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Why do doctors get sued? How can malpractice suits be avoided? It turns out, the answer may be simple. Defensive medicine refers to the idea that doctors are forced to order extra tests, perform extra procedures, or push for more office visits because they think that without them, they're at greater risk for being sued. This is in spite of the fact that studies don't support the notion that this extra care actually does reduce their risk.
What might help physicians to get sued less often would be for them to get along better with their patients. Or at least, they could become better communicators. That's the topic of this week's Healthcare Triage.
This was based on a piece Aaron wrote for the NYT. Links to further reading can be found there: http://www.nytimes.com/2015/06/02/upshot/to-be-sued-less-doctors-should-talk-to-patients-more.html
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Hi there! I’m a fan of your channel. Can you do a video on levels of murcury in fish? I’ve been consuming 2.6 oz of tuna every day for the last month or so and just read up on how individuals should only be consuming 1.6 oz a week for someone weighing 110lbs. So I’ll be cutting back for safety reasons. But I would love to know more about it. Thank you!
Doctors do not take the time anymore to do physical assessments. You may remember doctors would tap on their fingers all around vital organs to check enlargements, pain, and specifics taught to doctors. This is now a timely process that for the 180.00$ they charge for your 5-10 minute visit. Compensated 100$ by insurance. Most doctors no longer do housecalls and abuse patients that call after hours if you dont get a physicians assistant or Nurse Practitioner. This leads to the next problem Physicians assistants ans Nurse Practitioners running private practice. Did you know that either one of these jas to be immediately supervised by a Physician yet alot of times a MD isnt in the office. These are two of many ways Physicians can reduce lawsuits through a better and more thorough practice. Instead they rely a great deal on the Pharmaceutical industry to treat.
lastly. . .i know a dentist who arbitrages disputes between patients and other dentists, and he told me usually he is able to get the patient to drop the suit simply by opening honest lines of communication b/t the two parties. Fancy that.
honestly, this shit comes down to basic common sense. u can be the most competent doctor, but if ur people skills suck--if u dont listen to patients, and act as though u have their best interest in mind. . .good luck.
a patient would never. . .or at least almost never, sue their best friend = P, even if their best friend fucked up.
The main point I got out of this was the fact that doctors feel like they should order extra testing and cover all bases whether they feel like their patient needs those testing or not. In the “sue happy” society we live in, people look to make quick money for every little mistake others may make against them; the easiest being doctors. When talking to patients, more than half of them stated that misleading information, uninformed decisions, and lack of communication helped lead them to their decision to sue their healthcare provider. One quote from the video that stood out to me was “most doctors would rather see policy changes than change themselves, even if those policy changes don’t have a high chance of succeeding.” This says a lot about what type of doctor you are because you rather have laws changed to accommodate you than to improve your people handling skills and increase the communication and relationship you have with your own personal patients to decrease the malpractice issue in America. In my opinion, treating patients with respect and having proper communication is something that should be expected and not something that you would think needs to be worked on. It says a lot about a doctor as a person when they feel like communication and fully informing their patients of procedures is an extra portion of care that shouldn’t automatically be included in the care. Malpractice suits will go down when doctors decide they will change things with themselves and how they treat their patients instead of waiting for policy changes to do the work for them.
Doctors order more testing to be on the safe side with patients incase if anything were to go wrong and they do not do the testing for it they could get sued. The extra care helps reduce getting the suits. These things happen more than people could imagine. Every doctor is different, there is some that do not care for extra testing and will just give you medication. There is some that wants to do the testing to make sure everything else is okay. Who to blame if something happens? Doctors do make mistakes. It’s not supposed to happen but I think doctors work very hard with us, depending on which doctor that is. I think if doctors communicate with the patients more often and understand them, it would help them do better for their patient and learn more about the patient and the cases. It would defiantly reduce the costing of malpractice suit. Us patients need to be understood more from doctors.
Doctors and other healthcare professionals care more about getting paid than the well-being of their patients. This causes the doctors to be disconnected from their patients and in turn, not give the appropriate amount of information to the patient. I completely agree with everything said in this video about how the number of malpractice suits will potentially be reduced if doctors communicated better with their patients. This would create a more trustworthy doctor-patient relationship, therefore, the patient would feel more comfortable expressing fears or concerns that they may have. I also believe that doctors who have previously been sued have a higher chance to be sued a second time or a third time rather than a doctor that has never been sued. Although doctors may not have the best communication skills or bed-side manner, it is not always their fault that they are being sued. As explained in this video, some of the individuals suing admitted to doing so because of the need for money. In my opinion, it is a two-way street, if patients were more forthcoming about their concerns and fears the doctors would be more forthcoming as well and vice versa.
The relationship between malpractice and doctors seems to be quite common, more than I had originally realized. I understand mistakes do happen, I do not doubt that, but malpractice and illegal treatment should never. Patients respect their doctors enough and place their trust in them in order to fulfill a task or service they went to school to do. Patients should not have to question whether their doctor is misleading them or not informing them about their specific condition or situation. There is no doubt that doctors are smart, for they had to go through several years of difficult and intense training to get where they are today. However, the knowledge on communication is lacking. It is just as important to be able to communicate with your patient as it is to understand and be able to treat their condition. With a lack of communication and trust creates a gap between patient and caregiver. If more patients feel manipulated by their doctor or untrustworthy, they will stop attending the doctors, creating a rise in health issues that could have been treated. It all falls back to communication. A quote from this video that truly stood out to me was "they would rather see policy changes than change themselves." Doctors feel as if they aren't the ones to blame and everyone else should be instead. It is about time doctor's start taking responsibility for their actions and begin to bride the gap in communicating with their patients.
Doctors and other healthcare professionals control their own fate. When it comes to being sued for malpractice or for any other reason they are the people that are to blame. I agree and really like the idea that Healthcare Triage brings up when they talk about the doctor being sued are usually the same ones each time. All doctors take an oath to do what is best for their patients, with that being that they need to be honest and truth worthy and do their duty as a health professional. The video said that in most malpractice cases patients feel they weren't' aware of complications and risks. If doctors were all to be "nice" then maybe some of these problems could be alleviated. When a healthcare professional is more open and truth worthy and make it a point that they do care about their patents they might start to notice that their patients will feel more comfortable and can express their worries and fears. When sometimes life is at risk you need to have one hundred percent trust that the person in charge is someone you think will make the best decisions for your health. When more people have this trust with their doctors it can help in other aspects, like preventing disease or prevent a malpractice. Your doctor is also human and humans make mistakes, so if doctors build relationships with patients then they are more likely to understand and not jump right to the conclusion of filing a malpractice lawsuit.
Can you blame them for trying to protect themselves with laws? Take the Good Samaritan laws for instance. They were made so that individuals would take a bigger role in aiding injured individuals. Surveys were done where it was asked why bystanders did not take action to help injured individuals. Why did they not try to save the victims? The bystanders were afraid of being sued if they intervened. The Good Samaritan laws were then made to protect those who acted to help injured individuals from legal liability as long as they acted in good faith and not for personal beneficiary motives.
As for healthcare professionals, they hopefully hold the principle of beneficence at heart. That is, they are in their career field because they want to act to benefit others. If all they want to do is help but they are not forgiven for certain mistakes, is their job worth it? Too many times have occurred when individuals wanted to help but all they were given in return was criticism and scorn. This is not encouraging for them to continue their work to help others. Is the emotional damage worth it?
