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21. Patient Dignity (Formerly: Patient Modesty): Volume 93

of approaches which will begin and lead to a CURE of this systemic disease. We read here about the symptoms and course and pathologic basis-- now is time to work towards that cure. I am sure that all our commentators know lawyers and physicians. A first step is to make an effort to notify them what is being discussed here and have them join this thread with their views and perhaps their professional suggestions of how to proceed. ..Maurice. At , Anonymous said... PT, thanks for your support. It is much

2019 Bioethics Discussion Blog

22. Patient Dignity (Formerly:Patient Modesty): Volume 97

I have received for years during routine office visits, then again I'm at the disposable age [and male]. Everything else in my recent routine health care involves lab panels that AI is superior at analyzing and prescribing. The patient's medical history [EHR/EMR] is automatically retained and available to everyone not limited by HIPAA [joke]. Most prescriptions will be available when the patient leaves the booth from a system similar to technology used in warehouses for over 20 years, again

2019 Bioethics Discussion Blog

23. Patient Dignity (Formerly:Patient Modesty):Volume 99

request will address the issue. If you start with the 2X4 approach when it wasn't really needed you may find yourself needlessly labeled a problem patient. If anyone is going to be fired, best you be the one firing the doctor rather than the doctor firing you. At , Anonymous said... Dr B I hope you know my last comment was mostly a joke. Or sarcasm. The reflex test isn't likely what any of us are taking about anyway. I do blame my former family doctor for how long I had to suffer with my gallbladder (...) criminal they will deny wrongdoing. They do know how things are supposed to be done and will absolutely attest that is the way they did it. They also follow them around to observe as if they would sexually molest if their presence. The Medicare investigation is a joke. They only add to fire fuel that will make it grow. They shouldn't even bother to have such an oversight dept as it is totally useless. I doubt if they would recognize abuse even if it did happen in front of them. So what I have further

2019 Bioethics Discussion Blog

24. Preserving Patient Dignity (Formerly: Patient Modesty):Volume 104

& technologist fields by using incentives. We're not animals we're human beings and deserve to be treated as such. I don't see help coming from Washington as I've been beating that dead horse for months now. They are bought & paid for by the industry. Lawyers look at the healthcare system as a losing financial proposition so they won't take them to court. Right now I see a bleak future for men, their sons, and their grandsons if they need intimate medical care. Expect no dignity, no, respect, & absolutely

2019 Bioethics Discussion Blog

25. Patient Dignity (Formerly: Patient Modesty): Volume 94

how cowed the other doctors and medical staff were? I don't especially blame the other medical staff. There probably would have been some very real consequences had anyone of them stood up to that doctor. Afterwards Gift bearer couldn't get a lawyer to take her case either. At , said... PT, that new pricing transparency law will prove to be useless. I took a look at my local small town hospital's site. The list of billables has 21,199 items on it and doesn't include the charges for the doctors who (...) exceptions, wouldn't care for patients with the same respect and dignity. BJTNT At , said... JR, I am moving to educate personal injury lawyers about how mistreatment of patients creates side effects, thus allowing them to litigate. This will change the system when it costs them money. -- Banterings At , said... As I stated previously, the systematic mistreatment of patients by the profession of medicine rises to the level of a Human Rights' violation. Here is a case of organizations being held

2019 Bioethics Discussion Blog

26. Patient Dignity (Formerly: Patient Modesty): Volume 93

of approaches which will begin and lead to a CURE of this systemic disease. We read here about the symptoms and course and pathologic basis-- now is time to work towards that cure. I am sure that all our commentators know lawyers and physicians. A first step is to make an effort to notify them what is being discussed here and have them join this thread with their views and perhaps their professional suggestions of how to proceed. ..Maurice. At , Anonymous said... PT, thanks for your support. It is much

