Tag: physician

  • Doctor Forces Surgery To Meet Target, Patient Dies

    I have been critical of some Doctors who have become crass after money and for unethical practices like accepting gifts from Pharma Companies, forcing patients to take unnecessary  medicines.

     

    The scenario worsened after the entry of Corporates into Medicare making Medicare a Hospitality Industry.

     

    Many of the Corporate run hospitals are meant for Star Hotel Luxury than for patient Care.

     

    You may some of my posts under Medicine, Consumer forum.

     

    Now emerges a shocker.

     

    A Doctor in Uk forced operation on a patient to meet his ‘Target!’

     

    He met his Target but the patient died.

     

    There is another case where a Doctor forced three operations on a patient, patient died.

     

    Corporates mean profit, Profit means Sales ‘Targets”

     

    This evil can be eradicated only by patients going to Doctors who thorough checks you up physically,does not prescribe a battery of Tests ,  who listens to your problem , most importantly does not work in a Corporate run Hospital, and who does not have a Fancy Title or Degree.

     

    Story:

    Ray Law pictured in Lincoln with his wife Kathleen  Photo: Steve Hill
    Ray Law pictured in Lincoln with his wife Kathleen Photo: Steve Hill

    Ray Law, 60, died of complications two days after his prostate cancer operation at Lincoln County Hospital in February 2010.

    On the day he died, a senior doctor raised serious concerns about the incident in an internal memo, saying the targets were putting patients at risk and putting “enormous and unsustainable pressure” on surgeons.

    Mr Law should have been put on a high-dependency ward, according to the memo sent to hospital managers, but he ended up on a general ward due to “increasing pressures”. Despite these concerns being raised, Mr Law’s widow Kathleen was never told about them.

    On Thursday night, Mrs Law told The Daily Telegraph of her “anger” at being kept in the dark and said: “I want answers.”

    Her daughter Nikki Law, 35, said: “It’s absolutely despicable. I have no trust in the NHS whatsoever. We’ll definitely take legal action…

     

    It emerged that United Lincolnshire Hospitals NHS Trust, which runs Lincoln County Hospital, had attempted to gag Gary Walker, its former chief executive.

    He signed a £500,000 confidentiality deal preventing him from speaking out over patient safety worries at the hospital shortly before Mr Law’s death.

    On Thursday Mr Walker broke the terms of the order to claim he had come under “dangerous” pressure from NHS officials to prioritise target-hitting over emergency care. He refused to do so and was sacked. The memo, which did not identify Mr Law by name, said targets were exerting “enormous pressure” resulting in “ad hoc arrangements for surgery at short notice”. It noted: “This is not only prejudicial to ongoing patient care, but present enormous and unsustainable pressure on the operating surgeons.”

    The memo said normally only “one or two” radical prostatectomies would be performed by a surgeon in a day, but that “the additional case [of Mr Law] was required due to [redacted] target pressures”.

    http://www.telegraph.co.uk/health/healthnews/9871844/Father-died-after-surgery-driven-by-regime-of-targets.html

    A patient being treated at an under-fire hospital trust died after a surgeon had to carry out three “radical procedures” on the same day due to “target pressures”, a leaked letter from a doctor has claimed.

    Source :Telegraph)

    The surveyed doctors said they prescribed them to induce a “placebo effect,” to reassure patients or because patients pushed for a treatment.

    “For authorities to put their heads in the sand and pretend (placebo treatments) are not being given out is not helpful,” said Jeremy Howick of Oxford University, one of the authors of the study, which was published online Wednesday in the journal PLoS One. “We need to think of ways to maximize the benefits of using placebos,” he said.

    Howick and colleagues used a Web-based survey and got 783 responses. The sample was drawn from a list that included 71 percent of all doctors registered with the General Medical Council, the governing body for doctors in the U.K.

    The survey asked doctors if they had ever used a true placebo, like a sugar pill or another kind of dummy treatment such as a drug not meant for the patient’s condition or a non-essential examination including blood tests and X-rays. Nearly all of the doctors — 97 percent — reported having used some kind of placebo treatment at least once, while 12 percent reported having used a fake pill.

    http://ramanisblog.in/2013/03/23/doctors-admit-giving-useless-medicine-to-patients/

     

     

  • Avoid These Unnecessary Medical Tests And Procedures.

    I recall an instance when my daughter, 25 then had constipation.

    She had problems in bowel movement for two days.

    In India we used to give Castor oil as a Laxative.

    But this has to be practiced since childhood.

    As this was not the case with my daughter, I tried Plantains on the first day and Greens in food the next day.

    No results.

