tag:blogger.com,1999:blog-18943510.post4781124772556728487..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: The Patients Who Cry WolfDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-18943510.post-37325836352617584522009-12-23T16:24:06.203-06:002009-12-23T16:24:06.203-06:00So, let's see what we have here. In an emergen...So, let's see what we have here. In an emergency department full of patients, some (we are not told if it was more than 1) nurse cut corners while filling out forms. Why does this expose not report what the nurse WAS doing? Is it possible that she was too busy to complete every line in some Joint Commission mandated piece of nonsence because she was a little bit busy, oh, I don't know, CountyRathttps://www.blogger.com/profile/10228262536418983673noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-60849627788658275592008-07-07T21:01:00.000-05:002008-07-07T21:01:00.000-05:00anony 11:26 AM-No offense taken. Thanks for posin...anony 11:26 AM-<BR/><BR/>No offense taken. Thanks for posing your views. <BR/><BR/>There are those who are less than skilled (or even incompetent) in every profession: be they doctors or lawyers or skilled laborers or businessmen, etc. And yes, many times we realize their incompetence and fail to act overtly. But covert diversion of referrals still occurs, since a referral to a weak DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-30913702539179303672008-07-07T11:26:00.000-05:002008-07-07T11:26:00.000-05:00No offense (and I mean that), Dr. Wes, but docs do...No offense (and I mean that), Dr. Wes, but docs don't rat out other docs... We have an incredible Quack (locally). 'Practicing' homeopathy, but he is an MD. He does not TELL his patients his 'serem' is homeopathic, he just tells them they can 'do their own injections'. Now, there is NO Allergist that I know of that will allow an individual to do their own injections (more's the pity) in this Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-56823238299606327672008-07-07T09:50:00.000-05:002008-07-07T09:50:00.000-05:00I am curious if somebody with a real emergency die...I am curious if somebody with a real emergency died or was hurt because of this "mistery shopper" faking a stroke, could this be a criminal case like murder? She tied up the resources while other people with real emergencies, maybe life-threatening, maybe not life-threatening but in pain were waiting because her "need" appered higher. This is so incredibly selfish and irresponsibile. <BR/><BR/>Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-8558858924545454452008-07-06T20:49:00.000-05:002008-07-06T20:49:00.000-05:00It feels like just another example of oversight fo...It feels like just another example of oversight focused on enforcing rules, rather than determining if good care is being delivered. There is a culture of mistrust here that is unhealthy and changes the focus from a determination of whether or not quality care is being delivered to rote compliance with rules. <BR/><BR/>In the end, which is more important?Doctor Davidhttps://www.blogger.com/profile/05561641468831789428noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-44367814123668102422008-07-06T01:07:00.000-05:002008-07-06T01:07:00.000-05:00inthewild-What would work? How about actively eng...inthewild-<BR/><BR/>What would work? <BR/><BR/>How about actively engaged teams of administrators and doctors working together proactively to maintain quality, as is done in most ER's in the country?<BR/><BR/>Nowhere in medicine is there more paranoia about missing the acute patient, length of stay, time to triage, follow-up, disposition of patients, and teamwork for efficient care than in ER's.DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-8459472575191665732008-07-05T19:16:00.000-05:002008-07-05T19:16:00.000-05:00I don't disagree. But I am curious how you'd sugge...I don't disagree. But I am curious how you'd suggest figuring out if an ER "works"? The secret shopper method has definite problems in this venue. But then, so do real patient satisfaction surveys. So do things like JCAHO visits (I've worked at hospitals that give their problem employees the week off when the Joints visit). Self-studies don't often accomplish much other than self-congratulatory InTheWildhttps://www.blogger.com/profile/08409858964482531288noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-50951375098309056772008-07-05T18:37:00.000-05:002008-07-05T18:37:00.000-05:00Not to mention the stress of thinking someone has ...Not to mention the stress of thinking someone has had a stroke and them signing out AMA despite anything you say ... because they're fake. Absolutely ridiculous. Next we'll have people come in complaining of crushing substernal chest pain and then signing out AMA after they see how long it takes them to be seen.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-68399722733477568372008-07-05T12:48:00.000-05:002008-07-05T12:48:00.000-05:00Amen, brother.GruntDocAmen, brother.<BR/><BR/>GruntDocAllenhttps://www.blogger.com/profile/07007303301883671920noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-25108079382497104862008-07-05T10:38:00.000-05:002008-07-05T10:38:00.000-05:00That is the difference between people regulated by...That is the difference between people regulated by professional colleges and cut-throat business types. In that story, the bogus stroke patient had a CT! The Tribune should be doing a story on the ethics of that alone. What happens when she develops cataracts because she actually had 30 CT's.<BR/><BR/>Even if they mocked up the CT there are some serious ethical issues because time with the Ian Furst https://www.blogger.com/profile/11795888117578055704noreply@blogger.com