How to deal with doctors in the hospital Nhng sai lm trong iu tr trong ngnh y t M, bi vit ca BS Vi Sn :

Xin Qu ACE c k nhng kinh nghim ca BC S VI SN c th trnh c nhng sai lm to ln trong tng lai. Knh tha qu thn hu:Hm nay ti nht c trn forum bn mt l th ca anh Nguyng Minh Chu, trung t Thy Qun Lc Chin QLVNCH v l nguyn qun trng qun D An, Bin Ho vit v mt kinh nghim anh c gn y vi bc s M mt bnh vin M El Camino, California. Sau ch Phng Lan c vit th hi, loi sai lm nh vy c thc s xy ra vi BS v bnh vin M khng? Xin qu thn hu c l th ca anh Nguyn Minh Chu v sau c phn ti xin tr li ch Phng Lan v mt s qu v vit th hi trc y v ti tng t. Knh q v, y l cu chuyn xy ra ti Bnh Vin El Camino ca M. Ngy 9 thng Oct 2011, ti c cu T V Vn Lc G /IRCC t chc NH Tnh Ca Cho Em. Ti c mi n xem v nhn mt hoa Hng v Dng ln bn th v ti. Chng may ti b t b u v xut huyt no sau khi lm Head Scan. Ti phi nm BV 6 ngy theo di. Ngy sau ht chy mu. Sau 2 ln na Scan trc khi xut vin, BS cho bit kt qu stable. Th Su tun sau lm Scan u li cho an ton. Trong thi gian v Belmont ti c vo Net bit thm tnh trng Head injury ca ti v t theo di. Ti chng thy Incidents g xy ra v vn email hng ngy cho qu v. Nhng Scan ln th 4 ny, Neurologist li ni no ca ti sng thm v r mu. ng y yu cu ti phi chu m u, nhng ti quyt nh khng m v yu cu Chief of Neurology duyt film li, v theo ti t thy chng c chng mt, nht u hay Nausea g ht v n ng bnh thng ti sao phi m ?. Sau na gi, ng BS m u cho ti bit l Sorry of wrong informations, nn khng c m. Knh qu v, BS l thy tr bnh, cn ngi nhn nh bnh v suy xt quyt nh chnh l bnh nhn. Nu bnh nhn khng bit g ht m BV ton quyn, c th tai hi v cng. Knh. NMC Theo nh th anh Nguyn Minh Chu, th mt s sai lm chuyn mn nh vy c th xy ra i vi bc s v bnh vin M mt cch rn ri c khng? Theo c quan Food and Drug Administration thng k, th M, mi ngy c mt ngi cht (oan) v sai lm trong nghnh y t M. y l s thu nh ca mt con s ng xu h (what a shame for such an understatement) ca c quan FDA m ti cho l mt trong nhng c quan bt ti v mu thun nht trong chnh ph M. H nhiu khi ch trong thi gian mt nm c th i ngc quyt nh 180 . Tuy vy h cng phi tha nhn l trn nc M, hng nm c 1 triu ba trm ngn (1,300,000) ngn ngi dn M b tn thng bi li lm ca BS/Bnh vin/ dc s/dc phng. V con s t vong do cc thc th va k gy, khng phi ch c mi ngy mt ngi b cht v li lm y t, m thc ra mi nm c ti 7 trm tm mi ngn (780,000) ngi M b cht do li lm y t gy ra. Cn bit, s ngi M t nn trong tai nn xe c M ch 45,000 ngi mt nm ngha l 1 phn 17 (1/17) cu con s trn y. C ngi gi ci thm trng ny l "the American unspoken holocaust". Ti dm mnh ming ni s tht m khng s b gn cho l c c cm vi nghnh y-t M v chnh ti l mt thnh vin ca nghnh ny. Cn ni ngay, l thc s ra, mc du nhng thiu st, xu xa trong nghnh y t M, nghnh ny vn l nghnh ng u th gii v mc tn tin v hu hiu. Tuy nhin vn cn ni ci mt tri ca n v c sng trong chn, th mi bit chn c rn. Ni nh vy c mu thun khng? Am I speaking from both corners of my mouth?. D tha khng. Chng ta phi nh l khng c nc no ot c nhiu gii Nobel Prize v y-t nh nc M. Ni v s khong 1% gii khoa hc gia v nghin cu, k c y-t, M th h thuc thnh phn li lc hng u th gii kh ai b kp. Tuy nhin, gii chuyn mn nghnh y t cn li th tht a dng. Mt s khong 40 % thuc loi gii, 20 % thuc loi kh. Ti ni khng s ni ngoa l phn 30 % cn li thuc loi tm thng ti hon ton bt ti. H khng thuc bi v, nh bnh nh phn ln vo th nghim v trang b ti tn. Li thm mt vn na ca gii Bc S M l trch thng (arrogant), khng c nhit tnh (compassion) vi bnh nhn, m ch quan tm lm cng nhiu tin cng tt. C mt anh Bc s v tim y ch hai ba nm hnh ngh kim c chc triu. Bn hi sao m d vy. Cho bn mt v d, nh bc s sau y: thn ch no mi ti (trong c ti), anh khm qua loa, ri ni l phi lm cath (soi tim). Mt ngy anh lm t 2 ti 4 ci, mi ci anh tnh 4000 dollars (cho ring anh, khng k tin bnh vin). Trung bnh ch heart cath thi anh kim 12 ti 16 ngn dollars mt ngy (d nhin ti t chi khng lm cath vi anh ta). Mt nm ch cath khng anh ta kim trn 3 triu ri. Ti ni thng vo mt tay ny khi anh ta ln ting dy i vi ti l ti "sai lm" khi ti khng chu lm cath vi anh ta: "I am not interested in doing anything with a damn money grabber like you!". Ni mt chuyn tht xy ra cho ngi bn ng yu mn ca ti. Bn bit cch y hn 06 nm, Lucie b breast cancer. Ti mang