Malpractice? I wonder.

Hey Karihkinz,

Sorry to hear about that, it sounds like a massive pain for you just to get things sorted out. But by an interesting coinsidence, my mum has got this same thing you had, a Large cyst has grown on her overy, exept, its now to the size of a Melon, she goes in to have her operation very very very soon, can't wait for her to get it over with! However the Docter is taking a different approach, and giving her a full Hysterectomy (removing her womb and cervix) I dont know how old you are or if you have any kids and oviosly, my mum doesnt need anymore kids ever, but that to me seems like the best option for dealing with it, as the Docter said it would be done to prevent the same thing happening again (another cyst) growing. So this problem is actually quite common in women from reading about it, just wanted to let you know that I know it must be/been horrible for ya, because I know someone very close to me whos dealing with a very similar problem, and I hope that you get everything sorted and become A-OK asap! ^_^~!
 
I'm deffinatly too young for a hysterectomy. Only 21 and solid dreams of being a mother some day ^^; But I have had the same experiences with no insurance myself. Case and point.

I was at the same hospital when I broke my foot in three places in March of 05. Sadly, they stuck me in a room without a bed, sink, TV, nothin but one chair, leaving my bf to stand. They X-rayed, said it was broke, and sent me home in an ace-wrap telling me to call a doctor within a week to get a cast. No pain meds, nothin.

I go back when my cyst ruptured in Nov 05, was put in the SAME room, no bed, mind you I cant sit, and spend 16 hours in said room to be told its a urinary tract infection "but I should go see an OBGYN".

This time I have insurance through my job with the Sheriff's Dept here, and I'm put in a room with a TV, bed, a recliner, offered food, the works. Its sad that it seems some places no longer care about the quality of care vs the quantity of money.
 
We have a National Health Service here, so everything is goverment payed, but that also means high waiting lists to actually have things done, isnt always that bad, but under high critisism, but you can go privite (payed medical care) if you dont want the fuss of that. That how it works in the UK anyway.
 
kari ; ; you have me worried now. keep us informed! i want to hear how well everything worked out.and
Rhyan said:
For some reason that makes me want to punch a nurse in the face.

i feel the same way >:O
 
Hey there everyone.

Just got home from the hosptial on a huge amount of morphine so i may mistype alot. But i thought id giv everyone an update that was worried about me.

I had all the scar tissue removed today and its like messive tention is gone. feels a lot better. And odly enough i have both ovaries in full wokring order which is very odd snce as I said the doctor told me that i had one removed last year.

so I dunno. I never got to talk to the dcotor after surgery because I was passed out from anestisia for 6 hours haha. I dont kno if I should go with malpractice because i actually have both ovaries but at the same time he led me to believe otherwise and also since he removed part of the ovary tahts why i had such severe scar tissue. Thoughts?

I'mg oing to bed but I sould finally be able to live without this constant pain proving everythig heals up as planed (thats what they said last timet oo). But the new hopsital treated me so nice and so well compared to the other. I hae alot of fiath i'll mend up well :)
 
So glad to hear that you're doing better! :) Here's to a great recovery and no more of that crippling pain you've been going through!
 
As I said on AiM, I'm so glad everything is alright. I was worried about you all day. D:
 
kari gets the happy dancing kirbies.

<(^.^<)

(>^.^)>

(o^.^o)

yay for feeling better! now come back online. im lonely ._.
 
Lol I know. But I would feel a little guilty to move to Canada just for free surgeries lol. I had insurance this time around so this 10,000 grand will be reduced to about five hundred dollars. So I"m really happy about that :) I already feel tons better and now I just have to deal with the road to recooperating.

That leaves lots of free time ;o
 
Great to hear you're doing better, now rest and recuperate :D
 
So glad to hear you've gotten some relief and that you're feeling better. Hope it's a fast recovery.
 
Apparently ovarian cancer or cysts is one of the most misdiagnosed or hardest to spot of womans ailments, (seems like it anyway). They say it's rarely ever caught early.

A friend of mine is going through this right now and to me the doctors look like a bunch of fools. They keep going back and forth on what they think it is, doing blood tests, scopes, scans, and they still can't decide on what it is. They say they see a lump, say its a fibrosis or something, but dunno if its her colon or her uterus, overies or whatever. Believe me I know what your thinking, wtf???? Supposdly these are the top doctors where I live.

