Patient was already a disaster. Bogus case. He was suffering from hepatitis C, cirrhosis of the liver, end stage liver disease, renal failure, and congestive heart failure, and already had been hospitalized twice in 2013-both times at UMMC-for a total of twenty-eight days.
This Physician is clearly too nervous to articulate several things. First, when questioned about why he could not order dialysis. That procedure clearly requires the expertise of a specialist. A critical care provider would not order chemotherapy. This is similar. As for when dialysis is going to happen, the nephrologist would not be able to say that, for the most part. That is a hospital systemic issue. It would be the same thing with ordering a stat imaging exam. A provider orders it but they do not control the process of getting the testing done. Also, when it came to rounding sheets. “why were they shredded?”. Clearly the disposing attorney did not understand the purpose and use of the informal piece of paper that is shared by providers as they turn care over to other providers. It is a list of all patients where they jot down notes so that the provider taking over can have it in one place. As it is not part of the medical record, everything there should be in the medical record. The physician did not adequately convey any of this.
@@gavnonadoroge3092 yes, rounding sheets are shredded as they are simply like a “note to self sheet.” They have patient names, medical record n umbers, and reason for admission. It’s basically a sheet of paper with all the patients on that floor. It would be a HIPAA violation if it wasn’t shredded, and someone not involved in the care of those patients picked it up. Nurses and doctors carry these types of sheets to jot down reminders, etc. It is not a part of the medical record.
@@gavnonadoroge3092 yes. The way I understand it, all that info would be found in the actual medical record. These sheets are simply used as a means to make it concise for the doctors switching shifts.
OMG. This attorney asked the same question over and over and over. Each time, the opposing attorney asked him not to answer so he did not answer. What a waste of time!
Any one with health care credentials dreads this. You are second guessed about a decision made many months ago, at a given moment based on information available at the time. Don’t know the specifics of this case, but a lot of people look at a doctor or nurse making an honest mistake as winning the lottery. I don’t know why anyone works in this field anymore.
Already annoyed with the person asking the doctor questions. It’s the tone of voice that bothers me. Condescending and demeaning. Almost in a making him feel stupid way. Like “it’s OK that you don’t know”
slime. profiteers. Patients receive a tiny percentage of a settlement . they also don’t need to pay for anyone’s time coming to be deposed. Increases cost of medical care hospitals doctors nurses over order tests electronic records over document etc. to minimize stupid lawsuits. Of course if someone amputated the wrong leg or caused an injury that’s different
@@gavnonadoroge3092 I understand that thinking and logic is difficult, but claiming im a “progressive” after you make a moronic statement is hardly a solution to anything. Also, most “progressives” tend to support trial lawyers
Us Boomers were raised believing Doctors were omniscient and infallible. Truth is, they are human like the rest of us. Just like the rest of us humans some make mistakes and need forgiveness, some are incompetent or even malicious and need consequences.
Some are at the wrong place at the wrong time. This is a sue happy Country. I've read of many cases where the Doctor did everything right yet still got sued. Also have heard of cases where Doctor's should have gotten sued but were not.
The case ended in $10M verdict by the jury. But the judge reduced the award by 90% because of the cap. These lawyers don’t bother to tell you that piece of information.
This is a bs malpractice case. This doctor did everything right and is still named and having to go through this. What do they expect him to do finish a nephrology fellowship in fifteen minutes and then race down to the hospital workshop so he can build his own dialysis machine. I know deaths are tragic, but this is a frivolous lawsuit. Too bad there is no way to sanction the sleezeball lawyers who file this kind of crap
@@Millerandzois just because a lawyer made money does not make it right or righteous . Many a dollar has changed hands because a jury or judge did not grasp the complexity of the issue. Again, what do you expect him to do? He is not a dictator controlling every part of a hospital system.
@@gbhenrylowe The issue is not whether a lawyer made money. The question is what did a jury think when they evaluated all of the evidence. What they found was it was not a close call.
what about the other documents that he said was not apart of the records then later saying that the information in those documents could be found in the records?