People tend to make it hard for others with good intentions to help them. Unfortunately, as the philosopher John Stuart Mill suggested, most of the harm to individuals in the world is from other humans. We have the ability to stop harming each other but our society has gotten to a point where this seems unattainable. So, if a healthcare professional wants to continue to help those who appreciate it and they make one mistake with a patient who seems bent on making them pay for it, what do they do? And what does the healthcare community do to keep knowingly good professionals in practice when a malpractice suit is taken up against them? They turn to law. This is not to say that healthcare professionals and patients should not take action in the form of opening up communication and giving constructive criticism among other methods as they may surely work to prevent malpractice suits from arising. However, it may not work in other cases where the patient is unwilling to do their part. Now, if it is the healthcare professional that is not doing their part and not honoring the principle of beneficence, that is another case and they are an exception to my perspective. Nevertheless, for the situations in which malpractice or a simple misunderstanding has occurred and legal action is taken, how do you protect the healthcare professionals that did not intend for this outcome--whether it was a result of a mistake or not even their fault--and acted in beneficence? You turn to law. Not every healthcare professional is there for the money and they unfortunately have the need to turn to law for protection. Just like the Good Samaritan laws protect bystanders who aid injured victims like cardiac arrest patients when further trained individuals are not available from legal liability, laws should protect healthcare professionals when undesirable results occur from treating patients in good faith.
If another was in the same position as these healthcare professionals, would they not do the same thing?
These statistics are quite surprising. Whether they were referring to how many claims were filed, or to a percentage of claims that had been dropped, it was 50% or higher every time! This just adds to the stigma that doctors are cold, cruel, offensive beings. Or to the patient feeling 'like another number'. Of course, not all doctors are like this, but this is essentially the #1 reason suits are filed! Absolutely doctor-patient conduct and communication needs to be improved, and NOT on the patient side. They're the ones who put their trust into the doctor, and are depending on them; they should NEVER feel unsure or upset after a conversation with their provider.
To learn that the main issue is over communication isn't really surprising, I mean who hasn't had an unplesant bed-side manner experience with a doctor before? But obviously, doctors are not always the bad guys. As the study showed, many suers are individuals just looking for money and had no real issue with their professional experience. This is equally, if not more so, despicable. This overall issue is unfortunate, and hopefully with new light shed upon it (finally) change will occur.
Although, I believe that Doctors being nice to their patients will reduce the probability that they are sued by a patient, I don't believe that, that will reduce the number of times a doctor is sued. We live in a sue happy society, there is nothing a doctor can do to stop malpractice law suits. People will find anything to sue a doctor for, this video claims that only a small percentage of mothers sued because they needed money, but how reliable is this survey? Not many patients, especially those who won the lawsuit, are going to be honest and say that they sued just for the sake of the money. Law suits are a part of today's society, there are plenty of people who go into just regular businesses looking for ways they can sue the owner. Doctor's offices are no different than a local business, moreover Doctors are probably easier to sue than a local business because they are in charge of caring for a person's health, which is easily susceptible to complications in the first place. This video also discusses how a Doctor that orders more tests is less likely to be sued, but if a Doctor is being sued for negligence then there is obviously a need or want from the patient for more tests. Negligence is often a result of a person being misdiagnosed or treated for the wrong condition. A patient will appreciate a Doctor that is double checking his diagnoses.
I cannot believe that one third of all medical malpractice claims following perinatal injuries are because doctors are not open with their patients. Physicians should explain all possible outcomes when it comes to child birth to help prevent being sued. The main problem is communication. Patients rely on their health care providers to be honest and all inclusive. Health care personnel should excel in communication and practice being selfless. It sickens me that health care can be limited due to an employee's personality and lack of communication. If physicians started treating patients as equal instead of inferior, they would not be sued as often. Improved communication can reduce malpractice suits. They should not be trying to make it harder for patients to sue their doctors, rather they should work on forming a good patient to physician relationship through good communication.
This is an interesting video and I can see the logic behind it. If you are seeing a doctor for a health condition and you like him/her, they make a personal connection with you, take time to listen to you, but your health condition worsens even after seeing them for treatment, you would be less inclined to point the finger at your doctor. This could be because you like them, they're friendly, they listen to you and so you think that they did everything that they could, so your worsened state mustn't be their fault. However, if you have the same ailment and you are visiting a doctor that is rushing to get out of your room, blows off your concerns and has poor bedside manner, you may be more likely to want to blame him/her. This could be because it seems as though they didn't care enough about your condition and so this is what caused you to get worse. As the video points out, a way to resolve this is to talk to your doctor about your feelings of being pushed aside, or treated in an unprofessional manner. It's hard for people to admit that they may be the cause of the problem and so the problem persists in doctors who are most often sued. They will continue to push for changes in the law instead of changes in their bedside manner and communication skills.
Mackenzie, I thoroughly agree with your notion that it is more likely to blame a doctor with poor bedside manner for the worsening of a condition over a doctor who seems to genuinely care and take the time to listen to you. Unfortunately, for those doctors who seem rushed, they may not be disinterested in your care as much as they have many stressors looming over them. Take a primary care physician for instance. Not every patient that they see knows to arrive early to fill out paper work. This sets them behind schedule. Between appointments, situations of urgency, like abnormal test results needing interpretation for timely patient notification, arise. Again, this places the physician behind schedule. Then, possibly the next patient does not have the luxury of going to the doctor often due to financial reasons. So, they have a list of concerns they would like to address. This may set the physician even further behind as they only have a twenty-minute period with each patient and cannot possibly address everything within that timeframe. All of this places physicians in a tight place. Do they rush and perchance unintentionally miss something to keep on schedule for their patients or do they do thorough examinations of all patients, even the seemingly healthy, and place themselves behind schedule? Either way, they will hear complaints. One will complain about bad bedside manner when it was an abnormally busy day that caused their normally attentive physician to rush to get to all scheduled patients. Another will complain that they had a simple appointment to go over medication options and they had to wait an extra thirty minutes which made them late to pick up their children.
At this point, I agree that good bedside manner and communication are critical for effective healthcare. Even more, health professionals could benefit tremendously from constructive criticism from their patients. However, can we rightly place all the cause for these malpractice suits on them and not the patients? Healthcare professionals are humans too. They miss details, they have bad days, they do not always have a bright, positive face on, and they sometimes forget that patients’ do not fully understand everything they tell them. On top of that, conditions are not always ideal which may cause stress for the healthcare professional and cause them to act in ways that they would not normally act. This is where the realization of the aforementioned factors by patients needs to occur. Perhaps instead of placing the burden of fixing this entire situation in a system that makes it increasingly hard to do so on the healthcare professionals, patients should take action as well. As you mentioned, patients expressing their concerns over unprofessionalism and being pushed aside to their doctors could be their first step to acting to prevent themselves from being involved in malpractice. Balance is key. Healthcare professionals should try their best to communicate and cover all bases, but the patient should also take charge of their care and demand answers when they can. Understandably, the healthcare professional will be held at a higher standard but it is also the patients’ own health. Can the health of patients’ reasonably be put entirely in the hands of their healthcare professionals or should they take an active part in overseeing it as well?