2019 Bioethics Discussion Blog

27. False balance in reporting the case of a local mother jailed for contempt of court for reneging on an agreement to vaccinate her child

sentencing you to seven days in jail, and I also award Dad temporary physical custody while you are incarcerated and until enough time has passed for him to bring your son's vaccinations up to date as rapidly as medically necessary, which is the language in the order." . Judge then instructs Dad to pick up child at school and to set up the vaccinations per the order. She sets a status update hearing in a week. Mom starts to whine and discuss and judge shuts her down. "No. I'm done here." Mom's lawyer (...) flu shot last week, thanks. I get one every year. I'm also planning on getting vaccinated against shingles as it's no joke. A family member has scarred corneas due to shingles. It's a shame they make people wait until they are a certain age as shingles can strike anytime after someone has suffered a bout of chicken pox. to post comments By Dagian (not verified) on 08 Oct 2017 to post comments By Dagian (not verified) on 08 Oct 2017 to post comments By Johnny (not verified) on 08 Oct 2017 to post

2017 Respectful Insolence

29. Patient Dignity (Formerly: Patient Modesty): Volume 92

. This is problematic, one a plaintiffs lawyer would easily seize on. “How do you know what an appropriate exam is, what is your training for conducting this exam?” “Do you stay in the room the entire time or are you asked to leave for various reasons?” “Who do you report suspicions too, what is the policy for reporting and to whom do you report?” “Do you document your observation or does the provider do that?” etc. Certainly small practices will not be able to or bother with providing chaperone training and having (...) approach would be successful by itself. This was the first time that this garment was being used; and, I wasn't sure how well a novel approach would be accepted by hospital personnel. Possibly, I was the topic of discussions, protocol meetings or jokes. I don't know. Throughout the entire process I was not hostile nor belligerent. I tried to politely "nail everything down" before the operation day. Nevertheless, my son and I were ready to pull the iv and walk (hobble) in the event of a last minute

2018 Bioethics Discussion Blog

30. Patient Modesty: Volume 89

communities people don’t run to the emergency room when they have a runny nose. I’ve worked in those small rural hospitals and once knew an old timer physician that was so old that the state took his drivers license away due to his poor vision. It didn’t stop him from working, he walked to the hospital and did house calls, on foot. Come to large cities like Phoenix or Houston and you will find 4 urgent care centers in one square mile. I call urgent care centers Quack in a Shack. What a joke! With my

2018 Bioethics Discussion Blog

33. Patient Modesty: Volume 89

communities people don’t run to the emergency room when they have a runny nose. I’ve worked in those small rural hospitals and once knew an old timer physician that was so old that the state took his drivers license away due to his poor vision. It didn’t stop him from working, he walked to the hospital and did house calls, on foot. Come to large cities like Phoenix or Houston and you will find 4 urgent care centers in one square mile. I call urgent care centers Quack in a Shack. What a joke! With my

2018 Bioethics Discussion Blog

34. The consequences of taking patients at their word

we thought was best. But in the age of “patient satisfaction” and “the patient being the captain of their health care ship,” we as physicians have been forced just to take patients at their word, and that has had consequences. The opioid crisis is just one example. Just accepting that a patient’s pain is “10/10” has not worked out well. There is also the issue of secondary gain, such as dealing with workers compensation, auto accidents or pretty much any time a lawyer is involved. Should (...) physicians take patients at their word or ask questions to verify? I am reminded of an old joke: What’s the difference between an orthopedist and a carpenter? The carpenter knows more than two antibiotics. As an orthopedist, I freely admit that 98 percent of the time when we pick an antibiotic we use a cephalosporin both for treatment and for surgical prophylaxis. Early on in my career, I noticed that there was an inordinate number of patients who claimed they were allergic to penicillin

2018 KevinMD blog

35. Care but don’t touch: Being wise in the modern era

: patient benefit. In contrast to non-medical relationships, physicians owe a legally cognizable fiduciary duty towards patients: trust. And physicians exert power and control with patients. Patients are vulnerable. To show affection that does not advance patient care may create a serious problem. Idle, “smart-aleck,” facetious, poor taste puns and jokes, innocent as uttered — look out. Do not tell patients off-color stories or jokes or personal intimate stories. Edward Berk, MD, at the University (...) pictures with a depiction of social conduct: avoid. If you would be hesitant to explain the episode to colleagues or to lawyers, or you are hesitant to write the exact details in your chart, don’t do it. Always consider how conduct will spin on the front page of the New York Times or on CNN or Fox, and hope that you never land there. Elliott Oppenheim is a heath care attorney and author of . Image credit: … … 88 Shares Tagged as: , Subscribe to KevinMD and never miss a story! Get free updates delivered