    I could try Epsom Salt.

    But my daughter insisted that we go to a hospital, that to a Super Specialty  at that in Chennai.

    We went there, consulted a Physician, who directed us to a Gastroenterologist..

    While examining my daughter the Doctor was quizzing on where my daughter was working, whether she had Medical Claim facility.

    Then he asked us to come for an Endoscopy the next Day , with an empty stomach and said that he was prescribing a medicine.

    He added that it might relieve the bowel problem and that to prevent(!) such problems an Endoscopy is needed,it would cost Rs.800!

    The medicine costed us Rs. 2.90 paise and the Consultation fee was Rs 300!

    The Medicine..Epsom Salt!

    Many Doctors indirectly pressurize you  into taking unnecessary Medical Tests.

    A Novice Doctor will tell you’ you should take the Test”

    The experienced and the wily ones will tell you,

    Of course, you need not have these tests.

    But in my experience I have seen cases becoming complex if these Preliminary Tests are not taken!

    What would you do?

    You would take these Tess.

    Unnecessary Medical Tests and Procedures.
    Unnecessary Medical Tests and Procedures.

    Not only these Tests are costly, but in some cases they may be dangerous to Health.

    I am providing information on the Test that are wholly unnecessary with Links.

    Assert your rights with your Doctor.

    Routinely performing annual PAP tests for women 30 to 65 years old.

    • Prescribing antipsychotic medication as a first choice to treat behavioral and psychological symptoms of dementia.

    • Prescribing testosterone in men with erectile dysfunction and normal testosterone levels.

    • Screening healthy people — with no symptoms — for cancer using a PET/CT scan.

    • Treating an elevated PSA in men with antibiotics when no other symptoms are present.

    • Prescribing Xanax, Valium, Ativan, and other drugs known as benzodiazepines in older patients as a first choice for insomnia, agitation or delirium.

    http://thinkprogress.org/health/2013/02/21/1620591/three-problems-contributing-to-americans-sky-high-medical-bills-and-three-ways-to-fix-them/

    The Medical Tests You need Not Have .

    Skin or blood tests, when combined with a doctor’s examination and your medical history, can help determine if you’re truly allergic to something you inhaled, touched, or ate. But if you don’t have symptoms or a medical evaluation that points to an allergy, you should think twice about testing….

    It’s worth getting a bone-density test if you’re older or have other risk factors for weak bones, because without it the first sign of osteoporosis is usually a broken bone. But if you’re not at higher risk, you should think twice about the test. ..

    If you’re scheduled for surgery, a pre-operative chest X-ray can sometimes help make it safer by identifying medical problems that might make it a good idea to delay or even cancel the procedure. But if you don’t have signs or symptoms of heart or lung disease, you should think twice about having the X-ray…..

    People with chronic kidney disease usually have other health problems too, such as diabetes or high blood pressure. And it can cause anemia, bone disease, heart disease and other health problems. So proper care can be complicated and can often include seeing several specialists, for many years. Even when the disease is treated carefully it can get worse, and may lead to the need for dialysis or a kidney transplant.

    But if you or a family member are on that path, choosing among the tests and treatments along the way won’t always be straightforward. Some of the decisions will be challenging: You might not even want or need some of the tests, treatments or procedures you may be offered.

    Below, we describe four important examples where you, your family, and your doctor should carefully discuss the benefits and risks of treatment….

    This calls for a detailed discussion with your Doctor.

    Preferable that you have a family Doctor whom you know well and he knows you and your family.

    Corporate and Super Specialty Hospitals are in the racket of making money, exploiting your so called “‘ Health Consciousness’an euphemism promoted by the Health Care industry for ‘Fear’!

    Please check the following Links.

    http://www.choosingwisely.org/doctor-patient-lists/

    Dozens of types of tests and treatments are too often recommended by doctors when patients don’t need them, according to a warning issued Thursday by a coalition of leading medical groups in the United States.

    This unnecessary care wastes time and money and sometimes causes harm to patients, according to the organizations that represent more than 350,000 doctors, the Associated Press reported.

    http://www.webmd.com/

    *This information is provided for you to use in discussions with your health care provider. The content is for educational use only and is not a substitute for professional medical advice, diagnosis, or treatment. Unfortunately, we cannot help you with individual medical questions. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition. Never disregard, avoid, or delay in obtaining medical advice from your doctor or other qualified health-care provider because of something you read in this report. Use of this report is at your own risk. Consumer Reports, the American Academy of Asthma, Allergy, & Immunology (AAAAI), the ABIM Foundation, and their distributors are not liable for any loss, injury, or other damage related to your use of this report.