Granted, not all healthcare professionals’ unprofessionalism and lack of communication and bedside manner can be excused or partially forgiven due to influences such as those I have stated. It is hoped that healthcare professionals adopt a sense of beneficence and have chosen their career because they morally want to act for the benefit of others. This is to say that they do not want to cause patients harm and they will go out of their way to facilitate good health because they want to benefit you, the patient. However, some healthcare professionals’ do not honor this principle and they are the exception to the perspective I am trying to express. As that is noted, I want to conclude my perspective with the question I have been leading up to. In addition to the personal attempts that healthcare professionals and patients can try to hoard off malpractice, should an eye be turned toward the rush of the medical system that places healthcare professionals in the predicament of having too many caseloads for adequate examination and treatment to always be taken in the allotted timeframe?
One of the most important things I learned in training of becoming a CNA was to develop a relationship with the patient. Getting to know your patient on a personal level is very helpful. When the patient is going through something stressful, the nurse or healthcare provider could bring something up personally that the patient had said they liked such as a vacation memory or something else that may seem relaxing. By developing a relationship with a patient, they may feel more comfortable about the nurse and vice versa. It is hard to tell a patient some bad news, but being comforting and supportive is key. If a patient doesn’t feel comfortable, it will most likely send them into more stress. Keeping the patient informed and comfortable for their stay is very important. Doctors and nurses who are not close with their patients and don’t keep them informed can be sued. Medical staff should keep the patient and their needs in the best care, think about how it would feel to be in their shoes, and provide them with the comfort and support that they would want if roles were switched.
Communication is a major component in any patient-care setting. I agree that many malpractice suits could probably be avoided if doctors took a little extra time explaining things and just talking with their patients. Bed-side manor doesn't seem to be emphasized as much as it should be. The way that doctors interact with patients is really what the patient remembers. A good doctor-patient relationship can make an individual feel more secure and like they're in the right hands. When a patient feels uneasy or uncomfortable with their doctor, they are inevitably paying more attention to the mistakes he may be making. This could very well make it more likely that a patient may file a suit against this doctor.
Doctors in this day and age usually preform extra diagnostic tests and treatments to cover their own butt, for fear of a malpractice suit, but maybe along with this practice, they should also be focusing on the way they interact with the patients themselves.
On the other hand, I see the point of the doctors and some people may very well just be out to get money in any way they can. I also understand that doctors are human and they make mistakes just as any person would. We tend to hold physicians to a higher standard, but the truth really is that mistakes happen and sometimes those mistakes are detrimental enough to cause a patient to file a malpractice suit.
After an innocent mistake or bad judgement call, doctors can try to avoid the same situation again, but can't always ensure that their won't ever be another mishap. Bed-side manor, however, is something that can be practiced and improved upon. If I were the doctor facing suits, I would do everything in my power to build trust and better my relationships with patients.
Many people may think that doctors order many different tests and treatments to make more money off their patients. But that is not always the case, doctors do this to essentially cover their own butt. Because if something goes wrong that could’ve been caught by a certain test will automatically trigger the patient and/or his/her family to assume is that the doctor didn’t do enough to try and catch it. But without all this stuff, the doctors are at a greater risk for being sued in a malpractice case. Another thing doctors can do to avoid these types of lawsuit is to get along better with their patients and work on bettering their communication skills.
Some types of physicians are sued far more than others, such as obstetricians. 6% of all obstetricians accounted for more than 70% of all malpractice related expenses over the last 5 years. Another thing that contributes to doctors being sued is their track record with the law. It is proven that doctors who get sued in the past are more likely to be sued again. And doctors who have never been sued are led likely to be sued at all.
Some reasoning behind these lawsuits are: 25% of mothers who sued physicians after the injury/ death of their newborn actually needed money too. A third of mothers (33%) said that their doctor would not talk to them openly about their child’s diagnosis, causing them to sue. Half of surveyed mothers said that their doctor attempted to mislead them, and 70% of mothers claimed that they were not warned about the long-term neurodevelopment mental problems in their children.
Another study, published two years later said: researchers talked to mothers of babies with a variety of outcomes, from death to perfect health. In this cohort, none of the mothers sued their physicians. But, women who have a doctor who has been sued in the past were more likely to admit that their doctor rushed them, did not communicate with them about why certain tests were being run and/or ignored their questions and concerns. Doctors who were most often sued were complained about by patients twice as much as those who were not, and poor communication was the most common complaint among those obstetricians. Doctors who do not get sued have been known to spend more time educating their patients about their condition and care, are more likely to use humor and laugh with patients, and are more likely to try to get their patients to talk to them and express their feelings/opinions. Therefore, it is proven that more likable physicians are less likely to have claims filed against them. Another surveyed patients who have sued physicians as well as physicians who had or had not been sued. Almost all (97%) of the patients reported negligence as the reason for their malpractice claim/suit. But, only 10% of sued physicians thought negligence was the reason for claims. While only a fifth of patients reported financial compensation as the reason for action, more than 80% of all physicians believed this was the reason. There is one thing that almost everyone agrees on and that is two-thirds of all groups, doctors and patients, think that improved communication can reduce future malpractice litigation. Among physicians who have been sued, more of them thought that improved communication would be effective than other methods.
Often in healthcare there is a perception that the doctor’s main goal is to help people. Most of the time this is true, and in their education this is touched upon, but it this modern time of liability and lawsuits it often gets lost. The doctors’ oath to “do no harm” is not the same as to “do or promote good” and is often confused as one in the same. To “do no harm” is nonmaleficence, and only requires a person from inflicting harm, but it also doesn’t meant to do action to stop it. Whereas to “do or promote good” is beneficence and requires action, or in this case communication with one’s patients. It is this lack of action of the physicians that is where the problem lays. In an effort to avoid litigation oftentimes less information is relayed for fear of exposing misdoings or relaying information that may be upsetting. Unfortunately, this leads to mistrust between doctor and client. The study mentioned in the video found that patients in the group that sued the doctors overwhelmingly indicated that being misled, having lack of information provided to them, and the potential of having important hidden from them were the driving influences behind their actions. No one wants to be lied to or mislead, especially by their doctor, whom they hope is working in their best interest. This lack of communication, I believe is a flaw in the education that is being given to doctors in the United States and is perpetuated by the culture in the hospitals to have closed reviews of mistakes and failures. By not communicating with patients doctors are negating any beneficence that they may think that they are providing to their patients. The study at the University of Michigan, mentioned here, supports that. I would hope that this information is relayed to medical students, practicing physicians and medical institutions. It could not only reduce litigation, but also promote better patient care.
No one is perfect and everyone makes mistakes even doctors but, when a doctor does make mistakes and gets sued often are more likely to be sued again. I know that those doctors are probably doing something wrong, actually not probably, it is for a fact they are doing something terribly wrong. now if you think that they would fix their attitude or the way they communicate with their patients. as you said, patients who saw physicians who had the worst track record for being sued were significantly more likely to report that their doctor rushed them, didn't explain reasons for tests, or ignored them were sued twice as much as doctors who did not. honestly this is enough evidence to just point out that doctor just have to actually show that they care, which is basically try to be the patient’s "friend". although I am completely with the case that doctors should fix their attitude but what about the people who just wants easy money by suing the doctors even if the mistakes weren't even harmful there are many factors that might have not been taken into thought.
