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In a message dated 5/2/06 12:01:56 AM Eastern Daylight Time,

presentdayprods@... writes:

>

> Q: What Scares Doctors? A: Being the Patient

> WHAT INSIDERS KNOW ABOUT OUR HEALTH-CARE SYSTEM THAT THE REST OF US NEED TO

> LEARN

> By NANCY GIBBS, AMANDA BOWER

>

> May 1, 2006, Time Magazine

>

> It's easy to imagine that doctors don't get sick. Surely the hygienic shield

> of the sterile white coat guards them from ever having to put on the

> flapping gown and flimsy bracelet, climb meekly into the crisp bed and be at

> the mercy of the U.S. health-care system. And if somehow they did enter the

> hospital as a patient, physicians ought to have every advantage: an

> insider's knowledge, access to top specialists, built-in second opinions, no

> waiting, no insane bureaucratic battles and no loss of identity or dignity

> when you turn into the " bilateral mastectomy in Room 402. " But it doesn't

> usually work that way. While doctors are often in a better position than

> most of us to spot the hazards in the hospital and the holes in their care,

> they can't necessarily fix them. They can't even avoid them when they become

> patients themselves. When Dr. Friedman felt the lump in her breast in

> the summer of 2001, she did--nothing. " I just sat on it, " she says, " because

> I clicked into the mode of being physician, not patient, and I thought,

> 'Most lumps are not cancer, I'll just watch this.' " That was her first

> mistake.

>

> By September Friedman had watched long enough. An internist in a practice

> that covers much of southern Wisconsin, she went to her radiology department

> to schedule a mammogram. The administrators turned her down: her HMO paid

> for routine mammograms every two years, and she'd had one 18 months before.

> " I said, 'Wait a minute, I feel a lump. This is not routine.' They still

> wouldn't let me do it. "

>

> This is the stuff bad movies are made of. Friedman had to appeal to the

> HMO's board of directors. " I said, 'I'll pay for my own mammogram. Just let

> me get it done.' " She won her appeal and finally had the test. " They didn't

> even have to do a biopsy, " she says. " The radiologist just looked at it and

> said, 'Oh, my God. You've got breast cancer.' "

>

> The education of Friedman, patient, had begun. Like any other

> patient--and perhaps even more so--she had to drag information out of her

> physicians. " They were treating me like I was knowledgeable, but they

> weren't listening to me. " When she found out that the cancer had spread to

> several places in one breast, Friedman told her surgeon there was no need to

> preserve her breast for cosmetic reasons; she was more concerned that the

> cancer be entirely removed. She asked for a mastectomy--but she was told

> that a lumpectomy would do the job fine. " I went along with it, " she said.

> That was her second mistake. Her breast was riddled with tumors. " They ended

> up doing three lumpectomies. They were cutting away at my breast until I had

> no breast left. I said, 'Will you please take it all off?' "

>

> Friedman's doctors weren't incompetent. They didn't operate on the wrong

> breast or give her the wrong drugs or commit any egregious medical

> errors--and that is the whole point. While there are bad doctors practicing

> bad medicine who go undetected, that's not what scares other physicians the

> most. Instead, they have watched the system become deformed over the years

> by fear of litigation, by insurance costs, by rising competition, by

> billowing bureaucracy and even by improvements in technology that introduce

> new risks even as they reduce old ones. So doctors resist having tests done

> if they aren't absolutely sure they are needed. They weigh the advantages of

> teaching hospitals at which you're more likely to find the genius

> diagnostician vs. community hospitals where you may be less likely to bring

> home a nasty hospital-acquired infection. They avoid having elective surgery

> in July, when the new doctors are just starting their internships in

> teaching hospitals, but recognize that older, more experienced physicians

> may not be up to date on the best standards of care.

>

> Most doctors freely admit that they do everything they can to work the

> system. " As much as we all value fairness, if you think you can get some

> special attention for someone who's important to you ... I don't know

> anybody who would not play that card, " says McKee, vice chairman of

> psychology and psychiatry at the Cleveland Clinic. But talk to doctors about

> their experiences and you'll be surprised by how little power they have to

> bend the system to their will.

