Posted by: Witch Doctor | November 8, 2012

Guidelines or something else?

witchround

The Witch Doctor can remember when formal “Guidelines” were first introduced into medicine. Some doctors predicted that they would become “Guidelines” only in name. The opinion was that they would soon metamorphose into protocols and thereafter assume the status of pseudo-legal or even legal documents.

Two surgeons are in trouble.

POLICE INVESTIGATE CANCER SURGEON OVER BOTCHED OPERATIONS

“The operations, carried out by surgeon Ian Paterson between 2004 and 2007, were found to breach guidelines.”

CONCERNS OVER CONSULTANT WHO DELIVERED PM’S DAUGHTER

“The BBC has seen details of a 2007 inquiry which raised possible concerns that the surgeon had failed to follow national guidelines in treating women with growths.”

In principle, there is absolutely nothing wrong with a doctor breaching guidelines. Sometimes it is necessary to do so, because in following them a significant number of individual patients who are not the “norm” will be harmed by the very guidelines designed to protect them.

If guidelines are being used to finger doctors then they are being used as protocols or legal documents that a doctor MUST follow. i.e. the doctor must toss his brain into the garbage bin and do what he is told rather than take the individual patient into account.

This would be bad for patients. Furthermore doctors would leave medicine in their droves or sensible students with a modicum of vision would choose not to become doctors.

If it is proven that these two doctors have been guilty of malpractice, the reason should NOT be because they did not follow guidelines. Acceptable reasons for malpractice might be not being up to date, lack of integrity, lack of judgement, lack of technical ability due to physical impairment, recklessness etc.etc.

There are plenty of reasons that a doctor may choose not to follow guidelines in the interest of an individual patient. It is the underlying reasons that are important and they should not be hidden under the blanket statement “he/she did not follow guidelines”

There are many patients who should be grateful that their medical practitioners “did not follow guidelines,” and others that are sorry that they did. Indeed some patients may be dead because their doctor “followed guidelines.”

redapple.jpg a red apple ……………………

The Witch Doctor – Link to a random page

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LINK TO UK MISSING KIDS WEBSITE

LINK TO MISSING PERSONS WEBSITE

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