Comments on: http://www.kevinmd.com/blog/2006/03/malpractice-case-from-massachusetts.html medical blog Sun, 22 Nov 2009 19:59:44 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2006/03/malpractice-case-from-massachusetts.html/comment-page-1#comment-72063 Anonymous Wed, 21 Feb 2007 01:42:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20267.html#comment-72063 after taking cocaine every day for the past month, I've used ativan to come down in the evenings a couple of times, how safe is this after taking cocaine every day for the past month, I’ve used ativan to come down in the evenings a couple of times, how safe is this

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/malpractice-case-from-massachusetts.html/comment-page-1#comment-72062 Anonymous Wed, 21 Feb 2007 01:40:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20267.html#comment-72062 after taking cocaine on a daily basis for the last month, I've used ativan a couple of times to come down in the evenings, is this safe? after taking cocaine on a daily basis for the last month, I’ve used ativan a couple of times to come down in the evenings, is this safe?

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/malpractice-case-from-massachusetts.html/comment-page-1#comment-72061 Anonymous Wed, 21 Feb 2007 01:39:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20267.html#comment-72061 after taking cocaine everyday for the last month, I've taken ativan a couple of times to come down in the evenings, is this safe? after taking cocaine everyday for the last month, I’ve taken ativan a couple of times to come down in the evenings, is this safe?

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/malpractice-case-from-massachusetts.html/comment-page-1#comment-61123 Anonymous Mon, 27 Mar 2006 02:42:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20267.html#comment-61123 As one of the alleged "sodomites", I'm curious - how does one maintain a concubine?<br/><br/>CJD As one of the alleged “sodomites”, I’m curious – how does one maintain a concubine?

CJD

]]> By: DBR http://www.kevinmd.com/blog/2006/03/malpractice-case-from-massachusetts.html/comment-page-1#comment-61057 DBR Sat, 25 Mar 2006 23:58:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20267.html#comment-61057 Cathy asks: "Does it now mean if someone actually owns their work (by signing in) it gives cause to attack?"<br/><br/>I can attest to that....<br/><br/>I suggest that everyone ignore the most insulting, caustic and clearly out-of-control comments of anyone who refers to anyone else as "sodomites." <br/><br/>Eventually, he or she will get tired of being ignored and might go bother folks on another blog....nothing beneficial is added to the discussion on either side by such blatant bitterness and anger... Cathy asks: “Does it now mean if someone actually owns their work (by signing in) it gives cause to attack?”

I can attest to that….

I suggest that everyone ignore the most insulting, caustic and clearly out-of-control comments of anyone who refers to anyone else as “sodomites.”

Eventually, he or she will get tired of being ignored and might go bother folks on another blog….nothing beneficial is added to the discussion on either side by such blatant bitterness and anger…

]]> By: Cathy http://www.kevinmd.com/blog/2006/03/malpractice-case-from-massachusetts.html/comment-page-1#comment-61042 Cathy Sat, 25 Mar 2006 16:14:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20267.html#comment-61042 anon 11:07,<br/><br/>"A concubine of the sodomites" Is that what you just called me? I have not posted even one response to this post. I know NOTHING about this topic. I have just been reading it. Are you so angry that I sign my posts that now I must be siding with the Lawyers? I guess you missed my post where I told him he wouldn't want me in his malpractice lawsuit.<br/><br/>Does it now mean if someone actually owns their work (by signing in) it gives cause to attack? BTW, are you VS? anon 11:07,

“A concubine of the sodomites” Is that what you just called me? I have not posted even one response to this post. I know NOTHING about this topic. I have just been reading it. Are you so angry that I sign my posts that now I must be siding with the Lawyers? I guess you missed my post where I told him he wouldn’t want me in his malpractice lawsuit.

Does it now mean if someone actually owns their work (by signing in) it gives cause to attack? BTW, are you VS?

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/malpractice-case-from-massachusetts.html/comment-page-1#comment-61037 Anonymous Sat, 25 Mar 2006 14:47:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20267.html#comment-61037 "I think we all agree that the lawsuit is ludicrous"<br/>No it is not ludicrous. There is a problem when a 38 year old male with acute MI was given Ativan instead of the usual acute MI meds. There is a problem in a system that allowed it to happen and more likely this is a system problem and it can happen in any ER. Each ER has to look into their processes so that this does not happen in their ER's. We cannot accept this as just part of doing business. I am actually more interested on the details of how this happened which can probably help some ER's change a few things to prevent this from happening. In some ER's, I know that the situation is hopeless. -AMD “I think we all agree that the lawsuit is ludicrous”
No it is not ludicrous. There is a problem when a 38 year old male with acute MI was given Ativan instead of the usual acute MI meds. There is a problem in a system that allowed it to happen and more likely this is a system problem and it can happen in any ER. Each ER has to look into their processes so that this does not happen in their ER’s. We cannot accept this as just part of doing business. I am actually more interested on the details of how this happened which can probably help some ER’s change a few things to prevent this from happening. In some ER’s, I know that the situation is hopeless. -AMD

