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Medical Misadventure

#1 Guest_IDB_*

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Posted 16 March 2004 - 09:50 AM

scoop.co.nz
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#2 User is offline   Down 

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Posted 16 March 2004 - 03:11 PM

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Under the new system, the categories of 'medical error' (where a health practitioner is at fault) and 'medical mishap' (the result of properly given treatment) will be replaced with 'unintended injury' which will cover all adverse medical events


In my opinion this is pure and utter Bull S*** :angry: is this the best Dyson and & Co can come up with ... change the direction to again cover the butt's of incompedent Dr's and still have no accountabliltity or responsibility for their mistakes.

Time to start matching up the changes to the new Medical Practioner's Act due to come into effect on September the 18th this year and Dyson's new ACC changes.
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#3 User is offline   Temporary1 

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Posted 09 July 2005 - 07:48 PM

Greetings,
ACC now has re-labelled Medical Mis-adventure as,

"Treatment Injury"...

Louise Cambell... 0800 735566
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#4 User is offline   doppelganger 

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Posted 09 July 2005 - 09:23 PM

that is to bring it in line with the changes of the Act

Assessors will now have to sign a form to say that they are requesting treatment when doing assessments so that the treatment given out by them is covered by ACC
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#5 User is offline   MG 

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Posted 11 July 2005 - 01:02 PM

By and large, the new treatment injury provisions are an improvement on the old medical misadventure regime, although it is important to note that ACC senior management was hostile to the new law changes (See: Mr McGreevey's reported comments elsewhere on this site). IMHO, this will colour ACC's interpretation of the new law, as it will try to claim that claimant's medical conditions were the result of pre-existing conditions, that they did not suffer injuries at all, or that their injuries were not the result of treatment. I forsee another series of bitter court battles here.
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#6 User is offline   Tomcat 

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Posted 04 October 2005 - 08:12 AM

Surgeons urged to think again before cutting

04.10.05

http://www.nzherald.co.nz/section/story.cf...jectID=10348538

More than one-third of orthopaedic surgeons operate on the wrong body site at least once in their career, says a Christchurch surgeon.

A conference has also been told of "near misses", including two Christchurch cases last year when the wrong patient was on the operating table.

Addressing 160 delegates at the Orthopaedic Association's annual scientific conference in Christchurch yesterday surgeon Gary Hooper called for compulsory "time out" sessions before every operation to ensure the surgeon had the right patient, the right spot and the right procedure.

He said ACC figures showed 38 per cent of orthopaedic surgeons had reported at least one incident of wrong site surgery in their career - half through operating on the wrong side and 42 per cent for spinal procedures at the wrong level.

Mr Hooper said patients had their details checked four times between arriving at hospital and entering surgery, yet mistakes still happened.

In an audit of 10,330 operations in Christchurch last year, Mr Hooper said, three "near misses" were uncovered.

In two cases, the wrong patient was on the operating table after surgical lists were rescheduled.

Another 10 cases had mistakes in the paperwork meaning a blood transfusion would have been impossible. Mr Hooper said mistakes were usually blamed on the surgeon but could be due to many factors. In 8 per cent of cases the patient had provided the wrong information.

In one near miss, Mr Hooper said, the patient allowed the surgeon to mark the wrong arm with a pen before surgery because he thought the surgeon "was joking".

For the past 18 months all Christchurch surgeons held a "time out" session before every operation to pick up such mistakes, said Mr Hooper.

"The three near misses could have been disasters but they weren't."

Time outs involves the whole operating team including the surgeon, anaesthetist and nurses, pausing before surgery to recheck the patient's identity, the operation to be done, the correct site and any equipment needed.

Mr Hooper said time out sessions should be mandatory in all operating rooms.

American research has found wrong site surgery happened at a rate of between one in every 15,000 to 30,000 operations.

About one-third of incorrect operations were done on the wrong patient, usually one scheduled to have a different operation.

Nationally, ACC has had 28 claims for wrong site surgery in the 10 years to March 2003, accounting for 2 per cent of all medical errors.

Patients affected ranged in age from 15 to 87 and cost ACC $93,000. The average claim was $3700.

Error rates were similar in public and private hospitals.
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#7 Guest_Percy_*

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Posted 04 October 2005 - 04:39 PM

Mr Hooper can well talk about this. He has his share of botched op's as well. One of them was on me and it cost me
$thousands!!!!!!!
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#8 User is offline   doppelganger 

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Posted 04 October 2005 - 09:23 PM

I nealy had a spinal operation because some one supplied the assessor the wrong information.
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#9 User is offline   Hatikva 

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  Posted 13 December 2005 - 07:05 AM

From Stuff this morning ..