49;47 Obj; calls for incomplete hypothetical, calls for expert opinion, vague, overbroad, lack of foundation(Ca.) (lack of form for other jurisdictions)
Where's the other videos of this deposition? There remains a lot of relevant questions and answers in this case, which I assume are addressed in videos One and Two. Specifically, what was the cause for the hyperkalemia; what, if any ECG changes were present, what was the patient's kidney function and what other treatment options, if any, where considered and contraindicated? HD is only one treatment option for hyperkalemia.
Kenny- dialysis is done Bc kidney failure. (Maybe temporary: acute & permanent: total kidney failure). All blood chemistry is abnormal levels, High K+ (normal 5mg/) ‘ Sodium high, glucose high- very precarious health status.
@@Millerandzois doctor gets grilled within an inch of his life for a poor outcomes. Obviously if the patient is sick enough to need ICU, if there were NO medical services provided, he would most certainly be dead. Furthermore, all the successful outcomes and lives saved are forgotten in a split second and another hardworking man suffers for others greed. It’s all about the money. Disgusting
@@nrqed If my loved one was sick enough to require ICU level care, I would be cognizant enough to understand the inherent risks associated with that. This idea of destroying the reputation and finances of those who spend their already stressful days trying to fight against science and biology to keep your extremely sick loved one alive, derives from a sense of entitlement and greed and is wonderfully American
Notoriously, the lawyers that only do “personal injury” are the lowest kind. They are not interested in what is fair or just. They do not believe that someone did something wrong and need to be held accountable. They see dollar signs only. They take such a large percentage of each settlement, so much so, it would make you nauseous. I have watched several of these with this particular lawyer, and he is an ass and as obnoxious as they come. He tries to sound like he knows more about being a doctor, than the doctors themselves. He so condescending, its maddening. I would pay to see him on the other end of this type of questioning. I bet it would knock him down a significant amount, and he would run out of the room with his tail tucked between his legs. I love it when the defendant’s lawyers take him to task. That’s my entertainment for the day.
Morons like you are why a literal serial killer doctor got away with paralyzing and killing patients for YEARS. Personal lawyers are all people have for justice.
that patient was a train rec who was likely to die regardless. People seem to think that we are should keep everyone alive even though they also know we all die. The sicker the patient the more likely the patient is to die. Some come to the hospital to get better and some come to the hospital to die. It doesn't mean something was done wrong. There are plenty of incompetence in medicine just like any other field. With DEI we should expect more Incompetence. People are people some are simply better than others. When I was an intern i sometimes had more than 30 patients. That means if you spend 45 minutes with each patient it would take you 22.5 hrs. As a surgery intern I had to pre-round, make morning rounds, help with surgical cases, do clinic, attend conferences, take admissions, do discharges and take ER calls. We had to reduce patient care down to about 6 minutes per patient per day in order to survive. On top of this we were on call every second or third night doing 36+ hr shifts . We had no days off. I did seven years of residency. Decades later I began getting checks from the University of California. These checks kept coming. Some one had sued the University of California system for not having paid the residents minimum wage, paid over time or compensated for not given any breaks. In total I receive about thirty thousand dollars from the labor law abuse we endured. I think the sleep deprivation was the worst. At one point I recall being awake and working for 80 hrs during an 86 hour period. I literally worked 40 hours straight with no sleep twice in a row with only six hours of sleep in between. I don't think it's like that any more. I bet today's residents complain more than we did back then. We never had days off. After being on call you just kept going. The sign out sheets referred to in the video are NOT medical records. they are doctor to doctor communications. I was working at St Francis Hospital in San Francisco when a similar patient came in. Rhabdomyolysis, kidney failure and hyperkalemia. The admitting doctor, a cardiologist, refused to call a nephrologist for dialysis in the middle of the night because the patient did not have insurance. The patients potassium was over 7. I told the admitting dr the pt would code. The patient coded three times during my shift. The first two times I shocked the patient out of the arrhythmia. the third time I gave a pre-cordial thump which also converted the patient. I don't know what happened to that patient. I'm guessing he never made it out of the hospital. The following day I looked up the number to call the state of california medical board to turn in the admitting doctor who refused to call a nephrologist in the middle of the night for an uninsured patient. In the end i never made the call. That happened in 1996. To this day I regret not having made that call.
