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Re: There but for the grace of God go I . . . From: mark decker (mdecker@nconnect.net) Sun Apr 28 17:19:35 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Douglas Krell: "Re: There but for the grace of God go I . . ." Previous message: Clifford J. Goodman, Jr., MD: "There but for the grace of God go I . . ." Maybe in reply to: Clifford J. Goodman, Jr., MD: "There but for the grace of God go I . . ." Next in thread: Douglas Krell: "Re: There but for the grace of God go I . . ." HAVING BEEN THROUGH A LAW SUIT ON A CLAIMED URETERAL INJURY..<LONG STORY ON PATIENT WITH LOTS OF ENDO AND MARKED POTENTIAL FOR SCARRING WITH INJURY DISTANT FROM OR> and having won that case handidly. <while waiting nearly 5 years for it to go to court...there is a difference between maloccurrence and malpractice. At least in Wisconsin the law distinctly protects maloccurrences. a friend of mine..my malpractice lawyer tell me that the major malpractice law firms for the plaintiff in Milwaukee field 1500 calls a month <solicited in adds I might add>...they have a nurse interview 500 people for possible cases...and then they pull no more than 100-150 charts and they file on 15 of them. those are good odds and come from a senior member of that firm. at least here even the cp infant cases are won by the defense at least 85% of the time. I am not sure of where you work but he found out right away..treated it right away.. and she needs to have a permanent injury <at least here> for there to be a case. risk is accepted when a patient goes to the OR. but for the grace of god go I... new obgyn in the next town was here about a month. tried a LATVH..hit the Right Illiac artery. fixed it right away with the cardiovascular guy <after mucho blood>..patient lost her leg..35-40 y/o diabetic with vascular disease. they had gone back in twice to try to re-establish circulation but no go. Doc with him saw no error in technique. so it goes in our field. statistics only count when its not you or your patinet. tell him to take a breath..collect info from his malpractice lawyers early on but WAIT AND SEE HOW SHE DOES. JUST CUZ HUBBY'S HOT TO TROT DOES NOT MEAN SHE IS. she will have to want to sue for there to be a case anyway. been there before too. maloccurence that we fixed right away.. healed well. if you don't operate you won't have complications. but if you do operate..shit happens. Mark D. At 05:01 PM 4/28/96 -0500, you wrote: >Another question/comment for the list . . . >A friend of mine, trained after laparoscopy was fully taught in residency, is an >experienced, very skilled and competent gynecologist with excellent, mature judgment. >He has excellent laparoscopy skills, is known to be very careful, and to have an >excellent rapport with his patients. He genuinely loves and cares about his patients, >and has a very good personality. >Friday, while inserting the trochar for a diagnostic laparoscopy for a slender patient >with only one risk factor (appendectomy as teen), he got into the lower large bowel. He >recognized it immediately, had a general surgeon in from the next room in seconds. There >were no adhesions or other findings to explain why he hit the bowel. They opened the >patient, fixed the rent, and temporarily exteriorized the bowel, planning to release it >back into the peritoneal cavity in three days. My friend walked out to the waiting area, >carefully and openly reviewed the whole chain of events with the husband, who >immediately exclaimed, "You really blew it, didn't you, doc? Who is your malpractice >carrier?" Didn't even ask how his wife was doing. >I have been in practice long enough to dread being called "doc" by anybody less than >sixty years old. In the 70's when I trained, recognizing such a complication in an >informed patient (well-documented, thorough informed consent in this case) and dealing >with it appropriately was protection enough. We have seen that change, haven't we? Is >there anything anyone can add to console or prepare my friend? > -- mark decker md major surgery is done on me obgyn minor surgery I do one someone else. west bend wi I need to remember that. <perspective>. Next message: Douglas Krell: "Re: There but for the grace of God go I . . ." Previous message: Clifford J. Goodman, Jr., MD: "There but for the grace of God go I . . ." Maybe in reply to: Clifford J. Goodman, Jr., MD: "There but for the grace of God go I . . ." Next in thread: Douglas Krell: "Re: There but for the grace of God go I . . ."

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