Beyond biases?

Jason Maude jason.maude at ISABELHEALTHCARE.COM
Thu Feb 9 10:22:55 UTC 2017


Alan
I share your general view on the Daily Mail and wouldn’t normally send articles from it to the list, if only because there would probably be one every week on a misdiagnosis!

However, in these cases the one about the 24 year old who died from a brain tumor is based on the results of a report from the local coroner and public prosecutor and includes an apology from the hospital medical director and in the 2nd both hospitals are quoted and have started an inquest and case review so, although not containing all the details we would want, have more veracity than normal.

Regards
Jason

Jason Maude
Founder and CEO Isabel Healthcare
Tel: +44 1428 644886
Tel: +1 703 879 1890
www.isabelhealthcare.com<http://www.isabelhealthcare.com/>


From: Alan Shirley <a.shirley at SHEFFIELD.AC.UK>
Reply-To: Society to Improve Diagnosis in Medicine <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, Alan Shirley <a.shirley at SHEFFIELD.AC.UK>
Date: Wednesday, 8 February 2017 23:38
To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG" <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
Subject: Re: [IMPROVEDX] Beyond biases?

Hi all
I haven't read these articles *
so cannot comment on the details
However I would treat anything in the "Daily Fail" as we call it in the UK with utmost scepticism
Wikipedia have just banned  it as a unreliable source
https://www.theguardian.com/technology/2017/feb/08/wikipedia-bans-daily-mail-as-unreliable-source-for-website
It peddles sensationalism, xenophobia and sexism as well as some of the most inaccurate medical reporting possible and is also consistently anti-GP (family practitioner )
There are numerous websites collating its contradictory stories about cancer causes and cures eg http://kill-or-cure.herokuapp.com

* the reason I haven't read the articles is that my most successful NY resolution ever made 1/1/15 (and still continuing) was to stop reading it - has been excellent for my mental well being

Best wishes

Alan
PS Thanks for this great discussion list which I enthusiastically lurk

Alan Shirley
GP and trainer
Flowers Health Centre
Sheffield
Programme Director
Sheffield GP Training Programme


Sent from my iPad
On 8 Feb 2017, at 22:28, Peggy Zuckerman <peggyzuckerman at gmail.com<mailto:peggyzuckerman at gmail.com>> wrote:
How is it possible for a child so severely impacted by his unrecognized disease to have to wait for two years to get an appointment at the children's hospital?  Is that typical or was there some other reason not to get the review needed when it was obvious that this was a complex situation?

Shocking and to read that the child died of sepsis in such a setting is beyond belief.
Peggy

Peggy Zuckerman
www.peggyRCC.com<http://www.peggyRCC.com>

On Tue, Feb 7, 2017 at 11:22 AM, Jason Maude <jason.maude at isabelhealthcare.com<mailto:jason.maude at isabelhealthcare.com>> wrote:
These 2 tragic cases of misdiagnosis have been reported recently by the Daily Mail:


1.   The first is a 5 year old boy with a missed diagnosis of juvenile arthritis  http://www.dailymail.co.uk/news/article-4198822/Boy-died-arthritis-two-years-misdiagnosis.html

2.   The second covers a 24 year women with a missed diagnosis of brain tumor http://www.dailymail.co.uk/health/article-4172188/Fit-intelligent-woman-24-dies-brain-tumour.html

The most significant aspect of both these cases is that in the first the patient was seen 20x over 2 years by clinicians and in the second 14x over 9 months!

With this number of visits we must have gone beyond ‘biases’ to just plain pig headedness!

These cases show how the most effective and simple trigger to catch potential cases could be one that flags up re attenders for the same problem for a complete rethink.

Regards
Jason

Jason Maude
Founder and CEO Isabel Healthcare
Tel: +44 1428 644886<tel:+44%201428%20644886>
Tel: +1 703 879 1890<tel:(703)%20879-1890>
www.isabelhealthcare.com<http://www.isabelhealthcare.com/>

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