The problems 1. Having a protocol is never right. Since all people are different. 2. The Lawyer focuses on the policy most doctors need to learn. Most doctors need to understand how the hospital system works. 2. A nurse could help the Lawyer understand medical order sets. 3. Order sets are generally approved by the medical director and C-Suite and have a research basis. Most order sets are for sepsis, and stroke is the basic one. 4. He should have never discussed the change of shift document. That is like bringing up an incident report. Either document is not a legal document. 5. In most hospitals I worked at, if a patient comes in, Nephrology is on board immediately. Also, if the patient is septic or in a condition, that would bring Nephrology.
You should read the book “The Checklist Manifesto “. Protocols properly followed save many lives. Next time you are on an aircraft be glad the pilots follow checklists and protocols.
A doctor not posting the patient in intensive care unit, after abdominal hystrectomy surgery with old history of BP, old cva, Daibetic, third day surgery petient her self developing daibetic ketoacidosis, but no one doctor capable to find or diagnosis but instead DKA, duty doctor given treatment for Pulmonary embolism, patient got serious breathing difficulty and unable survived, in your hospital if you do not have facilities to meet the emergencies, than why did gone for operating major surgery.
Why do they have the right to interrupt so many witnesses to stop working ,come over and testify and grill them for hours on end ,second-guessing, trying to fault to find and blame hard working medical professionals medical conditions vary over time they want to try to pinpoint that exact moment that you did something wrong. aha . Patient get a very small percentage settlement. these are not noble people- slime They should have to pay for everyone’s time off work, And that would decrease frivolous ambulance chasers
So you know what the persons annual salary was, How many assets he had,How much future earning potential he had?? I wouldn’t take a hundred Million dollars if my wife of 37 years was treated the same way. Neither would her 4 children or 10 grandkids. Would you take a million dollars if you were a child and your mother was taken?? Greed huh??
The guy was already a complete mess with multiple medical issues. It looks like a doctor whose just trying to do his job. Any medication u take even Tylenol has risk.
We’re I a doctor, I would not practice in this area; kidney failure. As body’s health deteriorates rapidly. Urea- invades cells affects skins integrity- generalized itching, swelling, poor appetite, poor digestive function- in fact these are poor candidates.(MO)
I’m a life long mechanic. Every time I order parts I find out when it will get to me. If by that time I don’t have the parts I call and find out why I don’t have it. I work on multiple pieces of equipment and have parts ordered on multiple pieces so planned work is reliant on parts and scheduling. A dialyses order is a lot simpler than what I go through and people in the hospital are going to know exactly when it will happen and if something changes they call the doctor.
Is university of Maryland a state university and the university hospital physicians should be considered state employees? If so, should sovereign immunity apply for this case and Dr Burks could not be sued ?
Yes it is a state university, but that does NOT mean that the doctrine of sovereign immunity prevents them from being sued. That is not how sovereign immunity works. You can still sue the state and its employees for all sorts of things.
Ambulance Chasers Inc. These lawyers are bottom feeding catfish who want nothing but a quick buck. I've been to a few of these and these lawyers have ZERO skin in the game. This physician dedicated roughly 12 years of his life to helping mankind. Lawyers love to look at mistakes and hindsight. Physicians use their knowledge and training at the time to make a good decision. They don't have hindsight otherwise people would die.
I absolutely agree. Doctors are only human, sometimes the make mistakes or sometimes treatment doesn't go according to plan. A doctor who loses a patient like this is not a bad doctor. Families should only be able to sue for serious failures in treatment, not cases like this.
