Comments on: http://www.kevinmd.com/blog/2006/02/doctor-was-forced-to-implant.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2006/02/doctor-was-forced-to-implant.html#comment-60602 Anonymous Sat, 18 Mar 2006 03:36:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20031.html#comment-60602 The physician was informed three times the set was complete before surgery. The patient had heart disease, diabetes (uncontrolled), and hypertension. He bled 1500cc when the doctor was informed there were no rods. Wait 2 hours for rods? What do you think? The patient suffered no neurologic injury or spine damage. The patient fell two months later dislodgeing his left rod. A third surgery by another doctor left a large hematoma with neurologic injury for 5 days before the hematoma was removed. By then it was too late. The patient later became paralyzed as a result of the hematoma. That's what you don't get from the news. All isn't what it seems. The physician was informed three times the set was complete before surgery. The patient had heart disease, diabetes (uncontrolled), and hypertension. He bled 1500cc when the doctor was informed there were no rods. Wait 2 hours for rods? What do you think? The patient suffered no neurologic injury or spine damage. The patient fell two months later dislodgeing his left rod. A third surgery by another doctor left a large hematoma with neurologic injury for 5 days before the hematoma was removed. By then it was too late. The patient later became paralyzed as a result of the hematoma. That’s what you don’t get from the news. All isn’t what it seems.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/02/doctor-was-forced-to-implant.html#comment-59407 Anonymous Sat, 18 Feb 2006 03:06:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20031.html#comment-59407 How can a surgeon begin a proceedure that requires implantable hardware without being absolutely certain the required hardware or prosthetic device is not in the OR? How can a surgeon begin a proceedure that requires implantable hardware without being absolutely certain the required hardware or prosthetic device is not in the OR?

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/02/doctor-was-forced-to-implant.html#comment-59314 Anonymous Wed, 15 Feb 2006 19:24:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20031.html#comment-59314 We should be careful not to rush to him just because he is a fellow physician. He was not substituting one type of implant for another, but instead trying an illogical device that was obviously a bad idea. We can try to blame someone else, but it was ultimately this doctor's poor judgement that led to a failed operation. We should be careful not to rush to him just because he is a fellow physician. He was not substituting one type of implant for another, but instead trying an illogical device that was obviously a bad idea. We can try to blame someone else, but it was ultimately this doctor’s poor judgement that led to a failed operation.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/02/doctor-was-forced-to-implant.html#comment-59299 Anonymous Wed, 15 Feb 2006 14:38:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20031.html#comment-59299 Sometimes, it will help patients to check a doctor's background. This doctor practiced in Edmond, Oklahoma before moving to Hawaii and his record in the Oklahoma Medical Board of Licensure website shows:<br/><br/>01/21/1999 Suspended License Alcohol/Substance Abuse<br/>Narcotics Violation/Over-Prescribing<br/> 60 Days suspension ending 1/31/99- followed by 5 years probation. Prescribing controlled dangerous substance to a family member or personal use; Writing false or fictitious prescriptions for controlled substances. <br/><br/>I'm sure the lawyers on both sides know this by now. Sometimes, it will help patients to check a doctor’s background. This doctor practiced in Edmond, Oklahoma before moving to Hawaii and his record in the Oklahoma Medical Board of Licensure website shows:

01/21/1999 Suspended License Alcohol/Substance Abuse
Narcotics Violation/Over-Prescribing
60 Days suspension ending 1/31/99- followed by 5 years probation. Prescribing controlled dangerous substance to a family member or personal use; Writing false or fictitious prescriptions for controlled substances.

I’m sure the lawyers on both sides know this by now.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/02/doctor-was-forced-to-implant.html#comment-59275 Anonymous Tue, 14 Feb 2006 23:42:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20031.html#comment-59275 The patient? There was a patient? Who knew? The patient? There was a patient? Who knew?

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/02/doctor-was-forced-to-implant.html#comment-59258 Anonymous Tue, 14 Feb 2006 18:12:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20031.html#comment-59258 Oh, and don't forget the patient.<br/>The rods should have been there before the operation began. Oh, and don’t forget the patient.
The rods should have been there before the operation began.

]]> By: gasmanhttp://www.kevinmd.com/blog/2006/02/doctor-was-forced-to-implant.html#comment-59256 gasman Tue, 14 Feb 2006 18:02:00 +0000 http://clients.emmense.com/kevinmd/2006/02/20031.html#comment-59256 McGuiver to the rescue. <br/>As hospitals adopt the 'just-in-time' delivery that manufacturing has it will become commonplace that patient care is delayed waiting for parts. <br/><br/>Some blueblazer gets the bug to do this, watches inventory deplete over a quarter or two and during this temporary decrease in purchasing reports that the new 'just-in-time' inventory system is saving bundles of money. In reality it is a small one time only shift of money from stock to cash flow that can not be replicated again. The blueblazer claims the success and moves on to some other project. In order to function without unreasonable delays the purchasing group must eventually increase inventories, or cause other areas of the budget to suffer. Any time we wait in the OR money winds up paying overtime for the staff. The physicians just have a few more hours of their lives sucked away for hospital inefficiencies. McGuiver to the rescue.
As hospitals adopt the ‘just-in-time’ delivery that manufacturing has it will become commonplace that patient care is delayed waiting for parts.

Some blueblazer gets the bug to do this, watches inventory deplete over a quarter or two and during this temporary decrease in purchasing reports that the new ‘just-in-time’ inventory system is saving bundles of money. In reality it is a small one time only shift of money from stock to cash flow that can not be replicated again. The blueblazer claims the success and moves on to some other project. In order to function without unreasonable delays the purchasing group must eventually increase inventories, or cause other areas of the budget to suffer. Any time we wait in the OR money winds up paying overtime for the staff. The physicians just have a few more hours of their lives sucked away for hospital inefficiencies.

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