There is little room for mistakes when dealing with someones life. I understand doctors are human and that they make mistakes but their mistakes shouldn't be reoccurring. I also understand there are people who are greedy and will do anything to get easy money.Doctors who were the most often sued were complained about by patients twice as much who were not. The study where researchers talked to mothers of babies with a variety of outcomes, from death to perfect health none of the mothers had sued their physicians. But patients who saw physicians who had the worst track record for being sued were significantly more likely to report that their doctor rushed them, didn't explain reasons for tests, or ignored them. This evidence shows that the doctors who are getting sued aren't doing their job. They're neglecting their patients
Healthcare professionals are always at risk of being sued for various reasons because in many cases the lives of their patients are in their hands. I agree that the solution to this risk can merely lie in health care professionals, specifically Doctors, being nicer. When becoming a doctor, they agree to live a life that is focused on beneficence. Beneficence are the norms that relate to providing benefits and preventing harm for others. Logically being a nicer person will most likely be an easy source of preventing harm. Many of the benefits that Doctors are required to give to their patients is the best health care they can humanly give. Giving the best health care requires an open relationship and trust between the doctor and the patient. I agree that having a nicer doctor will initiate a more open relationship because the patient will feel that the doctor generally cares about their situation. Another reason, it is in the best interest of not only doctors but also patients if the doctor is nicer is that with a promoted relationship comes more trust between patient and doctor. If a patient trusts their doctor they are more likely to express worries they have about their health, which leads to a prevention of diseases and sickness. Having good communication, trust, and an open relationship with doctors will make patients less likely to file a lawsuit of malpractice. I believe all doctors should follow the common morality and more specifically, the moral character traits that belong to common morality. Some examples of these traits include, kindness, trustworthiness and honesty. If all these traits are followed by doctors and also working to benefit patients, I believe malpractice lawsuits can be entirely prevented.
Some doctors are rude and essentially unhelpful when it comes to doctor visits. Doctors are supposed to be helpful and caring because we depend on them to help us get better when we are sick. If a doctor is guilty of malpractice in their workplace, yes, they should be sued. But some doctors are being sued repeatedly. Most of the reasons they are being sued is because of miscommunication or some sort of the patient not getting enough information from their doctors. Answers that aren’t thorough enough for the patient are unacceptable. We are not all doctors so we need thorough explanations to understand our conditions and how to get more help. Doctors know way more than the average person about health and wellness. People depend on them to do their jobs and communicate ways to get better and ways to get more help when their issues are out of their scope of practice. Dealing with people is a daily basis type of thing so they should be used to dealing with people all the time, don’t like people? Don’t be a doctor. To avoid miscommunication when talking to your doctor you should take someone else with you, preferably someone with a medical background to catch details you did not get when the doctor was explaining things to you. The doctor should know who he or she is talking to when giving medical advice. They should make things easier to understand in terms that aren’t ambiguous. On top of that, doctors should just flat out be nicer to patients. These patients could possibly not know what’s going on and a bad attitude from a doctor could set them off and make them feel worse. As a CNA in a nursing home, I understand that a positive attitude and a smile goes a long way, it’s a required part of my uniform. I have to thoroughly explain things to the residents and when there is uncertainty I rephrase what I said in a simpler manner. It is that simple.
Although this video makes a lot of good points on how these doctors can help avoid law suits, I can see both sides when it comes to the doctor and the patients that are suing them. I can see how doctors may feel pressure on their jobs when they are trying to get the most efficient and least time consuming answer to all the problems and I also see how miscommunication could happen during the interactions with patients as well. Very often in our society people are worried more about costs and are not as worried about the details that are being described to them. A doctor may think that they are explaining the risks and repercussions of a procedure thoroughly to a patient but unless the patient is actively listening to what the doctor is saying there is a possibility that they won’t actually retain any of what is being said. Changing how the doctor/patient interactions are dealt is a two way street and simply changing the policies that are put in place will not completely diminish the law suits that are filed.
I do strongly agree with this video on different terms. I can see both sides when it comes to a physician being sued. But when it comes down to it, I think that society as a whole needs to have more morals when trying to define why they are suing said doctor. I don't think it is fair, after watching this video, that nearly 25% of woman sued their doctors because they "needed money". I understand that today's economy is terrible and that it is hard to acquire tons of money but going after physicians' does not seem like the ethical thing to do. What we should be focusing on, is whether or not the physician did do something negligent and that there is a good reason to be sued. I feel as if doctors that take care of adolescents and younger adults have lately been pushing medication onto the patient and not really description what it will do for them. It will just "make them feel better". I have been to multiple doctor's that have done this to me. The point in the video where he talks about doctors giving out medications or ordering tests without a clear description of what it is or what the long term affects will be is something that I agree with. I believe that doctors' need to spend some time explaining things to their patient in a clear and concise way making the patient understand. If they start by doing this, along with being open and honest with their patients, then maybe this will also avoid doctors having malpractice suits.
The threat of a lawsuit is something that doesn’t just plague the health profession in today’s world, but is something that every profession, and basically every person in society has to think about. Lawsuits have become much more frequent in the past decade, and while this is a good thing for certain aspects, it can also become a problem. This especially comes in to play in the healthcare profession when at time the patients’ lives are, quite literally, in the doctors’ hands. So what can help doctors and other healthcare professionals avoid the risk of a malpractice suit? In my opinion, it is very simple. Be nice. A lot of times doctors rarely give their patients the time of day when they come in to the examining room. That’s not even considering the fact that nine times out of ten the patient has probably waited at least a half hour in the waiting room alone before be taken back into an exam room to wait for another fifteen to twenty minutes just to speak to the doctor. Not only can that long wait effect the patient and their experience, but then when the doctor comes in and only spends five to ten minutes actually talking to the patient and trying to figure out what is wrong with them, it can become increasingly frustrating for the patient. So what is the best way for a doctor to avoid their patients getting frustrated? Remember to be nice. Spend more than five minutes talking to us about whatever we came in your office to talk to you about. We understand you have other patients, we understand that you’re busy, but we’re there because we trust you to help us figure out whatever is wrong with us. The least you can do as our doctor is show a little patience, a little kindness, and give us a little bit of your time.
People these days are extremely money hungry and they try and find any way to get some money out of people instead of working hard for it. I also believe that people forget that doctors are humans, everybody makes mistakes. I know that we look at our doctors for every answer to our question and they can't be wrong. But that is impossible, doctors go to school for an extremely long to so that they can provide the best care for us but yet they are still not perfect. With that being said since nobody will ever be perfect increasing the communication between them and their patients will make a big difference with the lawsuit rate. If the patients feel comfortable and they know that they can trust you, you would not go wrong. Because, when the trust is built if something were to go wrong they wouldn't automatically think that the doctor was trying to deceive them or not provide them with best outcome. But also, if the doctors feel like policies need to change instead of working on themselves the lawsuits will continues to rise! Working on communication is not a big deal its not like they have to go back to school for another 4 years, its something that you can just practice with each one of your patients as they walk in. The change starts with the doctors, if the doctors don't put forth the effort to make a change they can't complain about the malpractice lawsuits that they continue to get.