Common sense of a non instructed person is not enough to judge a medical doctor case. For lawyers it is easy because the system is evil, the world. They instruct their students for wrong; I propose to instruct them for good, including the judge. Doctors in medicine should be lawyers so they can defend themselves; otherwise law is not accord to the practice of good medicine, I can conclude. The 10 million dollars should be given to the poor, maybe through giving them a job in an enterprise. Lawyers, be honest, and study right, not left. Law may only be to distinguish between right or left leg for example, more than that is not of its competence because it has no competence for that matter. What the lawyer says reflect ignorance, to justify himself and to others; that is not enough. What should be done? A committe of good doctors, to judge the case, doctors in medicine, honest. For lawyers, choose the right path. But for now, learn, medicine is not your competence. Maybe you know something of psychology? Medicine is not for "making money off its ribs". You are not authorized to.
If you’re the doctor and you need something done you order it not request it. If I request a part do you think a parts store will give me one or will I get one if I order it?
It is a matter of public record, just as if someone sits in a courtroom n listens to trial unless the Judge closes the proceedings to the public.. it's the law...
I've watched almost all of your depositions on your website, and though you've been called an ambulance chaser quite a bit and that's supposed to be a negative thing I will just come out and say thank god for ambulance chasing lawyers. Doctors are too careless in this country these days and with what they make they damn well better be held accountable when they aren't diligent. I get the point that there are frivolous lawsuits out there and people sue over nothing and that's stupid as we all pay for their high malpractice insurance costs whether we realize it or not, but just as frequently doctors really drop the ball when they should have taken just a few extra minutes to be thorough and ruin lives
Suing doctors for malpractice is part of the accountability system we have for doctors in the U.S. When doctors mess up there really is no other effective means of holding them accountable because disciplinary action by the medical board is exceedingly rare (for various reasons) and usually toothless.
@@Millerandzois You are correct that our state medical boards are often very poor at enforcing standard of care practice. But, is the answer for the physician’s insurance company to pay out millions of dollars? How will this make physicians “accountable”? Remember, these are employed physicians here so they won’t even have to pay a higher insurance premium because their employer pays for the group plan. We certainly do need to improve medical board and departmental oversight of our docs. But I’ll give you an example. It’s true but names are withheld. A doctor was practicing below standard of care. The hospital’s medical department and hospital medical director arranged to take away hospital privileges for the poorly performing physician. The physician sued the hospital and medical staff. And the courts actually found in favor of the physician. The legal system is out of touch with the medical system.
Hey Mario. I believe there are 2 states where you can pass the bar. The bar is the exam to practice law. All other states you need to have a law degree from an accredited law school and pass the bar.
This Dr said the papers were not part of the Medical records. As a nurse don’t you write down patient information for your own plan of care for patients that you keep on a clip board that shouldn’t stay in your pocket or leave the hospital. That is what he is speaking of.
Clearly the disposing attorney did not understand the purpose and use of the informal piece of paper that is shared by providers as they turn care over to other providers. It is a list of all patients where they jot down notes so that the provider taking over can have it in one place. As it is not part of the medical record, everything there should be in the medical record. The physician did not adequately convey any of this.
They are his rounds notes. They aren't "official medical records". They are just his notes, so he can inform the next attending physician what's going on with the patients on the floor. He explained it in his answer. They are notes they make, so they don't have to pull the individual medical records, for each individual patient. It's much more efficient, and since they are not "official" records, they have to be shredded, so that information does not find its way to someone who should not have said information. There is nothing fishy about it. Also, you do not need to write in all caps in order to get a point across. We've invented exclamation points for a reason. Use them.
The sign out sheet/ notes the doctor shreds sound very similar to what nurses call a “brain”. It’s just a single piece of paper you keep in your pocket during your shift with notes. We also call them rounding sheets in critical care. It’s not considered to be shredding medical records to get rid of it.