>

> This is one abiding irony of progress. The most wondrous technology exists

> that can pinpoint the exact location of a tumor, thread a tiny catheter up

> into the brain to open a clogged artery, pulverize a kidney stone without

> breaking the skin. But the simple stuff--like getting an MRI on time, being

> given the right drugs at the right time, making sure everyone knows which

> side of your brain to operate on--can cause the biggest problems. " A patient

> with anything but the simplest needs is traversing a very complicated system

> across many handoffs and locations and players, " says Dr. Berwick, a

> pediatrician and president of the Institute for Healthcare Improvement. " And

> as the machine gets more complicated, there are more ways it can break. "

>

> HOW TO GET THE RIGHT CARE

>

> Doctors are terrible patients because they know too much, " says Dr. Pamela

> Gallin, director of pediatric ophthalmology at New York

> Presbyterian-Columbia Medical Center and author of How to Survive Your

> Doctor's Care. " They can't be both doctor and patient at the same time. "

> They don't like appearing weak; they are schooled in a culture of stoicism

> and sacrifice that cautions against complaint. In studies of the behavior of

> doctors, most admit to writing their own prescriptions, self-diagnosing,

> avoiding checkups. When they do have to enter a hospital as a patient, they

> struggle with their role, scanning their bedside monitors and watching their

> colleagues so closely that everyone can get a little spooked. " I don't like

> the role reversal, " says McKee. " I suppose it's the way you feel when you're

> 80 or 90 and your kids are taking care of you. It doesn't feel right. "

>

> But their innate resistance to treatment carries a message for the rest of

> us as well. It requires almost a stroke of luck to enter a U.S. hospital and

> receive precisely the right treatment--no more, and no less. A landmark Rand

> Corp. study published in 2003 found that adults in the U.S. received, on

> average, just 54.9% of recommended care for their conditions. Average blood

> sugar was not measured regularly for 24% of diabetes patients. More than

> half of all people with hypertension did not have their blood pressure under

> control; one third of asthma patients eligible to get inhaled steroids did

> not get them.

>

> Even more insidious is the danger of overtreatment. With well-insured

> patients inclined toward hypervigilance, doctors afraid of missing something

> and a reimbursement system that rewards testing over talking, there is

> embedded in the system a dangerous impulse toward excess. Specialists are

> typically paid much more to do a procedure than the family doctor who takes

> the time to talk through the treatment options. A doctor who does a biopsy

> may be paid as much as $1,600 for 15 minutes' work, notes Dr. Jerome

> Groopman of Harvard Medical School. " If you're an internist, you can easily

> spend an hour with a family where a member has been diagnosed with

> Alzheimer's or breast cancer, and be paid $100. So there's this disconnect

> between what's valued and reimbursement. "

>

> And yet sometimes, talking is the more important and certainly the safer

> treatment. Ten more minutes spent taking a family history can reveal clues

> that prevent a misdiagnosis or an unnecessary test; that childhood injury,

> that illness during a trip abroad, that family history of excessive

> bleeding. When the orthopedist hears that broke her leg when she was 2

> years old, he can hope that the dark spot on her tibia may not be a deadly

> bone cancer but something more benign, like a Brodie's abscess. He may still

> remove the abscess but not have to do a whole invasive tumor workup. Doctors

> talk privately about the cost--economic and physical--of the bias toward

> overtesting. They are less beguiled by flashy technology, more aware of the

> risks of even simple procedures and thus more willing to trust their

> doctor's instincts. If everything in his experience tells your doctor that

> the lump on the back of your hand is a ganglion and not a malignant tumor,

> it may not make sense to run the risk that goes with surgical excision. If

> your baby is born after a very long labor but shows no sign of infection,

> then agreeing to a spinal tap just to be sure may not always be worth the

> risk.