These days it seems like people will do whatever they can to sue doctors and get more money. I do agree that it can significantly reduce doctors risk to get sued if they are just nicer. Its that simple. Ethically speaking, doctors have a responsibility to their patient to be honest about what is going on medically with them, or their child. A large cause of these suits is not having an open relationship between the patient and the doctor. It should't be about making it more difficult for patients to sue or win large settlements, but making doctors more approachable and honest. When doctors are more open with their patients, they gain their trust. Having a relationship and trust with their patients should be a number one priority. I think that doctor's should all share the common morality of beneficence and helping their patients to the best of their ability, and keep them away from as much harm as possible. It is not enough to just go through the motions and not care about their patients. It makes them feel inferior, and not cared about. It is ridiculous that "doctors would rather see policy change, then change themselves." Doctors are human, and they make mistakes too, but when they complain about getting sued, and don't have communication with the patients that gives them more reason to sue. I definitely agree that Increased communication, education, admitting mistakes, and apologizing will all help doctors avoid malpractice suits.
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There is a lot of truth to this video. We have long known that Doctors and Healthcare providers who are precieved as caring by their patients are less likely to be sued. They are also more likely to have the patient act on their Medical advice(i.e take their meds as prescribed, attempt life style changes, etc).
However, your glib response of that Doctors just need to 'be nice" ignores many of the realities of Medicine. As a Nurse Practitioner, I can tell you that I have yet to meet the Clinician who does not want to spend time doing patient education and to listen and get to know the patient. However, factors from decreased compensation per patient, increased time needed to deal with complicated and user unfriendly Electronic Medical Records, increased time needed for dealing with insurance companies etc. get in the way. We are often rushed to do 12 hours worth of work in 8 hours. Often we have to take time away from our loved ones at home (completely uncompensated of course) to catch up.
Sadly, what I have seen lately is a push towards good "Customer Service" rather than actually providing good Care. I have seen clinics and hospitals spend lots of money on new decor because studies (usually from the Hotel industry) show that patients perceive the care to be better if received at a "new looking" facility. The focus seems to be on creating a perception of friendliness, rather than genuine caring for the Patient.
We need policy changes that remove barriers I experience every day so I can spend more time with my patients without being punished for it. I am not interested in "Customer Service" training to make me "sound nicer." I want to see genuine changes that stream line bureaucracy so I can genuinely take better Care of my patient.
+Rami Fodda p.s. I am very lucky to work at a practice that understands this and that has done a lot to help. It is far from perfect, but at least they try. That is why I took a pay cut to work for them.
I think that doctors should not have to avoid malpractice suits because it is sometimes preventable the malpractices that occur could have been easily prevented. I understand and agree that Patient vs. physician relationship helps all the more. The more the patient trusts and knows the doctor the less chance of a Malpractice suit to occur. If the physician has had a good relationship with the patient for a while then yes, sometime incidents can occur but it should not be major ones.
+lolaJAYY I believe that we are humans and have a chance of mistake. However, beneficence states that we should be looking out for the benefit of others. With that being said, if the mistake is to be minimal that I would hope that the doctors intent was to help the patient out.
I feel like a lot of malpractice lawsuits could be avoided, like he said, by better communication. Malpractice insurance is VERY expensive, and I feel like a lot of doctors aren’t put off by this fact. Though it is expensive, I still see doctors incorrectly treating patients and a lot of doctors do not believe that it is their fault. Usually when a malpractice suit happens, it is because of negligence. Negligence happens more than a lot of us would like to think about. I also feel that a lot of doctors do things under informed consent when they really shouldn’t be. In order to have informed consent, the patient must know what they are getting into. They have to understand all of the conditions and aspects of care, and they cannot be coerced into getting a specific treatment just because a doctor threatens them. I feel like a lot of people do not read and understand their patient rights, and a majority of the general public don’t understand the field of medicine well enough to be fully informed of certain procedures that doctors do. If doctors would thoroughly explain all aspects of care and the conditions that come with it, I feel like malpractice lawsuits could be avoided.
I think there are just some people out there who are always looking for a reason to sue someone. However, I completely agree that physicians need to be more open and friendly to their patients. When people avoid going to the doctor because the medical staff are unfriendly, poses a significant risk to their health. I have seen first hand some doctors who are completely rude and arrogant to their patients. I would take a friendly doctor who may not be as experienced over one who does that makes me feel stupid. It is the doctors job to provide the best health care possible to their patients, and that should include emotional well-being as well. Doctors should also do a better job at explaining information and informing their patients about their health and options, so they can make autonomous decisions. I think Medical schools should start basing their acceptance more off personality than grades. There are too many doctors that are lacking the social skills needed to work with patients.
I feel like what he states is true about doctors about less communication, lashing out about practice, and so but it doesn't mean that all doctors can really avoid it because you have patients that do the same. for instance, some people miss appointment's or refuse certain practices and then you got some people who miss payments. physicians are here to treat and care for us and if we as people don't do our part then they probably think why waste mines. there are a lot of people in this world that need care and people fail to realize that physicians aren't really trying to avoid it they show warnings but who really have time to document everything especially if you as a patient doesn't come around.
Doctors who are nice are more likely to have more patients. This creates more revenue for them and in turn insurance companies. Insurances have started doing incentive programs for doctors based on patient care. Most people now a days go to a health rating website when they choose their PCP. Patients are also too sue happy though. If something doesn't go their way or they aren't happy with the results they jump right to malpractice. In order for something to be considered malpractice it must meet certain criteria. Negligence has 2 forms, intentional and non-intentional. You may think the doctor is being negligent when they are not intentionally meaning to be so. The doctor has a duty to the patient, in order for due care not to be followed the doctor must have breached that duty, a harm was caused and the cause of the harm was from the breach of duty. Patients need to pay better attention when they go to the doctor or bring someone with them to listen also. A doctor can only dumb down an explanation so much. I want my doctors to be nice but I also want them to be informative. My specialists are from the University of Michigan. the reason I think they have fewer issues with being sued is that most of them are fellows or residents. They are still new to the profession and are trying to do everything right. They haven't been in it for years and become annoyed with patients asking questions. They want to do their best for you. Before people sue they need to understand what it takes to be a doctor and they need to take into consideration the doctors thoughts and actions.
I do believe that one main problem with this is that they do not teach communication throughout medical school. Everything in med school is so informational and scientifically based that has became all that doctors know. The don't have the people skills needed to fulfill the other part of the job and this can potentially cause them long term problems as clearly stated in the video. Doctors do need to become aware of how they interact with people then they would not have to worry about getting sued for minor problems.
WOW!it is amazing how an issue likes this is not being taken seriously. I find it very disturbing how common malpractice frequently it happens do to the fact that technology has expanded the credibility of the healthcare system. The title of this video is "How can Doctors Avoid Malpractice Suits", I find this really upsetting that doctors care more about "GETTING SUED "instead of their patiens overall health. In the video it said that " 6% of obstetricians accounted for more than 70% of all malpractice-related expenses over 5 years", all I can say to this is WOW! Are Americans really "sue-happy" or is this really because of the doctors.
When it comes down to ethics, the ability for the practicing physician to have a relationship with their patients is vital. Often times the common individual go to their doctor for the answers that will help them live a healthy lifestyle. It does not surprise me that bad communication is the main reason for physicians to be sued. The obligation of the physician is to provide comprehensive, accurate, and objective transmission of information, while upholding the understanding of the patient. The accuracy of information and trust are based on the respect of others. This will also include initiating a contract between the physician and patient to form a trusting relationship. By entering in a relationship in health care, it includes truthful information regarding diagnosis, prognosis, procedures, and so forth. This is where communication comes into play. Being able to guide the patient, and the physician explaining everything to the best of their ability, will only strengthen the relationship. In result, the percentage of patients suing physicians for malpractice will decrease as stated from the University of Michigan study.
