Poll: Should a doctor blog his medical malpractice trial?

Emergency physician WhiteCoat has been blogging a detailed account of his recently concluded malpractice trial at Emergency Physicians Monthly.

In 2007, pediatrician known as Flea live-blogged his malpractice trial. He shared his thoughts on the defense strategy and frank, unflattering opinions of the opponent’s legal counsel. The plaintiff’s attorney discovered the blog, confronted him during cross examination, and the case was settled the next day.

In these litigious times, there’s been a small uproar over why a doctor would risk blogging.  One major difference this time is that the trial is over. The blog doesn’t reveal identifying details like names or dates.

Being sued is possibly the most traumatic professional experience a doctor can go through. Studies show that up to 10 percent contemplate suicide. Their ordeal is often shrouded in secrecy, isolating the physician when he most needs support. There is a great deal of value in sharing this experience after the fact — cathartic value for the physician who was sued, and value for others who may one day go through the same thing.

The medical and legal community are closely watching this for the unique insight into the much-maligned malpractice system — where many argue both sides come out the loser. Perhaps by bringing some of its flaws to light, we can begin reform.

I encourage you to listen and vote in this week’s poll, located both below, and in the upper right column of the blog.

Please suggest future ReachMD Poll topics by emailing Poll@ReachMD.com.

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  • Supremacy Claus

    I think the doctor is upset by the 80% fraction of claims that are weak.

    I see nothing wrong with live blogging a case, unless it reveals tactics or facts better kept secret. As common sense, the defense lawyer should know about it, and persuade the doctor to not include tactical information.

    The other disadvantage of revealing something one should not is to lose the ability to sue one’s own lawyer for legal malpractice for that reason. The lawyer will say, the doctor did not follow advice. Blogging would not preclude suing one’s own lawyer if the latter missed a deadline or other such technical mistakes. On strategy, the lawyer could claim he requested secrecy and the doctor refused to go along with the request.

    One sees plaintiffs boohooing all over TV before a trial. Publicity increases pressure on the other side. The defense should be doing that too. Have a jury pool angry at the plaintiff when it enters the court for bringing a garbage claim to win the lawsuit lottery with all costs passed to the public.

    The defense has a conflict of interest in wanting to not totally damage the plaintiff bar. The latter is the real source of employment, not the doctor. The same conflict applies to the insurer. Their advice is made suspect by that conflict of interest.

  • http://www.futurewaredc.com Chuck Brooks

    Whether the blabbing was done after the trial is immaterial; they can always be reopened with claims of new evidence. Open disclosure makes it easier in the next action. The insurance companies will see an opportunity to raise their rates based on markedly increased risks. And, not least, customers won’t take kindly to someone who can’t keep his mouth shut.
    Chuck Brooks
    FutureWare SCG

  • Anon

    “they can always be reopened with claims of new evidence”

    This is not a criminal trial. It cannot be reopened. And even those can’t be reopened easily.

    A trial is public record, every bit of it, already. You could have gone and sat in the courthouse and heard all of this but his inner thoughts, which so far have just described his reactions to the stress involved.

  • Anon

    “In these litigious times”

    These times aren’t actually that litigious. (Putting aside the fact that there is no baseline for what “non-litigious” times would be”) In fact, they’re less litigious, at least in personal injury cases, than they were even a decade ago. Businesses suing each other are believed to be up though.

  • WarmSocks

    “How much is the threat of malpractice something you worry about?” – your poll question – does not match your title “Should a doctor blog his medical malpractice trial?” These are VERY different questions.

    I see no problem with a defendant keeping a journal in real-time, then writing up blog posts after the fact, so long as the posts are all okayed by the defendant’s attorney. In fact, I believe Whitecoat’s series can be very helpful to other doctors. It can also help patients realize that not everything is curable.

  • http://www.meyersmedmal.com jimeyers

    Replying to supremacy Claus- Here we have quoted an unreferenced assertion that 80% of malpractice claims are weak. Though the numbers vary in each judicial jurisdiction,
    insurance company data reveals 80% to 90% of the claims that reach the stage where appropriate experts have been secured by both sides are settled. They are settled for the most part because they are ligitimate claims. Of those claims that proceed to trial, 80% are lost not because they are weak, but because the plaintiff in every juristiction has the burden of proof and because of a years long effort to poison the jury pool by contending that victims are greedy and lawyers are unsavoury characters. In this country the right of ordinary citizens to complain they have beeen mistreat and that they have suffered serious harm is a constitutionally protected right shared by all persons, the powerful and the weak, the individual and the corporation. In most states (I reside in Pennsylvania) there is no pretrial publicity in the media surrounding the typical malpractice case unless circumstances are unusual such as an accidental poisoning wrong leg removed, etc.

