Comments on: Neurosurgery or stocks? http://www.kevinmd.com/blog/2008/02/neurosurgery-or-stocks.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: anymousehttp://www.kevinmd.com/blog/2008/02/neurosurgery-or-stocks.html#comment-93827 anymouse Sat, 20 Jun 2009 10:34:50 +0000 http://clients.emmense.com/kevinmd/2008/02/neurosurgery-or-stocks.html#comment-93827 we're all just a little bit evil. trial attorneys have simply taken the easier few little steps toward the wide downward sloping road to hell. who wouldn't be tempted by easy money. we're breaking apart really - whatever you can get away with. our president is our role model. can you imagine a president having sex with a child (bill clinton and monica lewinsky) and later berating the us citizenship for belaboring the point. we’re all just a little bit evil. trial attorneys have simply taken the easier few little steps toward the wide downward sloping road to hell. who wouldn’t be tempted by easy money. we’re breaking apart really – whatever you can get away with. our president is our role model. can you imagine a president having sex with a child (bill clinton and monica lewinsky) and later berating the us citizenship for belaboring the point.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/02/neurosurgery-or-stocks.html#comment-83304 Anonymous Mon, 04 Feb 2008 03:21:00 +0000 http://clients.emmense.com/kevinmd/2008/02/neurosurgery-or-stocks.html#comment-83304 In answer to Kevin's question, stocks! <br/><br/>Neurosurgery requires knowledge, skill, and the more difficult the situation, the less you are compensated. <br/><br/>Stocks are more a game of darts and as long as you don't leap from your window, nobody dies. Plus you just might get lucky and make much more than you deserve. With neurosurgery, the wager is whether you will be taken for much more than you deserve. In answer to Kevin’s question, stocks!

Neurosurgery requires knowledge, skill, and the more difficult the situation, the less you are compensated.

Stocks are more a game of darts and as long as you don’t leap from your window, nobody dies. Plus you just might get lucky and make much more than you deserve. With neurosurgery, the wager is whether you will be taken for much more than you deserve.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/02/neurosurgery-or-stocks.html#comment-83300 Anonymous Sun, 03 Feb 2008 23:41:00 +0000 http://clients.emmense.com/kevinmd/2008/02/neurosurgery-or-stocks.html#comment-83300 If I understand correctly, the effect of the three strikes law is to revoke the license of any doctor with three judgements.<br/><br/>A revocation is reported to the National Practitioner Databank. You would lose your license in ALL states, even though other states have no such rule.<br/><br/>So three adverse judgements in Florida and your career is over. If I understand correctly, the effect of the three strikes law is to revoke the license of any doctor with three judgements.

A revocation is reported to the National Practitioner Databank. You would lose your license in ALL states, even though other states have no such rule.

So three adverse judgements in Florida and your career is over.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/02/neurosurgery-or-stocks.html#comment-83247 Anonymous Sat, 02 Feb 2008 06:42:00 +0000 http://clients.emmense.com/kevinmd/2008/02/neurosurgery-or-stocks.html#comment-83247 Anonymous : 8:53 PM has it right.<br/><br/>The people of Florida have made a clear decision to drive neurosurgery out of business in their state. The "three strikes" law, the election of vile trial lawyers to public office, corrupt courts, endless jackpot justice lawsuits, etc.<br/><br/>Crooked Florida shysters killed the goose that laid the golden egg. The people of Florida strongly support the trial lawyers. <br/><br/>Floridians need to stop the whining and live with the consequences of their bad behavior. Anonymous : 8:53 PM has it right.

The people of Florida have made a clear decision to drive neurosurgery out of business in their state. The “three strikes” law, the election of vile trial lawyers to public office, corrupt courts, endless jackpot justice lawsuits, etc.

Crooked Florida shysters killed the goose that laid the golden egg. The people of Florida strongly support the trial lawyers.