Doctors should improve their communication skills based on the moral principle of Nonmaleficence, even if malpractice was not an issue. Doctors have an obligation to their patients to not cause pain and suffering, to not cause offense, and to not incapacitate. Poor communication is a form of unintentional negligence. The doctor may not mean to cause harm to the patient but does so by not providing enough time to answer the patients questions, to provide information necessary to the patient, and to provide information to the patient which the doctor thinks is important.
+Jill Peck A doctor's job is to provide the patient with information about their health that they would not be able to get elsewhere. It is a doctor's job to assess the symptoms and come up with a conclusion as to what is causing the problem. It is then a doctor's job to come up with a care plan as to decide what the best treatment available to the patient is. A doctor cannot accurately do his job if he is unable to get personal with a patient. The doctor has a moral obligation to get involved in the patients' health care and in order to do that he needs to know the patient.
+Nate Pod Poor communication in the since the doctor does not provide enough information to the patient is what harbors miscommunication between doctors and patients. The video mentions that patients often left their doctors office more confused than when they arrived. The video also says patients didn't know if they were having a heart attack or not because of the misunderstanding between patients and doctors. I presume the information presented to the patient was either too complicate to understand or not enough info was given to the patient. Either way, providing information in a framework that is ideal should be necessary because if a patient does not understand the information they could be mentally and physically harmed in the long run
There are nonverbal skills that can also attribute to lack of understanding. For instance if a doctor cannot make eye contact with a patient they can make a patient feel rushed, and not want to ask questions they may have. My point is communication skills can promote negligence…even if the negligence was unintentional.
+Caitlin Mason I totally agree with you. The doctors should explain information to their patients in a understanding manor and go over the procedures if any to the patients. But providing too much information is overloading the patients and can lead to more misunderstanding and complications with the patient. The relationship between the doctor and patient is important in simplifying any concerns or misunderstanding
+Caitlin Mason People are idiots. A doctor will not be able to answer questions if they are not asked. Most people think of things to ask but forget when they get to the doctors then blame the doctor for not telling them what they did not ask about. Doctors cannot read minds and time is limited. That is what information sheets are all about. A paper with basic information about the condition can be handed out as a guide at the appointment. But honestly I think they are talking more about bedside manner than anything here. To be able to cope a Doctor needs to be able to stand back and not get to involved with the patients personal issues while still exhibiting behavior of a person who cares. That is the difference.
+Caitlin Mason So based off your original comment "Poor communication is a form of unintentional negligence", would you say that your using poor communication in the sense of not providing information fully? Or are you talking about it in a personality sense? If they are not providing full and clear information then yes I can see what you are saying. However, if you are talking about the doctors personality as the sense of poor communication, there are doctors with Asperger Syndrome who find it nearly impossible to even make eye contact with their patient, but can still provide the needed information.
Ethically speaking, doctors have a responsibility to their patient to be open and honest about what is going on medically with them, or their child. A large cause of malpractice suits is not having an open doctor-patient relationship. It should NOT be about making it more difficult for patients to sue or win large settlements, but making doctors more approachable and honest. When doctors are more open with their patients, they gain their trust. Based off of the article "Four Way to Reduce Your Malpractice", studies have shown that once a doctor gains the trust of their patient, pertinent medical information is likely to be disclosed. This information could be the key to a diagnosis or even just a way to prevent pointless tests/procedures. Taking that extra time to get to know your patient could be the difference between successful treatment and a lawsuit.
+Elizabeth Guglielmi I completely agree with your statement. The relationships between doctors and patient is not good at all. However I do believe that this has a lot to do with doctors and how they interact with patients during visits. their has been plenty of times that I can recall being at a doctors visit and feeling uncomfortable because the doctor did not seem welcoming. Although I understand their time is limited but as patients we are in a hospital because something with our health is not going right so it is their job to make that visit as comfortable as possible.
I thought that what Aaron Carroll said was extremely interesting and true. Being a doctor is just like any having any other profession in that there is a strict standard that they must adhere to. He went through and explained very well the statistical data associated with what reasoning a cohort of mothers had behind filing their malpractice claims. Only 25% of the mothers’ claims for malpractice were because the patient was in need of money, 33% on the other hand were because their doctor didn’t communicate properly with them, 50% said the doctor attempted to mislead them, and an astonishing 70% claimed that they were not warned about the long-term neurodevelopmental issues with their children. These statistics are what lead me to agree with what Aaron had to say. When I started this video I assumed I would agree with him on most aspects, but have to explain what points of his a disagreed with, but the statistics that he provided sold me on his hypothesis. He made it a point to specify that malpractice can be avoided by being nice and part of being nice is possessing the ability to properly communicate with others. Communication is key, and I believe that if doctors make it a point to communicate more efficiently with their patients that malpractice claims will be much less prevalent. Now, I don’t think that it is as simple as being nice to patients to avoid malpractice, but I do believe that it is a very important step that some doctors overlook. I found it extremely interesting that “the biggest indicator that a physician is going to be sued in the future is that they were sued in the past” because it goes to show that some physicians are just bad at their jobs. They do not see the importance that communication holds and are part of the 80% of doctors who believe that the “patients who are filing for malpractice claims are only doing such out of financial need.” Some physicians will never learn to communicate and that is why they receive one malpractice claim after another. Creating an open relationship with patients gives them a sense of confidence in knowing that what their physician is doing for both their families and themselves is the best possible care that they can be receiving and I think that this video did a very thorough job of explaining this with both examples from the physicians stand point and from the average citizens’ stand point.
I have noticed that physicians rush patients, do not seem to listen, and believe they are more knowledgeable than the patient. With this kind of attitude it makes the physician unlikable and the risk of missing complaints and concerns greater. Without explaining what is going on to the patient and asking them questions a higher rate of negligence is going to occur. That means more malpractice lawsuits will come about. Improving patient-physician communication will lower the amount of lawsuits on the physician. More likable physicians are least likely to have claims filed against them. 97% of the claims are because of negligence. Negligence is occurring because of the communication. If a physician actually treated their patient with the full autonomy that they deserve the lawsuits would drastically decline.
Improved communication is an area that needs to be changed in many situations. Unfortunately, there are always going to be bad apples in the bunch no matter if it is a doctor, server, mechanic, or any profession dealing with serving the customer. In the case of a physician, the 'bad apples' can cost valuable lives which is why this issue is magnified.
What I see as a problem is that many families are not able to choose their physician due to insurance reasons and these doctors who might not have the best track record are the ones who get these new patients because they are always accepting new ones and the problems continue to occur. It becomes a cycle because those who cannot afford quality insurance continue to be placed with physicians that might not be performing their job to the best capacity.
Hopefully cases brought against physicians bring more awareness and as a result these 'bad apples' will realize they must do a better job informing and clarifying with patients.
Honestly I fell like every med-student should watch this video! In med School yea they are cramming literally everything you need to know within a certain time frame, but they are missing one IMPORTANT concept which is COMMUNICATION! Like they said in the video doctors who bring in laughter, communication and research are less often to be sued. All i can say is way to go U of M and hopefully this will be a topic of the past within a few years!
