mjl1717

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If a GI specialist or internist says he does colonoscopy in 3 minutes {Im not talking about the prep or insertion of the scope} Im talking about the direct diagnostic visualiztion when removing the scope..
This is not enough time and is not considered the current standard of care..
It should be at least 6 minutes..

If its under less then 6 minutes its a possible grounds for malpractice

Especially if there is positive family hx of colon cancer, fatigue, anemia, rectal bleeding, rt. side abdominal pain and change in bowel habits..

Main point.. Some times doing a good history and proper physical exam can keep one out of trouble especially in times of HURRIED office conditions! In 9 months we could have an escalation from Duke stage IIa to Duke stage IV !!:xf:
 
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Tired

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Man, you start some strange threads.
 

mjl1717

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I believe in practicing not only defensive medicine but smart medicine. [ I often read the legal advisor in the Clinical Journals!] No matter what the peanut gallery says..
Isnt the forum to be used to vent and discuss issues you may not otherwise mention to stressed out colleagues or your parents....
Just want others to be aware of what would be considered malpractice and if they are in close proximity of someone who is commiting malpractice.. I cant stress this enough these occurences seem to only occur when you LEAST expect it! I think that if one is NOT greedy, conscientious and thinks about medical/legal ramifications he can avoid a law suit.. But geez, some docs will say "I must be greedy"..
:rolleyes:
 
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OncoCaP

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I believe in practicing not only defensive medicine but smart medicine. [ I often read the legal advisor in the Clinical Journals!] No matter what the peanut gallery says..
Isnt the forum to be used to vent and discuss issues you may not otherwise mention to stressed out colleagues or your parents....:rolleyes:
I'm with Tired on this one ... I think you're smoking, licking, or poping something (not that I'm saying that's a "bad" thing; your "vent" just has this medicated aura to it; lack of sleep is also in the DDx).
 

45408

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wait, what?

 

WellWornLad

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Who is timing their colonoscopy in the first place? Even if the patient weren't sedated, I'm sure that a colonoscopy would SEEM like an eternity.
 

meister

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I think they get timed a lot. There is a scandal in Nevada because there was a big clinic in Vegas scheduling colonoscopies every 15 minutes. The guy running the show was a good friend of one of the doctors on the state medical board. Oops!

He used to brag about being able to do one in 7 minutes. Oh and also they were re-using dirty needles on patients among other offenses. Really that dude should probably spend some time in prison.
 

mjl1717

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I think they get timed a lot. There is a scandal in Nevada because there was a big clinic in Vegas scheduling colonoscopies every 15 minutes. The guy running the show was a good friend of one of the doctors on the state medical board. Oops!

He used to brag about being able to do one in 7 minutes. Oh and also they were re-using dirty needles on patients among other offenses. Really that dude should probably spend some time in prison.
Thank you! Because in the case Im talking about the G.I. specialist was bragging that he did about 30 to 40 colonoscopies per day.. The liability was that a COMPLETE H&P was not always conscientiously done!!
And even if this sounds strange it EASILY turns into a big freaking deal!!:thumbup:
 

mjl1717

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http://www.lasvegassun.com/news/2008/mar/09/assembly-line-colonoscopies-clinic-described/

You can read about it there I think. ******ed with a capital R if you ask me. Some people just get greedy I guess. My grandfather had a colonoscopy done by that douche. :(
Yes, being "greedy and unconscientious".. The downfall of many (including Republicans and American car makers) I think it can possibly work only at an early stage in evolution.. But after a while it just WONT work!! [I am no proponent of being greedy and unconscientious] Plus medicine as you know really is no place for the greedy and unconscientious!
Good article!

At least we know 30 colonoscopies per day is really the max (even that compromises care).. The specialist I was talking of bragged of doing 40 on just one occasion..:thumbup:
 
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