both sides of the coin was Re: [IMPROVEDX] Doctor lectures Valley health professionals on dangers of errors

Tommaso MD, Laura ltommaso at NCH.ORG
Wed May 17 19:45:10 UTC 2017


I have found in my primary care practice, calling a patient and admitting a mistake, telling a patient that I have no idea what you have but I'm not going to give up on trying, calling them after the visit saying I thought of something else we should try that didn't occur to me at the time... Almost ALWAYS earns greater respect and trust from the patient. I practice this (it is hard at first but gets easier)-and mentor my medical students to do the same.

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On Wed, May 17, 2017 at 1:55 PM -0500, "Koppel, Ross J" <rkoppel at SAS.UPENN.EDU<mailto:rkoppel at SAS.UPENN.EDU>> wrote:


Peggy


Your statement should be posted in front of every physician's room and every hospital.


But don't hold your breath.


Ross


Ross Koppel, PhD, FACMI

UNIVERSITY OF PENNSYLVANIA

Sociology Dept;  LDI Senior Fellow, Wharton; &

Affil Fac. Sch. of Medicine.

Chair, AMIA Clinical Information Systems Working Group.

Ph: 215 576 8221; Cell 215 518 0134



________________________________
From: Peggy Zuckerman <peggyzuckerman at GMAIL.COM>
Sent: Wednesday, May 17, 2017 2:15 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] both sides of the coin was Re: [IMPROVEDX] Doctor lectures Valley health professionals on dangers of errors

The unaddressed issue in every medical encounter is the uncertainty that exists. There have been and will continue to be wondrous gains in the medical world that benefit us all.  But, the diagnosis and treatment of the billions of different people, under multiple circumstances, and in the dynamic changing individual body newly paired with a treatment of any kind is a task that exemplifies uncertainty.

A clear(!) recognition of uncertainty, both in the medical world and the individual's world would go a long way to create an atmosphere of partnership.The notion that the doctor knows all, and that medicine is infallible, has been costly to everyone.  The patient who comes to realize that this is not true feels betrayed, which exacerbates the situation.

When we can comfortably discuss the uncertainty of the diagnosis, of the treatment options, of the variables that the patient has, then we can begin to make progress towards the 'best possible' outcomes.  The human and financial losses that occur cannot be tolerated.  This requires the right of the patients to partner in every medical interaction to the fullest extent is the basis for the fix of healthcare.

Peggy Zuckerman

Peggy Zuckerman
www.peggyRCC.com<http://www.peggyRCC.com>
PeggyRCC.com | kidney cancer education for patients by ...<http://www.peggyrcc.com/>
www.peggyrcc.com
Kidney cancer is generally a very silent disease. It is sneaky, hides out for years, and is often assumed to be something else. In my case, my doctor essentially ...




On Wed, May 17, 2017 at 9:38 AM, Vic Nicholls <nichollsvi2 at gmail.com<mailto:nichollsvi2 at gmail.com>> wrote:
Tom I say this because health care is expensive. Its not like 100 years or more ago when people did home remedies and death was simply a part of life. We frankly have to admit the hard fact: the US cannot support paying for all the health care of people. Hard decisions have to be made. Gotta draw the line, and vaccination is a perfect example.

In addition, do you know the Somali reaction to the anti vaxxers? They were mad. They realized they got taken advantage of. They realized that doctors can be trusted.

So sad. It didn't have to happen. It can be stopped.

I am a harmed patient in more ways than one. Yet I want doctors to own up and fix mistakes. You don't do yourselves as a profession any good when people realize mistakes were made because that's why they won't trust you for anything. I don't want people to throw the baby (doc) out with the bathwater (all medical info/research). That's what I've seen a lot of them do: every sort of woo they'll hold onto because of harm from the/one medical establishment. It grows into the massive disaster that is anti vaccination, autism causes, etc.

It starts by saying we are adult enough, as Tom put below, to stand up for our mistakes and show others how to react.

Vic

On 5/17/2017 9:10 AM, Tom Benzoni wrote:
Maybe getting a bit tangential, but Vic brings up an interesting question.

One feature that differentiates adults from children in a major way is taking responsibility for one's own choices (and conversely, not taking responsibility for other's choices, but that's a topic for another day.)

Rather simple solution: If a person, family or group opts out of vaccination (not true medical exemption) they could post a bond. An actuary could price this out; we can with carbon credits. This bond could be posted by the entity proposing (in the way an employer bonds her employees) or bought a la carte. This would give an air of legitimacy to the anti-vaxxers I think they'd welcome. Don't drink from a trough you don't help fill.

tom



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