c y ti mt bc s chuyn v ung th (oncologist). Sau khi nh bnh ung th c xc nhn v gii phu bi mt surgeon, bn ti, Lucie n cng ti gp bc s ny lm chemotherapy. Anh ta ni ph u vi ti ngay l anh bit ti l bc s nhng anh khng mun bn nhiu v anh l bs chuyn mn nghnh ny v ti l Bs thn kinh nn chng biet g. Ti nng mu ht sc, chng cn lch s g c, bn ni vi anh ta : Excuse me Dr P. Let's cut out this BS (bullsh..). This lady is not a simple patient. SHE IS MY WIFE. AND I WILL HAVE THE LAST SAY ABOUT HOW HER TREAMENT IS GOING TO BE CONDUCTED. D nhin sau cng anh ta ng hon ton vi treatment protocol m ti a ra (he made 100,000 dollars out of this treatment). Hn mt nm sau iu tr v thng th Lucie ti khm 3 thng mt ln, cng ci anh chng ny order full body bone scan cho Lucie. Sau , anh ta gi v chng ti li loan bo l da vo bone scan th b x ti b cancer tr li. Ti bc qu ni thng vo mt anh ta (anh chng ny sau ny khng dm ci ti, sau khi bit ti l gio s ca nhiu i hc Texas v l gim c ca tt c 4 bnh vin thn kinh trong vng) l lm g c ci vic nh bnh cancer relapse ch da vo bone scan. Anh ta nht nh l Lucie phi iu tr ngay bng Hevastin, mt phng thuc c qung co rm r v mc cng hiu (debatable) cho breast cancer, nhng c iu chc l c th gy t vong bt ng. Ti khng chp nhn li ngh ca anh BS P. ny m a b x ti i Harrington Cancer Center. Sau mi th nghim cn thit n kt lun l Lucie khng h b cancer relapse. V d nhin l kt lun ng v Lucie vn cn vi ti cho ti ngy nay lm b xp oai hng ca ti. (Anh chng BS ny sau ny khng bit b ai khiu ni m b Board restrict license, khng cho lm oncology (iu tr ung ) na.

Mt vic nh na. Ti c mt bnh nhn b Panic disorder khm ti nh k t 20 nm nay. Gn y anh cng ngy cang kh th. Anh cho ti xem kt qu chp phi (nhiu procedures) v ni vi ti l anh i nhiu bc s v khng ai gii thch c ti sao anh li c vt nm (hilar mass) trong phi v increased density on the lungs x rays. Anh ta n ti ni l tuy bit ti l bc s thn kinh, nhng y nhiu ngi bit ti c kin thc nhiu v ni khoa nn mun xin kin ca ti. Ti nhn ra l anh ta trn hnh phi c signs of interstitial infiltration/ pneumonia v c mt hilar mass. Ti ni vi anh ta l anh nn i tr li bc s phi ca anh ta (a certain doctor named Polk) ni l ti nghi anh ta b fungal infection v signs of idiopathic pulmonary fibrosis. Anh ta tr li ni vi BS Polk li gi ca ti, ng ny bn phn mt cu xanh rn y mit th: "I do not take advice from psychiatrists". Bnh nhn ca ti tr li bo co vi ti li ng Polk. Ti bc qu (ci tnh nng tng cha, nhng cha dt hn) ti ni vi anh ta: "it does not take a rocket scientist to figure it out. If he cannot, he better goes back to school". V ti gii thch cho anh l cc th nghim rule out cancer, TB test ca anh negative. Ngoi ra ci dng opacity khng ging mt remnant ca primo-infection. Anh c triu chng ca interstitial infiltration. D vo m ni th Amarillo vng nng nghip nn kh nng b nm Aspergillus candidus cao hn. Nhng v anh lm ngh plumber nn hay phi vt ln vi cng rnh nn ti nghi hn nhiu anh b mt loi nm (Fungus) him nhng thng thy trong cng rnh l Bradyrhizobium Japonicum. Anh bnh nhn ca ti tr li ni vi BS Polk. ng ta vn ngoan c khng chp nhn v ni rng : "he did not know what this Dr Nguyen is talking about). Anh bnh nhn i sang clinic ca trng hc y khoa y (chi nhnh ca Texas Tech University, ni ti tng l gio s) cng chng ai bit ci anh chng BS "khng" Vi Sn ny ni g. Sau cng mt BS chu lm th nghim v gi cho pathology lab kim chng kt qu. Results l anh chng ny b loi nm Bradyrhizobium Japonicum ng nh ti tin on. Anh ny hi khp ni mi bit University of Texas, Medical Branch Galveston, ni ch BS Hong Kim Khnh lm , c mt BS ni ting chuyn v bnh phi (pulmonologist). Anh ti khm ng. ng ny sau khi lm nhiu th nghim cng xc nhn l anh bnh nhn b nm Bradyrhizobium Japonicum v idiopathic pulmonary fibrosis. Ti vit di dng trn xc nhn l c nhiu BS M rt dt hoc quyt nh b hng dn bi s tham lam (greed). Mnh nghe n ngh ci g c v tri tai thi lun lun kim second/third opinion. V trong gii y t M cng c nhiu lang bm hay crooks lm. Vi t cch mt cu gio s i hc y khoa M, ti ng gp kin cnh gic thn hu v y khng phai l mt li bn tm pho ni xu mt tng lp ngh nghip no. Mi qu thn hu, trc khi i ng, nghe Em C Bun Khng Em, th Nguyn Minh Chu, li Nguyn Tun (Harrisburg, Pennsylvania), ting ht Lm Dung. Good Night, Vi Sn