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hue

(4,949 posts)
Sun Feb 17, 2013, 04:34 PM Feb 2013

Hundreds sue Ky. hospital over heart procedures

Source: USAToday

The hospital and 11 cardiologists are accused of conspiring to perform unnecessary procedures to unjustly enrich themselves.

LONDON, Ky. -- After enduring at least two-dozen heart procedures over two decades, disabled former meat cutter Edward Marshall decided in September 2010 that he'd been treated long enough by cardiologists at St. Joseph London hospital.

So he saw a specialist in Lexington, who told him some disturbing news: An artery treated just months earlier was barely blocked, and there had been no need for Dr. Sandesh "Sam" Patil to enlarge it with a balloon angioplasty, then prop it open with a stent.

"I would have not carried out this procedure," the Lexington cardiologist, Dr. Michael R. Jones, told Marshall in a letter that is included in the court record.

Read more: http://www.usatoday.com/story/news/nation/2013/02/16/hundreds-sue-hospital-over-heart-procedures/1925245/

28 replies = new reply since forum marked as read
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Hundreds sue Ky. hospital over heart procedures (Original Post) hue Feb 2013 OP
Perverse incentives lead to the worst in healthcare. USA! We're Number One!!! Scuba Feb 2013 #1
The stenting business is getting out of hand jsr Feb 2013 #2
An illustration of why we need a national data base of procedure outcomes! hedgehog Feb 2013 #3
this is included in the aca, iirc. mopinko Feb 2013 #6
I really think that it's aspects like the "best practices" that are causing most of hedgehog Feb 2013 #7
no doubt. mopinko Feb 2013 #11
That assumes there was no motive to make a buck. Spitfire of ATJ Feb 2013 #13
If you do an unnecessary angioplasty. IggleDoer Feb 2013 #15
Not necessarily - lots of heart operations result in brain damage of some degree or another - hedgehog Feb 2013 #18
$$$ incentives-->the root of the problem!! And many Pts suffer for greed!! hue Feb 2013 #4
One can only guess how deeply corrupt the less invasive tests like Xrays/MRIs has become... Earth_First Feb 2013 #5
They pulled this one on me too bucolic_frolic Feb 2013 #10
You know what they say at the hospital: "A picture's worth a thousand MannyGoldstein Feb 2013 #24
This is a national problem and speaks to incentives and over-utilization. cbayer Feb 2013 #8
UNNECESSARY Procedures, just like auto repair bucolic_frolic Feb 2013 #9
I wonder if that's a regional problem with dentists. I've never had an issue like that hedgehog Feb 2013 #19
It may depend on what they specialize in bucolic_frolic Feb 2013 #23
Healthcare for profit is a killer lovuian Feb 2013 #12
Someone is going to find an overuse of prostate surgery next.... Spitfire of ATJ Feb 2013 #14
OTOH - when a careful statistical study suggested that PSA tests were being overdone - hedgehog Feb 2013 #20
Look at the reaction towards breast cancer screenings. Spitfire of ATJ Feb 2013 #25
Same responses. I read an article recently indicting that going with a lumpectomy hedgehog Feb 2013 #28
That's the problem with specialists ... IggleDoer Feb 2013 #16
Dr Jones is a very brave man azurnoir Feb 2013 #17
And the hospital's parent company is....! Grins Feb 2013 #21
In 2007 I 'had' a heart attack due to a blocked artery DainBramaged Feb 2013 #22
11 London, KY Hosp Cardiologists... ReRe Feb 2013 #26
Scary. And inevitable in a medicine for profit system. McCamy Taylor Feb 2013 #27

jsr

(7,712 posts)
2. The stenting business is getting out of hand
Sun Feb 17, 2013, 04:42 PM
Feb 2013
http://www.statesman.com/news/local/state-medical-board-accuses-well-known-cardiologist-of-1063549.html

The Texas Medical Board has accused a well-known Austin cardiologist of doing unnecessary heart procedures that it said risked the health of eight patients and caused one man to die after repeated shocks from a defibrillator that should not have been implanted. Five patients have filed malpractice suits in Travis County against Dr. Samuel J. DeMaio, chairman of a group that is building Lakeway's first hospital... The board alleges that DeMaio put more than 30 stents in one patient and more than 20 in the man who died.

hedgehog

(36,286 posts)
3. An illustration of why we need a national data base of procedure outcomes!
Sun Feb 17, 2013, 05:06 PM
Feb 2013

The VA has such a data base, and there are some procedures which are less successful than far cheaper treatment with diet and medication!

hedgehog

(36,286 posts)
7. I really think that it's aspects like the "best practices" that are causing most of
Sun Feb 17, 2013, 06:20 PM
Feb 2013

the opposition. It's going to cut into the gravy train for a lot of wealthy people!

mopinko

(70,121 posts)
11. no doubt.
Sun Feb 17, 2013, 06:38 PM
Feb 2013

that and being told what to do by the black guy. i have a friend who is implementing the new school nutrition guidelines, and you would think people are being asked to shoot squirrels and raccoons every day.

IggleDoer

(1,186 posts)
15. If you do an unnecessary angioplasty.
Sun Feb 17, 2013, 07:22 PM
Feb 2013

The outcome would be very good.

Treating a non-disease would result in ... No disease. Mission accomplished.

hedgehog

(36,286 posts)
18. Not necessarily - lots of heart operations result in brain damage of some degree or another -
Sun Feb 17, 2013, 07:41 PM
Feb 2013

such as loss of short term memory.

Earth_First

(14,910 posts)
5. One can only guess how deeply corrupt the less invasive tests like Xrays/MRIs has become...
Sun Feb 17, 2013, 05:30 PM
Feb 2013

I went to the emergency room after shortness of breath, and numbness in my shoulder...a clear EKG and blood work ruled out a heart attack, but the attending Dr. wanted to to an MRI "just to be sure..."

