Outpatient Surgery Magazine

OR Excellence Awards 2015 - September 2015 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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1 4 4 O U T P A T I E N T S U R G E R Y M A G A Z I N E O N L I N E | S E P T E M B E R 2 0 1 5 5 Lessons From the Insulting Anesthesiologist She was caught on a smartphone mocking her sedated patient. I f you don't have something nice to say, don't say anything at all. That's one lesson a Virginia anes- thesiologist apparently forgot, after she was unknowingly recorded berating a patient who was undergoing a colonoscopy. According to court records, the male patient had turned on his cell phone to record some post-op instructions before the procedure. It continued recording during the procedure. After he was sedated, anesthesiologist Tiffany M. Ingham, MD, repeatedly insulted the man, including saying she wanted to punch him in the face, calling him a "retard" and joking that he had "penis Ebola" (osmag.net/BWbk6S). But Dr. Ingham didn't limit her remarks to insulting the patient. She also threatened — and subsequently followed through with — an intentional misdiagnosis, saying she was marking down that he had hemorrhoids, even though that was false. As the patient returned home, he listened to his recorded instructions from pre-op and dis- covered the vicious remarks. He sued, and later won $450,000. It doesn't seem like your classic med mal suit, but it is a good exam- ple of what a modern case looks like. Recently, courts have been look- ing much more closely at cases where patients claim emotional or psychological injury, and often ruling in favor of them. Here are 5 big lessons from this case. M E D I C A L M A L P R A C T I C E William Landess, CRNA, MS, JD z LOOSE LIPS In one high-profile case, anesthesiologist Tiffany M. Ingham, MD, was ordered by the courts to pay more than $450,000 to a patient she belittled while he was sedated.

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