What I think may have happened is he may have misdiagnosed you, and when he went in he found something else and maybe/hopefully fixed it. Thats of course thinking positiviely.
 
Oviarian cancer is tough to catch early, which is why its prognosis is so horrible. Ovarian cancer doesn't hurt. The first signs are the late signs. Kari does not appear to have have ovarian cancer nor was she at significant risk of it past the first surgery given her age and symptoms. She is too young for the most common types, and the types she is likely to get are very easy to detect with simple bloodwork. Only 10% of ovarian cysts at her age are malignant.

Ovarian cysts are common though.

If kari is overweight or has irregular menstrual bleeding, they may be follicular cysts, although birth control pills tend to make those better. The other common type of ovarian cyst at her age is a luteal cyst. It presents as DELAYED menstrual bleeding, pain, and a mass. This cyst, like the follicular cysts, are usually alleviated with birth control pill treatment. Hemorrhagic luteal cyst is an uncommon cyst, but it presents with lots of pain in patients NOT using oral contraception WITH regular periods. Patients with these cysts often have underlying coagulation deficiencies. These cysts usually require surgery, and are treated with pain killers and counselling, because they are not fatal or malignant.

Other cysts found in younger people are germ cell tumors. They tend to be "malignant-ish" meaning they are usually benign but sometimes not. She is too young for most of these tumors. These are the tumors where you would expect removal of ovaries.

It would be important to find out:
The pathology report on the first cyst at surgery as well as the surgeon's report describing the cyst at the surgery. What was inside is of great use in determining what it was.
If you have been diagnosed with Endometriosis or Polycystic ovarian syndrome. However, both tend to be aleviated with birth control pills.
A full medical interview and history

As far as your poor treatment before you got insurance, that's how it works. The hospital ate it on your first surgery, everyone there knows if you have insurance or not, because it's in a big red label on the front of your chart if you don't. In no other field will someone give you free services like that period, let alone jump through hoops to do it to the best-of-care way with a smile on their face. You get treated better when you have health insurance, because we pay out of our pockets when you don't. We do it because we can't send people away. But that doesn't mean that you're entitled to a blissful time. In the end, that 10 grand comes out of all the people's pockets that seem pissed off that you don't have insurance. You will be called last. You will be called slowly. But you will be called. That's how it works when you can't pay, and as was mentioned, any other profession would send you to the dish room first.

They do not usually remove ovaries in young women. We avoid that when possible. Poor communication and comprehension between surgeon and patient is not a malpractice offense. He probably never said that he removed your ovary if the ovary is there, and if someone told you they removed an ovary, they probably weren't at the surgery and haven't read the report on it. Patients often vehemently miscomprehend to the point that it exhausts the clinician, let alone a surgeon who really doesn't care about your touchy-feelyness as much as taking whatever's wrong out. Medical records is always a bitch to deal with. It took me two hours to get a colposcopy record for a patient from the public health department when that information was pivotal to her pregnancy care. I also sat there and watched the attending tell a patiend five damn times that ovarian cysts can go away, only to have the seemingly-retarded woman ask, for the fifth time, why an old report said she had a cyst but now she apparently doesn't. She wanted to have a cyst. She wanted something to be wrong with her, and she wasn't going to take "your ovaries are normal" for an answer. It was truly frustrating and ridiculous from our standpoint. In the end, the attending just said, "Look, I already told you multiple times that ovarian cysts resolve on their own most of the time.

This is most likely the hospital faculty being pissed off that your surgery was coming out of their pockets, that there was poor communication between the patient and the surgeon, which is often the case. After a review of the reports, you may get more information, but you will not likely find malpractice unless that ovary is malignant. Being an ass isn't malpractice. Being incorrect isn't even malpractice. To be in malpractice, you have to tie what they did or didn't do to a negative clinical outcome. Even if he did something wrong--if it didn't damage you physically, it's still not malpractice.

This is a failure of good medical care though, and that is unfortunate.
 
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Darkdante said:
A friend of mine is going through this right now and to me the doctors look like a bunch of fools. They keep going back and forth on what they think it is, doing blood tests, scopes, scans, and they still can't decide on what it is. They say they see a lump, say its a fibrosis or something, but dunno if its her colon or her uterus, overies or whatever. Believe me I know what your thinking, wtf???? Supposdly these are the top doctors where I live.

