A suit on ignored medical advice

An Alaska surgeon was sued because a patient ignored his advice to go to the emergency room. Again – a failure of personal responsibility has resulted in yet another malpractice suit. Fortunately, the jury was sensible and ruled in favor of the physician. I still have hope yet.

No-fault malpractice

Medical Economics this month discusses the feasibility of no-fault malpractice, similar to automobile accidents and workplace injuries. A fascinating read.

Longest wait for specialists in Boston

I trained in Boston so I periodically keep tabs on the medical scene there. In the same vein of the previous entry I wrote today, comes this story from the Boston Globe.

. . . new patients in Boston wait an average 37 days to see a cardiologist, 45 days to see an obstetrician-gynecologist, and 50 days to see a dermatologist “” the longest waits …

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More on prostate cancer screening

Medpundit and DB has chimed in on the mainstream coverage of the deficiencies of PSA screening for prostate cancer that was discussed here on Tuesday and Wednesday.

Medpundit writes:

Beware of organizations made up of hospitals and urologists who call for lower thresholds for treatment. They have much to gain from the increased number of biopsies such lower thresholds would produce. Unfortunately, it’s far from clear …

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A doctor is sued for following the USPSTF guidelines on prostate cancer screening

I came across this case from JAMA in January, 2004. Here are the basics:

1) A third-year resident, Dr. Merenstein, saw an educated 53-yo man for the first time at his resident clinic. A PSA level had never been done before.

2) A documented discussion about the risks and benefits of screening was done, and the patient was enouraged to consider the information. He was never …

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A case for defensive medicine


A family sued their infant’s pediatrician, an emergency department physician and an on-call pediatrician at the hospital for not ordering a CT scan. To the doctors, the 11-month-old boy appeared normal and in no need of the test.

But after the infant had more serious injuries resulting from an incident at his babysitter’s home a couple of weeks later, the parents faulted the physicians for not ordering …

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