malpractice

So I just went to read a article on this Ley Mordaza because I thought maybe tumblr was overreacting and I just

Fines from 1000 to 30.000 euros are given to “offenses or insults to Spain, to the Autonomous communities and local entities and its institutions, symbols, anthems perpetuated by any means, when they’re not considered malpractice” 

Also same fines can be applied to anyone who causes  “grave disturbance of public security in public acts, sport or cultural shows, religious ceremonies, and other such meetings”

Fines from 100 to 1000 euros to

“Public manifestations made through any means of diffusion whose finality is the insult or the slander to public institutions, authorities, agents of authority or civil servants, as well as lack of respect and consideration owned to authority and to its agents in the exercise of their functions”

What on Earth is happening.

dickpics4pizza asked:

I was at my university residence at the time. I went into the basement one night to do some laundry, it was around 1. It was dark and dimly lit. I rounded the corner to go into the laundry section of the basement and at the end of the hall, a woman was just floating. She was wearing a long dress and had no facial expression. I just turned and went back the other way, and said fuck doing laundry. I found out later that my residence used to be an old folks home and many died due to malpractice.

Wow what a story. What do you mean a woman was floating? Was she a ghost?

Mutter Update II

Mom is “extremely ill.” That is how the doctor put it. Her blood pressure was as low as it could get, and still be alive. The proteins in her blood are way out of whack and strange. Her urinary tract infection is raging severely bad, which was supposed to be being treated. We found the uti the other week; so, her body has not been able to shake it. Lastly the doctor said that they are probably not giving her, her medication correctly, which is a very all to common problem at rehab/managed care facilities. That last part enrages me because that is the point of those facilities.

Thank you for all of your prayers. I hope those prayers continue. I would also like to ask for prayers for those care facilities, for other people are probably being mistreated or sadly worse. Something needs to be done, and yes I am looking into legal solutions; e.g. malpractice lawsuit.

I once had a male doctor refuse to perform a bone graft using bone from my shin as i ‘would never be able to wear a bikini with that big scar’. Instead he took the bone from my hip, which was not contained inside my cast and was exposed so became infected and i got septicaemia. I got a superbug, almost lost my foot which had turned black and nearly died. I was seriously ill because a surgeon decided i needed to look pretty.

(Submitted by anonymous)

anonymous asked:

Do doctors really order unnecessary lab tests regularly out of fear of getting sued? I recently read an article claiming some alarming statistic that a lot of the tests performed are done solely out of malpractice fears. That seems so sad, that this system is broken to this extent.

Umm… yeah, we do.

So, remember earlier this year when I found out I got sued? It was because we didn’t do a bunch of labs that, though completely medically unnecessary and against the standard of care, the family thought would have “saved” their loved one from death. 

There are certain things that have become standard out there, and if you don’t order a certain test and you mess up, you WILL get sued. This happens a lot more in the hospital than in the outpatient setting. As a general rule, the sicker the patient is, the more unnecessary tests they get. 

Patient says they have the worse headache of their life? Doesn’t matter that they come to the ER for that same complaint once a week for Dilaudid. They’re getting a CT scan to rule out a bleed.

Patient has burning chest/epigastric pain that is obviously coming from their severe chronic esophagitis? Better get a stress test or a cath just to be sure it’s not their heart. 

We do this stuff ALL the time. One of the things I love about doing medicine overseas is that this burden to CYA is lifted and you can practice medicine in a logical, common sense, prudent way while still treating the patient completely appropriately for their condition. 

But as long as we judge the quality of a doctor’s care by patient satisfaction scores and we allow people to sue for ridiculous things and ask for ungodly sums of money, doctors will continue to practice defensive medicine

There is a point where it gets out of hand though. In my opinion, if you’re draining the system or potentially causing harm to the patient with all your CYA tests, you’ve gone too far. And I think a lot of doctors order tests without talking to the patient first because they assume all patients are litigious, but if you and the patient can come to an agreement not to do an expensive unnecessary workup, then it’s fine. 

Yes, Residents Can Be Sued. And it Totally Sucks.

By the time they reach age 65, 75% of physicians in low-risk specialties will be sued. Only 19% will ever have to pay a plaintiff. Compared to high risk specialties, where 99% of physicians will be sued and 71% will lose, this doesn’t sound too bad. But knowing these facts doesn’t make the reality of the words “you’re being sued” any less gut wrenching to hear when they’re actually uttered to you

Lawsuits take a HUGE emotional toll on physicians and they ultimately can change the way you practice. You begin to see your patients as plaintiffs, yourself as a possible defendant or witness. You cover your butt. You document, document, document. You burn out. 

Worse still, you can’t talk to anyone about it. You fear that your peers and patients will judge you and assume your guilt. Your brain, logic, and reason tell you that you did nothing wrong. Yet you continue to worry that you will be found responsible. But you can’t discuss it with anyone. There’s no one to assure you that you will be fine. And of course anything you say about the case to co-workers has the potential to come back and bite you in court. 

So you keep silent.

Keep reading

I once had a guy tell me that I shouldn’t put “bisexual” in my dating profile because it would attract the wrong kind of men. When I asked “you mean like women?” he replied “wait, you want to attract women?” He also imparted the advice that I was never going to have a successful relationship until I became more subservient. This guy was a relationship councilor.