    The report is intended solely for consumers’ personal, noncommercial use and may not be altered or modified in any way or used in advertising, for promotion, or for any other commercial purpose. Special permission is granted to organizations participating in the Consumer Reports consumer health communication program to disseminate free copies of this report in print or digital (PDF) formats to individual members and employees. Learn more at ConsumerHealthChoices.org or send an e-mail to HealthImpact@cr.consumer.org.

    Published by Consumer Reports © 2012 Consumers Union of U.S., Inc., 101 Truman Ave., Yonkers, NY 10703-1057. Developed in cooperation with AAAAI for Choosing Wisely, a project of the ABIM Foundation. Portions of this report are derived from AAAAI’s “Five Things Physicians and Patients Should Question“ list. © 2012 AAAAI . All Rights Reserved.

  • Insulin Murder

    There used to be a time when people thought that it was safe to inject air  into some one and escape undetected.

    Pathologists have devised  a way find out that it was murder.

    Now, for the first time, Doctors have detected Insulin being used for Murder!

    The Doctors could not initially could not determine the cause of Death.
    But on persistent demand of the relatives suspecting Foul play, detailed Autopsy revealed that it was an a case of overdose of Insulin.

    The Victim’s husband is A Doctor.

    Be it for health, be careful about injection.

    Safe and preferable to have the injection by yourself and it is not diffident _Check Batch number and expiry date of the Insulin.

    Insulin Murder
    Insulin Murder

    Insulin Murder.

    Some incidents set precedents in crime investigations and death of Ritu Kapoor, the 32-year-old pregnant woman who died of hypoglycaemia (insulin overdose) in May 2012 is one such instance for the state. Kapoor’s death is the first documented murder by insulin in UP. Experts say that in the country about 16 documented insulin homicide incidents have been reported. Death due to hypoglycaemia is a rare event and the level of glucose that was present in deceased’s body at the time of death can be termed as rarest of the rare case.

    The medical examination report in the said case is seen as a landmark work achieved by the KGMU’s pathology department as well as state’s forensic science department. A research paper will be prepared to help experts deal with such incidents in coming years.

    “Kapoor’s mysterious death will be now documented as part of the study and reference material for our experts. On February 28, a seminar is being organised to discuss the case, where senior police officials and medico legal experts across the state will be invited,” said Dr SB Upadhyay, director of the state’s forensic science laboratory.

    Moreover, another expert Dr G Khan, MD forensic medicine and toxicology recounts that Ritu’s is UP’s first and country’s 17th such incident. “I keep following the subject closely and can say that only a handful of insulin homicide cases have been reported in the country,” he said.

    Going back into the details of the case, on May 23, 2012, Ritu, who was 10-week pregnant, was rushed to Krishna Medical Centre when her blood sugar level dropped. The doctors administered treatment and hours later, her condition improved. However on early morning next day Ritu’s husband, a practicing physician Dr Avadh Kapoor raised an alarm as soon as he woke up. Ritu’s body had turned cold. The doctors examined the body and pronounced her dead.

    On insistence of Ritu’s relatives, post-mortem examination was carried out and deceased’s viscera as well as blood samples were preserved. The family who was already alleging foul play into the incident then approached senior authorities to set up an expert panel of doctors and investigate the matter.

    A blood examination report was conducted by KGMU’s department of pathology on September 4, 2012. It was the serum insulin report that corroborated foul play in the incident. The blood sample collected from cardiac cavity showed larger value of insulin than the highest standards. While normally the insulin level ranges within 25 uIU/ml, deceased’s bloodstream had 285.10 uIU/ml of insulin at the time of death. According to deceased’s relatives, Ritu was not diabetic and was never induced insulin before she was admitted to the hospital. The forensics reports too noted subsequently that only intravenous infusion (external infusion) can lead to such extraordinarily high insulin levels and deceased’s husband was booked under IPC section 302 (murder charges).

    This week, serious hackers are gathering in Las Vegas to attend Def Con 19, which follows closely on the heels of the Black Hat Technical Security Training and Briefings

    A health tech-related demonstration with chilling implications that could have leapt right off the pages of a medical mystery thriller took place yesterday at the Black Hat event.

    Imagine the following scenario: a Type I diabetic dies suddenly from an insulin overdose. Authorities assume that the pump was improperly programmed by the user, or that it malfunctioned. As the plot thickens and unfurls, it’s discovered that a hacker hit man with a vendetta against the patient, or the pump manufacturer (or both) wirelessly hacked the device to deliver a lethal dose of insulin while sitting innocuously across the coffee shop from his unsuspecting victim, sipping a latte.

    http://www.zdnet.com/blog/health/fact-or-fiction-hacker-hit-men-can-remotely-murder-through-programmable-insulin-pumps/293

  • A Doctor’s Condolence Letter.

