Am I Mental - By doctor Sabine Fonderson
By Dr Sabine Fonderson
Am I Mental - By doctor Sabine FondersonOct 13, 2022
The case of a patient who got things wrong. Case number 11
In this episode, I speak about a case from Amsterdam, where a patient's complaint against their orthopedist sparked rigorous examination. Here's what I'll cover:
- Incorrect diagnosis accusations: Did the orthopedist accurately diagnose the cause of the patient's pain complaints?
- Allegations of unnecessary surgery: Was the operation performed by the orthopedist truly warranted?
- Performance critique: Did the orthopedist execute the operation flawlessly, or were there shortcomings in the procedure?
- Negligence claims: Was the orthopedist's conduct during the operation and post-operative care negligent, leading to additional adverse consequences?
How do you think the judges will rule?
Source: https://tuchtrecht.overheid.nl/zoeken/resultaat/uitspraak/2002/ECLI_NL_TGZRAMS_2002_8
The case of a general practitioner who got too friendly with his patient. Case number 10
Follow the journey of a 91-year-old plaintiff and her once-trusted general practitioner, whose bond evolves from medical care to friendship. However, when the doctor’s home is burglarized, suspicions arise, straining their relationship and ultimately leading to legal action.
The plaintiff accuses her former doctor of breaching confidentiality, abruptly ending their relationship without explanation, and engaging in questionable billing practices. Despite initial dismissal by the regional medical council, the plaintiff’s persistence pays off with an appeal and a second review by the higher medical council.
In a courtroom showdown where the plaintiff stands her ground while the absent general practitioner is solely represented by legal counsel, the outcome hangs in the balance. Will justice prevail? Tune in to uncover the riveting conclusion and unravel the intricate interplay between medical ethics and legal accountability.
The case of a cardiologist who did not share his medical notes: Case number 9
Welcome to "Am I Mental, Doctors in Court Edition," the podcast where I unravel the intricate web of medical malpractice cases that leave us questioning the thin line between sanity and negligence.
Today I delve into a gripping case involving a cardiologist, a patient with heart disease, and the devastating consequences of misjudgment.
In this heart-wrenching tale, a cardiologist finds themselves in the courtroom, facing accusations of neglect from the family of a patient who, despite having diabetes and obesity, trusted the expert's care for over 5 years. The turning point came when the patient's general practitioner urged further investigation into persistent chest pains, only to be dismissed by the cardiologist, attributing the discomfort to stomach issues.
As the patient's condition worsened, the general practitioner sought a second opinion from another hospital's cardiologist. The shocking revelation of a severe coronary blockage emerged after a corona-angiogram, leading to a waiting list for a life-saving stent. Tragically, the patient passed away before the procedure could take place, sparking a legal battle against the initial cardiologist for alleged negligence.
Join me as I analyze the intricate details of this case, exploring the medical decisions, ethical dilemmas, and the potential consequences for the cardiologist in question. What will the judges rule? What would you decide in this complex situation? Share your thoughts, comments, and suggestions, and let's navigate the blurred boundaries of responsibility and accountability in the world of healthcare.
Sources:
The case of a patient that filed a complaint on the wrong doctor. Case number 8
Join me as we dissect the intricate legal battle sparked by a safeguarding report in vulnerable adults.
A trainee doctor's concerns, a stern caregiver, and a misplaced complaint add layers to this compelling case.
Discover the challenges of safeguarding procedures and the blurred lines in healthcare responsibilities. Tune in for an insightful discussion on patient-centered care, legal nuances, and the importance of getting the patient's perspective.
If you have any comments please leave them below.
The case is inspired by the Medical Contact journal in the Netherlands that reports important medicolegal issues.
The case of a surgeon who shared his opinion on social media. Case number 7
The case of a doctor who did not ask for consent to laser twice. Case number 6
A patient with skin type 5 asked a cosmetic doctor to help her get rid of a scar above her right eyebrow. The treatment consisted of laser procedure and to apply a cream on the lasered area to help the skin calm down. Well guess what? the opposite of what she hoped for happened. The female patient sued the doctor for pain and suffering because the cosmetic doctor caused a darker spot on her face.How do you think the judges ruled?#AmIMental #doctorsincourt #lasertreatmentgonewrong
The case of a doctor who handed out sick notes for going on holiday. Case number 5.
Happy 2024 dear listeners. Grateful for your support
As we make it to 2024, a new year. I am sure we have enough things to be grateful for.
I for one am grateful for all the things doctors do to keep patients safe and healthy.
We are all humans, and part being able to grow and evolve is to make mistakes and learn from our errors.
In this episode I talk about 2 cases.
If you prefer short an quick stories like these, let me know via my LinkedIn profile: https://linkedin.com/in/sabinefonderson/
The case of a gynaecologist who ended things. Case number 3
A pregnant patients is about to deliver her 9th baby at a hospital.
She refused to be cared for by a gynaecologist and requested another gynaecologist.
During her 28th week follow-up, she was unpleasantly surprised to see that the same gynaecologist who she did not want to see, called her to her clinic room.
Whilst in the waiting room a full blown discussion ensued between the gynaecologist, the pregnant patient and her husband.