>

> Doctors will argue privately that there is not enough watchful waiting and

> re-examination anymore, partly because patience literally doesn't pay. " The

> areas in the U.S. with the highest rates of use of hospital beds,

> intensive-care units, specialist consultations and invasive testing don't

> have the best quality of care and outcomes, " says Berwick. " In fact, they

> often have the worst. It would be a great advance in both quality and cost

> if somehow the American public came to understand that 'more care' is not by

> any means always 'better care,' and that new technologies and hospital stays

> can sometimes harm more than they help. "

>

> HOW TO FIND THE RIGHT DOCTOR

>

> You would think doctors have a great advantage in knowing whom to see for

> their particular problem, and in one sense they do: they can tap into the

> medical grapevine to find out who has the best reputation and the most

> experience with a given procedure. They just have to hope that person isn't

> their colleague down the hall. In a system that can seem infuriatingly

> impersonal, a little distance is a valuable thing.

>

> Doctors will often choose not to be patients at their own hospital. There's

> a risk that when treating a colleague, the physicians may lose their

> objectivity and the patient his or her privacy. The same holds true for

> anyone who goes to a doctor who is also a friend; you run the risk of losing

> both. This is the hard fact that doctors know and patients have a hard time

> believing: it's not just bad doctors who screw up. To an outsider,

> everything that happens in a hospital has an air of magic, and the people in

> the coats seem like wizards. But doctors know that physicians are people

> too, who can get tired, or distracted, or simply one day fall a millimeter

> short of perfection, sometimes with disastrous consequences.

>

> Dr. , a busy Southern California orthopedic surgeon, skidded

> instantly from doctor to patient one day as he walked toward the operating

> room, scrubbed hands raised, and slipped on a freshly mopped floor. He broke

> the scaphoid bone in his right wrist, a bone that anchors all the bones in

> the hand, especially vital for the physically demanding work of an

> orthopedic surgeon.

>

> So he called on a friend who was a renowned hand specialist. " I knew the

> procedure well, " he says. " Remove the scar tissue and place a tendon from my

> own body to stabilize the other hand bones. " Naked under his hospital gown,

> was rolled into the operating room cracking jokes with his doctor.

> " I felt bad to be a bother, " he says. Together and his friend

> decided to go with general anesthesia. An hour later, woke up and

> said, laughing, " That was quick! "

>

> But his friend the surgeon was distraught. He had used a tool called a

> rongeur to chew up the scar tissue and had accidentally chewed up the

> scaphoid bone--ending 's ability to do orthopedic surgery. " The

> actual damage happened in a matter of seconds, " he says. " I heard later that

> he had told my wife while I was still under anesthesia. She said, 'You go

> and fix it before he wakes up!' What she didn't know was that there are some

> things that can't be fixed. "

>

> Although thinks his case was a " rare aberrant fluke, " that's not

> exactly true. More than 1 in 3 doctors in a 2002 survey by the Harvard

> School of Public Health reported errors in their own or a family member's

> medical care. Dr. Wachter, chief of the medical service at the

> University of California, San Francisco Medical Center, who co-wrote last

> year's best seller Internal Bleeding: The Truth Behind America's Terrifying

> Epidemic of Medical Mistakes, says he has seen it all: patients who had the

> wrong leg amputated, were given the wrong (and deadly) medicines, had

> surgical instruments left behind in the abdomen. Not all the errors are due

> to ignorance or incompetence; even the best doctors can make mistakes.

>

> Imagine the dilemma of a physician trying to watch over a loved one when

> things are going badly. Sherwin Nuland is a celebrity doctor; he was a

> surgeon for 30 years, teaches surgery and gastroenterology at Yale and is

> author of How We Die, which won a National Book Award. Last fall his

> daughter, 21, faced a crisis. She had been born with hydrocephalus--fluid on

> the brain. A shunt was put in, which worked fine for 21 years until it

> closed down. " She needed a total of four operations to get this straightened

> out, " Nuland says. The experience tested his self-control. " It helped that I

> knew what [her doctors] were going through as these complications

> occurred--how badly it was affecting them emotionally. Because she was the

> daughter of a senior member of their faculty. " But in an emergency, emotion

> is not an antidote for much of anything. However much we long for Marcus

> Welby, it is less important to know and love your doctor than to trust and

> respect him. And your prospects may benefit from his treating you with the

> cool commitment of a professional rather than the comforting warmth of a

> friend.

