Showing posts with label Harvard University. Show all posts
Showing posts with label Harvard University. Show all posts

Sunday, January 30, 2011

10 Doctors Who Shamed Their Profession

If you think about it, the comparison of doctors to mechanics is pretty apt. Given the specialized nature of their work and the general helplessness of most patients, doctors, like mechanics, are rarely held accountable for their actions. Sure, for the most part, doctors have your best interest at heart, but like in any profession, there are both good and bad apples. According to the National Patient Safety Foundation, 42 percent of people believed they had personally experienced a medical mistake. Additionally, numerous statistics have shown that a staggering amount of people die each year due to medical error. The following doctors made such blatant mistakes and/or lapses in judgment that they, at the very least, have a reputation that garnered them recognition on this list.
1.Dr. Earl Bradley, Monster: Nothing is worse than violating the trust of a child, which is why Bradley, a former pediatrician from Lewes, Delaware, is such a monster. In February of 2010, he was indicted on 471 charges of child sex abuse involving 103 children. Initial allegations against Bradley surfaced during the mid-’90s, but the hospital for which he worked was unable to verify the claims. They were enough, however, to prompt him to move to Delaware, where more allegations surfaced a decade later, including that he had abused his own son. Bradley was initially arrested in December of 2009 after a year-long investigation, which prompted the indictments two months later.


2.Dr. Robert Ricketson, Screw Up: Ricketson is no longer practicing medicine and the world is better for it. During a spine operation he performed on 73-year-old Arturo Iturralde in 2003, Ricketson intentionally inserted a piece of a screwdriver into the patient’s spine instead of a titanium rod. The rod he had intended to use went missing prior to the surgery, so he took it upon himself to improvise. As a result, Iturralde endured three additional surgeries to insert the proper rod and correct complications. After one of the operations, pieces of the screwdriver were recovered by nurses and the family was alerted. Iturralde became a paraplegic and died two years later, and his family was awarded $5.6 million in a malpractice lawsuit in 2006. During the aftermath, it was discovered that Ricketson’s medical license had been suspended in Oklahoma and Texas and he was denied consideration for a medical license in Kansas in 2002, a year after the botched surgery. He had previously been sued for malpractice several times and had history of narcotics abuse. Not a very impressive resume to say the least.
3.Dr. Jan Adams, Plastic Surgeon Imposter: Adams is most famous for performing the breast augmentation surgery on Donda West, Kanye West’s mom, that resulted in her death in 2007. But that’s not the only blemish on his record. In a malpractice suit against Adams, a previous patient claimed that she didn’t receive proper preoperative or postoperative care, leading to an infection that needed two more surgeries. What’s more, one patient claimed he got her drunk after a surgery and impregnated her, and another claimed a surgical sponge was left inside of her after a breast augmentation. Adams, who attended Harvard University, never received his diploma despite apparently completing his academic requirements. He’s also not a board certified plastic surgeon despite claiming to be one. How was this guy getting work?


4.Julie Ponder and Connell Watkins, Child Killers: Alternative medicine can be a risky proposition given the unproven nature of many of its methods. Attachment therapy in particular can yield tragic results when taken to an extreme. The treatment is used to remedy attachment disorders primarily suffered by adopted and fostered children who persistently misbehave or display little affection toward their new caregivers. In 2000, 10-year-old Candace Newmaker was killed during such treatment when she was suffocated during an intensive rebirthing session. Wrapped in a flannel sheet by psychotherapists Julie Ponder and Connell Watkins, she told to free herself from it while Ponder and Watkins held her down. She pleaded for her life, but was told by Ponder "You want to die? OK, then die. Go ahead, die right now." Newmaker was declared brain dead the next day due to asphyxia. The entire session was videotaped and presented as evidence against Ponder and Watkins, who were each given 16-year prison sentences — Watkins was paroled in 2008 after serving seven years.

5.Dr. James Burt, Ghastly Gyno: The notorious Dr. Burt was exposed for his harmful and downright bizarre practices in the late 1980s when numerous former patients came forward and initiated lawsuits. Beginning in the late 1960s, Burt took it upon himself to perform "love surgeries" in which he altered his patients’ vulvas without their consent. He justified his work in a book he authored in 1975, explaining that "Women are structurally inadequate for intercourse. This is a pathological condition amenable by surgery." He stated the procedure turns them into "horny little mice," though in reality, many of them suffered sexual dysfunction, infection and required corrective surgeries as a result. A $21 million suit was filed against Burt that couldn’t have come close to covering the physical and emotional damages endured by the at least 40 women he hurt.

