“A Thin White Line Between Doctors” is somewhat of a surprise to me but as I think about criticizing others, part of me understands. Have you ever witnessed poor performance and yet said nothing? I certainly have. It’s hard to “tattle”.
A number of years ago, I had dental surgery which did not heal properly. The site had been contaminated with Klebsiella pneumoniae which required several surgeries and 7 months to heal. Did I sue?? No. I couldn’t bring myself to participate in this unpleasant system. I have no idea how many other people had a similar experience because I did nothing. Recently, my friend’s husband died. He had elective surgery with no scheduled follow up. He called his doctor’s office reporting unexpected symptoms and was given an appointment 3 weeks out. He called again and again but he died two days before his appointment. Is his widow going to sue? No. Too much of an emotional drain. Trust me. I get it.
From the standpoint of ethics, both of us have made the wrong decision. A deciding factor in making an ethical decision is considering how many people will be harmed by the decision. As an ER nurse, it was important to weigh a patient’s right to confidentiality vs. public safety. In the case of significantly compromised doctors, how many will be hurt if a hospital or medical society intercedes? Probably one: the doctor. (This could even be a turning point for the doctor if he or she seeks treatment.) What about if he or she continues to practice? How many patients will be affected? It’s unknown but it seems safe to assume the potential exists to harm to more than one patient.
Does the answer lie in more regulation or oversight? Maybe. Reading this study reinforces my belief that patients need to be aware, diligent with research and be their own advocate when making decisions about health care. What do you think?