  • Supremacy Claus

    Mr. Meyers: The biggest medmal carrier in Pennsylvania reports otherwise.

    They close 80% of cases without a payment, higher than my statistic of 70%, and they win 92% of trials. See p. 9 of their annual report.

    http://www.pmslic.com/assets/downloads/pmslic_annual_report_2008.pdf

    One wonders how you can make a living without filing massive numbers of claims in order to score in the lawsuit lottery. Volume has to be the answer.

  • http://www.meyersmedmal.com jimeyers

    There are more important things for us to discuss and this thread has departed substantially from the subject that prompted the discussion. However, you have misquoted me about a critical matter. I said “80% to 90% of the claims that reach the stage where appropriate experts have been secured by both sides are settled.” I agree that the over whelming majority of claims made are abandonned without payment. Neither the lawyer or client receive anything. With respect to the serious claims supported by experts and advanced by lawyers through discovery your informants at PMSLIC will tell you the overwhelming percentage of those cases are settled and are not nusance cases. Cases that are tried generally are tried because of conflicting facts or opinions that the jury is unable to resolve. This is not surprizing since the burden of persuation falls entirely on the Plain tiff.

    You also arrive at an entirely unjustified conclusion that since so many cases are lost the creative plaintiff’s lawyer becomes succesfull by filing more cases. Such a practice would be extremely unrewarding and in no way helpful to victims with legitimate claims.

    Successful malpractice lawyers want to identify the victims most in need of help in circumstances where a legal claim is likely to provide solutions for the many challenges such victims face. It is this approach that accoountsfor me having disappointed few clients in my thirty five year career.

    Finally, this debate began with a legitimate question about the definition of defensive medicine and whether such practice contributes adversely to the cost of medical care.

    Standards of medical practice are set by doctors and not lawyers. Appropriate standards of practice take into account the fact that appropriate practice produces many
    negative results. Nevertheless negative results are an indispensible part of the process of differential diagnosis. For example, if by performing 1000 pap smears you can identify and permit curative treatment of a single case of carcinoma in situ you can save a life of a young woman for each $25000 spent. Of course the standard of practice recognizes that further costs need to be included involving the human and economic effects of false positives. This calculation, the value of a womans life, is made and acted upon by doctors performing within accepted parameters of practice, not lawyers.

  • Supremacy Claus

    You bring up the misleading 80% figure, then call the rebuttal off topic.

    You are describing an unlawful state, sustained only by the extreme bias of the lawyer on the bench. If opposing experts testify in good faith, a scientific controversy exists. It cannot get resolved by court rhetoric. Jurors have no competence to decide the question. They are likely to favor the witness they like, as a person.

    The fact that defense attorneys have failed to make such a motion, that judges have failed to preclude such testimony, and that plaintiff lawyers have felt confident in putting on such testimony just shows the system is airtight rigged against the innocent defendant.

    The court does not have the competence nor the subject matter jurisdiction to resolve a scientific controversy. It should dismiss all cases except those within the knowledge of the jury or which have only a plaintiff expert in support.

    The civil defendant has procedural due process right to a fair hearing. The kangaroo courts just go on violating that right.

    If one of the opposing expert witnesses is not testifying in good faith, a mistrial should be called, and all legal costs should get assessed to the assets of the lying expert.

    I believe it is unprofessional conduct to provide false testimony for large amounts of money. Licensing boards should investigate such testimony. I understand it has been immunized by the Supreme Court.

  • paul

    i see your survey asks how scared i am of committing malpractice.

    i have much less fear of committing malpractice than fear of a lay jury deciding that i committed malpractice after being led to believe so by an “expert” hired by the plaintiff’s lawyer to distort facts to suit their needs.

    it’s an important distinction.

  • Anon

    “i have much less fear of committing malpractice than fear of a lay jury deciding that i committed malpractice after being led to believe so by an “expert” hired by the plaintiff’s lawyer to distort facts to suit their needs.”

    The most important thing to note there is that with both, you have no idea of your odds of either happening. Yet you’ve got all kinds of fears based on both.

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