not to highjack, but
dadnatron for being a Dr and the way you totally missed the point in my thread about Evista in my opinion you are by no means qualified to be an expert in any medical situation.
I appreciate your response to my post. I very much appreciate your sensitivity. I understand where you're coming from. And the only Expert Witness authority I can offer is in achitecture -- a far cry from the human body. But this isn't about attempting to pursue a malpractice claim; it never was. My point was only what I perceive as the gross injustice of the system...and I am trying to reconcile at least some of this.
Let me fill in a couple of gaps in my previous post... then tell me if you're still in exactly the same place, please:
This individual, this pulmonogist, saw and examined my mother at least once a week AFTER she dismissed him as her chief pulmonologist. He WAS part of the same group until very recently. My mother spent the bulk of her final three years here in acute care on the pulmonary floor, and he was on call often. She had no choice. He knew her case well. And I now know being on call to him meant making rounds, but NOT taking telephone calls for true emergencies after hours. (?)
After he hung up on her, I tried calling back myself, through the service. The operator said he was not allowed to connect ANYONE, not even other physicians. It made sense when he phoned and explained himself the day I was getting dressed for her funeral. Should I have immediately turned around and phoned 911? ABSOLUTELY! But I didn't, and I'll never be able to forgive myself for that. I turned her concentrator up as high as it would go, and didn't think to call for a couple of hours... by which time she was anoxic, I suspect....now.
But the physicians she knew ammd she trusted ALSO convinced her NOT to listen to the specialists at the Cleveland Clinic, [B]who had reviewed her medical records, and were encouraging me to bring her for in-person evaluation for the lung transplant program.[B] I've went to the Cleveland Clinc with the records -- they don't have time to play games there. They have a small city to run, as I'm sure you know better than me.
I may not be able to forgive myself, may have no legal recourse against the individual "physician" who hung up on her instead of admitting her... but HE chose when she died, and I would like to make some sense of it. I cannot understand how what he did was okay... like I said, it is not about legal recourse.
But look at some of the other posts here. Should this pulmologist, or any human being, have the right to decide when another person's life ends... or how? (non-rhetorical)
We place both our trust, but our very lives, in our physicians hands. The only ones that have ever trusted me have been related to me. Most people are afraid of their docs.... this goes beyond biomedical ethics, to the simple matter of pragmatics and moment-to-moment choices. Do you disagree?
I merely make a determination on how I view the case, and decide whether I will testify or not. If I do not believe the individual or I disagree with a proposition, I do not testify. It is that simple. I am not deciding the OUTCOME of the case... I am deciding whether MY TESTIMONY and therefore MY WORD is condusive with my belief. You can say whatever you want to whomever you want, however, I will always say what I believe or be silent.
If the lawyers don't like it, there are MANY MANY hired guns/MDs out there who will 'state' whatever the lawyer needs in a way to 'pursue' their case. I won't have my words twisted, merely to fit a case.
Concerning Cleveland Clinic... It is overrated concerning so very much, and yet it still gets such incredible kudos... you know why? Because if you take all the cases which are referred to TCC and all the outcomes, they have a success rate of about 3-6% via relatively heroic measures over the general pupulation of medicine. The hospitals within your own city will have a 'success rate' which varies greater than TCC. However, when people 'go to TCC or Mayo' they feel they are getting the ultimate care. I am NOT knocking them, they are excellent, however, they practice medicine in a kind of vacuum. Not in the real world. They see the 10 oddest cases in the country, and 4 of them might live longer than their 'home town' physician thought they would. ALL the credit for that time is given to TCC/MAYO. The other 6 are lost, because no one hears about the 'usual' cases. ALSO, they rely upon Heroic measures in order to get to those 3-6% far more often than the general population. That is fine, however, the world can't all have lung transplants. And usually, it is the MOST INVOLVED people, who go to TCC/MAYO and therefore, are the MOST ACTIVE in their own care.
I am just saying that the numbers at these facilities are skewed, and unfortunately generally overly so, by the general population. You shouldn't necessarily ignore them, but realize the source and what is available in general.
And finally, concerning your question about when/if anyone should have the right to say how long someone lives? My answer is no, absolutely not. No physician has the right nor the responsibility nor the power to make that statement.
I am sorry for you and your loss... but I see this sort of thing almost weekly. There is almost ALWAYS something which could have been done differently somewhere along the line. There is almost always something which could have been done better.
