Friday, April 10, 2009

Missed Fractures

"Don't you question the doctor?" asked Bryce. I took several slow breaths before replying as I was becoming more agitated with every word Bryce said. "No Bryce, we never advocate for the patients. We let the doctor do as he wants" I replied. "You what?" Bryce exclaimed. Caught off guard by my comment Bryce seemed to miss the sarcasm in my voice. Bryce is the head of the complaints department. I don't know how he got the position, especially as he is not a doctor or a nurse, although he did once work as an assistant in a lawyer's office.

"Bryce, we always advocate for our patients, but if the doctor says the x-ray is fine, then I tend to take his word for it. I'm not an x-ray specialist" I said.
"Well, the family are complaining because they say Miss Putin now needs surgery because the doctor missed the fracture on the x-ray. You were right there, you saw the x-ray" Bryce said.
"Are you saying it's my fault then? That I should have seen the fracture that even the most senior doctor on duty didn't pick up?" Bryce shook his head, "No, no, that's not what I mean" Bryce said almost apologetically.

"Bryce, why am I even here? This is between you and the doctor who saw the x-ray" I said. "But you were there, you saw everything. This was your patient" he said. "Well, if you want my opinion, well, here's how I see it. First, the patient apparently has a tiny break in the tail bone. She wasn't in that much pain. She wanted to go home. You don't do surgery for a broken tail bone. Oh, and this happened six months ago and we don't have the x-ray to confirm that there really is fracture that has been missed" I paused for breath. "When you put this whole thing together, this sounds like a load of shit."

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