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Dan...'s avatar

“...Most physicians believed... because, you know, it was a viral pneumonia... The fact that there was no live virus in the hospital phase of the disease showed this to be a tragic error borne of ignorance...”

“Error” is an exceptional event that disrupts the course of the routine. Once it happens, the routine should be stopped to find out the cause, examine its nature, and make corrections necessary to ensure error-free flow of the routine. That’s common sense. That’s also the standard way of handling errors in every imaginable field of human activities, from computer programming to air traffic control to manufacturing electrical components and more, much much more. All over the world, in all businesses, in all areas, there is no room for “ignorance” causing more than one error. If you allow a second error, you will lose business, pay huge damages and compensation, and suffer huge financial losses in the defective manufacturing process.

Why should medicine be any different?

When one patient dies on your ward, on your watch, with your signature - you must immediately stop all running processes related to the deceased and their circumstances. It’s common sense. And criminal liability. You must immediately examine all factors down to the smallest detail. If you don’t do this and you blindly fly into more deaths, it’s gross negligence and outrageous betrayal of your profession.

If you skip this step, or force “but we follow all proper guidance” on your mind, you are not fit for any profession related to human health.

The ventilatorgate simply exposed the underlying acceptance of non-thinking throughout the healthcare environment worldwide. There is no going back to “trust” after this. What’s worse is that we are observing the continuous aggravation of neglect in medicine despite the persistent fourth year of a medical disaster of the scale that has never happened before.

Error?

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Pierre Kory, MD, MPA's avatar

Well said. Spot on.

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Jennifer Jones's avatar

I agree with you that in quite a number of cases, it's criminal liability. Proving "Liability" is difficult, but it gives the prosecuting attorney some reasonable options. There is no need to prove the very difficult proof of "Intent." "Negligence" and causing harm and death "With Knowlege" is enough to get punishment that some of these doctors deserve. I say "some." Not all. But some who knowingly treated their patients poorly should lose their livelihood. After all, if a an associate attorney royally screws up a case, word gets out, and they have very few opportunities, if any, opportunities to salvage the career that they went to college seven years and took out,an $80,000+ year they still have to pay back.

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Dan...'s avatar

For clarity, I don’t mean accusation and I am certainly far from “punishing”. My point is that in a job concerning human health/life, even minor mistakes may trigger and avalanche of problems. Medicine is a tough job, and all those who work in it have my respect. Except those who do not take their job seriously - as they should.

Liability is a concept present where our actions (or their absence) may cause damages, potentially impossible to repair. It’s a warning sign for those who perform the job. “It’s a serious stuff, you better be sure what you are doing.”

Litigation is another thing, with the humane purpose of compensating suffering where it should not have happened and where it could have been avoided. No punishment there.

Removing a negligent nurse or doctor from their functions, possible for life, is not revenge or punishment. If they failed where they should not, and they do not recognize how their non-thinking destroys lives of others, they simply are in a wrong business. They should never “care” about anything, just because their minds are not wired for caring. They can earn millions, manage thousands of employees, head huge hospitals or small wards, still they are a wrong person in a wrong place. Their mindset is better qualified for other jobs - and I mean it in a positive sense. In most cases you can see from their behavior, appearance, eyes, or the way they express themselves. They hate this job. And they are stuck in it for various reasons. Somebody should help them to become healthy again. A healthy nurse or doctor is a blessing. There are so few of them.

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Jennifer Jones's avatar

You call it potato. I call it potatoe.

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Dan...'s avatar

Different names, different tastes. Care to share? :-)

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