Mhmmm...

I had to sign a waiver that I refused the test before being released.

An MRI can costs hundreds, and my health insurance (if that's what you call it) has such a high deductable, I would have been responsible for 100% of it.

What a scam and what an absolute unnecessary risk these supposed medical professionals put people through...

bucolic_frolic

(43,180 posts)
10. They pulled this one on me too
Sun Feb 17, 2013, 06:30 PM
Feb 2013

Because the doctor said so, I had to have it.

I balked. They pushed.

I paid.

CROOKS ABSOLUTE CROOKS!

 

MannyGoldstein

(34,589 posts)
24. You know what they say at the hospital: "A picture's worth a thousand
Sun Feb 17, 2013, 08:48 PM
Feb 2013

dollars". IIRC, when I last took a look a few years ago, angioplasties and imaging were the two huge profit centers in hospitals.

cbayer

(146,218 posts)
8. This is a national problem and speaks to incentives and over-utilization.
Sun Feb 17, 2013, 06:25 PM
Feb 2013

I am glad to see action taken to stop it.

bucolic_frolic

(43,180 posts)
9. UNNECESSARY Procedures, just like auto repair
Sun Feb 17, 2013, 06:29 PM
Feb 2013

Let's hope this is just the beginning.

Dental X-rays, blood tests, you name it.

When you're 40 the dentists want to cut your teeth off at the gum line and
crown it.

An inlay, or inlay-onlay, would suffice at 1/3 the cost.

When you're 65-70, uh-oh, there's decay under the crown.

We have to recrown it, with root canal this time. Let's lengthen the crown too,
at $3500.

By the time you're 85-90, the roots are decaying, let's extract the teeth, you might
get some bacteria in your blood.

ALL THIS COULD BE AVOIDED by going with the minimal procedure at age 45. If you delay
the crown until 70, you won't need root canals, extractions when you're 85. You'lll never
need them.

The entire escapade is UNNECESSARY.

hedgehog

(36,286 posts)
19. I wonder if that's a regional problem with dentists. I've never had an issue like that
Sun Feb 17, 2013, 07:43 PM
Feb 2013

with mine. It may depend on how they're taught.

bucolic_frolic

(43,180 posts)
23. It may depend on what they specialize in
Sun Feb 17, 2013, 08:48 PM
Feb 2013

A dentist experienced in crowing with metal crowns will never
opt for porcelain only crowns

nor advise bonding with porcelain veneer.

Inlays are becoming hard to find,

and inlay-onlay all but impossible.

It's a network. They all have their specialty, they are overseen
by regional dental boards that scratch each other's backs

Beware being a self-pay patient. You'll pay full retail price, no
negotiating power like those covered by dental insurance.

Some accept what dental insurance will pay, some don't.

It's unregulated as far as I can tell.

 

Spitfire of ATJ

(32,723 posts)
14. Someone is going to find an overuse of prostate surgery next....
Sun Feb 17, 2013, 07:22 PM
Feb 2013

There are a LOT of guys in their mid 50s who are wearing diapers.

hedgehog

(36,286 posts)
20. OTOH - when a careful statistical study suggested that PSA tests were being overdone -
Sun Feb 17, 2013, 07:44 PM
Feb 2013

people screamed about rationing!

hedgehog

(36,286 posts)
28. Same responses. I read an article recently indicting that going with a lumpectomy
Mon Feb 18, 2013, 12:39 PM
Feb 2013

gave a better chance of survival than mastectomy, but mastectomies are still demanded by patients.

can't find the original article, but more info here:

http://www.dslrf.org/breastcancer/content.asp?CATID=0&L2=3&L3=2&L4=4&PID=&sid=165&cid=65

IggleDoer

(1,186 posts)
16. That's the problem with specialists ...
Sun Feb 17, 2013, 07:24 PM
Feb 2013

... If the only tool in your tool chest is a hammer, suddenly everything looks like a nail.

azurnoir

(45,850 posts)
17. Dr Jones is a very brave man
Sun Feb 17, 2013, 07:31 PM
Feb 2013

only very rarely do MD's from the same state testify or make statements against each other

Grins

(7,218 posts)
21. And the hospital's parent company is....!
Sun Feb 17, 2013, 08:14 PM
Feb 2013
"...the hospital's parent company, Catholic Health Initiatives...

24+ heart operations are OK, but don't you even think about an abortion that might save your life, or getting a prescription for emergency contraception after a rape. No, no, no, no, no. That would be wrong.

The Catholic Church should not be running any hospitals or pharmacies.

DainBramaged

(39,191 posts)
22. In 2007 I 'had' a heart attack due to a blocked artery
Sun Feb 17, 2013, 08:32 PM
Feb 2013

I was transported to one hospital for the cardiologist to 'check' my heart to determine if I needed a stent, doing the dye and balloon , then had me transported to another nearby hospital that he was allowed to put stents in to put one in. Turned out I have the largest steel stent they make because my arteries are so large.


The scumbag never even came to see me. Plavix for the rest of my life.


When I went to his office to follow up, I saw a junior cardiologist because 'mine' was too busy to see me.


Fucking scumbag.


He double dipped the insurance company and put me in jeopardy twice. My current cardiologist said I could have been treated with medication and rest.


My cholesterol is now 147 (as of Wednesday)


ReRe

(10,597 posts)
26. 11 London, KY Hosp Cardiologists...
Sun Feb 17, 2013, 09:33 PM
Feb 2013
This is exactly why medicine and business don't mix. Business is business and the commons are the commons.
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