Mine sent me to a coma, I was okay and they thought my pelvic pain and the complaints of me telling them something was not right with me, they took it as depression and over loaded me, I loved him and he was awesome, so I trusted him, he would over load me even if i reported to feel bad or pass out. So yeah, I wanted to sue but I was underage and wasn't informed that i could, but I did get a lot of horrible side effects, like loss vision, ability to play my keyboard and read music, grammar and spelling. I have been having to waste to much money to try to fix the damage, and NOT to mention that when I woke up from my coma, no doctor at the hospital talk to me, or told me what happened, no one did and no one believed that I did not remember.. so they did not catch certain damage, that still isn't something that me and my doctors arent sure of.
Something I notice you guys do fairly regularly is have a graphic text paraphrase Dr. Carroll's comments on screen as he's speaking them. I'm curious what the goal is having both commentary to listen to and slightly different text to read on screen at the same time. Personally, I find the juxtaposition makes it impossible to follow and absorb either. I get to the end of those segments thinking wait, what? Then rewinding and either pausing playback to read the text without the commentary, or looking off screen so I can just listen.
Personally, I think a visualization of the whatever percent increases or decreases would be more helpful than a slightly different wording of what I'm hearing. That's just me, maybe others do find it useful. But as it is it feels like a follow the bouncing ball singalong that's actively trying to punk me, or an "internal voice" version of the speech jammer challenge.
Your content is excellent and I wouldn't bother putting in extra effort to make sure I'd understood it if it wasn't valuable to me. Just thought I'd ask whether the production technique has specific communication intent or whether there might be a better way to accomplish it.
Negligence was definitely the case for me when I almost sued my substitute optometrist.
He had ignored me the entire time he was checking my eyesight, and when I asked questions he would take a full 5 seconds before responding, and his responses would be half-assed. He wouldn't even look at me to speak to me.
He just decided to give me a new brand of contacts, even though my regular doctor he was subbing for didn't approve this. When I put them on, I complained to him that they hurt me, and he didn't even look up from his clipboard as he told me it would pass.
I ended up going to the hospital because the pain had escalated to an extreme where I couldn't even open my eyes. If he had actually listened to me, that could've been avoided.
I do not understand AT ALL why doctors choose to be such assholes to their patients.
I think this shows the truth about the "suing culture". It's not that people will sue you for anything. Everyone has probably done something worthy of a law suit. The people who get sued just so happen to also be poor communicators that often come across as assholes.
if people are suing certain physicians and losing their cases shouldn't we be looking at lawyers? shouldn't lawyers inform their clients that having a doctor that you don't like for personal reasons, isn't enough of a reason to sue? just another thought.
I must say so far my children and I have been very lucky with all doctors and dentists we have ever met (my husband refuses to see either so I am not counting him). Each gave us reasons talked to us nicely and calmly (some funny some more serious) and I felt they knew what they were doing. I was even lucky enough that my dentist got my top wisdom teeth out and I never got any pain. I ended up taking the pain med.s he subscribed back to the pharmacy when they did that (bringing old med.s back for them to dispose of). So, far they have all been wonderful. When my son's teacher would not let up on him being special (with ADD or another issue similar) and kept calling me his doctor calmly set me down and told me nothing was wrong with him. He was naturally more energetic, but he was more advance than the other kids and was most likely bored. The doctor said they would keep a close eye on him and still says he is fine and now he has almost 100% evened out (still gets a little antsy but rarely).
Here is a better solution. Stop expecting your technical specialists who spend the better part of a decade learning deep technical aspects of their craft to be good communicators to the general public. No other industry has this expectation of technical specialists. How about we introduce an extra person who's role it is to communicate to the patient and deal with their needs and to act as the liaison between the technical staff (doctors) and the clients (patients).
This would not not save money by employing the lower paid service staff to deal with the time consuming service role but it would allow the specialists to spend more time on developing their technical skills and reduce their stress of having to fulfil the needs of multiple roles.
It is time we moved the operational side of medicine out of the jack-of-all-trades 19th century into the modern age, and while we are at it, how about we stop gate keeping practices and procedures that are intended for the public good through obfuscation and patents. If there is a better way to perform a surgery, share it with the rest of the profession through publicly available knowledge sharing.
Being more likable is the single best way to help with litigation risk. Tort Reform is the single best way to keep practicing in a state financially viable. Allowing compensation for pain and suffering to have no limit leads to doctors voting with there feet, leaving, and patients access to quality doctors reduced. Both becoming likable and Tort Reform are very important. The presenter is very off base siting Tort Reform as a goal to reduce defensive medicine, that has never been the goal. Become likable for all the obvious reasons, and Tort Reform so patients have access to a doctor to try to like...
First, I would like to say thank you for always including the sources in your show. It make the show seem much more credible and responsible.
Second, the bottom line for this episode seems like it would work for just about every profession. The one that comes to my mind would be law enforcement in the U.S. They can be shown to have clearly made grievous mistakes, but the don't ever want to admit it and do the things discussed in this episode.
I would like to suggest removing graphics from the show. Not entirely, just mostly. Maybe just use them for citations. As they are now, they're kind of distracting. I liked it when you didn't have graphics for that little while because it was easier to focus on what Aaron was saying, kind of like Scishow.
As someone who as worked and supervised customer service all my life, its not something you teach in one seminar. Its something you teach repeatedly, because learning to communicate effectively and pleasantly - particularly something that is sensitive to the customer and rote for the service provider - is a complex process.
We tend to discount it - thinking service providers should just be nice, be patient and provide the correct information.
But service providers are humans and its just as hard for them to be those things in high stress situations as it is for anyone else. They get tired, they get stressed, they get bored, they feel over their head. All of those things negatively impact their ability to communicate effectively. In other words, providing a consistently good service experience is mostly about managing your own current mental state first, then using good technique in communicating.
I guess my point is that you have to start teaching doctors how to be good communicators while they are still in school and you have to keep doing it, with practical application and follow up for years and years.
A one day seminar is only slightly more useful, in the long term, than providing them with a pamphlet to read.
I really think this is a big part of why people turn to alternative medicine. I've seen a lot of doctors and had very, very few negative experiences, but I'm also a rare, unusual case, so doctors probably pay very close attention to me. It took me a long time to realize that this was not the norm.
Some of the stories people have told me...I just wish I could round up all these doctors and say "*You* are the problem. Maybe if you gave the slightest impression that you give a damn, you wouldn't turn people away from evidence-based medicine."
I'm as anti-pseudoscience as the day is long, but you know what? Alt-med practitioners are great communicators! They pay attention to you, spend time with you, talk to you. Because if they treated patients as brusquely as some doctors do, they'd be out of business. So they portray the medical system as unfeeling and uncaring, and CAM as warm, friendly, and personalized. And doctors just play right into their hand.
+DanThePropMan This. I seem to spend my life despairing at how I manage to surround myself with pseudoscience and alt-medicine believers, but at least half of the people I know who swear by that stuff aren't crazy loons who think pharmaceutical companies are poisoning them or that doctors want to lobotomise them, most don't even believe unconditionally in alternative medicine and will use it alongside evidence-based medicine. They turn to that industry because the weird combination of sweet caring hippy types and very talented con/scam artists that make up most of alternative medicine are damn good communicators and are good at making patients feel valued, whatever the practitioners motives for doing so.
It helps that alternative medicine can confidently claim that a treatment cures this, that, or the other (or, as an even bigger red flag, EVERYTHING), practitioners are under no obligation to manage expectations, to give the full and honest details and prognosis, to discuss side effects or chances of effectiveness, and the resulting directness and confidence of what they say is obviously going to appeal to patients. Can't see the solution to that, though.
