Our health care initiatives and debates have not improved safety or affordability in the last decade, and won’t in the next, because they are based on false assumptions, assumptions that often are defended as though they were unquestionable “truths.” And they are defended by caregivers and the patients who have faith in them.
Below is a list of many of the pages on this site.
Home Page – Patients need institutional support.
Micromanagement – ubiquitous foolishness.
Community Patient Agencies – Road map to safety.
Nequamitis – The word “Error” defeats us.
Conflict of Interest – Unacknowledged elephant in room.
Loyalty – Another reason they never will report.
White wall of silence – Solomon Asch’s study.
Blacklisting Patients – They don’t believe it.
Psychology of HCP – Should be prerequisite in med school.
Dr. Lars Aanning – delicensed for disloyalty to clan
Transparency and Dr. Hodad – Let’s get real.
Cullen, Majors, and Kashyap for example.
OSMB – State medical boards are not on your side.
Ignaz Semmelweis – They always sent patients into danger.
Dr. Benjamin Rush – It always has been this way.
Pharma – Doing their own jobs
Obama Care – Would it make food better?
State Patients Boards – You mean there isn’t one?
Why government cannot fix this – They have tried and tried.
Liability Limitations – Making targets out of a class of patients.
Studdert – Few legitimate grievances can get a lawyer.
Accident Pyramid or Safety Pyramid.
Written public policy.
5% – Protecting the problem causers.
Dead Horse – Will caregivers make health care safe?
Medical Reporting – Integrity in medicine?
Medication Error Reporting – 1.3% report rate
Mandatory Reporting – Right.
Preventable Death Rate – Estimates keep going up.
Misdiagnosis – most common cause of harm.
Silence versus safety – Trends in patient safety.
Silenced – Ameliorating gag orders.
Silencing patient advocates in healthcare.
Janice M. Scully, MD – Even when the victim is a physician.
Nurse survey – Frequency of reporting.
Nurse training – Another reason they don’t report.
Mobbing and bullying – The community punishes reporting.
/ Trust us /.
Agnotology – Self-protective ignorance.
Hospital Administration – corporate ladders.
Defensive documentation – Protects HCP, not patients.
Risk management – Patients are the enemy to them.
Second opinions – Get them.
MammoSite – Why care givers do not make medicine safer.
Mammography – Why the government cannot fix medicine.
HHS Hospital Compare – Thanks for trying, but . . .
RCA or Root Cause Analysis – a litmus test for naiveté
Josie King Foundation – The problem for most patient safety initiatives.
Books – Index of the pages about books cited on this site.
SOAP – Guide for what physicians are supposed to record.
Management Issues – Enforced institutional ignorance.
Sexual Abuse – No structures protect patients from miscreants in medicine.
Freedom of Speech for Patients – Patients should be as protected as physicians.
Defamation – Speech can be expensive.
Patient Safety – Medical mistakes and frivolous suits.
Electronic Medical Records – And we worried about Google?
Motivation to make a site like this.
Oversight – Doctors want oversight of other people.
Food for Thought
End of life planning and senior living planning in general
JCAHO – The Joint Commission on the Accreditation of Healthcare Organizations
Metal on Metal Hip Replacements
The Back Surgeon – Fiction sometimes is the best way to make problems understandable.
Author – A few lines about the author
Chalk Outline – “Save the Patients” symbol
Open letter to Daniel Shore
Journal – Abandoned diary of the path leading me to an operation that was unnecessary.
facebookization – Promotion versus exploration.
Odds – We have to have a sense of humor, don’t we?
The inscription on the CMS Hubert Humphrey Building at Harvard Medical School says, “The moral test of government is how it treats people in the dawn of life, the children, in the twilight of life, the aged, and in the shadows of life, the sick, the needy, and the handicapped.”
This is a job only part of which can be done by political entities. The patient community, as a group, must get the information and resources to protect themselves. That information is not collected anywhere by anyone at present. It is not merely a matter of asking for records. We need to collect the information that no one records – outcomes, long and short term. A firm devoted to Contact Tracing in a defined area is the only answer I can think of, one that has no ties to medicine or insurance or government – beholden only to patients.
Click links to see other sites, many of which were set up by victims of adverse events in medicine. Many of the most important and most progressive institutions in the world were set up in the same way, as responses to specific and horrible abuses. The Magna Charta was a social revolution against the specific abuses of a specific tyrant. The Magna Charta was the insistence that steps be taken to end such abuses. The bulk of the Declaration of Independence is a recounting of the abuses of George III and a declaration of the institutions that would be established to correct those abuses. Many of the web sites set up by injured patients are no different. The people who injure them continue to injure patients with indifference encapsulated in hubris and denial. They do not listen to their victims. They stymie, silence and dispense with them, usually branding them as cranks. They can do this with clear consciences because their processes by default persuade the caregivers themselves of their own innocence. And so the story told by patients tends to be the same time after time, with no one in medicine ever hearing it, as can be seen in the sites set up by some of their victims.
Is this even on the radar of anyone in medicine? Has it ever been mentioned in any important bill in Congress? Victims of it cannot create web sites making people aware of it because when they do they get sued.
That’s too bad because crime in medicine is the most important issue in medicine. When patients are not even being protected from that . . . Jesus.
On this site, the point of discussing crime in medicine is to shed light on patient safety problems. The conflicts of interest of providers is the fundamental problem. Criminal law is the first step for addressing that, but the systems, culture, mindsets and habits protect even crime in medicine. As long as that is the case, there is no hope for progress on the biggest issues. If I were to relate in detail an instance of sex abuse and violence in a hospital and how depraved the caregivers were and how they got away with it, it would be to shed light. The perpetrators of that instance are church-goers with children. They are respected members of their community (who in medicine isn’t?), but have passions that destroy people’s lives – something they can get away with because of where they work. What they do afterwards to silence their victims is the most despicable of all. How this works is important to know. We hear the statistics on how much assault, rape and homicide there is in medicine. What we don’t hear is why virtually no one is reported, let alone indicted for those crimes, why the criminals are allowed to keep committing crimes, and why we so rarely hear from the victims. If you can shed light on that, you have a duty to. When you are a victim, it is because no previous victim shed that light to protect you. For all of the errors and neglects causing the several hundred thousand unnecessary deaths each year, and many times more unnecessary injuries, the beginning of the solution is getting a handle on the intentional ones.
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In 1968 CIA analyst Sam Adams was sent to Saigon. There he discovered that intentionally incorrect information was being generated. He did not make that public. Since he did not stop it, doctored information continued to be sent to the president. Going public could have ruined his career. It even could have landed him in jail, so he didn’t. Years later he said that if he had gone public, the Vietnam Memorial would be only half as big as it is because the war would have stopped sooner and half of the people named on that monument would not have been killed. He never got over his remorse for that.
When you know a truth like that, you have a duty to tell it for the common good, even when you will suffer for doing it. It’s too bad there is almost no one in medicine interested enough in the well being of patients to do that. They won’t even let patients tell other patients what they have learned. The number of lives Sam Adams could have saved was about 25,000. In medicine they kill that many people unnecessarily every month. The people in medicine who keep their abuses quiet, and who silence the patients who try to reveal them, are far worse than Sam Adams..
one number – reporting needs to be encouraged
Petitions – Please don’t ask me to look at them anymore
Citizen oversight of Medicine – doctors cannot police doctors
Mass murder and psychotropic drugs – medicine doesn’t watch itself enough and never can be expected to. They are the wrong people for the job.