care and pay nothing. We choose the former. However, to ignore socioeconomic status would be unwise for a physician for the previous reasons. We are a group that is NOT blind to race. Jews have problems that black people don't have, have problems that white people don't have. We are not blind to age. We are not blind to sex. We are not blind to your ability to pay. Everything affects your health. Everything is significant.

3) It's not effective at all, which is why people without insurance camp the ER halls. The hospital literally foots the bill a lot of the times, because they know they're not going to be paid. Hospitals set aside a certain amount a year that they automatically assume is going to go towards free healthcare. Those amounts are increasing at an alarming rate.

Get health insurance. It can happen to you. It does happen to you. You have to have it. If you have it, we don't have these discussions, and you can afford to skip Starbucks and keep that 1995 car for a little longer. You can afford health insurance. You are not entitled to a free ride while complaining that they're treating you differently. If there's one thing that puts us in a bad mood, it's a patient who can't pay that we're paying for pissing in our cheerios about how bad the care is. It's freaking free care. You'll just have to wait. We won't let you die, but we will not give you the best, I'm sorry. First, you can't afford it. Second, if we do, we can't give jack to the next person to come along.

In the end we're doing the best that we can with a crappy situation, and someone without health insurance, to be quite honest, isn't most of the time. I feel for them and am on their side as much as I can be. But I have to keep the doors open. I have to treat you differently. Have to.

 

[Reeve]

Hope your feeling better and I'm glad everything is working out okay.

 

[Rufus_Shinra]

This is why I wanted my second opinion.....