Lol. He nervous just answering questions!! You know he be messing up in all kind of things and people at the hospital. Come on “DOCTOR” be confident in wtf you talking about smh
I could never be a doctor. You spend 10+ years in school, all the stress and then you end up like this.
You don’t have to be a bad doctor lol
Patient was already a disaster. Bogus case.
He was suffering from hepatitis C, cirrhosis of the liver, end stage liver disease, renal failure, and congestive heart failure, and already had been hospitalized twice in 2013-both times at UMMC-for a total of twenty-eight days.
Wow.
Wow the Grim Reaper was chasing him. Poor Guy
This Physician is clearly too nervous to articulate several things. First, when questioned about why he could not order dialysis. That procedure clearly requires the expertise of a specialist. A critical care provider would not order chemotherapy. This is similar. As for when dialysis is going to happen, the nephrologist would not be able to say that, for the most part. That is a hospital systemic issue. It would be the same thing with ordering a stat imaging exam. A provider orders it but they do not control the process of getting the testing done. Also, when it came to rounding sheets. “why were they shredded?”. Clearly the disposing attorney did not understand the purpose and use of the informal piece of paper that is shared by providers as they turn care over to other providers. It is a list of all patients where they jot down notes so that the provider taking over can have it in one place. As it is not part of the medical record, everything there should be in the medical record. The physician did not adequately convey any of this.
Becky Clement, so should the paper been shredded or not?
@@gavnonadoroge3092 yes, rounding sheets are shredded as they are simply like a “note to self sheet.” They have patient names, medical record n umbers, and reason for admission. It’s basically a sheet of paper with all the patients on that floor. It would be a HIPAA violation if it wasn’t shredded, and someone not involved in the care of those patients picked it up. Nurses and doctors carry these types of sheets to jot down reminders, etc. It is not a part of the medical record.
@@tracyloftus3237 ok, thank you for that explanation
@@gavnonadoroge3092 yes. The way I understand it, all that info would be found in the actual medical record.
These sheets are simply used as a means to make it concise for the doctors switching shifts.
I dislike when attorneys chuckle or feign being confused in order to belittle a defendant.
Debi Congram it’s the art of a lawyer
It’s an ego/power trip thing
@@browneyedgirl1542 Ÿes from a lack of self confidence
That’s their job . If you were the plaintiff you would like it .
Do they teach that in law school or is that a natural ability?
OMG. This attorney asked the same question over and over and over. Each time, the opposing attorney asked him not to answer so he did not answer. What a waste of time!
The guy looks beaten already
Any one with health care credentials dreads this. You are second guessed about a decision made many months ago, at a given moment based on information available at the time.
Don’t know the specifics of this case, but a lot of people look at a doctor or nurse making an honest mistake as winning the lottery.
I don’t know why anyone works in this field anymore.
Already annoyed with the person asking the doctor questions. It’s the tone of voice that bothers me. Condescending and demeaning. Almost in a making him feel stupid way. Like “it’s OK that you don’t know”
slime. profiteers. Patients receive a tiny percentage of a settlement . they also don’t need to pay for anyone’s time coming to be deposed. Increases cost of medical care hospitals doctors nurses over order tests electronic records over document etc. to minimize stupid lawsuits. Of course if someone amputated the wrong leg or caused an injury that’s different
If Americans want to know why health care costs so much, thank the trial lawyers.
JJ Reddick, so should patients just shoot incompetent doctors, instead of taking them to court?
You must be a lawyer because this is the dumbest false dichotomy I’ve heard in years
@@jjreddick377 you must be a progressive. you blabbered something without offering a solution
@@gavnonadoroge3092 I understand that thinking and logic is difficult, but claiming im a “progressive” after you make a moronic statement is hardly a solution to anything. Also, most “progressives” tend to support trial lawyers
@@gavnonadoroge3092 also, you Russian trolls souls read up on the American legal system before offering stupid commentary
Us Boomers were raised believing Doctors were omniscient and infallible. Truth is, they are human like the rest of us. Just like the rest of us humans some make mistakes and need forgiveness, some are incompetent or even malicious and need consequences.
