Comments on: http://www.kevinmd.com/blog/2005/11/liver-transplant-program-shuts-down.html Tue, 14 Feb 2012 22:04:00 +0000 hourly 1 By: Mr. Silly Stringhttp://www.kevinmd.com/blog/2005/11/liver-transplant-program-shuts-down.html#comment-56923 Mr. Silly String Thu, 17 Nov 2005 07:59:00 +0000 http://clients.emmense.com/kevinmd/2005/11/19350.html#comment-56923 "<i>Are these people complete non-participants in their own care?</i>"<br/><br/>When they are put on a waiting list, a reasonable person does not interpret that as "until you die". “Are these people complete non-participants in their own care?“

When they are put on a waiting list, a reasonable person does not interpret that as “until you die”.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/11/liver-transplant-program-shuts-down.html#comment-56877 Anonymous Tue, 15 Nov 2005 21:57:00 +0000 http://clients.emmense.com/kevinmd/2005/11/19350.html#comment-56877 I am a recent liver transplant recipient. To not have been honest with the patients regarding the inability to perform the surgery when the time came, is reprehensible.<br/><br/>When my MELD numbers stayed at a low level, my hepatologist advised me that his hospital did not do live liver donor transplants, and strongly suggested that I pursue that option at a transplant center with experience doing them. <br/><br/>That to me, is the way a doctor/hospital should treat their patients, with respect. I am a recent liver transplant recipient. To not have been honest with the patients regarding the inability to perform the surgery when the time came, is reprehensible.

When my MELD numbers stayed at a low level, my hepatologist advised me that his hospital did not do live liver donor transplants, and strongly suggested that I pursue that option at a transplant center with experience doing them.

That to me, is the way a doctor/hospital should treat their patients, with respect.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/11/liver-transplant-program-shuts-down.html#comment-56863 Anonymous Tue, 15 Nov 2005 15:20:00 +0000 http://clients.emmense.com/kevinmd/2005/11/19350.html#comment-56863 " I see the point of the suit as punishing the hospital for trying to have its cake and eat it too,"<br/><br/>How exactly? What advantage is there in not performing surgery, unless they were prepaid a blanket fee for surgeries they had no capacity to provide? They earn no fees by not doing surgeries. Where is the advantage?<br/><br/>Unless the hospital is operating a transplant clinic with employed physicians and is deliberately misleading patients and refusing to refer them elsewhere where they might find transplant services more readily, I can't see the wrongdoing,<br/>or the financial incentive. ” I see the point of the suit as punishing the hospital for trying to have its cake and eat it too,”

How exactly? What advantage is there in not performing surgery, unless they were prepaid a blanket fee for surgeries they had no capacity to provide? They earn no fees by not doing surgeries. Where is the advantage?

Unless the hospital is operating a transplant clinic with employed physicians and is deliberately misleading patients and refusing to refer them elsewhere where they might find transplant services more readily, I can’t see the wrongdoing,
or the financial incentive.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/11/liver-transplant-program-shuts-down.html#comment-56862 Anonymous Tue, 15 Nov 2005 15:19:00 +0000 http://clients.emmense.com/kevinmd/2005/11/19350.html#comment-56862 " I see the point of the suit as punishing the hospital for trying to have its cake and eat it too,"<br/><br/>How exactly? What advantage is there in not performing surgery, unless they were prepaid a blanket fee for surgeries they had no capacity to provide? They earn no fees by not doing surgeries. Where is the advantage?<br/><br/>Unless the hospital is operating a transplant clinic with employed physicians and is deliberately misleading patients and refusing to refer them elsewhere where they might find transplant services more readily, I can't see the wrongdoing,<br/>or the financial incentive. ” I see the point of the suit as punishing the hospital for trying to have its cake and eat it too,”

How exactly? What advantage is there in not performing surgery, unless they were prepaid a blanket fee for surgeries they had no capacity to provide? They earn no fees by not doing surgeries. Where is the advantage?

Unless the hospital is operating a transplant clinic with employed physicians and is deliberately misleading patients and refusing to refer them elsewhere where they might find transplant services more readily, I can’t see the wrongdoing,
or the financial incentive.

]]> By: S.http://www.kevinmd.com/blog/2005/11/liver-transplant-program-shuts-down.html#comment-56860 S. Tue, 15 Nov 2005 14:35:00 +0000 http://clients.emmense.com/kevinmd/2005/11/19350.html#comment-56860 I see the point of the suit as punishing the hospital for trying to have its cake and eat it too, the net effect of which was delay and death for prospective transplant recipients.<br/><br/>The only proper conduct of the hospital would have been to fully inform the patients, and to direct them elsewhere for services relating to organ transplantation. I see the point of the suit as punishing the hospital for trying to have its cake and eat it too, the net effect of which was delay and death for prospective transplant recipients.

The only proper conduct of the hospital would have been to fully inform the patients, and to direct them elsewhere for services relating to organ transplantation.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2005/11/liver-transplant-program-shuts-down.html#comment-56858 Anonymous Tue, 15 Nov 2005 14:16:00 +0000 http://clients.emmense.com/kevinmd/2005/11/19350.html#comment-56858 So what do they expect? If there is no qualified hepatic transplant surgeon on staff, do they expect someone else to perform these surgeries there? Who? And if they rejected livers that were available, so what? With no surgeon, what use is an available organ? And what would have prevented a patient from listing himself at more than one center?<br/><br/>Presumably a candidate for transplant has a hepatologist with whom he/she is in regular contact, and who is aware of the tissue match requirements and prospects for obtaining a timely organ transplant.<br/>Are these people complete non-participants in their own care?<br/><br/>What good is a suit? Do they think that by suing that a surgeon is somehow going to become available, when they readily admit there isn't one available? And what difference does it make that some other procedures performed at the medical center are compensated better than liver transplants? Did they believe that all surgical procedures were compensated the same? I bet hepatic transplant patients are expensive to care for, and if they are surefire money-losers, most centers wouldn't be going out of ther way to obtain more of them. Why would they? So what do they expect? If there is no qualified hepatic transplant surgeon on staff, do they expect someone else to perform these surgeries there? Who? And if they rejected livers that were available, so what? With no surgeon, what use is an available organ? And what would have prevented a patient from listing himself at more than one center?

Presumably a candidate for transplant has a hepatologist with whom he/she is in regular contact, and who is aware of the tissue match requirements and prospects for obtaining a timely organ transplant.
Are these people complete non-participants in their own care?

What good is a suit? Do they think that by suing that a surgeon is somehow going to become available, when they readily admit there isn’t one available? And what difference does it make that some other procedures performed at the medical center are compensated better than liver transplants? Did they believe that all surgical procedures were compensated the same? I bet hepatic transplant patients are expensive to care for, and if they are surefire money-losers, most centers wouldn’t be going out of ther way to obtain more of them. Why would they?

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