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re: Anesthesiologist & Medical Assistant: vicious commentary with a sedated patient

Posted on 6/25/15 at 11:00 am to
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 6/25/15 at 11:00 am to
quote:

And that doctor was dismissed from case.....meanwhile the comedian anesthesiologist lost her career




Yeah doesn't seem very fair. I'm guessing because she was the most vocal on the recording??


Stuff like this is why patients and their families are NOT allowed to video us while we are caring for them.
Posted by thetempleowl
dallas, tx
Member since Jul 2008
15899 posts
Posted on 6/25/15 at 11:02 am to
This is really a ridiculous case.

The patient, though no one will say it, was a pain in the arse.

The pre-op dx doesn't really matter. That is just what they might find when doing the colonoscopy. I am assuming that is what the GI doctor said.

As far as the assistant lying to the patient and the doctor not wanting to see him again, BFD.

I hate to say it, but there were no damages done. Zero. OMG, the mental anguish. I can't be surprised. His mental anguish comes from him being a pain in the arse.

No damages. Zero. Zilch. Nada. There should have been zero money given to the patient.

What people need to understand is that patients need to be nice to the doctor as well. The doctor should be nice to the patient. What happens if the patient gets aggressive? What happens if a patient attacks a doctor? What happens if a patient verbally assaults a doctor?

Nothing.

I have heard of countless cases of doctors being verbally assaulted by patients. Can they sue the patient for mental anguish?

Posted by MSMHater
Houston
Member since Oct 2008
23144 posts
Posted on 6/25/15 at 11:03 am to
quote:

so they Dxed hemorrhoids falsely? again, where is the harm to him?


That can be looked at as a form of fraud though. You are falsifying medical information....HUGE NO NO.


It sucks I'm unsure about this, but the hemorrhoid diagnosis actually could be detrimental to the patient if his colonoscopy was billed as a screening benefit (i.e. preventative). Any medical problems uncovered during the course of a screening colonoscopy automatically coverts the procedure to a medical colonoscopy, which is not a 100% covered service.

A clean result on a screening colonoscopy means the patient has zero financial responsibility. But the discovery of any polyps (or other conditions) instantly changes it to medical. I'm thinking that may include internal hemorrhoids (not external) as well.

Can't find a source to tell me if I'm right or not, and I left the gastro job a few weeks ago so I don't have anyone to confirm.

Also, the anesthesiologist would have no business diagnosing anything in the patients charts. That would be the GI's responsibility. And my GI's would have gone absolutely nuts on any Anesthesia doc or RN that attempted to put a diagnosis in a patients chart. The anesthesiologist are restricted to the anesthesia record, and that it.

PS - This shite happens all the time (the shite talking), but Im sure other healthcare people in this thread have said as much.
This post was edited on 6/25/15 at 11:06 am
Posted by Rickety Cricket
Premium Member
Member since Aug 2007
46883 posts
Posted on 6/25/15 at 11:06 am to
This should do wonders for the doctor worship in this country.
Posted by MSMHater
Houston
Member since Oct 2008
23144 posts
Posted on 6/25/15 at 11:08 am to
quote:

As far as the assistant lying to the patient and the doctor not wanting to see him again, BFD.


I disagree here. That is a big deal. Even if only to tell the patient all went well.

I'm sure that GI had another case already prepped and ready to go, and ignoring the patient was the fastest way to get there, which was his primary concern. It's unprofessional as hell, and a liability depending on the results.
This post was edited on 6/25/15 at 11:09 am
Posted by Epic Cajun
Lafayette, LA
Member since Feb 2013
36269 posts
Posted on 6/25/15 at 11:13 am to
quote:

quote:
I've rolled out EPIC at 3 facilities


That's a good line to be in $$$ wise, especially if you're certified


Aw yea
Posted by tiggerthetooth
Big Momma's House
Member since Oct 2010
63960 posts
Posted on 6/25/15 at 11:21 am to
quote:

As far as the assistant lying to the patient and the doctor not wanting to see him again, BFD.

I hate to say it, but there were no damages done. Zero. OMG, the mental anguish. I can't be surprised. His mental anguish comes from him being a pain in the arse.



And you don't think there needs to be a precedence set for those doctors who try to manipulate diagnoses for their own advantage regardless of whether or not its in the best interest of the patient?