Sure enough within days a complaint letter was sent to the hospital who turned around and ended the treatment contract between the gynaecology department and the pregnant patient.
Was this even allowed?
In this podcast I will tell you how the pregnant patient filed a lawsuit to continue treatment or pay €10,000 per day.
Hear what the judges ruled and lessons learned.
What do you think?
Resources: Medisch Contacat
The case of an anesthesiologist who went off label. Case number 2
The anesthesiologist administered a drug called Enoximone, used to treat heart failure. He left the patient with a 2-month supply of the drug and later contacted the patient's GP to inform him what he had done.
The GP realised that the anesthesiologists had little knowledge of the patient's medical history and did not provide adequate monitoring and sued him.
The judges reprimanded the anesthesiologists. Despite this, he stands by his belief he did nothing wrong and will continue to prescribe this offlable drug.
The case of a pediatrician who cried child abuse
In 2019 a 9-year old boy was diagnosed with medulloblastoma. This is a brain tumor that can be deadly if not surgically removed and treated within a few weeks with chemo or radiotherapy.
After the parents of the 9-year old boy did not consent to the therapy proposed by a pediatrician, she filed a child abuse case against the parents.
They in turn sued the pediatrician and the judges ruled that the pediatrician receive a warning for not giving the parents reaasonable time to consent to the treatment before filing the child abuse case.
2024 episode announcement
Hi there listeners,
Thank you for all your support. It's been a while since our last podcast and in this episode I explain why I went on a hiatus and what you can look forward to in 2024.
The 2024 Am I mental Podcast will deal with medical legal issues doctors face.
We will explore various stories of how doctors and other health professionals have found themselves in court and defending what they believe in and their actions.
This new podcast will serve as a platform to highlight some complex cases and how it can lead to positive changes within the medical community.
My goal is not to make doctors or health professionals look bad, but to learn from their experiences and help promote best practices in medicine.
Stick around for a sneak preview and looking forward to hearing from you in 2024.
All the best
What are the most common mistakes first time doctors make with Sabine Fonderson
Are you on Quora? A platform where you can ask any question from getting the best remote jobs to how single mothers can make their children more happy.
In this episode I go way back to 7 years ago when I answered a question on the common mistakes first time doctors make.
It was one of my most viewed answers gaining over 28 thousand views and over 10 comments.
I broke it down into the following mistakes
- Not listening to your spidey senses - when you know something is not quite right - ring the alarm
- Mislabelling of blood tubes - that was 7 years ago ; things have changed now to safeguard these types of errors
- Writing the wrong route of medication - nowadays I can assume that it happens less frequently due to automation of medical prescriptions
- Working long hours under lots of pressure
- Feeling scared to complain about your health to peers
I believe that a lot has changed to improve quality of care to patients. But, when it comes to wellbeing of doctors, much still needs to be done.
Here is a link to my Quora profile, ask me a question or comment on my answers: https://www.quora.com/profile/Sabine-Fonderson
What does a doctor do when (s)he does not like a patient?
Have you not heard about QUORA? It is a platform that anyone can ask a question and get answers to.
I have been on it for quite a while and I appreciate this platform for (in most part) the genuine stories provided in the answers to many questions ranging from which union should I register with to what are the most difficult medical schools.
In todays episode I answer a question asked to me about what a doctor does when (s)he does not like a patient.
I liked this question because it so happens that as a doctor there are times that I really do not like my job, that is me being honest. But when I reflect back on those moments (few as they are), I come to realise that it has more to do with the situation than with the actual person.
As always, situations in healthcare are affected by the way we communicate with each other. In this episode I give an example of an encounter with a patient that did not go as well as I wanted. It was not that I did not like her, it was more that I did not like the emotion that was triggered in me during and after my consultation with her.
Should I go into family medicine with Sabine Fonderson
Have you heard about Quora? It is a platform to ask questions and get answers from experts on lots of topics ranging from how to fry an omelette to how to retire in your 40's.
In today's episode I answer a question whether someone should go into family medicine and what advice I have for them.
Here is the link to my answer:
I break down my answer using seven competency skills that are required and developed whilst in family medicine training.
- Communication
- Collaboration
- Medical expert
- Health advocate
- Professional
- Leader
- Scholar
Here is a link to my Quora Profile if you want to ask me a question or read some of my previous answers: https://www.quora.com/profile/Sabine-Fonderson
Can medical doctors achieve work-life balance with Sabine Fonderson
Have you heard of Quora? It is an online platform to ask questions and get answers from experts or just about anyone who can give their own insight.
I signed up to it in around 2010, just after I launched my first start-up A Student's Help in Africa, or ASHIA.
At the time I was not sure what the goal was but in the past 12 years it has become a pretty interactive and engaging space for anything from how cars work to how to raise children.
In this first Q&A segment I answer the question: Can medical doctors achieve work-life balance.
Click on the link to read the answer.
My Quora profile link: https://www.quora.com/profile/Sabine-Fonderson
Female doctors should protect their time seriously in order to prevent suicide with Silvia Liebaut.
