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On Tue, 8 Apr 2008, Jack Smith wrote:
On Tue, 2008-04-08 at 21:04 -0500, Mike Miller wrote:
He should be surprised because the hand deformity should have been
known from the beginning.
Like Vern said, Holt-Oram is something that he might have seen somebody
present in grand rounds once or read about in a journal but likely never
saw first-hand.
John said it and I don't know why either of you think that the pediatric
cardiologist isn't more competent.
Doctors are only humans and can miss things, especially signs of very
uncommon diseases. If you see or think you see something that isn't
right, tell the doctor. It's not usually a good idea to try and "test"
the doctor by seeing if they think to ask about that finding.
I can agree with that.
Tell us what they find out next about Holt-Oram. If there are any
implications of the diagnosis for treatment, that is when you should
think about suing these people. If they are never sued, they just get
sloppier and sloppier. I'm serious. It is the only thing keeping them
honest. They get paid the same if you get better, get worse, live or
die. The only really critical feedback comes in the form of lawsuits,
and the only reason they have for doing a good job is to avoid
lawsuits.
Ah, not a bad idea. So I should go and sue any professor I think did a
subpar job teaching me the subject material. That is the only way to
keep them honest, lest they just get sloppier and sloppier in preparing
their lecture material and ruin the education of yet more students.
You don't have instructor evaluation forms to fill out? They've used them
at every school I've taught at and they seem to have a lot of influence.
If you don't think that the doctor is doing a good job, go tell him why
not and then take your business elsewhere and tell your friends. A lack
of patients will shape up a doctor a whole lot quicker than a lawsuit.
Tell all your friends -- "hey, if you guys ever have a kid with a heart
defect, don't go to this guy." That'll really kill his business.
If you go and sue the doctor, he'll almost automatically assume that you
are just fishing for money as many people do just that.
It doesn't matter what he thinks of you.
His insurance company will pay the settlement and he will pass on the
costs of lawsuits to future patients. But direct feedback or a loss of
business by bar word-of-mouth PR will make it very clear what's going on
and hit him harder in the pocketbook.
Can you give me some reason to think you might be right? It would be
different if he were a family physician in a small town with two
physicians, but he isn't and your ideas are not sensible.
The same thing works for professors. If you think that one did not do a
good job, use the end-of-term feedback to say why not and tell your
friends to avoid the professor's classes. Having an entire class full of
reviews with the same issues brought up by almost everybody and only a
handful of people signing up next semester sends a big message that gets
heard.
It doesn't work that way with physicians, especially not specialists.
Mike
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