Definitely spot on. Last year I had a very unfortunate experience with an OB/GYN. I'd had a surgical diagnosis the year before and had undergone six months of chemotherapy due to the demands of my insurance company. My primary OB/GYN and I both knew that this was a temporary solution and we agreed that we would go with this course of action to satisfy the insurance. Six months went by and during that time my doctor sustained nerve damage to his hand and was unable to perform the surgery that we agreed needed to be done prior to this event. He told me as such and said he would find a trusted colleague to do the surgery for me.
I was informed by phone two days before my appointment instead of being contacted by the doctor. I was out of state at the time and rushed home to make the appointment which was a complete disaster. She was incredibly insulting, obviously did NOT look at my file and made assumptions about me and my disease that were incredibly insulting, down right incorrect and even went as far as dismissing my SURGICAL diagnosis because she couldn't feel my disease during a pelvic exam, something which can only be done during extreme cases. She refused to perform the surgery (bilateral salpingo oophrectomy + hysterectomy) because I was "too young" and would "regret it" because of my age. I left the office in tears with two referrals to two doctors unrelated to my illness (both of whom gave me funny looks when I went to them and told them of my experience) feeling as if I was back at square one. I immediately called the hospital and filed a complaint against the doctor and filed an ethics complaint with the board of medicine.
This was spot-on. I review complaints against physicians for a state medical board. Nearly all of these cases get down to the patient's sense of anger for not being informed or the curt manner of their physician. In short, if the MD had been less of a jerk and more of an explainer many of these cases would not have been.
I really liked this episode, but I wanted to point one thing out.
I think this is the malpractice system working as it should. I think that patients should in the end be responsible for their own health, and doctors that don't make the effort to educate their patients about what their choices are and what the potential risks and benefits of each choice might be are absolutely taking on all of the responsibility for what happens to that patient. In that case if something does go wrong it absolutely is the doctor's fault, and they should be held responsible.
Of course there should be allowances for doctors facing situations where the patients can't make decisions for themselves, but that should basically just be for life or death emergencies.
I've asked this before and gotten some suggestions from other viewers, but I would really love for you to make a video on choosing the right doctor for you. I have had so many doctors who just throw pills at me when I don't even ask, or who don't want to take the time to listen... I've even had one I actually wanted to sue for malpractice, but I had no money for a lawyer and wasn't looking to "win big" so no lawyer would take the case. I'm so fed up that I rarely go to the doctor anymore when I am sick... To the point I had a horrible ear infection on top of bronchitis for well over 4 months before I finally gave up and went. I'd love to know what you would suggest doing, other than looking up reviews online (which I already do and most of the ones near me have none so they don't exactly help). I'd love to find someone I can actually trust with my health, rather than constantly leaving the office frustrated and upset.
+Smidge204 Then you're saying break the law. Then 99.99% of everyone condemns & ridicules any medical doctor (like prescribe as much painkiller as a patient wants) or nurse or patient or insurance company that does what is right (e.g. not cover bullshit like naturopathy) for breaking the law.
You cannot preach to individuals to change and then complain when they break the law to do it.
My mother is a medical malpractice defense attorney in New York and this is the advice she gives to her clients.
Dr. Carroll, would would be willing to run a continuing legal education lecture on this issue with my mother?
There is a town, just a couple hours away from Indianapolis that seems to have an unusually high C-section rate. Is there any way for me to prove it and get something done about it?? I feel like I was lied to and mishandled during the delivery of my third child and forced into an unnecessary cesarean delivery. I also had my 4th child in another town nearby because they told me a VBAC was absolutely impossible, which was absolutely a lie and went very very well. I'm sure there is a statute of limitations that has long passed, but the point isnt to get money, it's to get change. I feel mutilated to say the least.
Charlotte Litherland mutilated? Do you think doctors enjoy cleaning up your mess aka having more children? You're the type of person who would sue a doctor the moment something bad happens if they don't do a c-section.
+Charlotte Litherland How do you know the C-section did not save your life & the life of your 3rd baby?
Also - WHY are you breeding so much? When you force a new human into existence, without their permission,
you should be required to take care of them for the rest of your life, and not call the police if the child turns 18 and still insists at living home with you. Nobody forced you to breed & overpopulate & force more global warming & environmental damage & resource consumption upon those already here.
+Emperor Zerbo I can guarantee that where I'm from it's a 0% home birth by choice rate. No one wants to clean up that mess. I doubt there is a Certified Midwife within a hundred miles either. Maybe in Bloomington, Indianapolis, and Evansville, But in our area, no. It's just not something that's done. Like I said, not even the Amish ladies have home deliveries anymore. Also, I doubt there is anywhere to get these stats from in such a small community. Who would even keep those records? As far as I know the county health department only cares that you were born, not how or where.
+Charlotte Burnside Sure, there are many things that can go wrong during delivery, but that doesn't mean the likelihood of something going wrong is high. The vast majority of delivery issues can be handled by a trained midwife. Now, if you happen to be at a higher risk for birth complications that a midwife couldn't solve, then of course use a hospital. But if you're not, then it's reasonable and more cost effective to hire a midwife BUT also have transportation to your doctor ready just in case, which the midwife will probably recommend anyway.
I'm not saying hospitals are a bad place for births. All i said was that in most cases women are safe to have a home birth with proper preparation. Our advances in medicine don't only exist in a hospital.
I'm also skeptical of any 0% statistic, where did you get that information from?
+Emperor Zerbo I don't advocate anyone having a baby at home unless it just happens and there is nothing you can do about it. Even the Amish ladies in my community are not doing that anymore. Too many things can go wrong. as for data on home births v hospital births, well that data wouldn't exist because the home births rate is 0% where I'm from. My issue with these particular doctors in that particular town is that all they see is a person messing up their evening with their baby making, but they can turn that into a much smaller cut into the day and way more money if they just do a csection. That's bad practice! I lived in both of these towns for a very long time, and know many moms from both towns. The town where I was able to get the VBAC done, I know 1 person who has had a Csection, and she was having twins and opted for it since twins can get all tangled up in their umbilical cords very easily. I easily know 35 or more moms from that town.
The town where I had the Csection: I know 15ish moms from this town all around my own age (25-35 now) and only 3 of them were able to deliver their children without surgery. I find it hard to believe that that high of a percentage of women needed a csection.
I wonder what kind of change we would see if doctors were suddenly told that their pay rate wouldn't change because of type of delivery? Maybe not much since it also is just faster to do the surgery, but it's something we should look into. That might help lower healthcare costs quite a bit. After the surgery I had to be in the hospital for 3 days, and because my son wasn't delivered vaginally, he aspirated some of the amniotic fluid that had he been delivered properly, would have been squeezed out in delivery. so he had to be in a oxygen hood for a few days. Since that happened I wasn't able to breast feed him those first few days and he never took to it after having a bottle.
After baby #4, I wasn't even in the hospital 24 hours. Had him at 5:05 PM checked out of the hospital at noon. No problems. Thousands of dollars saved.
They can't. That's why they get malpractice insurance.
It really is that simple. People need someone to blame when something goes wrong. Some doctors suck at their jobs, but some patients suck at following instructions, and some are just unlucky.
Also: LOL, my dad's an OB/GYN, and he's never been sued, despite his common post-circumcision joke "uhh... Did you pick a girl's name?"
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