September 10, 2007

Why Is This Funny?

 

Because it's true. 

Is the thing going to be serious, or not?  If you think not, then monitoring it won't make any difference because it won't be serious.  If you think it could be serious, then you should be monitoring it whether or not there are lawyers in the world.  Are you saying that the only reason you would take this thing seriously is because of lawyers?  Then thank God there are lawyers. 

If you blow it off and it turns out to be serious, then you made a mistake, you were wrong.  Then becomes the question of whether you were negligent.  Would others in your profession have also blown it off?  If so, then it wasn't negligence.

Doctors often think that if they don't do something- a test, document a finding, etc-- they'll get sued.  "I have to check the level."  "I have to document "no suicidality.""  "I have do an AIMS test."  "I have to give him a copy of the PI."  The reason is "I'll get sued if I don't."

But lawyers can't sue you for not doing these things.  They only sue you when something bad happens.    If nothing bad happens, you could be drawing penguins in your chart, lawyers will never know. 

Forget about lawyers. Be a doctor: do you need to check that thing, or not?  

If your clinical behavior is significantly different because of the existence of lawyers, you need a massive overhaul of your thinking and practice.  You have lost your way.  And patients will suffer.

(See #4.) 








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Comments

September 11, 2007 2:13 PM | Posted by Cheryl Fuller, Ph.D.: | Reply

Around 9 years ago the mandated ethics course we were required to take every 2 years changed from ethics to risk management -- ie, worrying about lawyers. That's when I opted out. It's no way to be a therapist.

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September 13, 2007 7:13 PM | Posted by Richard: | Reply

Lawyers, what the fuck are you talking about? It's about MONEY!

This is what doctors would say if they were honest:

"Let's keep an eye on it because it could be very lucrative."

"I have to pay back my medical tuition."

"My Porsche is in the shop."

That's what it's about. Lawyers?! Give me a fucking break.

Abstract concepts like "lawsuits" and "medical duty" do not regulate people's behaviour.

Most people are mindless monkeys *incapable* of abstract reasoning. This is an empirically proven indisputable fact.

What kind of purchase do you think abstract concepts can have in a mind that's incapable of abstract reasoning?

Oh and I sincerely doubt doctors are abstract thinkers considering their entire education involves memorization of arbitrary concrete facts.

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October 27, 2007 8:06 PM | Posted by stylized.fact: | Reply

I've heard the claim that tort law makes it more difficult for doctors to admit mistakes. If this is so, lack of information sharing probably degrades overall quality of service.

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