But eventually, it all comes down to the fact that EVERYTHING which was done, prolonged and improved the life of the patient more than doing NOTHING would have. Without medical care as it is today, probably half the people reading this board, wouldn't be here for one reason or another. I would not... I had a ruptured appendix at age 20. I had a reaction to the antibiotics, and was in the hospital for 7 MORE days than I would have without the abx. Was I upset??? NOPE... because I wouldn't have been around had those docs not done what they did.
People might think that I am putting myself above the law, however, I will tell you, the lawyers in my city send me things SPECIFICALLY because I pull no punches. They trust what I have to say, because they have learned that what I say is truth, not looking for a paycheck. They listen to my thoughts because I can save their client alot of time, money, and frustration. If I tell a lawyer I won't testify, they certainly have the option of finding someone who will. If they didn't think my thoughts weren't valuable to their case in the manner in which I present them, there wouldn't be 3 cases sitting in my 'to do box' at this moment.
I can tell you are wasting your time, and you are just going to become more disappointed as you become entrenched. Bleed your heart to your friends/loved ones, and then just let go of it. Life's too short to suffer, and that's what you are doing.
Keep on keepin' on.
Given that the 3rd leading cause of death is malpractice, DRs have and will continue to get away with murder, literally.
on 4 separate occassions my mother has been to the DR, been given medication, then spent the next 15 hours in the emergency room after the inevitable interactions.
Dadnatron has inspired me to begin looking for malpractice attorneys to overcome the apologists like him. I really do think Drs will kill my mother at some point, then walk away blameless.
this is all for the treatment of restless leg syndrome, which seems to be treatable with vitamin b supplements, but Drs keep giving her weird chemicals so they can get a bigger kickback.
When have I continued asking how to pursue malpractice. That talk was ended a long time ago basically I wanted to try and humilate the doc. Get your head out your ass and stick to less complicated subjects that you might have the chance of understanding.
A doctor is the last person in the world whose opinion you should seek if you think you have a malpractice claim. Quite naturally, the doctor will have a defendant's perspective. And, in matters of the law, the doctor is a lay person (admittedly, a well-informed lay person). Just as you wouldn't seek medical care from a lawyer, it is a bad practice to seek legal advice from a doctor. If you think you have a malpractice claim, look for a plaintiff's attorney who has plenty of medical malpractice experience.
Do you think damages are always going to just slap you in the face? What about the fees the mapracticeor charges....every time I see a Dr it costs $1000 when you add in lab fees etc?
What about having your dieing father tell your mother that you are lazy and will take advantage of her for the rest of your life....when your free t3 count is .7 range 1-5 and testosterone is 180 range 250-850? and every Dr you see says you are "just depressed and need prozac"?
I tried not to reply to this thread because i hate it but people (sheep) like you are the reason prozac and lipitor pushing drs are bankrupting the entire country while enriching themselves.
and cpelll dadnatrons apparent blind defense if any and all actions committed by a dr is the definition of "whore".
Bigironkiller, a second opinion may be wise to get. Another doc may want to treat your pituitary tumor with medication to shrink it without waiting a year.
Why hold off on armor because of cortisol? Is he concerned that treating your thyroid will stress your adrenals? If your cortisol is too low, there are docs that are able to treat that while also treating your thyroid.
He wanted to wait on Armour until he confirmed my low cortisol b/c if my Cort is low stimulating my thyroid could cause even more stress to my body. I know of the medications that treat the growth, but can they wipe out the growth or just shrink it to a certain point? We also talked about possible use of hydrocort if test show again low cort and he will be treating with Armour once and if the cort needs addressing. I really want to treat this the right way so I wil take it slow and cover all bases with doc.
I'm not up to speed on pituitary meds, but some may be able to get rid of tumors.
Why is your doc waiting on cortisol testing? Ask for 4x saliva test if you haven't done it yet.
Pregnenolone and Siberian Ginseng can help support adrenals. Ask you doc about them.
I see him again the 1st wk in Dec. and will discuss what the pituitary meds can do and I suspect he will be ready to move forward on the cortisol and thyroid since new bloodwork will be ready.
Revenge and being vendictive are very self destructive weapons.
Remember my freind what comes around goes around.
Continue on that pathway it will come back to haunt you I have seen in many patients and clients. I am truly sorry for what you are going through and I could only imagine what it could be like. My thoughts and prayers are with you. Just choose the proper pathway not the destructive one.
I am not a medical Dr, please keep in mind that this answer is for information purposes only, and is not intended to diagnose, treat or replace sound medical advice from your physician or health care provider.