6.Dr. Cecil Jacobson, Seed Spreader: As a fertility doctor, it was Dr. Jacobson’s duty to assist women in conceiving, and in the 1980s, it appeared he was doing a pretty good job. His patients reported high success rates due to his use of hCG, a hormone released during pregnancy that causes the typical bodily changes. During the supposed pregnancies initiated by hCG, he would identify the fetuses during an ultrasound, but they would usually "die" after about three months. Patients who suspected something was amiss informed a local television station, which investigated and exposed Jacobson. In the process, they discovered he used his semen to artificially inseminate patients who were told they were matched with an anonymous donor. Genetic testing later showed that he was the biological father of at least seven of his patients’ children. Jacobson, who won the Ig Nobel Prize for Biology in 1992 and claimed to have successfully oversaw the impregnation of a male baboon in the 1960s, was stripped of medical license and sentenced to five years in prison.


7.Dr. Rolando R. Sanchez, Accidental Amputator: To be fair to Dr. Sanchez, he has done a fine job of rehabilitating his reputation after the costly mistake he oversaw in 1995 — in fact, he’s still practicing. Even still, it’s the kind of inexcusable error you’d never wish on your worst enemy. In the process of amputating Willie King’s leg, Sanchez was informed by a nurse that he had cut into the wrong one. It was too late, however, and he had to finish what he started — King would later have the original leg amputated by another doctor. Consequently, Sanchez was suspended on the grounds that he presented an "immediate and serious danger to the health, safety and welfare of the public," and King later settled with the hospital.

8.Dr. Red Alinsod, Organ Tattoo Artist: Ingrid Paulicivic certainly won’t be recommending Dr. Alinsod given what occurred during her June 2009 hysterectomy. According to Paulicivic’s lawsuit, while putting the finishing touches on the surgery, Dr. Alinsod decided to brand his work by using an "electrocautery device to carve and burn" her name into her removed uterus. Alinsod claimed the move was necessary to ensure he wouldn’t confuse the uterus with others. Paulicivic became aware of the branding during a follow-up visit in which she complained of the resulting burns on her legs.

9.Dr. Elias Hanna, Carvey Carver: Dr. Hanna nearly caused the premature death of yet another Saturday Night Live legend. In 1998, he botched Dana Carvey’s heart bypass surgery by connecting a healthy portion of his artery to a healthy diagonal vessel instead of the damaged arterial section. It wasn’t until two months after the operation that Hanna discovered the mistake, resulting in an emergency angioplasty for Carvey — his fourth in less than a year. Before it was corrected, he was susceptible to suffering a fatal heart attack. Carvey filed a medical malpractice lawsuit and eventually settled for $7.5 million.


10.Alan Hutchinson, Dirty Dentist: Hutchinson, a dentist from Batley, West Yorkshire, UK, made headlines in 2007 when he was accused of using sterilized instruments to clean his ears and fingernails, working on teeth without washing his hands or using gloves, and urinating in a surgical sink. Complaints from a patient and his nurse, Claire Pygott, eventually led to a guilty verdict from the General Dental Council in London. Pygott said that she was "shocked, disgusted and appalled" by the dentist’s actions, which she had witnessed on more than one occasion.
 
Source : http://www.mastersinhealthcare.com/blog/
special thanks to Celina Jacobson

