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  1. #1
    Join Date
    Sep 2007
    Posts
    8

    Default Standard of Care

    I am interested in finding out if the standard of care I received was
    below what would be medically necessary for the condition I was presenting?

    Are their certain protocols that are followed in a hospital when someone has a rather obvious disease like meningitis? Does an ER doctor have to call an infectious disease specialist to know what proper tests need to be done?
    Is an ER doctor legally required to report suspected meningitis? Is
    Sending a patient home 2.5 hours after a lumber puncture inadequate?
    Is it illegal to with hold blood test results from a patient and their family if their are many? Can falsifying medical records knowing the patient will die, equal to attempted murder?

  2. #2
    Join Date
    Sep 2005
    Location
    Behind a Desk
    Posts
    98,846

    Default Re: Standard of Care

    Quote Quoting winner
    View Post
    I am interested in finding out if the standard of care I received was below what would be medically necessary for the condition I was presenting?
    Malpractice laws, and the determination of the standard of care, vary by state. The standard of care can depend upon such factors as the size and location of a hospital or clinic, its access to medical specialists, and the population density of the surrounding community.
    Quote Quoting winner
    Are their certain protocols that are followed in a hospital when someone has a rather obvious disease like meningitis? Does an ER doctor have to call an infectious disease specialist to know what proper tests need to be done?
    There are protocols for the intake of patients, and there would be protocols for handling a patient diagnosed with meningitis.
    Quote Quoting winner
    Is an ER doctor legally required to report suspected meningitis? Is Sending a patient home 2.5 hours after a lumber puncture inadequate?
    What does one have to do with the other?
    Quote Quoting winner
    Is it illegal to with hold blood test results from a patient and their family if their are many?
    The patient should be able to see the results of their own blood test. The family has no automatic access to an adult patient's medical records.
    Quote Quoting winner
    Can falsifying medical records knowing the patient will die, equal to attempted murder?
    How does "falsifying medical records" cause somebody to die?

  3. #3
    Join Date
    Sep 2007
    Posts
    8

    Default Re: Standard of Care

    If falsifying the ER records claiming a person stiff neck started four week ago. That their was no evidence of meningitis. When you would not have seen more evidence. So the patient is not able to receive the medical help
    necessary because of the falsified records.

  4. #4
    Join Date
    Mar 2005
    Location
    Michigan
    Posts
    28,906

    Default Re: Standard of Care

    Why would the records have been "falsified" before anybody even knew that there was a problem?

  5. #5
    Join Date
    Jul 2006
    Location
    Ohio
    Posts
    1,094

    Default Re: Standard of Care

    The standard of care is to evaluate the symptoms you presented in the ER. Meningitis is not obvious.

    No. There is not a requisite required to obtain an Infectious Disease Consult if meningitis wasn't suspected. And no, the ER doctor wouldn't report it to if it was suspected. BTW- it is reported internally.

    Discharge 2+ hours post LP is sufficient.
    No. It is not illegal to not give the patient ALL the reports of the lab results until the doctor has completed their assessment.

    What stopped you from obtaining a medical opinion from your family doctor?

  6. #6
    Join Date
    Sep 2007
    Posts
    8

    Default Re: Standard of Care

    Falsifed after the fact.

  7. #7
    Join Date
    Oct 2006
    Location
    supratentorial region
    Posts
    818

    Default Re: Standard of Care

    1. Menningitis is not a "rather obvious disease".

    2. The ER Physician may or may not opt to call an the ID for consultation but is qualified to make decisions regarding what tests to order if he/she is suspicious of meningitis.

    3. Infectious meninigitis is reportable when confirmed, not merely suspected. However, as posted above, it will be internally reported.

    4. Two and a half hours post LP is sufficient to send a patient home, especially if the patient is stable and there are no other symptoms.

    5. How do you know how many/which tests were obtained? Have you requested your lab reports, in writing? You still did not answer Deadlock's question as to why you did not attempt to obtain the results from your Family Physician.

    6. What medical help were you denied and was it ever confirmed that you had menningitis and, if so, was it viral or infectious?

  8. #8
    Join Date
    Mar 2005
    Location
    Michigan
    Posts
    28,906

    Default Re: Standard of Care

    If records are "falsified after-the-fact", the falsification could not have affected treatment preceding the date the falsification occurred.

  9. #9
    Join Date
    Sep 2007
    Posts
    8

    Default Re: Standard of Care

    When an ER doctor tells you in an hour of a LP puncture that you don't have meningitis,you can only assume all possible test are done. Clearly their is not even an
    opening pressure taken. CT scan showed a really bad sinus infection. If I gave you a list of what was written in my records for that week it would be had to beleive I was sent home.

  10. #10
    Join Date
    Sep 2007
    Posts
    8

    Default Re: Standard of Care

    Treatment would require specific medication. I was given oral zithromax. 1 tablet in hospital
    the rest to take at home. I should mention with all the other obvious and completely visible meningel signs A CT showed a really bad sinus infection.

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