What I think may have happened is he may have misdiagnosed you, and when he went in he found something else and maybe/hopefully fixed it. Thats of course thinking positiviely.

"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.
 
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I dont know if that was an attack or what, seems somewhat snappy lol. If you had read thoroughly you would off seen that I had been told -spefically- from the doctors mouth himself and had a long conversation with him after surgery about how my right ovary was removed. I dont see how this can be considered miscommunication. He then left the room and told my mother and boyfriend the exact same thing as he told myself.

Fast forward to yesterday where I'm told half the ovary is still there but works fully. I'm happy enough to have both that I'm not out to throw a fit nor go after the doctor for giving me false information. Granted I'd like to know why he said "You only have your left one" numerous times, when I had both, but in the end that doesnt effect the fact that I have both and am happy with that so I figure theres no point since hes out of state.

As for supporting less then descent treatment to people with health insurance, I think thats a little off. Though I may be misunderstanding. I dont think well on medication. But from what I got is that it was pretty much "eh thats what you get for being poor". But really, I've been making my payments, I've been working hard through the pain of the last few months to not miss any, I know my debt. And I'm paying for it. Does this mean that because I couldnt go through an insurance company that could pay it all off in one big lump some to the doctor that I'm not worth keeping organized track of what they do to my body? If so, then something is really wrong with the medical system.

Anyway, I know doctors are human and make mistakes. If this was just a simple write off of miscommunication, I wouldnt of brought it up. But being told numerous different things about what was done to my body by the doctor, the hospital, and then my new doctor, I do think I have the right to be frusturated with that.

EDIT: I'm crabby from no sleep. The CO2 really hurts my chest so I cant lay down. Sorry if I come off wrong or misinterpretted what you said Pere.
 
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Karihkinz said:
I dont know if that was an attack or what, seems somewhat snappy lol. If you had read thoroughly you would off seen that I had been told -spefically- from the doctors mouth himself and had a long conversation with him after surgery about how my right ovary was removed. I dont see how this can be considered miscommunication. He then left the room and told my mother and boyfriend the exact same thing as he told myself.

Fast forward to yesterday where I'm told half the ovary is still there but works fully. I'm happy enough to have both that I'm not out to throw a fit nor go after the doctor for giving me false information. Granted I'd like to know why he said "You only have your left one" numerous times, when I had both, but in the end that doesnt effect the fact that I have both and am happy with that so I figure theres no point since hes out of state.

As for supporting less then descent treatment to people with health insurance, I think thats a little off. Though I may be misunderstanding. I dont think well on medication. But from what I got is that it was pretty much "eh thats what you get for being poor". But really, I've been making my payments, I've been working hard through the pain of the last few months to not miss any, I know my debt. And I'm paying for it. Does this mean that because I couldnt go through an insurance company that could pay it all off in one big lump some to the doctor that I'm not worth keeping organized track of what they do to my body? If so, then something is really wrong with the medical system.

Anyway, I know doctors are human and make mistakes. If this was just a simple write off of miscommunication, I wouldnt of brought it up. But being told numerous different things about what was done to my body by the doctor, the hospital, and then my new doctor, I do think I have the right to be frusturated with that.

EDIT: I'm crabby from no sleep. The CO2 really hurts my chest so I cant lay down. Sorry if I come off wrong or misinterpretted what you said Pere.

I've seen an attending tell a woman five straight times that ovarian cysts can and often do go away, and I saw her ignore those words and ask five straight times in an angry way why an old ultrasound showed ovarian cysts, and why are they now telling her that her ovaries are normal. Now I'm sorry, but sometimes you all don't listen. At all. They can tell you five times that they only took out a wedge of ovarian core, and five times you'll swear they told you they took the whole thing out. It's a big barrier when a surgeon tries to explain to a patient what they did. It's two completely different languages. It's usually no one's fault in particular. Sometimes the surgeon isn't a good communicator. Sometimes the patient doesn't listen.

Even if he told you he removed your ovaries and really didn't, that's not malpractice. That's a bad memory. He probably had a lot of cases that day. He's entitled to not remembering, which is why they dictate surgical findings. It's only malpractice if he was SUPPOSED to remove your ovary, DIDN'T remove it, AND it caused you SIGNIFICANT damage in the future.

