Comments on: The Biggest Malpractice Suit Ever? http://sepiamutiny.com/blog/2008/03/14/the_biggest_mal/ All that flavorful brownness in one savory packet Sat, 30 Nov 2013 11:11:28 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Me http://sepiamutiny.com/blog/2008/03/14/the_biggest_mal/comment-page-2/#comment-216586 Me Tue, 23 Sep 2008 14:18:42 +0000 http://sepiamutiny.com?p=5093#comment-216586 <p>To the moron that states that the American Government infects blacks with AIDS???? AIDS was created by fecal matter getting into the delicate area of the anus and rectum from damage caused by friction....unlike the vagina that has thicker skin and membranes to handle friction caused by sex. Many African Americans are in the closet about their sexuality as well as all races. AIDS is pretty much poop getting into the bloodstream....kinda like MRSA. This is the reason why many with AIDS contract hepatitis. Keep your ignorant conspiracy theories to yourself.</p> To the moron that states that the American Government infects blacks with AIDS???? AIDS was created by fecal matter getting into the delicate area of the anus and rectum from damage caused by friction….unlike the vagina that has thicker skin and membranes to handle friction caused by sex. Many African Americans are in the closet about their sexuality as well as all races. AIDS is pretty much poop getting into the bloodstream….kinda like MRSA. This is the reason why many with AIDS contract hepatitis. Keep your ignorant conspiracy theories to yourself.

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By: DaveInTonopah http://sepiamutiny.com/blog/2008/03/14/the_biggest_mal/comment-page-2/#comment-213137 DaveInTonopah Fri, 22 Aug 2008 02:49:07 +0000 http://sepiamutiny.com?p=5093#comment-213137 <p>The real bad part of this is that the State Board of Nursing has not published the names of the five CRNAs who surrendered their licenses. So did these anesthetists actually surrender their licenses? You sure can not tell from the Board of Nursing website. Here it is months after the news broke and they still have not posted the names as they have done in all other disciplinary actions. And that leads to a second question, "Which licenses did they surrender?"</p> <p>To practice in Nevada they need two licenses, one as a RN and one to be an anesthetist. If these five surrendered their anesthesia license they may still have their RN license and may still be working and giving drugs in Nevada. Was part of the surrender deal an agreement not to publish the names in the Board of Nursing website? Just why has the Board of Nursing chose not to release the information and confirm the surrender?</p> <p>This is starting to reek of a cover up. If the names are not listed with the next release of disciplinary actions, that is three times the Board has not released the information. Three strikes and they are out. Then it shall be time to investigate the Board of Nursing as they are the Board of Medicine.</p> The real bad part of this is that the State Board of Nursing has not published the names of the five CRNAs who surrendered their licenses. So did these anesthetists actually surrender their licenses? You sure can not tell from the Board of Nursing website. Here it is months after the news broke and they still have not posted the names as they have done in all other disciplinary actions. And that leads to a second question, “Which licenses did they surrender?”

To practice in Nevada they need two licenses, one as a RN and one to be an anesthetist. If these five surrendered their anesthesia license they may still have their RN license and may still be working and giving drugs in Nevada. Was part of the surrender deal an agreement not to publish the names in the Board of Nursing website? Just why has the Board of Nursing chose not to release the information and confirm the surrender?

This is starting to reek of a cover up. If the names are not listed with the next release of disciplinary actions, that is three times the Board has not released the information. Three strikes and they are out. Then it shall be time to investigate the Board of Nursing as they are the Board of Medicine.

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By: Krystal http://sepiamutiny.com/blog/2008/03/14/the_biggest_mal/comment-page-2/#comment-206857 Krystal Mon, 23 Jun 2008 18:12:41 +0000 http://sepiamutiny.com?p=5093#comment-206857 <p>regardless of if there death sentences they are still disease and infections that could have been prevented and ruined peoples lives... 1 question how would you feel if you had it and the possibilities of giving it to other people and your children you should really think before you say "They are not death sentences" because who wants to be sick or take medication for the rest of your life because a doctor which we trust with our lives was careless!!!</p> regardless of if there death sentences they are still disease and infections that could have been prevented and ruined peoples lives… 1 question how would you feel if you had it and the possibilities of giving it to other people and your children you should really think before you say “They are not death sentences” because who wants to be sick or take medication for the rest of your life because a doctor which we trust with our lives was careless!!!

