A Physician's disregard for families rights.

Nurses General Nursing

Published

I have had an experience of a lifetime that has really put into perspective the frustrations that families encounter when a physician is too arrogant to enforce patients rights. My father is currently a patient in a local ICU & has required mechanical ventilation. Prior to today, I had highly respected the intensivist overseeing my dad's care. He seemed to really empathize with the families of patients he cared for. He kept us informed of dad's condition & explained things laymens terms so everyone understood. Yesterday evening My dad had a coloscopy and prior to the procedure, we notified the nursing staff that we would like to speak with the gastroenterologist doing the procedure to further discuss his findings & any reccomendations that he had to help resolve the issue @ hand. Needless to say, the message wasn't relayed & he never stopped to talk with us. When my mom requested to talk with him - the intensivist stormed into the family room and read us the "Riot Act".

First of all, we are not to request to talk with any other physician besides himself. He's in charge - he writes the orders, consults specialists as HE deems necessary, and doesn't need to be told how to do his job. He went on to further say, that families are always quick to make reccommendations regarding what they feel should be done when really all they do is make the physicians job that much harder.

Needless to say, based upon my assessment of my fathers clinical status seeing as though families always knows him best - I requested that his TSH be checked. The MD said, "whatever the result is, I will take it with a grain of salt anyway". The result was 250. He's now receiving IV levothyroxine.

So far, the hospital stay has been 52 days & my mom has not left the hospital one night. Since the encounter with the MD, my mom feels that she needs to be there 24/7 because she feels insecure that he may not make decisions in dad's best interest.

Given my Nursing experience, I was furious that a MD thought he could get away with treating a family in such an unprofessional manner - afterall, if he did it to us, he's obviously treated other families the same way. I contacted the medical director of the hospital but she didn't seem real concerned. Any Suggestions?

Specializes in ICU of all kinds, CVICU, Cath Lab, ER..

I agree. That doc's ego is running roughshod over your father and his family's rights.

God give you the strength to confront that demon (even if it means all the way up the ladder to the CEO) and get him off your dad's case.

We all support you. Go for it! God bless!

Specializes in private duty/home health, med/surg.

Your family is going through a very rought time right now. The last thing you need is an internist that makes a show of caring about your father when he's really letting his big ego get in the way of what's best for your father.

Let risk management/patient relations know the details of the incident and insist on your father's care being transferred to another attending.

I hope you get a new doctor who both cares for your father and values family input. My best wishes to your father and your family for his recovery.

I would not only fire that physician, but I would also write a letter to administration or request a face to face meeting with the higher ups.

That really infuriates me. We would be called on the carpet or fired if one of is did that to a family.

It may be difficult to actually fire the physician while keeping the patient in the same hospital. Intensivists typically work shifts, and unless it is a very large ICU, there is likely only one Intensivist on at any given time. If this is the case, the only way to cut this physician out of the patient's care would be to request (demand) transfer to another facility. And depending on how unstable he is, this can be refused on medical grounds.

A simpler course of action might be to speak with the Patient Advocate for the facility and explain your concerns. This would likely result in an appology. Many physicians have a tendency to be rude or uncaring at times, but most are not bad people. When confronted with their actions, most will be genuinely remorseful.

Specializes in Neuro/Trauma SICU.

I would write a letter stating exactly what happened to the medical director and the CEO of the hospital. Anyone can blow off a phone call, but if its written something has to be done.

Specializes in Med-Surg/Peds/O.R./Legal/cardiology.

I recently had a similar experience with my dad's doctor. I "fired" him right there on the spot. This doc seems quite fond of himself and needs to be taken down a few notches! I also wrote a letter to the hospital administrator and the chief medical officer. I got a very prompt response from the hospital's attorney as well. FIRE the jerk!! A failure to obtain an consultation also violates the standard of care required of an intensivist. He is held to the same standard of care of an endocrinologist if he fails to consult one. I'm sure the nurses would :yeah:

Good luck to you, your dad, and your family. Be assertive and stand your ground! Do NOT :bowingpur any longer!

Specializes in CT ,ICU,CCU,Tele,ED,Hospice.

i agree with other posters i would request he not be on your fathers case and i would request a meeting with the icu director chief of medicine and write a letter to admin.

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