Delivering the Diagnosis, Owning the Patient

Vic Nicholls nichollsvi2 at GMAIL.COM
Mon Feb 15 01:51:20 UTC 2016


Its not just abandonment. It is a doctor who realizes he did wrong, and 
then talks about what is in your medical records to people off the 
street & other doctors (he said he was going to do things to interfere 
with my relationships with other providers). I have a recording of the 
doctor talking about me to patients, and of course, the internet is 
where it belongs.

That includes naming the admin who know about it, didn't do anything to 
protect patients and allow them to hear it so they could judge for 
themselves if they wanted a physician like that. Includes those who 
defended him too.

I only asked that my care have some evidenced based medicine behind it & 
to fix the errors/mistakes. Never threatened to sue. It is the attitude 
of all involved that are why the profession earns every last bit of 
negative they get.

I say earned because that is exactly what they did: they earned it. The 
silence the medical profession gives when things like this happen, not 
just the silent assent, is why trust & respect are leaving the profession.

Vic


On 2/14/2016 2:01 PM, Peggy Zuckerman wrote:
> Ruth, All that you describe is so familiar to me in my own situation, 
> and multiplied endlessly in the kidney cancer forums in which I 
> participate.  Perhaps the simplest story of abandonment comes from the 
> surgeon who says, "I got it all, and you are fine".  No monitoring, no 
> reference to the pathology and no reality as to the size of micromets 
> and the potential of spread beyond the area of the incision.  The PCP 
> assumes the patient is well-cared for by the surgeon, often a 
> urologist, but rarely is directed to an oncologist.  "Don't need an 
> oncologist; I got it all".  And the patient who insists on seeing an 
> oncologist is seen as over-anxious, distrustful of the experienced 
> doctor, and sadly, at greater risk than he realizes.
>
> Let me know if you need more stories; there will be a new one in the 
> morning's email.
>
> Peggy
>
> Peggy Zuckerman
> www.peggyRCC.com <http://www.peggyRCC.com>
>
> On Sun, Feb 14, 2016 at 8:06 AM, Ruth Ryan <ruthryan at cox.net 
> <mailto:ruthryan at cox.net>> wrote:
>
>     Also in the NY Times today, an article titled “Death, the
>     Prosperity Gospel and Me” begins like this,
>
>     “On a Thursday morning a few months ago, I got a call from my
>     doctor’s assistant telling me that I have Stage IV cancer. The
>     stomach cramps I was suffering from were not caused by a faulty
>     gallbladder, but by a massive tumor.” The writer went on to say
>     she fell to her knees and cried, she called her husband, she was
>     36 years old, her world became very small.
>
>     I was still stuck re-reading those words “a call from my doctor’s
>     assistant telling me I have Stage IV cancer.”
>
>     It reminded me of my 43 year old daughter-in-law’s experience when
>     her lung tumor was found by a pulmonologist. He told her it may be
>     isolated and able to be surgically removed.  After the PET scan,
>     Julie received a call that went like this,
>
>     Caller: “Hello, I’m calling from Outpatient Registration. The
>     doctor has scheduled you for 4 MRIs on Tuesday at 2 pm.”
>
>     Julie: “4 MRIs, why 4? MRIs of what?”
>
>     Clerk: “Well let’s see, there’s an MRI of the left clavicle, the
>     spine, the right femur and…” (by this time Julie didn’t hear or
>     recall the 4^th ).
>
>     Julie: “Does this mean my cancer has spread to all those places?”
>
>     Clerk: “I don’t know, I’m just the scheduling assistant. You’d
>     have to ask the doctor.”
>
>     Julie: “May I speak to the doctor?”
>
>     Clerk: “Well, he’s not here, I’m not calling from his office,
>     you’d have to call his office.”
>
>     The doctor was at a conference in Europe, and no, nobody else in
>     the office could speak with her.  She’d have to wait till he returned.
>
>     The IOM Report on diagnosis rightly defined diagnostic error as
>     including failures in communicating the diagnosis to the patient.
>
>     I’m creating a CME film about the abandonment of patients that
>     goes on with a poor prognosis.  It often begins with the
>     diagnosis. Abandonment can involve multiple specialists in siloes
>     with no one physician being “in charge”. It happens in the
>     devastating weeks following cancer diagnosis: the original
>     diagnosing physician waits for the oncologist to take over
>     ownership of the patient, while the oncologist will not schedule
>     an appointment until all the tests are done, consultants
>     consulted, and biopsy results reported. It happens near the end
>     when the oncologist, often only days before death, refers to the
>     patient to palliative care or hospice…. and frequently terminates
>     contact with the patient and family thereafter.
>
>     I’ll be collecting stories about the various forms of patient
>     abandonment at end of life.
>
>     *Ruth*
>
>     Ruth Ryan RN, BSN, MSW, CPHRM
>
>     Medical writer
>
>     Risk management/patient safety
>
>     Continuing medical education
>
>     Telephone (504) 256-8797 <tel:%28504%29%20256-8797>
>
>     Email ruthryan at cox.net <mailto:ruthryan at cox.net>
>
>     canstockphoto14944494_revised
>
>
>     ------------------------------------------------------------------------
>
>     Address messages to: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
>     <mailto:IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
>
>     To unsubscribe from IMPROVEDX: click the following link:
>     http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1
>     or send email to:
>     IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
>     <mailto:IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG>
>
>     Visit the searchable archives or adjust your subscription at:
>     http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX
>     Moderator:David Meyers, Board Member, Society for Improving
>     Diagnosis in Medicine
>
>     To learn more about SIDM visit:
>     http://www.improvediagnosis.org/
>
>
>
> ------------------------------------------------------------------------
>
>
> To unsubscribe from IMPROVEDX: click the following link:
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1 
> or send email to: IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
>
> Visit the searchable archives or adjust your subscription at: 
> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?INDEX
> Moderator:David Meyers, Board Member, Society for Improving Diagnosis 
> in Medicine
>
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/ 






Moderator: David Meyers, Board Member, Society to Improve Diagnosis in Medicine

To unsubscribe from the IMPROVEDX list, click the following link:<br>
<a href="http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1" target="_blank">http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1</a>
</p>



More information about the Test mailing list