h a l f b a k e r yBaker Street Irregulars
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Patient problem:
We see the doc, & try to take good notes, but are nervous, &
don't understand the jargon, & we leave a bit confused.
Doctor problem:
Docs (in USA) pay up to 30% of their revenue on malpractice
insurance. In 80% of cases, the doc did everything
"standard/right" but is
still having to settle or go to court
when things inevitably go wrong.
Half-baked (creepy?) solution:
When you enter the doc's office, they ask if you would like a
video-recording of the visit emailed to you afterwards. If you
say, "Yes", then you get a record, & can review the tape &
understand/research how to get healthy better.
Also, if you say, "Yes", then the video goes into your medical
file.
If, then, you sue the doc for malpractice, the other docs
subscribed to this service can peer-review the video & files, to
offer "friends of the court" viewpoints on whether the doc did
everything according to standards, & you were just "unlucky",
or indeed that he screwed up & should be kicked in the arse,
hard.
Docs who subscribe, would volunteer 1 hour per month to
anonymously review those rare cases (in their specialty &
country only). They'd do this as they know that they would
get the benefit.
Also, malpractice insurance claims should drop severely, and
the premiums/costs should drop accordingly.
[link]
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A better solution would be to ensure that
countersuits are brought automatically against all
malpractice claims, by the relevant health authority. |
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Hi sophy, long time no see. I like your idea, and
understand that M.D. intimidation-like stupor that
takes over us when seeing the doc sometimes. This
would help us by having a reference to the visit. + |
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[+] A simple solution is to take a small mp3 recorder in to your visits. Later on you can review the tape, look up words in the dictionary, have an audio specialist translate the mumbling, etc. I'm not sure a video would be an improvement unless it's part of the examination, focused on the foot the size of a watermelon, or tarantula happily nesting in the navel. |
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The problem is in cases of actual malpractice the
videos would get "accidentally" deleted. |
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Great idea, but I am skeptical. I'm reminded of a
patient who went ballistic one night around 3 A.M. on
the medical ward. Seems she was bored and decided
to read her chart from the foot of her bed. |
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She was demanding that her nurse be fired and she
was going to sue the hospital. I did my best to calm
her down and try to understand the kerfuffle. She
said the nurse was calling her horrible names! |
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Me: "Okay, what did she call you?" |
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Her: "She wrote in my chart that I was a little son-of-
a-bitch!" |
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Me: "Did she write that EXACTLY in the notes?" |
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Her: "No, she wrote that I was a little SOB!" |
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Me: "Were you having BREATHING problems earlier?" |
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Her: "Yes, I was a little short of breath." |
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<cue the Jeopardy theme song>
Long pause... |
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Bliss: thanks. I miss the HB but am never gone
entirely. |
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FlyingToaster: Yes, audio's good enough sometimes.
Video is just better esp. if a visual diagnosis is
involved, or a procedure done. (Surgery Dash Cam) |
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Voice: Good catch. How about we store it all on the
cloud, & nothing is deletable. |
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Klaatu: Glad it worked out! |
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Yes, the reason this is only half-baked is that there
are so many psychological reasons & strange
people/scenarios where the video could be taken
out of context wrong, by f'd up people, making
things worse. |
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There needs to be an escrow-type system for this -
independent archival. Be good for ATOS interviews
too, as if that would ever happen. |
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Perhaps the records could only be accessed with the explicit permission of both the doctor and the patient. (and court order of course) |
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I think a lot of malpractice is not about action but
inaction. Doc should have done x, should have
ordered x, missed chance to act on x. |
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// I'm not a huge fan of cloud-based storage for really
important stuff. // |
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I'm not either, nor am I a huge fan of cloud-based storage
for confidential medical records; I have a hard enough time
with various MDs emailing each other about me. |
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Hmm, could lead to over-investigation is how I take
that, [bungston]. |
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No-one gets sued for over investigation. It is the
pillar of defensive medicine. |
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