Kevin MD points us to a story about a Canadian doctor who has been disciplined for swearing at a patient.
I am going to keep my eye out and see if this becomes a flashpoint of outrage and disdain from the medical profession...you know the way the fact that they're investigating the doctor who made the comments about her future romantic prospects, compete with racial angle, to the fat woman did.
Perhaps the outrage will come. It's early.
But if the medical folks out there can't get worked up about the swearing doctor being persecuted for what is also basically a "beside manner" issue, then it will tell us something, won't it? Well, I think it will support my contention that fat people are the last people everyone feels comfortable demeaning publicly.
OK. Just wondering if this will change anyone's mind no the case of the fat woman vs. her doctor who told her she wouldn't find a man if she didn't lose weight.
Turns out her complaint was based on the fact that he also made race an issue saying:
"Let's face it, if your husband were to die tomorrow, who would want you? Well, men might want you, but not the types you want to want you. Might even be a black guy."
Senior Assistant Attorney General Richard Head, who leads the state Consumer Protection and Antitrust Bureau, said Tuesday the woman complained about the racial remark, not about being lectured.
In a telephone interview Tuesday from Rochester, Bennett denied any wrongdoing and defended his message to her, saying he has read polls that say black men prefer overweight women..
[Source: Associated Press]
Are we willing to say now that his comments might have been a wee bit inappropriate? How exactly is this different than the remarks Mexican President Vincente Fox made? You know the: "Mexicans take jobs even the blacks don't want" remarks?
Lots of people thought there had to be more to the story to justify the Medical Board actually looking into it. Seems like they were right.
Imagining the unimaginable.
When it comes to doing that on the "bad" end of the spectrum I don't think we humans are so good at it. It's not just speeding or smoking teenagers who think they're invulnerable.
We have another person, this time a blogger, whose health coverage was simply insufficient for the unexpected, catastrophic need. Not too surprising given we're talking about a couple whose coverage came via one of them being a grad student.
Read the story of "Badger" an anonymous academic blogger whose husband was diagnosed with liver cancer 6 months ago. And read about how the state and federal programs designed to help the neediest turned the couple away...despite their low income, despite the fact they were also raising a child, despite everything that would make you logically say that this couple were contributing members of our society who also needed a safety net.
Sadly, Mr. Badger died yesterday. At the age of 34. Leaving a widow and child and a mountain of debt.
At least one fellow academic blogger has set up a fund for Mrs. Badger. Check it out. Convince yourself the whole story is for real, and if it touches you like me, then do what you want about it.
Here at HealthyConcerns I often feel like a lone voice in the wilderness, speaking from the non-health care professional's point of view. But if we are heading more and more in the direction of patients partnering with their doctors to chart their own care, then partners need to listen to one another and learn from one another.
With that in mind, I've organized this week's Grand Rounds by how each set of posts helps people like me understand the health care system and the people that work in it:
Sometimes they help us remember that they're human too
Sometimes we feel that doctors are cold, unfeeling...seeing as many patients as they can, rushing us through. But if you've ever had a friend who listens to your troubles and then finds a way to make it about them, then you know that you need your doctors to keep their emotions out of it. But some posts remind us that they're human.
Dr. Tony shows another side, imagining the worst that can happen when doctors' human failings get the best of them. And one of GruntDoc's readers relays an incident that takes it out of the realm of imagination into reality.
Sometimes they have strong views about the world outside their office walls.
Industry Veteran guest blogs on The Health Care blog and gives his veteran perspective on the "deeper meaning" VIOXX verdict.
While the Genetics and Public Health Blog introduces us to one family's blog about dealing with autism, Respectful Insolence ruefully comments on one family's perhaps ill-considered treatment program for their child with autism.
Sometimes they step in when people make things too simple!
Lots of people are talking about Malcolm Gladwell's recent article about health care in the New Yorker Magazine. Glad well is famous for bringing high-toned concepts to the masses, but perhaps he goes too far. In any case, plenty of MedBloggers want to bring more to the conversation.
Ruminating Dude provides more anecdotal evidence that people aren't really anxious to "abuse" universal health care just so they can have really unpleasant medical procedures performed.
Sometimes we get a glimpse into the fact that medicine is also a business.
David Williams at Health Business Blog wonders if "Concierge Practices" are little more than good marketing that lets doctors charge special fees for regular service.
Hospital Impact sounds the alarm that consumer-directed health care (CDHC) will be a challenge for hospitals...destabilizing their management of both revenue and debt.
And GruntDoc's look at "expert" witnesses leaves us wondering whether the business part os more important than the medicine part to some!
Sometimes they just want to be a good resource for newbies.
Bonus Points for amateur (or professional) diagnosticians:
Visit Sumer's Radiology Site to make your own diagnosis via X-Ray and win a prize.
Or just visit Red State Moron to tell him how bad his injured toe looks!