>

> HOW TO FIND THE RIGHT HOSPITAL

>

> Finding the right doctor is important: but so is choosing the right

> hospital. There are all kinds of guides that can tell you what percentage of

> heart-attack patients were prescribed beta blockers upon arrival or sell you

> a report about your particular doctor. The problem is that it takes a

> doctorate in statistics to sort out the data. " The world's best orthopedic

> surgeon will be sent everyone's disaster cases, " says Wachter. " He may be

> spectacular and still have worse outcomes than the crummy surgeon across the

> street who has better outcomes because he gets the slam dunks. " Almost every

> knee replacement results in few days of post-op fever. It's normal--but it

> can still be cited in a report on the " high rate of postoperative

> infection. "

>

> The most basic challenge facing every patient is knowing when to go to the

> local community hospital and when to seek out the major teaching center. For

> all their fame and all-star doctors, teaching hospitals carry risks of their

> own. The sickest patients often have compromised immune systems and may need

> to be treated with broad-spectrum antibiotics--which increases the chance

> that antibiotic-resistant strains of staph and other bacteria will make the

> rounds of the intensive-care unit. As a rule, doctors decide where to go

> based on how sick they are. For fairly routine care--a hip replacement, a

> hernia operation--they will often opt for the convenience and comfort of a

> community hospital. But if there is any mystery about the symptoms, the rule

> is Get Thee to a Teaching Hospital. The meals will probably be worse, the

> beds may not get made on time, a spirit of competent chaos may abide; but

> for complicated surgeries, the mortality rate is typically lower because the

> volume of cases is higher and the surgeons are more experienced. Plus, the

> presence of all those interns and residents has a way of keeping doctors on

> their toes.

>

> There is, however, at least one exception to the rule.

>

> HOW TO SURVIVE JULY

>

> Harvard's Groopman, who has written three books about the doctor-patient

> relationship, lived through his own doctor-patient nightmare. It started

> when his son had a medical emergency in July, which every doctor knows is

> the worst of all months to go to a teaching hospital. " The new interns and

> residents begin July 1, " he explains. " There's a very morbid joke: don't get

> sick on the July 4 weekend. " But years ago, when he and his wife were new

> parents, they were visiting her family in Connecticut for the holiday when

> their 9-month-old son became cranky, ran a fever, got diarrhea. They went to

> a local pediatrician, who essentially said, 'Oh, it's nothing: you're just

> neurotic doctor-parents. Give him some Tylenol.' "

>

> By the time they arrived back in Boston, it was clear to both of them that

> the baby was very sick. " He was flailing and arching his knees to his chest.

> So we rushed to the emergency room of the Children's Hospital. " Their son

> was seen by a brand-new surgical resident, who diagnosed an intestinal

> obstruction. " This resident said to my wife--this is now midnight--'Well, in

> my experience, this can wait until morning.' " Since his experience at that

> point in his residency amounted to roughly three days on the job, the

> Groopmans pulled rank. They called someone who called someone who happened

> to be home on the holiday, and they wound up with a senior surgeon who came

> in, did an emergency operation at 3 a.m. and, Groopman says, saved his son's

> life.