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/malpractice-case-from-massachusetts.html/comment-page-1#comment-61026 Anonymous Sat, 25 Mar 2006 04:07:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20267.html#comment-61026 I think we all agree that the lawsuit is ludicrous (except the sodomites and their concubines, diora and cathy and sarah w)but the question is how do we protect ourselves from this type of thing until we can save enough money to retire and take care of our families...I think the answer is cardiology should be called immediately and the call documented, and treat chest pain aggressively (beta-blocker, ntg, asa) and document all of it...chest pain should be triaged to the acute area and dealt with immediately...<br/><br/>it would take a few minutes to arrange this, write orders and then you can return to giving lidocaine, amio, ambu-bagging the code and take over from the residents or nurses... I think we all agree that the lawsuit is ludicrous (except the sodomites and their concubines, diora and cathy and sarah w)but the question is how do we protect ourselves from this type of thing until we can save enough money to retire and take care of our families…I think the answer is cardiology should be called immediately and the call documented, and treat chest pain aggressively (beta-blocker, ntg, asa) and document all of it…chest pain should be triaged to the acute area and dealt with immediately…

it would take a few minutes to arrange this, write orders and then you can return to giving lidocaine, amio, ambu-bagging the code and take over from the residents or nurses…

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/malpractice-case-from-massachusetts.html/comment-page-1#comment-61020 Anonymous Sat, 25 Mar 2006 02:11:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20267.html#comment-61020 "That isn't defensive medicine, it is careful medicine. These steps might not have made a difference in the patient's outcome but they would have persuaded a jury that the physician was willing to consider the worst-case scenario and do something about it."<br/><br/>We have no idea based on the facts what happened. Maybe this doc had 20 other patients at the same time and he was "getting to" this patient when he coded. Maybe there was a trauma keeping this doc busy. Maybe the patient sat in the waiting room from 10 am to 2 pm, was brought back, and was sitting there when this doc came in for his 4 pm shift. ALl these things have happened to me, when I read the brief passage above, all I could think is "this could happen to me" or "this has happened to me". But again, we have very limited information. “That isn’t defensive medicine, it is careful medicine. These steps might not have made a difference in the patient’s outcome but they would have persuaded a jury that the physician was willing to consider the worst-case scenario and do something about it.”

We have no idea based on the facts what happened. Maybe this doc had 20 other patients at the same time and he was “getting to” this patient when he coded. Maybe there was a trauma keeping this doc busy. Maybe the patient sat in the waiting room from 10 am to 2 pm, was brought back, and was sitting there when this doc came in for his 4 pm shift. ALl these things have happened to me, when I read the brief passage above, all I could think is “this could happen to me” or “this has happened to me”. But again, we have very limited information.

]]> By: Anonymous http://www.kevinmd.com/blog/2006/03/malpractice-case-from-massachusetts.html/comment-page-1#comment-61017 Anonymous Sat, 25 Mar 2006 01:24:00 +0000 http://clients.emmense.com/kevinmd/2006/03/20267.html#comment-61017 When you say thrombolytic therapy, are you talking about tPA? As far as I know, tPA is the only thrombolytic thats FDA approved. Or does that include clopidogrel, or the experimental drugs like desmoteplase?<br/><br/>tPA has a freaking huge laundry list of inclusion and exclusion criteria. Its NOT a routine drug to administer and few people, evne if they are having an MI, qualify for it.<br/><br/>If this case is about failure to deliver tPA, there's no way it should have ever gotten past initial review. Just to go thru the inclusion/exclusion criteria requires more than "several minutes" When you say thrombolytic therapy, are you talking about tPA? As far as I know, tPA is the only thrombolytic thats FDA approved. Or does that include clopidogrel, or the experimental drugs like desmoteplase?

tPA has a freaking huge laundry list of inclusion and exclusion criteria. Its NOT a routine drug to administer and few people, evne if they are having an MI, qualify for it.

If this case is about failure to deliver tPA, there’s no way it should have ever gotten past initial review. Just to go thru the inclusion/exclusion criteria requires more than “several minutes”

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