As far as health insurance goes, you're right. It is unfortunate. However, you sit in the ER for a half day because people without insurance abuse the free ER. You get the cold-eye from medical departments when you don't have health insurance, because they've been stuck with the bill too many times when the "poor" people drive off in their BMWs and you don't collect jack squat from them for it for years if that. You coming to them with a 10,000 dollar bill is a nightmare. A disaster. A liability to their existence. Something that the hospital had no control over, and that you did. You showed up to their services as a ticking bomb of bad decisions and as a social reminder that healthcare is going to fail no matter what this time. They need to keep the doors open by giving people who pay a nice ride. If they make paying patients wait as opposed to you waiting, they'll take their money elsewhere. Hospitals already run with deferred payments months old thanks to insurance companies. They cannot run with privately deferred payments that are years old.

One more thing: how many nurses you see chatting it up instead of working is not an indicator of how long you should or shouldn't be waiting. There are more of them. They're faster than we are. They can't help you until one of us is free, and we're stuck explaining to a patient five times over why her ovaries are now normal in spite of the crumpled, soiled ultrasound report she got from god-knows where while she's calling us morons to our faces, to her family, and to whoever willing to listen to her bull**** because she's in pain and demands something to be identifiably wrong with her this instant or we're all idiots.

My snappiness comes because I'm on the other side of this line, and know full-well that failed malpractice lawsuits are sinking the healthcare industry because patients abuse us and cry wolf while demanding to be fixed at the same time, and that I take offense when people complain about crazy, vague standards of care based on vague anecdotes that they don't sound like they really have a clue about but feel the urge to comment about.

Again, this case sounds very regrettable that communication lines broke down, and it is broken-down communication that is the leading cause of malpractice suits. However, the I-have-an-aunt-whose-doctors-are-morons crap annoys me to no end. Again, you and your aunt can go to ****ing Denny's to work her mass up if you're so pissed off that they're scoping and scanning and doing their best to treat her, and that it's not living up to your expectations and denial that the human body isn't a ****ing frappuchino that you have to remember to put cinnamon on, or else you screwed up.

If you have a problem with your healthcare, you're more likely to be mistaken, misunderstanding, or the problem itself. Now I'm sorry, but it's true. We do good work, and if you beg to differ you stand a good change of being mistaken. All these people with aunts and friends talking about incompetent doctors are drowning out the real people with real concerns about real malpractice, which does happen rarely. Their ranting and idiocy makes me take the complaining group as a whole less seriously. If you have an aunt with stupid doctors, a friend whose care was grossly incompetent, and you yourself was the victim of a moron of a doctor, it's not them. It's you.

Healthcare is going to grow tired of the wolf-criers very quickly, I'll warn you right now. They're wasting the rest of the population's money. They're causing physician famines in bad regions. They're poisoning the patient-physician image with their bullshit stories and bullshit notions. They're scaring other people into immediately assuming that the physician is incompetent when they overwhelmingly are not. When the statistics start coming back that doctors aren't screwing care up and these patients are still trying to strike it lucky and strike a fight, doctors are going to stop covering their asses and start kicking others to protect their name and image. Healthcare has never been better than it is now. The physician's core has never been more superior. You can benefit from that or you can whine and fabricate, IMO.

Again, the communication is lacking here, and that can be anyone's fault. A medical professional would need your complete history, the surgical report, the pathology report on anything removed, and your medical records to determine if actual care was compromised. You are entitled to see your medical records, but unfortunately you are not capable of interpreting your own medical records. You can certainly contact a lawyer, but I will tell you right now that the internet good ol' boys and their get-em attitudes won't do you a bit of good out here where lawyers are just as scared of us as we are of them nowadays. Their opinions aren't valid because they are ignorant.

I will tell you, however, that for there to be a malpractice victory, you have to prove that the physician did or did not do something, and as a consequence of that action there was significant and direct harm. He could have operated on you thinking you were an 85 year-old man, and if it didn't hurt you, it's not malpractice. Now I would never go back to him if that happened, and if he can't explain to you that he did or did not take out an ovary clearly, he needs to work on that, but it's not malpractice.
 
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You can recoop in my dorm room. I have cookies & wheaties! & tea. & movies. & a TV.
 
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