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By: HorrorofHepC http://sepiamutiny.com/blog/2008/03/14/the_biggest_mal/comment-page-2/#comment-199028 HorrorofHepC Wed, 09 Apr 2008 09:36:26 +0000 http://sepiamutiny.com?p=5093#comment-199028 <p>Any medical professional that deliberately reused a needle on another person and also knew there are life-threatening diseases that pass from shared needles, should be put in prison just like a murderer and for every life they have harmed, the time increased.</p> <p>And for all you absolutely insensitive boobs who believe, "oh it's not so terrible having HiV and Hep C," you must but OUT OF YOUR MIND! To even say such a thing is horrible much less infer it on the www.</p> <p>I have Hep C thanks to the medical community giving it to me. I have spent the first 20 years of my adulthood tiring too easily and the last 8 years incredibly sick. Enduring doctor after doctor failing me and then the unethical doctor, who professes to be a Hep C expert, deliberately withholding medicine from me to protect her HMO corporate goals. I was too naive to think there are criminal doctors but it's true. Sin is an equal opportunity inevitability.</p> <p>I hope it's possible that some of this is ignorance of how this needle can spread disease, but my intelligence says nope to that hope.</p> <p>My experience has taught me that there is much that needs to improve in the practice of medicine. I have a very good suggestion on how to help the Hep C doctors due a better job of qualifying the danger there patient is in but I am not optimistic that I can penetrate the arrogance of the elitist system. I am open to rebuttle on my pessimism and forgive me if I am being unfairly harsh.</p> <p>To all the victums of this tragedy, I am so happy you have each other for support and too fight this injustice and I pray there is fierce punishment if negligence is absolute.</p> Any medical professional that deliberately reused a needle on another person and also knew there are life-threatening diseases that pass from shared needles, should be put in prison just like a murderer and for every life they have harmed, the time increased.

And for all you absolutely insensitive boobs who believe, “oh it’s not so terrible having HiV and Hep C,” you must but OUT OF YOUR MIND! To even say such a thing is horrible much less infer it on the www.

I have Hep C thanks to the medical community giving it to me. I have spent the first 20 years of my adulthood tiring too easily and the last 8 years incredibly sick. Enduring doctor after doctor failing me and then the unethical doctor, who professes to be a Hep C expert, deliberately withholding medicine from me to protect her HMO corporate goals. I was too naive to think there are criminal doctors but it’s true. Sin is an equal opportunity inevitability.

I hope it’s possible that some of this is ignorance of how this needle can spread disease, but my intelligence says nope to that hope.

My experience has taught me that there is much that needs to improve in the practice of medicine. I have a very good suggestion on how to help the Hep C doctors due a better job of qualifying the danger there patient is in but I am not optimistic that I can penetrate the arrogance of the elitist system. I am open to rebuttle on my pessimism and forgive me if I am being unfairly harsh.

To all the victums of this tragedy, I am so happy you have each other for support and too fight this injustice and I pray there is fierce punishment if negligence is absolute.

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By: ebeth http://sepiamutiny.com/blog/2008/03/14/the_biggest_mal/comment-page-2/#comment-197546 ebeth Thu, 20 Mar 2008 22:50:39 +0000 http://sepiamutiny.com?p=5093#comment-197546 <p>Yes. I was exaggerating for effect. There are some 180s and 160s out there and that, my friend, is nothing to sneeze at.</p> <p>I guess my point was that in addition to the feelings of fear, apprehension and embarassment a patient feels the last thing he should have to worry about is human integrity... Integrity of the insurance companies, center administrators, providers and most of all the GD nurse who should have know better.</p> Yes. I was exaggerating for effect. There are some 180s and 160s out there and that, my friend, is nothing to sneeze at.

