Let’s Not Jump To Conclusions….But…

This story about the homeless woman removed from the hospital (in cuffs) who was then jailed and died is absolutely terrible.   It happened in September so there really shouldn’t be any new facts discovered (i.e. the “hoodie” case).    How three hospitals could miss a DVT is weird.     I do not like the statement made by St. Mary’s Health Center which went:

“The sad reality is that emergency departments across the country are often a place of last resort for many people in our society who suffer from complex social problems that become medical issues when they are not addressed. It is unfortunate that it takes a tragic event like this to call attention to a crisis in our midst.”

Are they really trying to make this case a call to arms to fix all the social ills of the country?   Talk about trying to deflect attention.  Someone needs a new PR person. Yes, ERs do see a lot of complex social problems which can turn into medical problems.  So do family doctors and internists.   Actually, so do all doctors.   That being said, and forgive me if new facts do get uncovered, someone should have got a damn ultrasound on this lady’s leg.

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  5 comments for “Let’s Not Jump To Conclusions….But…

  1. Demo Chic
    April 4, 2012 at 10:13 am

    They did ultrasound her… but she also presented to a pediatric hospital and acted very disruptive and (for lack of a better word) crazy. I’m sure that did a lot for her care, especially when the peds hospital was right next door to a well-known adult hospital and she refused transfer at one point. One of my friends is an attending in the peds ER. There’s much more to this story I’m afraid.

  2. Kathy
    April 4, 2012 at 9:02 am

    I’m from St. Louis, and as I read the news coverage (and recognizing that it can be less than accurate sometimes and it did not include a clear timeline), she did get an ultrasound, but it was 24 hours before they eventually sent her to jail.

  3. March 31, 2012 at 10:29 pm

    I am glad to see that some physicians are beginning to try to preserve the physician-patient relationship without the middle tier of regulators, whether federal, state, or insurance companies, controlling the physicians’ decisions about the best care for their patients.

    However, as I look over the AtlasMD website, I am unable to tell from the web site how many people it takes to support the two physicians in providing this care.

    Or how much some outside company charges to provide the infrastructure for concierge medicine. We need to know these things as we encourage physicians to explore these alternative ways of delivering health care.

    We are only now coming to grips with the high cost of electronic health care records. And while physicians who provide this kind of personalized care no doubt can keep their patients out of the hospital in greater numbers than the usual practice modalities, anyone with a significant number of patients over 65 is going to be dealing with hospitalizations.

    But yes, I agree, this model looks really appealing. I’d love to hear more about the real nitty-gritty of practicing this way. I am anxious to see how this works out over time.

  4. Margaret Luhra Tivis
    March 31, 2012 at 6:27 pm

    I have no insurance, so have to budget visits to my doctor, who is a wonderful young woman. Low income medical clinic here closed. Now only resource for many is the ER. Hospitals should operate a small clinic to treat folks who are poor & keep them out of the ER. Ideas anyone?

    • Doug Farrago
      March 31, 2012 at 7:18 pm

      Here is the perfect answer:


      Though they are in Kansas, their model looks great.

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