Do I need to mention that Conrad treating his ex fiance is a gross boundary violation and creepy?
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It’s amazing what these writers think is wrong or what goes wrong, in medicine but they have no concept of things like it’s unethical to treat friends, family, and certainly sexual partners.
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This is a rule often violated by doctors for simple things (eg my mom stitched a laceration on my ankle once), but treating your former fiance as an inpatient? Delivering news of her pregnancy? Super inappropriate.
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Who here thinks it’s weird that everyone in this hospital is treating puppies like change in the take a penny leave a penny tray?
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Now the hospital CEO is making one of the most dangerous and stupid policies imaginable - they plan to fire anyone with a high complication rates. In reality this would do 3 things - 1. Make docs select only healthy patients 2. Code shifting 3. Suppression of medical errors.
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Punitive measures for error do not actually encourage safety culture. They create the illusion of safety by incentivising dishonesty. They result in suppression of mistakes and avoidance of perceive high risk patients - the poor, the uninsured, the chronically ill and minorities
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This does happen, for instance in Britain, and the case of Dr Bawa-Garba is instructive. Basically, she was hung out to dry for a mistake anyone can make. Rather than fixing the system errors they destroyed a young physicians life. http://thehealthcareblog.com/blog/2018/01/30/to-err-is-homicide-in-britain-the-case-of-dr-hadiza-bawa-garba/ …
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This is the worst possible method to correct error as it will punish doctors taking higher risk (safety net) patients, damage careers, and ultimately fail to address the problem - systems need to be fixed/improved to prevent human error, because humans are going to make errors.
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Conrad just performed the stupidest looking abdominal exam I’ve ever seen by rolling his hands on his ex’s superficial abdominal wall and diagnosing bowel ischemia. So, that’s not an internists call, that exam is not specific and she’s way young for that to be a first guess.
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In a pregnant, young woman, if ischemia is your first guess for abdominal pain, you’re probably an idiot.
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Holy crap. This is unbelievable.
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