Quote

Medical errors kill more than road toll
13 December 2005 

More than three times as many New Zealanders die from medicine errors than the annual road toll, district health boards have revealed.


The country's 21 health boards have formulated a strategy to improve the use of medicines and avoid nearly 1500 deaths a year.

A spokesman for the Safe and Quality Use of Medicines (SQM) group, Dr Dwayne Crombie, said safety with medicines was vital given it was one of the most common medical "interventions" in the health care system.

"We know that the level of medication errors is hugely significant. Either patients are given the wrong thing, or the wrong amount of the right thing, or they don't take something that's been prescribed or they take something their neighbour's been trying.

"There are also lots of errors which occur from written orders."

The strategy suggests changes to the systems and processes which primary and secondary health providers use for high-risk medication.

It also plans to send out industry "alerts" on the handling of eight high-risk medicines, including diltiazem, a cardiac drug.

Diltiazem came in six strengths and used different formulations, the group noted. The formulations were not interchangeable and discharge information and prescriptions had not been consistent.

The other drugs deemed high risk were morphine, warfarin, insulin, heparin, potassium, cytotoxics and intravenous infusions.

The strategy estimates that about 1 per cent of people going to hospital may suffer from significant medication errors and up to 5-7 per cent of other admissions could suffer from minor, moderate or "no harm" situations.

There were many causes, including human error, systematic factors or a combination of both.


On more than one occasion in NZ, I've been prescribed Panadene (contains codeine) which I'm allergic to, and I've ALWAYS made hospitals and medical practitioners aware of the morphene/codeine allergy!

It's not only NZ that has problems - fortunately I had a pharmacist back in Canada that caught the fact that a drug (Zomax) that I'd been prescribed for pain after surgery in 1984, was potentially fatal for someone with an aspirin allergy (I am allergic to aspirin. That particular drug was cited for several deaths and as I recall was eventually pulled from the market ...)

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In 1983, Senator Ted Weiss held Congressional hearings on the Nsaid drug called Zomax, which was manufactured by the McNeil division of Johnson and Johnson. The drug had a high allergic reaction profile as well as a carcinogenic dimension and the FDA and McNeil admitted to 14 deaths from the drug. The actual number that was finally reported to the FDA was 187. The statistical projection if all deaths had been recognized and reported would have been in the range of 4000. Deaths could have been limited if the FDA had demanded a recall of the drug, but it remained in distribution for about a year after the Congressional hearings.


So, not only do we face problems with administrtation of the wrong medication, in some cases the medical histories of patients aren't checked before prescribing (and/or administering) Medication.

It's not just New Zealand...
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#10 User is offline   Hatikva 

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  Posted 28 January 2006 - 08:58 AM

Folks...

Having had a surgeon "err" during surgery in 2001, and having been given the usual general runaround by ACC. I am considering filing a claim for "medical misadventure" against the surgeon ... through ACC and the ACC2152 claim.

The evidence I have includes:

1: Original surgeon notes from February 13, 2001 indicatng...

Quote

Initial hole made in lateral femoral condyle but it was felt to be a little bit to anterior.  During drilling of this hole significant sudden bleeding encountered.  Concern was felt that this was related to vascular problems but the hole had been drilled entirely within bone and the bleeding was simply due to the fact that the tourniquet lost control.  It did however mean that there were significant problems in revisualising the appropriate area.  A second drill hole was made in the femoral condyle which partly broke into the first and this eventually lead to some loss of fixation of the femoral graft


Subsequent to this surgery, I experienced considerable pain over next three years - and my knee was unstable. Pain eased when I suffered major fall in April 2004 (adhesion that held knee together tore according to rehab staff at QE hospital September 2004) - pain reduced but stability severely worsened, as ahesions were what was holding knee together and providing stabilitity

2: Results of arthroscopy (December 2004) - Comments from specialist's report

Quote

Advised that knee unstable, now bare bone with small rim of cartilage, prescribed knee brace, ACL reconstruction was intact but clearly functionally inactive



Has anyone had any experience with the "Medical Misadventure" Claim?

Is just another piece of ACC puffery or is it for real?

Many thanks for your help ...
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#11 User is offline   Easyrider 

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Posted 28 January 2006 - 09:48 AM

Before you start any claim, have you got copies of the reports of all procedures carried out. Get them before you lay a claim.

You can get your GP to write to specialist and ask to expand on the results, of the arthoscopy and ask him if the damage has been caused by misadventure.
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#12 User is offline   Hatikva 

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  Posted 28 January 2006 - 10:07 AM

Thanks, Easyrider ...

I'm meeting with my "new" specialist (who did the arthoscopy in 2004) as soon as he returns from holidays in regards to the mess my knees (both of them now) are in -

I was asked to bring the other surgeon's notes from 2001 with me as what was done may impact on what can now be done to deal with the mess ...