2018 KevinMD blog

36. Dumb and dumber: Kent Heckenlively and Mike Adams team up to support an antivaccine WhiteHouse.gov petition

think that this wasn’t my idea, or the idea of some truly brilliant lawyers, but was instead Trump’s idea, and the trolls will work themselves into a frenzy and only hasten the day of their own destruction. Sigh. So much pathetic fantasizing in such a short passage of prose. It can only be followed by what I like to refer to as the fantasy of ultimate vindication: Now, some people have made comments along the lines of, “You failed because your White House petition only got a little more than 7,000 (...) deceptively named anti-vaccine organization this side of the National Vaccine… I wish this post were an April Fools Day joke, but it is not. Three weeks ago, Skeptical Raptor and I wrote posts describing how a particularly vicious, nasty antivaccine troll named Heather Murray had successfully gamed Facebook reporting algorithms intended to report abuse in order to silence pro… to post comments By Eric Lund (not verified) on 08 Aug 2017 to post comments By Dorit Reiss (not verified) on 08 Aug 2017 to post

2017 Respectful Insolence

38. Torturing more mice in the name of antivaccine pseudoscience, 2017 aluminum edition

, I ended up abandoning that line of research because I hit some dead ends. True, I’m not as familiar with NF-κB as I used to be. But I do know enough to know that NF-κB is easy to activate and very nonspecific. I used to joke that just looking at my cells funny would activate NF-κB signaling. Also, NF-κB activation is indeed associated with inflammation, but so what? What we have is an artificial model in which the mice are dosed much more frequently with aluminum than human infants. Does (...) by the vaccine or occurred after vaccination by chance." I'm amazed that teh NWAD managed to squeeze out a comment without a fυcking brain-dead emoticon, though. Perhaps a case of wake 'n' bake. to post comments By Narad (not verified) on 23 Sep 2017 to post comments By NWO Reporter (not verified) on 23 Sep 2017 ? Do you remember how to read this sort of material, or has your lawyer brain-rot reached an advanced stage thanks to the expanding Earth? to post comments By Narad (not verified) on 23 Sep 2017

2017 Respectful Insolence

39. The Pathological Optimist: When “not taking sides” over Andrew Wakefield means taking a side

to do what he did. A video of him joking about it is then shown. This is a video that can be , but it was also widely broadcast in the UK at the time it surfaced. (The film implies that Deer was the only source publicizing the video.) In it Wakefield jokes that two children passed out and one threw up all over his mother. Worse, the audience laughed. He also then contended that this is a market economy and that the kids would be asking for £10 next year. James and Carmel both claim that Wakefield (...) to this vaccine. Now, it is true that later Wakefield is briefly shown in an interview from what looks like the 20 minute video the Royal Free Hospital released around the time the Lancet paper was published, but it is not until much later in the film. What is shown right after Wakefield’s lawyer honing in on that one sentence is Wakefield giving talks to antivaccine groups about how the MMR vaccine causes autism. In any case, the context was not provided immediately, and it should have been. Anyone who’s

2017 Respectful Insolence

40. Medical Emergencies On Airplanes: Should Doctors “Heed The Call”?

needed a joke for a speech he was giving, Larry refused to heed the comedian call. How do you feel? Should physicians heed the call in the air? Airobatically Yours, -ACP Share this: Like this: Like Loading... Related Post navigation 10 thoughts on “Medical Emergencies On Airplanes: Should Doctors “Heed The Call”?” Some of the airlines have instituted an in-house physician phone consult for in-flight medical emergencies; usually though they hand the phone to whomever has offered to help; works ok (...) … It’s not like we’re asking for first class … Or monetary compensation. I think only medical people and lawyers truly get this issue. I assume Joe (or Joanna) public thinks we as medical professionals need to pony up in a heartbeat. And yep, flight attendants should have provider CPR and first aid at the very least! As a nurse I would probably step up if I needed to and there wasn’t another medical professional already handling the situation. I guess I’d bite the bullet, take it for a ride and do

2018 The Skeptical Cardiologist

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