And since I'm all about the laypeople, the patients, the customers (?), I close with this podcast: SoundPractice.net gives us:
What Patients Say They Want, and What They Really Want from Their Private Practice Physicians by Professor Carl E. Schneider from The University of Michigan Schools of Law and Medicine.
Instructions: Click on the link to the "Pop-up Player" in the right hand side bar. All the podcasts are listed in the Player that pops up, and this one is towards the bottom (since it's in alphabetical order.) Scroll down, click and listen to a discussion of what we say vs. what we really want vs. what we can actually handle when we're ill.
UPDATED: GruntDoc brings up a good point in the comments:
Next week's Grand Rounds will be hosted by Corpus Callosum
True to form Typepad support responded promptly and gave me a fix that works.
Can't say I understand why it works though.
They had me change a setting in the Domain Mapping section and voila!
Thanks to the gurus who tried to help.
Phew...at least I'm all set for Grand Rounds tomorrow!
OK. They say timing in life is everything. I'm busily working away on Grand Rounds, which I host tomorrow, and I get an email from fellow MedBlogger Matthew Holt.
Elisa, he tells me, your blog looks like crap in my Windows IE browser.
OK, he might have phrased it a bit more delicately.
Anyway, I'm on a Mac and use Safari, where the blog looks just peachy. But yes, I've confirmed the blog looks like hell in IE on both Mac and PC.
Why? No clue. Haven't played with the templates, Typelists, sidebar content or anything in ages. This looks like the same thing that happened after Typepad did their big upgrades weeks ago. Only republishing isn't helping.
I've submitted a trouble ticket. I've even emailed my buddy who works for SixApart. But hundreds of people may be descending on a blog that looks like crap starting tomorrow morning, and I don't know what to do about it.
Any ideas? Anyone?
PS-how does it look in Firefox?
Maggots and leeches and bears, oh my! Doesn't have quite the same ring to it, but amazingly modern medicine is finding a place for maggots and leeches.
I am not enamored of the creepy crawly things. Even seeing them on TV tends to make me get all girly and squealy.
So the fact that I was able to read this story at all is a testament to my dedication to you, my Healthy Concerns readers, and your right to know the latest health care news.
So what do you think...would you go for the leeches and maggot treatments? I might, if they could somehow knock me out, so I wouldn't see them or feel them or have any awareness of them whatsoever!!
I can't even write anymore about it...I'm getting extremely grossed out.
Latest letter from Chris, Haley’s dad:
"August 26, Day 112
Haley has had a rough day today. She was having problems breathing, so doctors had an x-ray taken and an ultrasound done. Haley had a collapsed right lung so they had to drain a liter of fluid off her lung. Doctors are still trying to find a liver transplant center that will take Haley. If anyone out there knows personally of a liver transplant doctor who would be willing to do a living related transplant, have him/her call Dr. Michael Graham at University Medical Center in Tucson, phone #520 694-6000. Many people have e-mailed us to let us know of facilities and programs and we have called many places to no avail. Friends are raising monies to help pay for the transplant; however, we are running out of time and need to get moving on getting Haley better. We are praying for a miracle and just want a doctor willing to take a chance on Haley. I understand there are places out there worried that Haley has already had three bone marrow transplants, places worried about percentages of successes and wins and losses; places where they need hundreds of thousands up front in order to get started because they are worried about who will be picking up the tab at the end. As a father, years from now I want to know in my heart, win or loss, that everything possible was done to help Haley. I truly don't believe this is too much to ask. We just need a doctor who believes in miracles and is willing to take a chance on Haley."
BTW: They're having a big poker tournament with buffet, live auction and silent auction and entertainment at the San Marcos Sheraton on Saturday, September 10th. The auction items will be viewable at the HopeforHaley.com web site starting after Labor Day. It's not clear to me whether you'll actually be able to participate remotely, but check it out later.
Interesting argument going on over at Kevin MD about Vaginal Birth After Caesarean (VBAC.)
Seems that we in the U.S. are defaulting to multiple Caesareans, and that doctor recommendations are often liability-oriented, rather than medically-oriented. And in fact some women feel they are being "forced" to have the Caesarean.
My sister just had her 2nd Caesarean. She didn't even think twice about it. Yes, she knew that the Caesarean was major surgery, having had one before, but not having to use general anaesthesia probably makes it a lot less scary than the prospect of something "bursting" or "rupturing" trying to do a VBAC. Which is, I believe, the way they described the risks associated with VBAC. I suppose having gone through hours and hours of labor before her first Caesarean she also wasn't too unhappy to avoid that part either. And shallow as it sounds I know women who appreciate the fact that you "schedule" C-Sections. (I even know someone who scheduled being induced for a vaginal birth.)
[This all plays into the fact that fewer and fewer doctors are choosing to go into the OB part of being an OB/GYN. Malpractice insurance costs are really high.]
Anyone out there have a VBAC? Were you scared of the risks? Why did you choose to go that way? how was it?