Floridians need to stop the whining and live with the consequences of their bad behavior.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/02/neurosurgery-or-stocks.html#comment-83243 Anonymous Sat, 02 Feb 2008 01:53:00 +0000 http://clients.emmense.com/kevinmd/2008/02/neurosurgery-or-stocks.html#comment-83243 The article stinks. It leaves out a discussion about the three strikes law. The law was advanced by, who else, the trial lawyers. Why would the lawyers want such a law? Because their primary goal is to protect the public? Hardly - these are the same folks who conspired to keep secret the problems with Bridgestone tires in the 1990's so that more plaintiffs would be generated. Although it might be the case that such a law would eliminate dangerous doctors, the more important effect is on how cases are defended. The law punishes doctors who are found liable by a jury, not those who settle a case before trial. This is exactly what the lawyers wanted. Trials are expensive and risky. Those damn doctors tend to win most of them. Better to blackmail them before trial with the threat that they might be risking their licenses. The goal of any med mal attorney is to force a settlement, not to go to trial. The people of Florida gave their lawyers a nice gift back in 2004. Now they are seeing the consequences. The article stinks. It leaves out a discussion about the three strikes law. The law was advanced by, who else, the trial lawyers. Why would the lawyers want such a law? Because their primary goal is to protect the public? Hardly – these are the same folks who conspired to keep secret the problems with Bridgestone tires in the 1990′s so that more plaintiffs would be generated. Although it might be the case that such a law would eliminate dangerous doctors, the more important effect is on how cases are defended. The law punishes doctors who are found liable by a jury, not those who settle a case before trial. This is exactly what the lawyers wanted. Trials are expensive and risky. Those damn doctors tend to win most of them. Better to blackmail them before trial with the threat that they might be risking their licenses. The goal of any med mal attorney is to force a settlement, not to go to trial. The people of Florida gave their lawyers a nice gift back in 2004. Now they are seeing the consequences.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/02/neurosurgery-or-stocks.html#comment-83235 Anonymous Fri, 01 Feb 2008 19:48:00 +0000 http://clients.emmense.com/kevinmd/2008/02/neurosurgery-or-stocks.html#comment-83235 Anon 1:37:<br/>Certain specialties (surgery, OB, ER) involve more risk malpractice suits than others (IM, FP, Path). Hence the increased relative cost of malpractice insurance. Isn't this patently obvious? It is also well studied in the literature if you want to look it up. Also, if you are a neurosurgeon taking ER call at the knife and gun club hospital your risk of a suit is higher than if you don't take ER call and work at Mayo (hence once again the difference in relative rates of insurance). Again this is well studied that people often sue docs based on how well they know them or interact with them. Those "evil bastard" insurance companies take all of that into account when figuring out your insurance coverage. Think about it for a second. Now let's proceed, if you are an altruistic neurosurgeon (many would say foolish) who takes ER call at knife and gun club ER X your relative risk of getting sued would be higher than at Mayo Jax (just an example). Three suits in a lifetime would be far from unexpected in any setting for neurosurgeons but especially here. So, altruistic neurosurgeon X takes ER call at knife and gun club ER and over time frame Y loses three malpractice suits. What does he get? he loses his license. Did the medical board determine he was incompetent? no. Three juries mostly made up of medical novices decided that he most likely committed malpractice. No involvement of the doctor's peers or the bord in this decision. Maybe the doc is incompetent, maybe unlucky, either way what happens, neurosurgeons stop exposing themselves to liability in which they can lose their license (ie ER call). In the end the poor schmucks with head injury's who go to the wrong ER without neurosurgery coverage lose with delayed care. With repect to the organization regulating itself, how would you know? Have you looked at florida's medical board website? Or your own state? Or are you just speaking off the cuff? State medical boards do have variable rules, regulations, and thresholds for sanction, But you don't appear to know what they are. A little knowldge is dangerous. Anon 1:37:
Certain specialties (surgery, OB, ER) involve more risk malpractice suits than others (IM, FP, Path). Hence the increased relative cost of malpractice insurance. Isn’t this patently obvious? It is also well studied in the literature if you want to look it up. Also, if you are a neurosurgeon taking ER call at the knife and gun club hospital your risk of a suit is higher than if you don’t take ER call and work at Mayo (hence once again the difference in relative rates of insurance). Again this is well studied that people often sue docs based on how well they know them or interact with them. Those “evil bastard” insurance companies take all of that into account when figuring out your insurance coverage. Think about it for a second. Now let’s proceed, if you are an altruistic neurosurgeon (many would say foolish) who takes ER call at knife and gun club ER X your relative risk of getting sued would be higher than at Mayo Jax (just an example). Three suits in a lifetime would be far from unexpected in any setting for neurosurgeons but especially here. So, altruistic neurosurgeon X takes ER call at knife and gun club ER and over time frame Y loses three malpractice suits. What does he get? he loses his license. Did the medical board determine he was incompetent? no. Three juries mostly made up of medical novices decided that he most likely committed malpractice. No involvement of the doctor’s peers or the bord in this decision. Maybe the doc is incompetent, maybe unlucky, either way what happens, neurosurgeons stop exposing themselves to liability in which they can lose their license (ie ER call). In the end the poor schmucks with head injury’s who go to the wrong ER without neurosurgery coverage lose with delayed care. With repect to the organization regulating itself, how would you know? Have you looked at florida’s medical board website? Or your own state? Or are you just speaking off the cuff? State medical boards do have variable rules, regulations, and thresholds for sanction, But you don’t appear to know what they are. A little knowldge is dangerous.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/02/neurosurgery-or-stocks.html#comment-83233 Anonymous Fri, 01 Feb 2008 18:37:00 +0000 http://clients.emmense.com/kevinmd/2008/02/neurosurgery-or-stocks.html#comment-83233 What percentage of the nation's neurosurgeon's have three judgments against them? <br/><br/>Do cases against neurosurgeon's end with the surgeon being found at fault more often than other doctors? <br/><br/>Is the work such that any age related slowdowns impair the quality of your work -- <br/><br/>Unless this fellow was independently wealthy I'd guess he got the capital to live off the stock market from his former profession, so I'm not sure this is such an injustice to him. <br/><br/>It doesn't sound like the profession is doing such a great job of regulating itself! What percentage of the nation’s neurosurgeon’s have three judgments against them?

