Wednesday, February 13, 2008

medico-legal .....

There was this news today regarding a O+G doctor being charged... there was this lady with thyrotoxicosis G1P0 with twins pregnancy and follow up in a famous O+G hospital. The lady had a premature rupture of membrane at 31 wks. She later had acute respiratory failure secondary to pulmonary edema. The twins were delivered early but later expired due at 1 months and 5 months old respectively. The family claimed that the doctor did not intensively follow up the thyroid function test....anyway the prosecution decided to charge the doctor pending the investigation from the medical-malpractice committe...

Yet another typical case of lack of trainning...just 3 years of training and one could sit for the board...lack of medical and surgical training...I doubt the doctor could inteprete the thyroid function test...the O+G had become one of the thoughest branch in the medical society here - the insurance premium is high and lots of young specialist earning less than a medical resident...some of the specialist had switched line to do cosmetic....

I recalled another news few weeks ago...involving my ex-classmate. I am not very familiar with him - but he was one of the top in our class. Graduated and stepped into ENT(one of the hottest..) field in an local medical center. He had treated a child with otitis media and cholesteatoma with surgery and 10 months later, re-ops the child as symptom recurred. He had however "removed"(or over drilled?) the cochlear and injured the facial nerve. He did not tell the family about the removal and the child did not recovered from the facial nerve palsy...my ex-classmate is currently happily doing his PhD. in US P..burg university and the poor child suffering from hearing loss and facial palsy...I wander if he would come back...I did not agree with the hiding part - if you done a mistake : admit it , not hide it and prayed that no one could recognized the problem...


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