>

> That was an extreme lesson in the value of experience; no one recommends

> seeking out doctors who are brand new on the job, and doctors admit to

> scheduling elective surgery--even planning childbirth--around the intern

> calendar. This is not paranoia: the average major teaching hospital

> typically sees a 4% jump in its risk-adjusted mortality rate in the summer,

> according to the National Bureau of Economic Research. But there is a larger

> issue that doctors argue about: which matters more, information or

> experience? Broadly speaking, a younger doctor is likely to have been

> trained in the newest surgical procedures, be more up to date on the

> literature, and be more open to new techniques. Older doctors have had more

> years to develop the instinctive diagnostic skills that can make the

> difference in complicated cases and may be skeptical of innovations that are

> driven more by marketing than medicine.

>

> Older doctors are also worried that rules designed to make young doctors'

> lives easier may make patients' outcomes worse. Back in the day, grizzled

> veterans say, a medical resident was called that for a reason: he--and they

> were all men--actually lived in the hospital. " We were aggressive about our

> training, " recalls a former surgical resident at Boston's Brigham and

> Women's Hospital. " The only thing wrong with every other night call was that

> you missed half the good cases. " But these long hours of dedication came at

> a cost: tired doctors made mistakes. Studies showed that long work hours

> increased stress, depression, pregnancy-related complications, car wrecks

> and damage to residents' morale and personal life. So now residents' hours

> are limited to 80-hr. workweeks averaged over a month, in shifts that are

> limited to 24 hours of patient care, with at least 1 day off in 7. Remaining

> on call in the hospital is limited to every third night. Hospitals that fail

> to comply can lose their accreditation.

>

> The reforms made intuitive sense; but the unintended result, older doctors

> warn, is a 9-to-5 mentality that detaches the doctor from the patient. They

> fear that young doctors don't get the experience they need or build the

> instincts and muscle memory from performing procedures so many times that

> they can do them in their sleep. Even the residents may agree: in a 2006

> study in the American Journal of Medicine, both residents and attending

> physicians reported that they thought the risk of bad things happening

> because of fragmentation of care was greater than the risk from fatigue due

> to excess work hours. Other residents say that while they may feel more

> rested, they sense that they are not learning as much or as fast as they

> need to.

>

> " I know that I will not like it 20 years from now when I'm 68 and having to

> be taken care of by these guys, " says Dr. Shekelle, a professor of

> medicine at UCLA. " It's all shift work now. When 5 o'clock comes, whatever

> it is they're doing, they just sign it all out to the 5 o'clock person. It's

> eroding the sense of duty, or commitment to being the person responsible for

> a patient's care. "

>

> But younger physicians may have other advantages--like a fresher sense of

> the latest standards of care. Many doctors have concluded that there is

> something of a sweet spot on the age-education-experience continuum. They

> seek out clinicians who are no more than 10 years out of residency, old

> enough to have some mileage, young enough to be up to speed. There is

> actually some hard data for this rule. A review published last year in the

> ls of Internal Medicine examined the connection between a doctor's years

> in practice and the quality of care he or she provided. To the surprise of

> everyone--including the review's author, Harvard Medical School's Dr.

> Niteesh Choudhry--more than half the studies found decreasing performance

> with increasing years in practice for all outcomes assessed; only 4% found

> increasing performance with increasing age for some or all outcomes. One

> study found that for heart-attack patients, mortality increased 0.5% for

> every year the physician had been out of medical school.

>

> HOW TO SURVIVE TECHNOLOGY

>

> We think of hospitals as cathedrals of science, yet doctors walk around with

> their pockets stuffed with 3-by-5 cards on which they write patient

> information; when they sign off for the day they read from the card to the

> doctor coming on duty. " My pizza parlor is more thoroughly computerized than

> most of health care, " says Berwick. It's easy to see the advantage of giving

> everyone easy access to a patient's history and test results. But getting

> there can be painful. Enter a hospital when it is in the process of

> introducing more computers, they say, and you can hear the sound of nurses

> growling. Doctors using laptops sometimes have to wrestle with incompatible

> systems, manually retyping lab results from one computer into another.