I guess my point was that in addition to the feelings of fear, apprehension and embarassment a patient feels the last thing he should have to worry about is human integrity… Integrity of the insurance companies, center administrators, providers and most of all the GD nurse who should have know better.

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By: Nayagan http://sepiamutiny.com/blog/2008/03/14/the_biggest_mal/comment-page-2/#comment-197500 Nayagan Thu, 20 Mar 2008 17:41:05 +0000 http://sepiamutiny.com?p=5093#comment-197500 <p>http://www.insurancejournal.com/news/east/2008/03/20/88412.htm</p> <p>here's another malpractice award involving a desi doc--$19M.</p> http://www.insurancejournal.com/news/east/2008/03/20/88412.htm

here’s another malpractice award involving a desi doc–$19M.

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By: mankanwal http://sepiamutiny.com/blog/2008/03/14/the_biggest_mal/comment-page-2/#comment-197455 mankanwal Thu, 20 Mar 2008 07:30:02 +0000 http://sepiamutiny.com?p=5093#comment-197455 <p>just to follow up on ebeth,</p> <p>I did 300 of these last year and I only used propofol once in a non intubated patient, of the remainder i only witnessed 15 people who could not be sedated properly with versed, so I don't think you need proprfol. (that being said I ave only done these and never received one) Additionally, there are disadvantages to using propofol, the first is that the sedation is deeper, so you need more monitoring and the deeper the sedation the higher the risk. Secondly, blood pressures can drop to unsafe levels with higher doses and 3rd, one of the biggest and most dangerous complications of a colonoscopy is a perforation of the colon, this happens when there is a lot of pressure on the colon from the scope. Endoscopists can use the feel of the scope, and the reaction of patients to know when there is excess tension, with propfol patients can not let you know there is pain or discomfort so you have a higher chance of perforating. Of course as ebeth said, the insurance companies dont consider this when considering payment, they just look at money.</p> <p>Oh and the scope is only 150 cm long and typically only 80 to 90 are in a person...not 6 feet</p> just to follow up on ebeth,

I did 300 of these last year and I only used propofol once in a non intubated patient, of the remainder i only witnessed 15 people who could not be sedated properly with versed, so I don’t think you need proprfol. (that being said I ave only done these and never received one) Additionally, there are disadvantages to using propofol, the first is that the sedation is deeper, so you need more monitoring and the deeper the sedation the higher the risk. Secondly, blood pressures can drop to unsafe levels with higher doses and 3rd, one of the biggest and most dangerous complications of a colonoscopy is a perforation of the colon, this happens when there is a lot of pressure on the colon from the scope. Endoscopists can use the feel of the scope, and the reaction of patients to know when there is excess tension, with propfol patients can not let you know there is pain or discomfort so you have a higher chance of perforating. Of course as ebeth said, the insurance companies dont consider this when considering payment, they just look at money.

Oh and the scope is only 150 cm long and typically only 80 to 90 are in a person…not 6 feet

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By: ebeth http://sepiamutiny.com/blog/2008/03/14/the_biggest_mal/comment-page-2/#comment-197418 ebeth Wed, 19 Mar 2008 23:14:29 +0000 http://sepiamutiny.com?p=5093#comment-197418 <p>Depending on type of anesthesia given, it is routine for RNs to push sedative drugs. It is standard practice in most free standing ambulatory surgical centers depending on what the specific drug is. Guidelines vary slightly from state to state. If a patient, however, needs sedation of a higher level than what RNs can push through a syringe AND this deeper sedation requires monitoring by an MD (as with Propofol), then the big guns are called in. What they use and who they use to sedate people is based on each individual patient's tolerance to sedatives ,difficulty and length of the case as well as other issues that vary from patient to patient.</p> <p>Yes, everyone wants to be knocked out, but that doesn't happen unless big bad Propofol and an anesthetist are used. You don't get it if you don't ask your doc for it. Now, even if you ask for it you still may not get it. Major insurance companies,like Aetna, will not pay for your colonoscopy if you get propofol... unless you meet their requirements. They feel that using Propofol and an anesthetist drives up the cost of the procedure. So, as long as it is less money out of their pockets, they don't mind that you are writhing in pain (even moderately sedated) asking for your "Mummy" to make it stop. This is an uncomfortable procedure, people! Just because they can Versed away your discomfort during the procedure, doesn't mean that there was no pain.To compound this unpleasant experience, now you have to worry about weather you've got the last patient's Fentanyl backwash in your veins.</p> <p>All this while six feet of scope disappears up your arse.</p> Depending on type of anesthesia given, it is routine for RNs to push sedative drugs. It is standard practice in most free standing ambulatory surgical centers depending on what the specific drug is. Guidelines vary slightly from state to state. If a patient, however, needs sedation of a higher level than what RNs can push through a syringe AND this deeper sedation requires monitoring by an MD (as with Propofol), then the big guns are called in. What they use and who they use to sedate people is based on each individual patient’s tolerance to sedatives ,difficulty and length of the case as well as other issues that vary from patient to patient.