My poor GP has been innundated with requests for files from ACC, think ACC are gaslighting him too... he was VERY surprised at ACC's refusal to provide pain management treatment or physio (as per his requests) ... somehow he got the impression (from ACC?) that the treatment WAS provided ...

Orchestrated Litany of Lies, this ACC organisation
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#13 User is offline   MG 

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Posted 30 January 2006 - 09:29 AM

Hatikva - if ACC make decision on your claims and you disagree with them, go to review.
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#14 User is offline   Hatikva 

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Posted 04 February 2006 - 11:48 AM

Update on the medical misadventure front.

Firstly, I sent an enquiry (email) to the Medical Council.

They responded (within two working days) and advised me that these were now dealt with the Health and Disability Commission (HDC) and that they had forwarded my email on to the HDC.

Within 24 hours I'd had a call back from the HDC. Faxed surgical notes to them. We discussed options etc .. as the surgery was in 2001. (note that you should act quickly if there has been a possible problem - not wait - Had ACC notified me when they got the information that there was possibly something wrong with the original surgery .. we might have been able to act sooner ..) needless to say the surgeon hadn't mentioned the problem... which saddens me somewhat - as had we known, maybe we could have approached the situation differently - especially in terms of rehab etc and especially a better and lengthlier rehab programme followed up by arthroscopy to find out what was wrong - back then I would have looked at finding solution to what to do with knee - now I've got a knee that's stuffed).

Was advised by HDC and solicitor that cover for medical misadventure should be automatic if it was done on ACC claim.

Contacted treatment injury branch of ACC, who cofirmed that the matter was covered under original claim (interesting fact - the Treatment injury branch confirmed that the claim number was (still) open -(now that is one of many that was closed by the CM from Hell ... I'm not sure when it was reopened - ??)

The above took less than three working days to accomplish.

Getting an appointment to meet a CM to discuss the problems I've been having is a bit more challenging - over two years and waiting - however on a positive note, one of the CM's in Rotorua phoned on Friday to said that she would take on my case for now while my "new" CM is away, and that she would read through the file notes as well as the information I have sent in recently, and arrange for a meeting. We actually had a really nice chat - :)

So, maybe ... thinks will start to get sorted out (if I survive that long!) :blink:

And maybe I can get the other bits of this Medical Misadventure stuff sorted out, the problems can't be fixed ... too bloody late, but ... an apology would be nice!

The key is - if you are treated for an injury for which ACC has agreed to provide cover, you are also automatically covered for Medical Misadventure and don't need to file a separate claim.

If you suspect something amiss after surgery, don't wait - stick to your guns and get all the medical documents (and if need be ask your GP to help explain what the notes mean ... ).

If something isn't right, don't just give up and go away.
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#15 User is offline   Tomcat 

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Posted 09 July 2006 - 10:00 AM

'They're going to operate on me and I'm still awake'
09 July 2006
By DONNA CHISHOLM

A woman who almost suffocated in an anaesthetic mix-up which left her conscious but paralysed on the operating table, says she's had a two-year battle for compensation in which no one took responsibility for the mishap.

http://www.stuff.co....6267a11,00.html
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#16 User is offline   Natoyarose 

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Posted 26 October 2007 - 07:54 PM

Hey in Australia they employed a sociopath that went hunting for people to operate on. he killed a few of them and maimed many others before he gave them the slip and went back to the US.

I once heard someone refer to orthopods as 'the mechanics' of the medical clan. Simply put they may know something of bones but nothing of the mechanics of how soft tissue works. I would be very, very hard pressed to let one of them anywhere near me unless I had first seen a competent occupational physician - and I do mean a competent one. They can usually advise of the best orthopod to see. And just for the record I would rather be dead than let a common old garden variety orthopod anywhere near my back.

An intersting discussion I had with a GP that I do really respect for the work he does. If you want to know why a doctor chooses the profession that they do to go into it often has a lot to do with how much money they earn. The doctors who earn the most money are the ones who spend the most time in surgery operating and that would be orthopds and urologists. The same doctor said rather laughingly that a urologist really was nothing more than a glorified plumber and it was pretty much a no brainer and if you didn't really ahve the smarts to be somethign more demanding is was the ideal choice. ironically the same could be said about orthopods.

