Monday, December 28, 2015

 
WE MUST LEARN HOW TO IDENTIFY DOCTORS WHO SUFFER FROM THE GOD SYNDROME AND FIRE THEM

Geriatric care is very difficult, but it is made more difficult when you have a doctor who wants to control everything even though he is in the dark about the one thing that matters.

I am in horrific pain from the diaphragmatic spasms.  The Dicyclomine gives me maybe 50% relief for two hours.  Then I have to wait for the second dose.  I am at maximum dosage so there is nothing the doctor can do.  I see the surgeon on the 30th, but because Valley Baptist messed up a test I may be sent for a round two.  But if I have to go to the ER via ambulance I have on my desk the CT scans the doctor will need along with their reads. 

In geriatric care families do not seem to understand that one of them need to be designated as keeping track of the family member's healthcare along with all testing and testing results.

A man is taken to the ER three times in a week - twice to be sent home.  On the third time realizing his respiratory problems had gotten real bad, he was admitted.  His doctor who knows about a CT scan done on the 18th, makes no effort to obtain a copy of the CT scan or its read.  He is just going to reinvent the wheel while the patient suffers.

THE PROBLEM WITH RADIOLOGY

The requesting doctor asks as question.  Radiologists will answer the question and nothing more - in the conclusion of the report.  In my opinion this is malpractice - but will not be deemed as such because it is standard practice.  You can be sent for a CT scan to look for a hernia and the radiologist in the conclusion will say no hernia found, while failing to note the CT scan found cancer which has spread.

This god doctor is told the CT scan in this patient's case showed he was all clear of cancer.  That is what the conclusion says.  But under findings it shows a mesenteric fat hernia involving the diaphragm impacting the lungs.  No one knows because the family member who is aware of the CT scan is kept in the dark.  So the patient suffers.

First of all if I have a geriatric patient showing major respiratory distress the first thing I am going to do is order a thoracic CT scan.  That was not done.  These doctors want to control who sees their patients, and a thoracic CT scan would have shown the problem resulting in a pulmonologist being brought in to take the lead.  There are far too many doctors who are unwilling to give up control over their patient.

Fortunately, I accidently found out what was happening, and immediately accessed the patient's medical records at the VA.  I have written authorization.  And there it was - all in the CT scan from the 18th.  Even then it took hours for the attending to review the read and agree he now knew the source of the problem.

THE DEAL

If you are in a hospital and your doctor is refusing to call in a specialist which relates to your problem - in this case a pulmonologist - fire them and then call in the pulmonologist yourself.

I am very careful in choosing my doctors.  In terms of my second gallbladder surgery a colo-rectal and general surgeon who I trust proved his brilliance to me.  He said given the complexity of the problem it would be better if a highly qualified surgeon in the liver did the surgery.  He did not go for the fee - he referred me out.  That is why he will always be my surgeon of choice.  He knows his limits.

THE WOMAN WHO DIED LAST WEEK OUTSIDE THE ER

The incident occurred in Florida. The ER doctors found there was nothing wrong with her.  When she refused to leave and made a stink the police were called.  As the police were escorting her out, she dropped dead from a blood clot in her lung.  You need to learn to stand your ground against these doctors who think they are god like.

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1 comment:

Anonymous said...

Great Post!