Yes, everyone wants to be knocked out, but that doesn’t happen unless big bad Propofol and an anesthetist are used. You don’t get it if you don’t ask your doc for it. Now, even if you ask for it you still may not get it. Major insurance companies,like Aetna, will not pay for your colonoscopy if you get propofol… unless you meet their requirements. They feel that using Propofol and an anesthetist drives up the cost of the procedure. So, as long as it is less money out of their pockets, they don’t mind that you are writhing in pain (even moderately sedated) asking for your “Mummy” to make it stop. This is an uncomfortable procedure, people! Just because they can Versed away your discomfort during the procedure, doesn’t mean that there was no pain.To compound this unpleasant experience, now you have to worry about weather you’ve got the last patient’s Fentanyl backwash in your veins.

All this while six feet of scope disappears up your arse.

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By: gm http://sepiamutiny.com/blog/2008/03/14/the_biggest_mal/comment-page-2/#comment-197389 gm Wed, 19 Mar 2008 19:12:08 +0000 http://sepiamutiny.com?p=5093#comment-197389 <p>"<i>68 · <B>Vegas Patient</B> <a href="http://www.sepiamutiny.com/sepia/archives/005093.html#comment197350">said</a></i></p> <blockquote> Stuff like this is why Indian people don't trust their own kind. </blockquote> <p>"</p> <p>Wow, thought I was the only one who had that idea. (By the way, I wish you good luck and hope all is well for you and all of the other clinic patients #68)</p> <p>This really hurts me deeply say this. I have been to 9 Desi doctors/dentists over the past 30 years or so. I have only seen (a grand total of) one Desi physician who was helpful to me and unfortunately he relocated to another state. Be fully aware this is <b>only my experience</b>, but my non desi physicians & dentists are way nicer ,more competent and never make me feel rotten about myself. I believe in the patient doing whatever they can for their own health, so I am no overeating, drug abusing, smoking couch potato at all.</p> <p>I have lived in six states and always changed physicians/dentists with every move. I treat everyone with proper respect and realize not everyone will act respectfully in turn, but most all of the Desi doctors/dentists I have consulted were rather brusque, condescending and even incompetent in some cases. This is one reason why I don't choose a brown physician, even though I am very much a brown person myself. I have had too many terrible experiences. Maybe the desi physicians don't want to look like they are giving extra help/favors to brown patients, i don't know (I never demand extra time/favors, services for nothing, + i always pay and show up on time, etc.) Just to reiterate, this is only my experience and it is a very limited sample. Maybe the "second generation" MDs etc are better. There are always two sides to every story, of course. However, I treat everyone the same and with respect regardless of color, status, but for some reason, i have better results with non brown medical professionals.</p> <p>In one instance, there was one northie physician who often made fun of southies (indian), their names etc. I happen to be an andhra southie and it made me wonder if he had some bias against southies like me. For the record, I never brought up the issues of being a fellow Indian, north or south, or try to bond in some way when I saw the Indian physicians. I was very business like and refrained from any small talk out of respect for the physcian's time. I stopped going to that person and I later found out that three other patients (one non Indian included) did not care for him and a bad time too. Luckily, we have choices in this system and you are always free to look elsewhere.</p> 68 · Vegas Patient said

Stuff like this is why Indian people don’t trust their own kind.