In this episode I talk about a fragile topic regarding suicide among doctors in particular female doctors. Hypnotherapist Silvia Liebaut is a recurrent expert on this podcast and shares with us tools to prevent states of heightened anxiety, guilt, shame many doctors face when they decide to act upon their worst fears. The impact doctor suicide has on families, colleagues, other professionals and the community is devastating and it is up to us to make sure that there are tools available to signal and prevent this from occurring.
Many doctors work in a culture of blame, guilt, intimidation, stress and negativity. Doctors take on many things and are expected to be on almost 24 hours a day. Just like a power bank can be a source of energy for other appliances, it too needs to be recharged. In this episode Silvia shares a few strategies for doctors to apply in order to recharge, relax and protect their well-being.
- Take time to take care of yourself before the day begins
- Protect your time and signal this to your colleagues
- You are human first and fundamental needs should be met. One such need is to recharge
Silvia Liebaut is a hypnotherapist who helps her clients break through destructive habits. She offers individual and corporate coaching and hypnotherapy programs.
Resources from the podcast:
Doctors and Suicide - Br J Gen Pract. 2018 Apr; 68(669): 168–169.
Run your General Practice as a business and put the joy back in your work with Scott McKenzie
Scott does this for a living and loves his job, in fact he admits that he does not see it as work.
In this episode Scott spoke about things like
The importance of having a clear vision for your practice
The need for a proper workforce strategy in order to meet goals that are sustainable
Whether private services play a role in the future of healthcare
Read more about Scott McKenzie Consultancy services via this Website.
Connect with Scott McKenzie via LinkedIn if you want to find out more of what he can mean to you and your practice
Put fire back into your spirit and thrive again with Dr Claire Davies
Dr Claire Davies is a coach, general practitioner and writer. She lives in East London and has worked and lived in many different countries. She is passionate about connected communities and working with doctors who have had a wake up call from their health. She helps them live a life where they can thrive in again.
You can find Dr Claire Davies on LinkedIn: She helps doctors who are patients
Her most read blog posts include
Fixing burnout in medicine is like changing the direction of the Titanic by Dr Dominic Corrigan
In this podcast I speak to Dr Corrigan.
He is a recovering psychiatrist who left medicine after burning out with concurrent depression and addiction. Dr Corrigan is also an overachiever who did his best for his patients. Had never heard of "Corrigan's Secret Doo"r until it was too late. Thankfully now in a way better place. He hopes to prevent future disasters through peer support, advocacy, policy change, and innovation.
Dr Corrigan is the Co-founder of Physicians Anonymous. A platform that allows doctors to understand the language of emotions, speak about their emotions and space to sit, talk and think about what is it s like to do better for patients.
You can find Dr Corrigan in the link below:
Start by saying it out loud, share your experience so you can thrive as a doctor with Sharee Johnson
In this episode Psychologist, author and Doctor advocate Sharee Johnson tells us about what motivated her to do what she loves. She coaches doctors so that they can thrive and tells us how to actively listen to patients and feel present in their experience.
If you are a doctor who feels overwhelmed or lacks energy with the daily routine of clinical care, Sharee Johnson's book may offer you some solutions on how to overcome these feelings. She practices what she preaches and shares a personal story in her book the Thriving Doctor, and this journey sets the stage that brought us in contact.
To know more about her work, coaching programs and social media platform use the links below.
- Recalibrate: https://www.coachingfordoctors.net.au/programs/recalibrate-doctor-care/
- The Thriving Doctor Book: https://learn.coachingfordoctors.net.au/thriving-doctor
- International Book Club for Doctors only: https://learn.coachingfordoctors.net.au/book-club
- Linkedin: www.linkedin.com/in/sharee-johnson
- Instagram: www.instagram.com/shareejohnsoncoaching/
What to do when you feel tired and drained.
What I have learned in my 15 plus years as a doctor is that medical symptoms that last longer than usual need a different approach to treatment. I want to be able to take time and dig deeper. One way is to ask my patients to write a story, anything that they want to put down on paper. Yes, it needs to be pen to paper, because it helps them be focused in the moment.
In this episode I share a story of a patient who has heart palpitations. She was overwhelmed by her situation. It took me time but finally we got to the root cause of this.
Your mind is not here to make you happy with Silvia Liebaut
Coping Strategies with Theresa Straathof
Theresa Straathof is an occupational therapist who teaches coping strategies so that people can return to doing meaningful activities. We talk about 4 coping skills including having a skeleton routine, tasks and goals, time to connect with oneself and changing your attitude. Theresa is also a keen skater and lives with her family in Ottowa.
If you suffer from any mental health issues please reach out to a support network and get the help you need.
Do you want to share your stories, reach out to and send an email to team@suki.health and we will schedule a talk.
How to avoid post partum depression with Mirena Radulova
Mirena Radulova is a psychologist and a mother who struggled with post partum depression. She shares her story in order to teach us about some of the early warning signs and what our support network and other professionals can do to offer help at this critical life event.
If you are going through any mental health issues please reach out to someone and contact a support network available near you.
If you want to share your story and help others reach out to team@suki.health and we can set up a moment to talk.