    All of us are accustomed to most of the Modern Doctors being mechanical and worse,Bill Chasers.

    I am posting a post on the excess, unnecessary Billing by Doctors,Corporate ,Multi-Specialty Hospitals and inhuman attitude towards human suffering.

    In a letter expressing condolences to the Husband of a patient who expired, the Doctor said,

    I felt a special connection to your wife (removed), who was so engaging and cheerful in spite of her illness and trouble breathing. I was also touched by the fact that you seemed to be a very loving couple. You were highly supportive of her, asking the right questions with calm, care and concern. From my experience as a physician, I find that the love and support of a spouse or a family member is the most soothing gift, bringing peace and serenity to those critically ill”

    It is nice to see a human being.

    The Letter.

    Dear Mr. (removed),

    I am the Emergency Medicine physician who treated your wife Mrs (removed) last Sunday in the Emergency Department at (hospital). I learned only yesterday about her passing away and wanted to write to you to express my sadness. In my twenty years as a doctor in the Emergency Room, I have never written to a patient or a family member, as our encounters are typically hurried and do not always allow for more personal interaction.

    However, in your case, I felt a special connection to your wife (removed), who was so engaging and cheerful in spite of her illness and trouble breathing. I was also touched by the fact that you seemed to be a very loving couple. You were highly supportive of her, asking the right questions with calm, care and concern. From my experience as a physician, I find that the love and support of a spouse or a family member is the most soothing gift, bringing peace and serenity to those critically ill.

    I am sorry for your loss and I hope you can find comfort in the memory of your wife’s great spirit and of your loving bond. My heartfelt condolences go out to you and your family.

    (removed), MD”

    A Doctor's Condolence Letter.
    A Doctor’s Condolence Letter.

    According to the Redditor(who published this letter), his mother had breast cancer. A month ago, breathing difficulties landed her in the hospital, and 16 hours later, she passed away.

    Surprisingly, the doctor who wrote the letter had never met or treated his mother until that day.

    “If my mother were alive to see this, she would want readers to reflect on the power of showing compassion towards a total stranger,” he told HuffPost.

    “The support I got from Reddit was amazing — doctors, nurses and other Redditors who have lost their mothers to cancer were all shocked and amazed that the doctor took the time to write such a heartfelt, meaningful letter,” he added.”

    http://www.huffingtonpost.com/2013/02/09/letter-from-er-doctor-sho_n_2649578.html?utm_hp_ref=mostpopular

    http://imgur.com/gallery/pekfXzk

  • Doctor Collects Overtime Bill 681,759 Dollars!

     

    That most of the Doctors are after money to recover their cost of Education.

     

    But this one takes the cake!

     

    Workin' Overtime
    Workin’ Overtime (Photo credit: Wikipedia)

     

    Story:

     

    A doctor in regional NSW has been paid almost $700,000 in overtime during a two-year period to cover the roster of a public hospital.

     

    It has been revealed the doctor has been paid as much as $39,598 in one month to work extra hours and stay on-call in addition to normal hours, a practice being condemned by the Australian Medical Association.

     

    The Sun-Herald has obtained documents under freedom of information laws that revealed the doctor had earned $333,073 in overtime in the 2010-11 financial year and the same doctor earned $348,686 in overtime the previous year on top of the salary earned for working in the unnamed public hospital.

     

    The doctor is described as a career medical officer, a position which on average earns about $150,000 a year for a 38-hour week. NSW Health has refused to identify the hospital or the local health district involved.

     

    Advertisement

     

    But the large overtime amounts caught the attention of the NSW Auditor-General, Peter Achterstraat, who has reported to State Parliament that it was the highest amount paid to a single employee in NSW Health.

     

    Internal NSW Health documents obtained by The Sun-Herald showed contradictory explanations for the excessive amounts of overtime.

     

    In one internal report prepared after Mr Achterstraat queried the payment, NSW Health said the overtime was worked by a full-time career medical officer who had good clinical skills and ”works agreed shifts to minimise the use of locums per agreement with the hospital’s medical director”.

     

    However, another NSW Health email stated: ”Although it would have been cheaper to use locums more often that [sic] pay this overtime, the need for experienced local knowledge and reliability was a key.”

     
     http://www.smh.com.au/national/health/one-doctors-twoyear-overtime-bill-681759-20120721-22gu5.html#ixzz21K9I8F4b