>

> The introduction of computerized patient information and medication orders

> is meant to reduce " adverse drug events " and ensure that the patient's

> history and treatment notes are available to everyone who needs them. But

> progress does not always equal safety. " Technology should remove the burden,

> but you can get problems. You can hide behind technology and spend more time

> talking to your computer than to your patients, " says Dr. Albert Wu, a

> professor of medicine at s Hopkins. " And as with any new thing, people

> screw things up worse before they make things better. " Doctors say there is

> a temptation to trust computers too much: they seem objective and

> infallible, but if the wrong information is entered in the first place, or

> the bar-coded wristband is put on the wrong patient, it can be harder to

> prevent mistakes down the line. In one case study, a patient with pneumonia

> had his wristband mixed up with a diabetic patient and came very close to

> being given a fatal dose of insulin.

>

> This is why doctors are reluctant to be hands-off when it comes to a loved

> one's care. Until proper safeguards are built into the system, what a

> patient needs most, many doctors agree, is a sentinel--someone to take

> notice, be an advocate, ask questions. Now that the family doctor has been

> squeezed out of that role, someone else has to step in. But even a

> doctor--family member may not be able to counter the complexity of the

> system. Dr. Berwick of the Institute for Healthcare Improvement tells the

> story of his wife Ann's experience when she developed symptoms of a rare

> spinal-cord problem at a leading hospital. His concern was not just how she

> was treated; it was that so little of what happened to her was unusual.

> Despite his best efforts, tests were repeated unnecessarily, data were

> misread, information was misplaced. Things weren't just slipping through the

> cracks: the cracks were so big, there was no solid ground.

>

> An attending neurologist said one drug should be started immediately, that

> " time is of the essence. " That was on a Thursday morning at 10 a.m. The

> first dose was given 60 hours later, on Saturday night at 10 p.m. " Nothing I

> could do, nothing I did, nothing I could think of made any difference, "

> Berwick said in a speech to colleagues. " It nearly drove me mad. " One

> medication was discontinued by a physician's order on the first day of

> admission and yet was brought by a nurse every single evening for 14 days

> straight. " No day passed--not one--without a medication error, " Berwick

> remembers. " Most weren't serious, but they scared us. " Drugs that failed to

> help during one hospital admission were presented as a fresh, hopeful idea

> the next time. If that could happen to a doctor's wife in a top hospital, he

> says, " I wonder more than ever what the average must be like. The errors

> were not rare. They were the norm. "

>

> After he publicized his experiences, Berwick was besieged by other doctors

> saying, " If you think that's terrifying, wait until you hear my story. " One

> distinguished professor of medicine whose wife was hospitalized in a great

> university hospital was too frightened to leave her bedside. " I felt that if

> I was not there, something awful would happen to her, " he told Berwick. " I

> needed to defend her from the care. "

>

> It's hard to find a doctor who doesn't worry about how medicine is changing,

> since they suffer at both ends: as providers of health care and as

> consumers. " What scares me most about the current medical environment is

> complacency with the status quo, " says Palmeri, an internal medicine

> resident at Dartmouth-Hitchcock Medical Center in New Hampshire. Burgeoning

> bureaucracies, managed care, the mass production of health-care services and

> a worsening malpractice climate only strain the doctor-patient relationship.

> In this environment, the patient, typically a physician's source of

> inspiration, can become the source of frustration. " When I refer one of my

> family members to someone, " Palmeri says, " I want to make sure that they are

> the type of physician who leaves no stone unturned and will burn the

> midnight oil if need be to ensure the highest-quality care possible. "

>

> What frightens doctors--young ones like Palmeri as well as older ones--is

> that those doctors may be harder and harder to find. Scientific knowledge

> improves, but the care doesn't keep up; it is easier to gather gigabytes of

> information than to acquire the judgment to apply it wisely. It might

> comfort the rest of us to think that with just a little more knowledge or a

> personal doctor at our side, we could get the best out of America's

> extraordinary health-care system without suffering from its gaps and

> failures. But since even an insider can suffer, we are left with the much

> harder challenge: to fix the system for everyone.

>

> -With reporting by With reporting by Coco Masters/ New York

>

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