Do cases against neurosurgeon’s end with the surgeon being found at fault more often than other doctors?

Is the work such that any age related slowdowns impair the quality of your work —

Unless this fellow was independently wealthy I’d guess he got the capital to live off the stock market from his former profession, so I’m not sure this is such an injustice to him.

It doesn’t sound like the profession is doing such a great job of regulating itself!

]]> By: Criminallopathhttp://www.kevinmd.com/blog/2008/02/neurosurgery-or-stocks.html#comment-83232 Criminallopath Fri, 01 Feb 2008 18:10:00 +0000 http://clients.emmense.com/kevinmd/2008/02/neurosurgery-or-stocks.html#comment-83232 Trusting providers (or any other group) for that manner to "police" themselves is doomed to failure from the start. Trusting providers (or any other group) for that manner to “police” themselves is doomed to failure from the start.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/02/neurosurgery-or-stocks.html#comment-83228 Anonymous Fri, 01 Feb 2008 15:40:00 +0000 http://clients.emmense.com/kevinmd/2008/02/neurosurgery-or-stocks.html#comment-83228 "Passage of this law implies that citizens or lawmakers no longer trust physicians and surgeons to police their own in state medical boards staffed by physicians."<br/><br/>Passage of these laws (backed by Florida's lawyers association) also imply that lay jurors and the public are competent to determine whether a neurosurgeon is competent to practice. Nothing like having jury's comprised of the lowest common denominator determine whether doctor's can keep their licenses (which is essentially is what is happening with the three strikes and your out law). I also will never set up shop in florida. You can have you rich, a$$hole, overly-litigous, retired new yorkers “Passage of this law implies that citizens or lawmakers no longer trust physicians and surgeons to police their own in state medical boards staffed by physicians.”

Passage of these laws (backed by Florida’s lawyers association) also imply that lay jurors and the public are competent to determine whether a neurosurgeon is competent to practice. Nothing like having jury’s comprised of the lowest common denominator determine whether doctor’s can keep their licenses (which is essentially is what is happening with the three strikes and your out law). I also will never set up shop in florida. You can have you rich, a$$hole, overly-litigous, retired new yorkers

]]> By: Rocinantehttp://www.kevinmd.com/blog/2008/02/neurosurgery-or-stocks.html#comment-83225 Rocinante Fri, 01 Feb 2008 15:15:00 +0000 http://clients.emmense.com/kevinmd/2008/02/neurosurgery-or-stocks.html#comment-83225 It is disturbing that laws are usurping the authority of state medical boards, in this instance the authority to revoke a medical license on the basis of incompetence or negligence. <br/><br/>Passage of this law implies that citizens or lawmakers no longer trust physicians and surgeons to police their own in state medical boards staffed by physicians. It is disturbing that laws are usurping the authority of state medical boards, in this instance the authority to revoke a medical license on the basis of incompetence or negligence.

Passage of this law implies that citizens or lawmakers no longer trust physicians and surgeons to police their own in state medical boards staffed by physicians.

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