Some are at the wrong place at the wrong time. This is a sue happy Country. I've read of many cases where the Doctor did everything right yet still got sued. Also have heard of cases where Doctor's should have gotten sued but were not.
That particular one looks like he just got out of med school
@@michie43able I think i. Some cases the MDs are hamstrung by the Insurance companies
I’m in law school taking a deposition class next semester...thanks for posting
Good luck with that class Tyson. I wish they had a deposition class when I was in law school, it sounds like fun.
Good luck. Hope you will be an honorable attorney one day.
The case ended in $10M verdict by the jury. But the judge reduced the award by 90% because of the cap. These lawyers don’t bother to tell you that piece of information.
Read through these comments. We talk about. We talk about it - complaint about it - here and everywhere.
Drs killed my mom. My counselor said my mom made a choice to go to the Dr. I said again, the Dr killed my mother.
I understand how you feel….
And I definitely, respect your pain….
How?
This is a bs malpractice case. This doctor did everything right and is still named and having to go through this. What do they expect him to do finish a nephrology fellowship in fifteen minutes and then race down to the hospital workshop so he can build his own dialysis machine. I know deaths are tragic, but this is a frivolous lawsuit. Too bad there is no way to sanction the sleezeball lawyers who file this kind of crap
Why do you think a jury awarded $10 million? You have to keep in mind, you are not watching a trial. You are watching one witness.
@@Millerandzois just because a lawyer made money does not make it right or righteous . Many a dollar has changed hands because a jury or judge did not grasp the complexity of the issue. Again, what do you expect him to do? He is not a dictator controlling every part of a hospital system.
@@gbhenrylowe The issue is not whether a lawyer made money. The question is what did a jury think when they evaluated all of the evidence. What they found was it was not a close call.
what about the other documents that he said was not apart of the records then later saying that the information in those documents could be found in the records?
Waiting for the other videos. Thanks for posting.
They are coming shortly! These are harder to do than you would think!
These are awesome, thanks so much for your hard work.
49;47 Obj; calls for incomplete hypothetical, calls for expert opinion, vague, overbroad, lack of foundation(Ca.) (lack of form for other jurisdictions)
correction 51;30 time not 49;47
Probably have a records retention policy so ambulance chasers can’t sue everyone ten years after someone dies of stage 4 cancer
Where's the other videos of this deposition? There remains a lot of relevant questions and answers in this case, which I assume are addressed in videos One and Two. Specifically, what was the cause for the hyperkalemia; what, if any ECG changes were present, what was the patient's kidney function and what other treatment options, if any, where considered and contraindicated? HD is only one treatment option for hyperkalemia.
They are coming! Hang in there!
Kenny- dialysis is done Bc kidney failure. (Maybe temporary: acute & permanent: total kidney failure). All blood chemistry is abnormal levels, High K+ (normal 5mg/) ‘
Sodium high, glucose high- very precarious health status.
This is how we treat Dr.'s?? They should be practicing
Can you further explain your thinking? We would be interested in hearing your thoughts.
@@Millerandzois doctor gets grilled within an inch of his life for a poor outcomes. Obviously if the patient is sick enough to need ICU, if there were NO medical services provided, he would most certainly be dead. Furthermore, all the successful outcomes and lives saved are forgotten in a split second and another hardworking man suffers for others greed. It’s all about the money. Disgusting
Gotta love them ambulance chasers. What a joke
@@josephroberts8344 If a loved one died because of a medical mistake, you would be praising the doctor? Then you are an idiot.