Wow, thought I was the only one who had that idea. (By the way, I wish you good luck and hope all is well for you and all of the other clinic patients #68)

This really hurts me deeply say this. I have been to 9 Desi doctors/dentists over the past 30 years or so. I have only seen (a grand total of) one Desi physician who was helpful to me and unfortunately he relocated to another state. Be fully aware this is only my experience, but my non desi physicians & dentists are way nicer ,more competent and never make me feel rotten about myself. I believe in the patient doing whatever they can for their own health, so I am no overeating, drug abusing, smoking couch potato at all.

I have lived in six states and always changed physicians/dentists with every move. I treat everyone with proper respect and realize not everyone will act respectfully in turn, but most all of the Desi doctors/dentists I have consulted were rather brusque, condescending and even incompetent in some cases. This is one reason why I don’t choose a brown physician, even though I am very much a brown person myself. I have had too many terrible experiences. Maybe the desi physicians don’t want to look like they are giving extra help/favors to brown patients, i don’t know (I never demand extra time/favors, services for nothing, + i always pay and show up on time, etc.) Just to reiterate, this is only my experience and it is a very limited sample. Maybe the “second generation” MDs etc are better. There are always two sides to every story, of course. However, I treat everyone the same and with respect regardless of color, status, but for some reason, i have better results with non brown medical professionals.

In one instance, there was one northie physician who often made fun of southies (indian), their names etc. I happen to be an andhra southie and it made me wonder if he had some bias against southies like me. For the record, I never brought up the issues of being a fellow Indian, north or south, or try to bond in some way when I saw the Indian physicians. I was very business like and refrained from any small talk out of respect for the physcian’s time. I stopped going to that person and I later found out that three other patients (one non Indian included) did not care for him and a bad time too. Luckily, we have choices in this system and you are always free to look elsewhere.

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By: Vegas Patient http://sepiamutiny.com/blog/2008/03/14/the_biggest_mal/comment-page-2/#comment-197350 Vegas Patient Wed, 19 Mar 2008 11:09:12 +0000 http://sepiamutiny.com?p=5093#comment-197350 <p>I received a colonoscopy at this Las Vegas endoscopy center (as did my parents). I'm not really the type to feel much pain and suffering; honestly, I doubt I'll feel any outrage unless I've actually contracted a disease. But I will say this:</p> <p>The place was entirely a production line. You get there and find out that they're already 2 hours behind schedule. You complain in vain to receptionists and assistants who nod knowingly, because they've heard it all before. But what can you do? Leave? <b>Let me remind you that you've just spent the previous day fasting and drinking about a gallon of disgusting liquids intended to clean you out. You don't want to do that again anytime soon. You are the very definition of a captive audience.</b></p> <p>As a former retail business co-owner, I'm all about being greedy and cutting corners and taking any possible advantage over unsuspecting customers. So I understand what Dr. Desai is all about. The difference, though, is that my practices weren't creating a public health risk, and I never had to take a professional oath.</p> <p>Stuff like this is why Indian people don't trust their own kind.</p> I received a colonoscopy at this Las Vegas endoscopy center (as did my parents). I’m not really the type to feel much pain and suffering; honestly, I doubt I’ll feel any outrage unless I’ve actually contracted a disease. But I will say this:

The place was entirely a production line. You get there and find out that they’re already 2 hours behind schedule. You complain in vain to receptionists and assistants who nod knowingly, because they’ve heard it all before. But what can you do? Leave? Let me remind you that you’ve just spent the previous day fasting and drinking about a gallon of disgusting liquids intended to clean you out. You don’t want to do that again anytime soon. You are the very definition of a captive audience.

As a former retail business co-owner, I’m all about being greedy and cutting corners and taking any possible advantage over unsuspecting customers. So I understand what Dr. Desai is all about. The difference, though, is that my practices weren’t creating a public health risk, and I never had to take a professional oath.

Stuff like this is why Indian people don’t trust their own kind.

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