(submitted by rantyredhead)

npr.org
Cardiologist Speaks From The Heart About America's Medical System

In his new memoir, Doctored, Sandeep Jauhar describes a growing discontent among doctors and how it’s affecting patients. He says rushed doctors are often practicing “defensive medicine.”

“There’s no question that there’s a lot of unnecessary testing in American medicine today and the reasons for it are manyfold. Part of it is … a lack of time. You have a patient come into your office and you have eight minutes with them and they have lower back pain and you don’t want to miss something because one of the major causes of dissatisfaction among doctors today is malpractice liability; there’s that fear.

A lot of doctors are practicing defensive medicine. There have been various estimates that defensive medicine costs up to $100 billion a year out of the roughly $3 trillion we spend on health care, so it’s a huge, huge waste. … It takes time to evaluate the patient, get a good history, examine the patient, and it’s just so much easier to order a test— especially when the financial incentives of the system are to reward for more and more testing." 

4

Mariya and Darya Krivoshlyapova, known as Masha and Dasha were russian conjoined twins. They were born in Moscow in 1950 by cesarean section. Their mother was told that they died from pneumonia soon after birth, although the twins were actually abducted for medical research and experimentation , which they would be subject to for the next 20 years. Sometimes the doctors would dunk one twin in water to see if the other cried, or they would poke one twin with needles to see if the other could feel it. During this time they received only basic education and were taught to walk with crutches. After their time as medical research subjects, the twins lived for most of their lives in institutes for the disabled, at they were unable to work and could walk only very slowly. Dasha was given to immune weakness, was right handed and short sighted. Her sister became a smoker, later developed a taste for alcohol, had higher blood pressure, enjoyed clear vision and was left handed. Masha became an alcoholic, and in 2003 she died from a heart attack. Dasha died 17 hours later, refusing to be separated.

anonymous asked:

Sorry I can't remember what happened, was the sue case successful against you? I hope they weren't. And I'm British, so if they were successful what impact would that have on you?

The lawsuit isn’t over yet. It’s been going on for a year already and should go to trial in about 6 months to a year (yay for a “speedy trial”). My hospital has refused to settle in the case. It is a sad case. A person died, though no one was at fault, but the family needs to blame someone as a part of their grieving process. 

Originally, I was named personally in the case, along with my hospital and every other doctor involved in the patient’s care. If we had lost and my name were still on the case, my malpractice insurance would have to pay out. That’s not so bad. But it also goes on your “permanent doctor record,” for lack of a better term, so every time I apply for licensure or a new job or board certification, it comes up and has to be reviewed. All of those applications have a box you have to check if you have been “personally named in a malpractice suit” and then make you explain the outcome. 

 Fortunately our individual names have been dropped from the case, so now, regardless of the outcome, when I check that box I can say “my name was dropped from the case and no settlement was paid”.

But the main impact this case has had on me is emotional. Being sued, especially as a resident when you have been told you are protected by your attendings, is extremely emotionally trying. You go into work every day with the goal of helping people, and in the end you feel betrayed by the very people you try to help. It is an affront to your competency, which in residency is constantly being put to the test anyway. Your confidence takes a hit as well, which is, you know, exactly what you need when you are being barraged by pimp questions and board review and patients who think you are still in high school. It was a great relief to find out that my name had been dropped, but every deposition I give or read and every document I review still feels like a twist of a knife in my back.

The Sport of Feeling

He told me, before he let the whole words slip, that kissing me was like kissing someone you are in love with and that he was worried and a bit freaked out by the unusualness of it. It wasn’t as if he hadn’t kissed plenty of girls, but I spent a month showing him exactly how many emotions I could pull out with my fingers and mouth. How many things that I could cycle him through like a wheel that I just kept on spinning until the spokes broke. 

There is no logic in feeling, no choosing in love. Not really. And there are just some people who will always have parts of you, even if you were never aware that you gave them away in the first place. There is one man that tells me that he loves every who that I am, and every time he starts I hang up the phone after telling him that the one difference between his lust and real love is that lust fades after the act. He tells me that I know how it feels now, to hear things being said that you wished weren’t. Words for words, and I know I should have never messed with his heart for sport or poetry, but I wanted to see what all he could feel, just like with every one of them. I wanted to spread their emotions out onto the table and examine them, see how many could be had, wanted to cut their hearts open to study exactly how they love and live, and be able to shove it all back in when I’m done and leave without getting sued for malpractice. The world doesn’t work that way though, we can’t make people bleed feelings and then think that we can just leave them there, that they will go away if we do. They are like hungry dogs that can smell all of the things cooking inside of a heart, they stay and stay and stay. 

“What are we doing about this?” asked a male doctor while gesturing at my body. “Diet? Excercize? No? Young girls shouldn’t be wasting their looks, you’d have plenty of time to be fat and ugly when you’re older. Don’t you want to be pretty like your friends?” So first of all, I’m in average shape. So it wasn’t concern for my health that moved him. Second, that was the first time he ever met me. Third, he was a skin doctor I came to see about something that was COMPLETELY UNRELATED TO MY WEIGHT.

(submitted by anonymous)