This is about just making a statement for those who do cross the line, whether or not this particular case warranted the full financial reward is something else. The jurors even talked about "making sure it doesn't happen again". Just sending a message.
Posted by stniaSxuaeG
Member since Apr 2014
1614 posts
Posted on 6/25/15 at 11:22 am to
Not lawyer, but from what I was told, intentional torts aren't typically covered by malpractice insurance. So she may have to pay out of pocket for this one. Maybe somebody who knows more about this can weigh in.
Posted by stniaSxuaeG
Member since Apr 2014
1614 posts
Posted on 6/25/15 at 11:24 am to
I've never applied to work at an urgent care, but they comb through everything when you apply for privileges at a hospital. The process can sometimes take months.
Posted by MSMHater
Houston
Member since Oct 2008
23144 posts
Posted on 6/25/15 at 11:26 am to
I'd be willing to bet this happened at an ASC, who can have very "inconsistent" credentialing practices, particularly physician owned facilities.

Colons are hardly ever done at the hospital without significant co-morbidities.
Posted by Sandy_Ash
Member since Feb 2015
1162 posts
Posted on 6/25/15 at 11:29 am to
quote:

that dude seems butthurt


hi-oh!
Posted by Mung
Ba’on Rooj
Member since Aug 2007
9132 posts
Posted on 6/25/15 at 1:20 pm to
fraud against the insuror. I am looking for actual harm to the patient from this Dx of rhoids, that would be worth $500K.
Posted by tgrbaitn08
Member since Dec 2007
148031 posts
Posted on 6/25/15 at 1:27 pm to
this is from a 14 year medical professional that I know very well regarding this story, I'm sure you know who Im talking about.........


quote:

The link you sent me....that's a stupid lawsuit! It may be unprofessional to talk like that, we all do it, but certainly not malpractice. You have 2 doctors who have worked their asses off to get where they are and are probably great doctors but now have tarnished reputations b/c everyone is sue happy. That's why cell phones are bad. The anesthesiologist's punishment should have been to say I'm sorry to the patient.

This post was edited on 6/25/15 at 1:28 pm
Posted by MSMHater
Houston
Member since Oct 2008
23144 posts
Posted on 6/25/15 at 1:29 pm to
quote:

The link you sent me....that's a stupid lawsuit! It may be unprofessional to talk like that, we all do it, but certainly not malpractice. You have 2 doctors who have worked their asses off to get where they are and are probably great doctors but now have tarnished reputations b/c everyone is sue happy. That's why cell phones are bad. The anesthesiologist's punishment should have been to say I'm sorry to the patient.


This sounds like a police union rep.
This post was edited on 6/25/15 at 1:29 pm
Posted by tgrbaitn08
Member since Dec 2007
148031 posts
Posted on 6/25/15 at 1:30 pm to
Posted by CaptSpaulding
Member since Feb 2012
6951 posts
Posted on 6/25/15 at 1:34 pm to
quote:


Doctors and health care professionals - this is why the general public generally despises you. We are paying out the arse for your services and we get treated like dogs shite on your shoe.




You pay a $25 copay for someone to clean out your b-hole, and you're mad that they don't read you a story first?
This post was edited on 6/25/15 at 1:36 pm
Posted by TheOcean
#honeyfriedchicken
Member since Aug 2004
45099 posts
Posted on 6/25/15 at 1:37 pm to
quote:

you have 2 doctors who have worked their asses off to get where they are and are probably great doctors but now have tarnished reputations b/c everyone is sue happy


What a joke
Posted by lsunurse
Member since Dec 2005
129146 posts
Posted on 6/25/15 at 1:38 pm to
Yeah that's why I said families are not allowed to film us at work.


We are instructed to inform our charge nurse if we ever see family doing this.
Posted by Dorothy
Munchkinland
Member since Oct 2008
18154 posts
Posted on 6/25/15 at 1:40 pm to
quote:

Who said they were charting a hemorrhoid and he didn't have one? I thought it was the anesthesiologist; and the worse thing the GI doc said was, as long as it is not, ebola?


That's the way I read it too, that the case against Shah (the gastroenterologist) was dismissed because he had just said something but didn't do anything. He did fail to discourage Ingham from saying of writing in the chart though. From the article:

quote:

On the opening day of the trial last week, the gastroenterologist who performed the colonoscopy, Soloman Shah, 48, was dismissed from the case. Court documents state Shah also made some insulting remarks — “As long as it’s not Ebola, you’re okay,” Shah was recorded saying during the rash discussion — and did not discourage Ingham from her comments or actions, which included writing on the man’s chart that he had hemorrhoids, when he did not.
Posted by N2cars
Close by
Member since Feb 2008
37870 posts
Posted on 6/25/15 at 1:40 pm to
quote:

You have 2 doctors who have worked their asses off to get where they are and are probably great doctors


This kills me.

You went to school. You got a degree.

Now you want to be forgiven for every indiscretion, ever?


quote:

but now have tarnished reputations b/c everyone is sue happy


This person evidently lacks fundamental reading skills.
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