Look for more health care stories from around the web at my other blog at DrWhitecoat.com
InQuickER has some competition for violating EMTALA in the “reserve a spot for my emergency department visit” market. Massachusetts hospital using service called “ResERved” and another company called ER Express is also filling this niche … at least until malpractice attorneys realize that EMTALA violations and decisions from hospital administrators to utilize these services aren’t subject to state malpractice caps and also bring in another set of “deep pockets” when patients suffer an injury.
Brazilian man dies when cow falls through roof of his home and lands on him in bed. Family doesn’t blame cow, but rather blames the excessive amount of time that the patient waited to be examined in the hospital.
Now the owner of the cow could be charged with manslaughter.
Those commenting to the article note how red meat isn’t good for you.
Why do low income patients go to the emergency department?
1. More accessibility. If you’re bored some day, get a list of doctors offices in your area, call around and tell them that you have Medicaid and need an appointment as soon as possible. Walk into the emergency department and you get evaluated by a medical professional.
2. Lower out of pocket costs. Primary care physicians sent many patients to multiple specialists – each who required a co-pay. Emergency departments took care of the problems in one visit.
3. Higher quality of care. Well, you know. What can all of us emergency docs say?
Fourteen of the 500 or so NHS hospitals are allegedly to blame for up to 13 thousand excess patient deaths in the past 8 years. Report shows “alarming levels of infections, patients suffering from neglect and appalling blunders such as surgery performed on the wrong parts of bodies.”
After the shock headline was disseminated, the author of the report, when asked for comment, responded “Don’t believe everything you read, particularly in some newspapers.”
The cited report was supposed to be published two weeks ago. I found a summary of the allegations here, but I can’t find the report itself anywhere online.
Interesting point to keep in mind regarding testing for pulmonary embolism: The higher the d-dimer level, the more likely that a PE will be present. Those with the highest d-dimer levels had a 45% chance of having PE on chest CT scans.
Should we have a new criteria to presumptively diagnose PE solely by blood testing?
Gynecologist’s assets seized after $5 million malpractice judgment.
Patient develops metastatic ovarian cancer when gynecologist discusses removing ovaries during a hysterectomy, but doesn’t “strongly advise” that they be removed.
Skeptical Scalpel creates a nice summary of the case, Downs v. Trias. The court opinion notes that the patient previously had bilateral mastectomies due to strong family history of breast cancer, that the doctor testified he had limited knowledge of the patient’s ovarian cancer risk, and that plaintiff experts testified that the doctor did not properly inform the patient about her risk of developing cancer.
What message does a verdict and asset seizure like this send to physicians?
Refer cases to multiple specialists for expert opinions on everything. Order more testing so that patients can be fully informed about all the potential risks of any of their medical problems. It is only called “defensive medicine” when the testing is performed and the results are normal. Take proactive steps to protect your assets in the event that any one of the hundreds of medical decisions you make each day turns out to be incorrect and results in harm to a patient.
Two Alabama postal service employees hospitalized after coming into contact with KY Gel that had leaked out of a package. Yeah, that same stuff doctors put on their gloved fingers before performing rectal exams. Oh, the comments running through my mind right now …