tag:blogger.com,1999:blog-32053362.post115917408055359048..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: Too sad to think aboutPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-32053362.post-1159653785895105202006-09-30T18:03:00.000-04:002006-09-30T18:03:00.000-04:00margalit - I would like to say that I am sorry tha...margalit - I would like to say that I am sorry that you had a negative experience, as well.<BR/><BR/>As a member of the pathology department I can only say that I have worked with many conscientious clinical faculty members who take their patient care duties very seriously. For many physicians I know, for the vast majority, medicine is their life's work, in every sense of that phrase. I realize this is not necessarily a comfort to you, given your experience, but I wish you to know that your comment is a reminder to me that every aspect of a patient's experience at BI is important and our ultimate responsibility as care-givers. Thank you for that reminder and I wish you the very best for the future.<BR/><BR/>Madhu Dahiya, M.D.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-1159616874256815752006-09-30T07:47:00.000-04:002006-09-30T07:47:00.000-04:00As I noted in my rules, I am not allowed to commen...As I noted in my rules, I am not allowed to comment on a specific case, but I am of course sorry about your bad experience.<BR/><BR/>As a general matter, we are very upset when a patient has a bad experience: After all, we were created and exist solely to heal people and treat them well. But with 40,000 in-patients per year and an equal number of emergency room visits, things to go wrong from time to time, and there is an extensive internal review process when adverse events occur. There is also a legal requirement to report certain types of cases to the state DPH or Bureau of Registration in Medicine. Those agencies can also choose to do an independent review.<BR/><BR/>I have sat through many of the internal reviews of adverse event cases, and I can promise you that the doctors are as critical of one another's actions in these cases as are the patients and their families. It is part of their training. They know that the only way to improve over time is to conduct hard-hearted analyses and reviews of each other's mistakes. You would be impressed by the honesty in those sessions.<BR/><BR/>Sometimes, doctors make personal mistakes that are their fault and we prescribe retraining or otherremediation. Sometimes, they are disciplined severely, including loss of privileges in the hospital, or even loss of license. Sometimes, the mistake that occurs is not their fault, but is the result of system problems in the hospital. There, we work together to improve processes to reduce the chance of that happening again. Everyone is committed to a program of constant improvement.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-1159595508542505042006-09-30T01:51:00.000-04:002006-09-30T01:51:00.000-04:00Well, I beg to differ but this NEVER happened to m...Well, I beg to differ but this NEVER happened to me when I had a second trimester loss in your hospital. I was treated VERY poorly by a particular OB who is no longer a part of the BI (thank goodness) and I had to report him for negligence. I did not sue, but I had a good case. I was in your hospital for 5 days with a life threatening infection and this particular doctor never once came to see me. Not once. The female doctors on staff, who were residents but are now attendings, were wonderful, as was the nursing staff. But the male doctor. What a waste of an education. <BR/><BR/>I've never returned to the BI after that experience and I never will. Which kind of sucks for me because I do want to support a Jewish hospital, but my experience was so bad and I had such a negative miscarriage that I just can't return.margalithttps://www.blogger.com/profile/09782326504951603071noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-1159266068690489982006-09-26T06:21:00.000-04:002006-09-26T06:21:00.000-04:00As our chief of Pathology likes to remind me, almo...As our chief of Pathology likes to remind me, almost nothing can happen at a hospital without a strong pathology department. They study millions of samples per year -- from blood tests, to pap smears, to analysis of tissues removed during procedures -- and we all depend on them to be accurate and timely.<BR/><BR/>Also, as noted above, they perform autopsies that can be extremely helpful in many ways.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-1159225119376589042006-09-25T18:58:00.000-04:002006-09-25T18:58:00.000-04:00Thank you for the recognition of Pathology, we are...Thank you for the recognition of Pathology, we are often forgotten in this process because nursing and social work are more obvious participants in the grieving process.<BR/><BR/>As the chief of autopsy and the department’s specialist in perinatal and placental pathology, I want to also emphasize the importance of getting the parents’ consent for post-mortem exams. <BR/><BR/>Our reports often focus a continuing parent-doctor (OB/perinatology) conversation that helps parents to move forward from their tragedy. Not infrequently, our findings guide medical care in the next pregnancy. Even a negative examination can give reassurance that the parents can try again.Anonymousnoreply@blogger.com