@@nrqed If my loved one was sick enough to require ICU level care, I would be cognizant enough to understand the inherent risks associated with that. This idea of destroying the reputation and finances of those who spend their already stressful days trying to fight against science and biology to keep your extremely sick loved one alive, derives from a sense of entitlement and greed and is wonderfully American
Notoriously, the lawyers that only do “personal injury” are the lowest kind. They are not interested in what is fair or just. They do not believe that someone did something wrong and need to be held accountable. They see dollar signs only. They take such a large percentage of each settlement, so much so, it would make you nauseous. I have watched several of these with this particular lawyer, and he is an ass and as obnoxious as they come. He tries to sound like he knows more about being a doctor, than the doctors themselves. He so condescending, its maddening. I would pay to see him on the other end of this type of questioning. I bet it would knock him down a significant amount, and he would run out of the room with his tail tucked between his legs. I love it when the defendant’s lawyers take him to task. That’s my entertainment for the day.
Morons like you are why a literal serial killer doctor got away with paralyzing and killing patients for YEARS. Personal lawyers are all people have for justice.
that patient was a train rec who was likely to die regardless. People seem to think that we are should keep everyone alive even though they also know we all die. The sicker the patient the more likely the patient is to die. Some come to the hospital to get better and some come to the hospital to die. It doesn't mean something was done wrong. There are plenty of incompetence in medicine just like any other field. With DEI we should expect more Incompetence.
People are people some are simply better than others.
When I was an intern i sometimes had more than 30 patients. That means if you spend 45 minutes with each patient it would take you 22.5 hrs. As a surgery intern I had to pre-round, make morning rounds, help with surgical cases, do clinic, attend conferences, take admissions, do discharges and take ER calls. We had to reduce patient care down to about 6 minutes per patient per day in order to survive. On top of this we were on call every second or third night doing 36+ hr shifts . We had no days off.
I did seven years of residency.
Decades later I began getting checks from the University of California. These checks kept coming. Some one had sued the University of California system for not having paid the residents minimum wage, paid over time or compensated for not given any breaks. In total I receive about thirty thousand dollars from the labor law abuse we endured.
I think the sleep deprivation was the worst. At one point I recall being awake and working for 80 hrs during an 86 hour period. I literally worked 40 hours straight with no sleep twice in a row with only six hours of sleep in between. I don't think it's like that any more. I bet today's residents complain more than we did back then. We never had days off. After being on call you just kept going.
The sign out sheets referred to in the video are NOT medical records. they are doctor to doctor communications.
I was working at St Francis Hospital in San Francisco when a similar patient came in. Rhabdomyolysis, kidney failure and hyperkalemia. The admitting doctor, a cardiologist, refused to call a nephrologist for dialysis in the middle of the night because the patient did not have insurance. The patients potassium was over 7. I told the admitting dr the pt would code. The patient coded three times during my shift. The first two times I shocked the patient out of the arrhythmia. the third time I gave a pre-cordial thump which also converted the patient. I don't know what happened to that patient. I'm guessing he never made it out of the hospital.
The following day I looked up the number to call the state of california medical board to turn in the admitting doctor who refused to call a nephrologist in the middle of the night for an uninsured patient. In the end i never made the call. That happened in 1996. To this day I regret not having made that call.
Everyone hates attorneys until they need one.
Hate them more when you need one.
The problems 1. Having a protocol is never right. Since all people are different. 2. The Lawyer focuses on the policy most doctors need to learn. Most doctors need to understand how the hospital system works. 2. A nurse could help the Lawyer understand medical order sets. 3. Order sets are generally approved by the medical director and C-Suite and have a research basis. Most order sets are for sepsis, and stroke is the basic one. 4. He should have never discussed the change of shift document. That is like bringing up an incident report. Either document is not a legal document. 5. In most hospitals I worked at, if a patient comes in, Nephrology is on board immediately. Also, if the patient is septic or in a condition, that would bring Nephrology.
You should read the book “The Checklist Manifesto “. Protocols properly followed save many lives. Next time you are on an aircraft be glad the pilots follow checklists and protocols.
