yvonne's leg-comments so far
- here are some comments so far.. does anytone have any additional thoughts or
comments on the responses, so far?
When my son was 4 he jumped out of a swing at preschool and hurt his arm.
They x-rayed him from just below the elbow down and stated it was not broken.
They put his wrist & forearm in a splint and called it a sprain. My son became
left handed...he just refused to use that arm and was in severe pain if you
twisted the splint in any way. So.....I took him back and made them recheck
it. They x-rayed the elbow and he had broken the end of his ulna off. Then I
took him to a pediatric orth. physician. I read medical records every day and
doctors are not gods. You have to be a responsible parent and/or patient.
The pediatrician could have personally called the orthopod. Maybe through a
personal phone call, that doctor would have been able to clear his/her
schedule for a referral patient.
2. The othopod should have said she was not familiar with pediatric cases.
3. The orthopod should have listened to the patient whose complaint of
thigh and knee pain may have suggested a more comprehensive evaluation. Since
the thigh is between the hip and knee, an x-ray of the hip should have been
4. The pediatrician suspected a tumor in the knee. Since one was not
found, the orthopod should have at that point x-rayed the hip. The orthopod did
the minimal amount of work. Had she been more thorough, she would have found
Yvonne should have undergone an MRI, plus a cat scan
How can any doctor rely on just X-Rays is beyond me!I I was almost passed
over because a so called Doctor said I needed an operation for a deviated
Septum when in reality I had a Brain Tumor!
I thank God every day that my little MD sent me for the MRI after a Ct scan
I myself was 47 years old at the time,an I didn't know what to do!
To ignore a teenager's complaints of pain is Criminal!
Far too many doctors just routinely go through an exam and never get to
the bottom of the problem. Every thing is Test,Test Test!
When was the last time a doctor took the time to ask you your complete
medical history an that of your Family?
So many times this has a part of why you are sick!
Wow. I think Yvonne is actually in a great position (legally speaking) and
the defendant better evaluate their exposure a little more carefully. A
specialist does not honestly expect to be able to rely on "subjective"
complaints, i.e. (patient complains of knee pain) and stay focused on that area. They
are the SPECIALIST, and ER doctor takes the Subjective complaint, Objective
signs, makes an Assessment and Plan. It's the SOAP method. A specialist
takes all the subjective data (patient claims, patient reports, etc.) and They
objectively investigate, assess, plan. This ortho was merely an Urgent Care
practicioner. And then to cancel the appointment due to insurance status? We
treat patients not payments... The too busy specialist who referred it to
another colleague had better learn a lesson here, what would they have
x-rayed? The Standard was breached, and that girl is entitled to her payday.
I'd like to know what ortho group it was so that my children never go to
narrow minded specialists....
I'd go after the doctor, assuming that her pediatrician sent
her there because of complaints about her THIGH & KNEE, The
orthopedist states that Yvonne only complained about her knee
hurting, but the referral was done because the knee and thigh were
hurting. The orthopedist's diagnosis was hamstring tendinitis which
usually only involves pain in the knee. Since there was pain in the
thigh, she should have ran other tests.
I wonder how much the orthopedist cares about her patients if she
refuses to see a patient because her office was too lazy to call the
pediatrician who referred her to them for an extension of the
original authorization. As far as I know once an authorization is
given followups are allowed. Did the orthopedist's staff actually
call either the pediatrician or the insurance company before
summarily sending Yvonne home?
I gather the bit about the titanium is the orthopedist acknowledging
she screwed up and is trying to mitigate damages. As far as I can
tell both techniques are approved. There is not enough detail on the
operations. I gather only part of the femur was replaced but
problems developed. If the femur was weakened from the cancer I
don't know how using titanium would have reduced the risk of the bone
re-fracturing. Of course a complete femur replacement cold have been
done, but does anyone really want to replace a good hip socket on a
teenager given that the original socket is superior to anything we
have been able to come up with. You are not talking about replacing
a defective socket on a sixty year old who might only use it twenty
years but a teenager who will be using it sixty plus years. I don't
think there is a clear cut case that the procedure the oncologist did
causes a reduction in damages to the orthopedist.
On a final note, anytime I have been referred to a specialist, the
necessary portions of my file or a summary have been shipped to the
specialist. This allows a doctor to doctor interaction not just a
patient doctor interaction with two people who have no history
A physician should NEVER assume that just because a
patient complains of pain in one certain part of their
body, that the actual problem lies there within.
Many problems tend to actually be somewhere else, but
somehow the pain winds up in a different place.
Aren't we always told that when you indigestion, DO
NOT assume it is your stomach?? It could be a sign of
a heart attack.
My mother passed away from pancreatic cancer. How was
it detected...by a blood clot in her foot! Now
whoever would think that something so low in your body
was an indication that something was awry in your
pancreas? When I was told that, I was shocked. I was
informed that this was one of the first signs that
needed to be explored because of a potential
connection between her problem in her foot and the
pancreas. How amazing, considering the fact that I
had been in the medical profession for 17 years.
Shame on that doctor for making a wrong guess, for not
taking it one step further and for causing so much
grief for this poor child and her family. This was NO
captain of the ship!
The ortho's use of bone instead of titanium is not a varience from protocol
is a choice he or she makes to get the desired outcome. The ortho that did
get x-rays of hip will say that she was only treating the knee pain and had
pt. returned she would have looked for other cause.
My response to this case summary is that I agree with Yvonne's case summary.
Reason being is that my son is in the military and he is experiencing knee
pain. He had numerous tests done on his knees and they can't seem to find
anything wrong. They now want him to get out of the army or take a desk job
because his knee problems hinder his ability to do his job as a combat medic.
Instead of trying to find the source of the problem, they are now giving him
narcotics for pain and basically his walking papers even though he doesn't
want to give up his army career. I feel that either the doctors are
uneducated/unqualified when they make these diagnoses, they are too lazy to do follow
up testing OR they think that the pain someone feels is all just in the
**************Biggest Grammy Award surprises of all time on AOL Music.
[Non-text portions of this message have been removed]