Monday, November 22, 2010

Be Here Now

And now, welcome back for the hypothesis of our experiment: Wherever your mind went — the South Seas, your job, your lunch, your unpaid bills — that daydreaming is not likely to make you as happy as focusing intensely on the rest of this column will.
I’m not sure I believe this prediction, but I can assure you it is based on an enormous amount of daydreaming cataloged in the current issue of Science. Using an iPhone app called trackyourhappiness, psychologists at Harvard contacted people around the world at random intervals to ask how they were feeling, what they were doing and what they were thinking.
The least surprising finding, based on a quarter-million responses from more than 2,200 people, was that the happiest people in the world were the ones in the midst of enjoying sex. Or at least they were enjoying it until the iPhone interrupted.
The researchers are not sure how many of them stopped to pick up the phone and how many waited until afterward to respond. Nor, unfortunately, is there any way to gauge what thoughts — happy, unhappy, murderous — went through their partners’ minds when they tried to resume.
When asked to rate their feelings on a scale of 0 to 100, with 100 being “very good,” the people having sex gave an average rating of 90. That was a good 15 points higher than the next-best activity, exercising, which was followed closely by conversation, listening to music, taking a walk, eating, praying and meditating, cooking, shopping, taking care of one’s children and reading. Near the bottom of the list were personal grooming, commuting and working.
When asked their thoughts, the people in flagrante were models of concentration: only 10 percent of the time did their thoughts stray from their endeavors. But when people were doing anything else, their minds wandered at least 30 percent of the time, and as much as 65 percent of the time (recorded during moments of personal grooming, clearly a less than scintillating enterprise).
On average throughout all the quarter-million responses, minds were wandering 47 percent of the time. That figure surprised the researchers, Matthew Killingsworth and Daniel Gilbert.
“I find it kind of weird now to look down a crowded street and realize that half the people aren’t really there,” Dr. Gilbert says.
You might suppose that if people’s minds wander while they’re having fun, then those stray thoughts are liable to be about something pleasant — and that was indeed the case with those happy campers having sex. But for the other 99.5 percent of the people, there was no correlation between the joy of the activity and the pleasantness of their thoughts.
“Even if you’re doing something that’s really enjoyable,” Mr. Killingsworth says, “that doesn’t seem to protect against negative thoughts. The rate of mind-wandering is lower for more enjoyable activities, but when people wander they are just as likely to wander toward negative thoughts.”
Whatever people were doing, whether it was having sex or reading or shopping, they tended to be happier if they focused on the activity instead of thinking about something else. In fact, whether and where their minds wandered was a better predictor of happiness than what they were doing.
“If you ask people to imagine winning the lottery,” Dr. Gilbert says, “they typically talk about the things they would do — ‘I’d go to Italy, I’d buy a boat, I’d lay on the beach’ — and they rarely mention the things they would think. But our data suggest that the location of the body is much less important than the location of the mind, and that the former has surprisingly little influence on the latter. The heart goes where the head takes it, and neither cares much about the whereabouts of the feet.”
Still, even if people are less happy when their minds wander, which causes which? Could the mind-wandering be a consequence rather than a cause of unhappiness?
To investigate cause and effect, the Harvard psychologists compared each person’s moods and thoughts as the day went on. They found that if someone’s mind wandered at, say, 10 in the morning, then at 10:15 that person was likely to be less happy than at 10 , perhaps because of those stray thoughts. But if people were in a bad mood at 10, they weren’t more likely to be worrying or daydreaming at 10:15.
“We see evidence for mind-wandering causing unhappiness, but no evidence for unhappiness causing mind-wandering,” Mr. Killingsworth says.
This result may disappoint daydreamers, but it’s in keeping with the religious and philosophical admonitions to “Be Here Now,” as the yogi Ram Dass titled his 1971 book. The phrase later became the title of a George Harrison song warning that “a mind that likes to wander ’round the corner is an unwise mind.”
What psychologists call “flow” — immersing your mind fully in activity — has long been advocated by nonpsychologists. “Life is not long,” Samuel Johnson said, “and too much of it must not pass in idle deliberation how it shall be spent.” Henry Ford was more blunt: “Idleness warps the mind.” The iPhone results jibe nicely with one of the favorite sayings of William F. Buckley Jr.: “Industry is the enemy of melancholy.”
Alternatively, you could interpret the iPhone data as support for the philosophical dictum of Bobby McFerrin: “Don’t worry, be happy.” The unhappiness produced by mind-wandering was largely a result of the episodes involving “unpleasant” topics. Such stray thoughts made people more miserable than commuting or working or any other activity.
But the people having stray thoughts on “neutral” topics ranked only a little below the overall average in happiness. And the ones daydreaming about “pleasant” topics were actually a bit above the average, although not quite as happy as the people whose minds were not wandering.
There are times, of course, when unpleasant thoughts are the most useful thoughts. “Happiness in the moment is not the only reason to do something,” says Jonathan Schooler, a psychologist at the University of California, Santa Barbara. His research has shown that mind-wandering can lead people to creative solutions of problems, which could make them happier in the long term.
Over the several months of the iPhone study, though, the more frequent mind-wanderers remained less happy than the rest, and the moral — at least for the short-term — seems to be: you stray, you pay. So if you’ve been able to stay focused to the end of this column, perhaps you’re happier than when you daydreamed at the beginning. If not, you can go back to daydreaming starting...now.
Or you could try focusing on something else that is now, at long last, scientifically guaranteed to improve your mood. Just make sure you turn the phone off.