Now a good example of what not to do if you are having surgery is to not be aware of the proper diagnostic work ups that need to be done prior to surgery. We had a neurosurgeon in Hobart Tasmania that another doctor I do respect (an occupational physician) who does a lot of medico-legal work told me that this neurosurgeon was forever wondering why his surgeries didn't work out when he never did the proper diagnostics before hand. Letters after a name count for squat and sometimes the higher the IQ the lower the practical ability......and they give these guys licenses


hey is Gordon Howie still practising in Auckland. He was cutting edge 17 years ago - though arrogant with it.
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#17 User is offline   Sparrow 

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Posted 26 October 2007 - 10:45 PM

The Doctors who earn the most in NZ, Notaryrose are the ACC TOADY Assessors.
We know of one who earns just on a $1million from ACC. He travels all over NZ.
Orthopods earn chicken feed compared to these jerks.
They earn extra if a person is kicked off as a result of their fake assessment.
If you were in ACC, you will know just who I mean!! Yes, he was doing it 17yrs ago as well!!!
Nice to have you on board!!!!!
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#18 User is offline   Reality 

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Posted 10 August 2008 - 07:56 AM

View Postmaungataniwha, on Jun 6 2008, 02:57 AM, said:

I'm bumping this one up because some of you have upcoming ASSSESments with some of these very same over paid, taxpayer bludging parasitic exit man ACC toadies. http://accforum.org/forums/index.php?showt...art=#entry28244

Well despite ERC being my legal ENTITLEMENT and my having paid into the ACC system for decades, I don't get anything like the thousands of taxpayer dollars this ACC toady gets on the public purse for exiting innocent ACC claimants from their lawful entitilements, by lying and injuring us (I'm not his only victim either). http://accforum.org/forums/index.php?act=S...BKandilal+Kanji


Seems like the whole world is out of step with you Maungataniwha, apart from Sparrow of course who is also prone to making unsubstantiated statements.

It appears that if some doctor thinks you are fit to work then he is a toady. Conversely if a doctor says that you are crippled then the sun shines out of his backside and he is your best mate for life. What a miserable existence you and Sparrow must lead, looking for stuff that proves you are crippled. Get a life, put your miseries to one side and concentrate on what you can do - if not for yourself then for others.

http://abcnews.go.co...=4614281&page=1

P.S. If all these 'Toadies" lie about you and injure you then how come they are still practicing? Surely you have complained to the numerous commissions that have been setup to investigate such serious issues. The Commission industry would love to hear from you - it helps to justify their existence, even if they find that your complaints prove to be baseless.
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#19 User is offline   Gloria Mitchell 

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Posted 10 August 2008 - 01:47 PM

View PostReality, on Aug 10 2008, 08:56 AM, said:

Seems like the whole world is out of step with you Maungataniwha, apart from Sparrow of course who is also prone to making unsubstantiated statements.

It appears that if some doctor thinks you are fit to work then he is a toady. Conversely if a doctor says that you are crippled then the sun shines out of his backside and he is your best mate for life. What a miserable existence you and Sparrow must lead, looking for stuff that proves you are crippled. Get a life, put your miseries to one side and concentrate on what you can do - if not for yourself then for others.

http://abcnews.go.co...=4614281&page=1

P.S. If all these 'Toadies" lie about you and injure you then how come they are still practicing? Surely you have complained to the numerous commissions that have been setup to investigate such serious issues. The Commission industry would love to hear from you - it helps to justify their existence, even if they find that your complaints prove to be baseless.



Hey Reality......get realistic.....Reality is just someone perception of the situation......right or wrong.

gloria
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#20 User is offline   Reality 

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Posted 10 August 2008 - 08:33 PM

View PostSparrow, on Aug 10 2008, 07:58 PM, said:

It is clear to me and others that you have utterly no comprehension of why this forum is here.


So, this forum is here for you to write such considered and intelligent posts as your post in October last year....

QUOTE(Sparrow @ Oct 26 2007, 10:45 PM)
The Doctors who earn the most in NZ, Notaryrose are the ACC TOADY Assessors.
We know of one who earns just on a $1million from ACC. He travels all over NZ.
Orthopods earn chicken feed compared to these jerks.
They earn extra if a person is kicked off as a result of their fake assessment.
If you were in ACC, you will know just who I mean!! Yes, he was doing it 17yrs ago as well!!!
Nice to have you on board!!!!!

So the secret handshake members have special information on what a toady earns (the most in NZ no less!) and that they get a kick off bonus as well. You have 'the knowledge' that they provide "fake assessments". "You know who I mean" (nudge, nudge, wink, wink).

What absolute crap you write. Full of accusations, not a single name or source for these amazing statements. No wonder Notary Rose never replied. If you think that this forum is only here for whingers like you then you give the other more serious posters a bad name that they don't deserve. Even Alan Thomas must be embarrassed to have you on this site.

Go on, publish a fact or a name for your October post and back it up with a source that can be independently checked. Bet you can't.

Have a look at the U-tube video of the late Randy Pausch, then post your opinion about what he has to say. Go on, do it
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