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Fri Jul 21 12:17:52 BST 2006

Oh my - talk about stewing in our juices...........

>>> "Thomas Anthony Horan" <thoran at sarah.br> 7/20/2006 5:37 PM >>>
Well i guess you guys will just have to get used to stewing in your juices, what is the use of talking about it if you have already accepted the situation? If you practise bad surgery based on fear of litigation, apart from being unethical behaviour on your part , how will the public ever have confidence in you. you must make an ethical descision, do what you believe, stand on your principles . Are you or are you not a "top knife"?

Good luck

Tom Horan
> ----------
> From: 	Moore, Rick[SMTP:Rick.Moore at TriadHospitals.com] 
> Reply To: 	Trauma &amp; Critical Care mailing list
> Sent: 	quinta-feira, 20 de julho de 2006 18:14
> To: 	Trauma &amp; Critical Care mailing list
> Subject: 	Spam: RE: (no subject)
> 
> No matter how you look at it, regardless of the diagnostics, surgery vs conservative management, it all boils down to; anybody can sue and once they do, for the most part your fate lies in the hands of 12 people who aren't smart enough to get out of jury duty, or worse yet, a Judge who wants to be re-elected and won't go against the public outcry of the poor patient who had all these problems and the arrogant physician who wouldn't perform the surgery that would have saved years of agony for the patient and/or family.
> REM 
> 
> -----Original Message-----
> From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Thomas Anthony Horan
> Sent: Thursday, July 20, 2006 3:59 PM
> To: Trauma &amp; Critical Care mailing list
> Subject: RE: (no subject)
> 
> dear Dr Mattox
> 
> You are absolutely right about the dangers, but the danger exist no matter what , bad practise is bad practise, excusses are simply excusses. The new different society still requires the surgeon to be the arbitor of surgical indications, not the radiologist nor the lawyer. remember that the surgeon is stuck both ways; a complication in a surgery that was not indicated is a reason for litigation  much more so than a complication after needed surgery. Thus if you are stuck in this delemma it is better to opt for the non operative approach. Surgeons need to treat patients not x-rays. communicating well with a patient is essential.
> 
> For instance, rushing to the OR to wedge out a small ground glass lesion because of the fear of a cancer is crazy. the standard of care is still observation of tiny lesions until resolution of an inflammation or growth is confirmed.  etc etc etc. New  X rays don't change indications until the randomized control study is done.
> 
> Tom
> 
> > ----------
> > From: 	KMATTOX at aol.com[SMTP:KMATTOX at aol.com] 
> > Reply To: 	Trauma &amp; Critical Care mailing list
> > Sent: 	quinta-feira, 20 de julho de 2006 17:27
> > To: 	trauma-list at trauma.org 
> > Subject: 	Re: (no subject)
> > 
> >  
> > In a message dated 7/20/2006 1:48:44 P.M. Central Standard Time, 
> > thoran at sarah.br writes:
> > 
> > The  surgeon has always been responsable to read/interpret the films, 
> > desn´t matter  plain chest or abdomen or a 64 slice CT. What you are 
> > decribing is incompetence in surgeons.
> > 
> > 
> > 
> > 
> > In a litigious society, an image reading by a radiologist which 
> > suggests a cancer or other suspicious life threatening pathology, does force the hand of
> > the surgeon to do what the imaging reading suggests.   It is the  incompetence 
> > of our system, not the surgeon.    You and I now  live in different cultures 
> > and societies than at the time when we took our  training.  
> >  
> > k
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