A doctor not posting the patient in intensive care unit, after abdominal hystrectomy surgery with old history of BP, old cva, Daibetic, third day surgery petient her self developing daibetic ketoacidosis, but no one doctor capable to find or diagnosis but instead DKA, duty doctor given treatment for Pulmonary embolism, patient got serious breathing difficulty and unable survived, in your hospital if you do not have facilities to meet the emergencies, than why did gone for operating major surgery.
A doctor should never say Yes Sir to attorney. He'll I would never.
Dr. Hussain
Worked in Health Care for 45 years…. If people knew just how useless the system is.
Ambulance chaser lawyers looking to sweeten their own pots, same on them!
slime
Why do they have the right to interrupt so many witnesses to stop working ,come over and testify and grill them for hours on end ,second-guessing, trying to fault to find and blame hard working medical professionals medical conditions vary over time they want to try to pinpoint that exact moment that you did something wrong. aha . Patient get a very small percentage settlement. these are not noble people- slime
They should have to pay for everyone’s time off work, And that would decrease frivolous ambulance chasers
Just interested in court cases, so watching just ‘cause...
The deposition of Gordon Freeman
Even IF the hospital were negligent, this reward was ridiculously high. Greed - and most goes to the lawyers.
So you know what the persons annual salary was, How many assets he had,How much future earning potential he had?? I wouldn’t take a hundred Million dollars if my wife of 37 years was treated the same way. Neither would her 4 children or 10 grandkids. Would you take a million dollars if you were a child and your mother was taken?? Greed huh??
How much do you think your leg would be worth if cut away?
A list????? You don’t need a LIST!
You NEED the patient’s chart…
Which in the individual’s Medical Records…… not a freaking list!!!
this attorney is clueless about shift to shift sign out sheets that all hospital providers use
I can't find if this verdict dollar amount is genuine and accurate. I see $906,250 in what i can find.
The jury awarded $10 million. We are in Maryland. Jury awards get reduced here to conform with the Maryland cap on noneconomic damages.
Omg. Emergency dialysis not given.
OMG emergency dialysis is not a thing. The patient was treated emergently with the appropriate meds.
Should have sued the doctors who ‘cured’ my grandmother of colon cancer by causing her death by a blood clot instead.
The guy was already a complete mess with multiple medical issues. It looks like a doctor whose just trying to do his job. Any medication u take even Tylenol has risk.
We’re I a doctor, I would not practice in this area; kidney failure. As body’s health deteriorates rapidly. Urea- invades cells affects skins integrity- generalized itching, swelling, poor appetite, poor digestive function- in fact these are poor candidates.(MO)
My husband always said he dreaded ice pick wounds and crushing injuries the most.
@@saradecapua3264 🤣🤣🤣
@@pinkgorilla99 That's true. The most difficult injuries to track and treat.
@@saradecapua3264😂😅😅😂
I’m a life long mechanic. Every time I order parts I find out when it will get to me. If by that time I don’t have the parts I call and find out why I don’t have it. I work on multiple pieces of equipment and have parts ordered on multiple pieces so planned work is reliant on parts and scheduling. A dialyses order is a lot simpler than what I go through and people in the hospital are going to know exactly when it will happen and if something changes they call the doctor.
William Roberts. You are so wrong. If only it were as simple as you state it is.
Is university of Maryland a state university and the university hospital physicians should be considered state employees? If so, should sovereign immunity apply for this case and Dr Burks could not be sued ?
Yes it is a state university, but that does NOT mean that the doctrine of sovereign immunity prevents them from being sued. That is not how sovereign immunity works. You can still sue the state and its employees for all sorts of things.
Ambulance Chasers Inc. These lawyers are bottom feeding catfish who want nothing but a quick buck. I've been to a few of these and these lawyers have ZERO skin in the game. This physician dedicated roughly 12 years of his life to helping mankind. Lawyers love to look at mistakes and hindsight. Physicians use their knowledge and training at the time to make a good decision. They don't have hindsight otherwise people would die.
I absolutely agree. Doctors are only human, sometimes the make mistakes or sometimes treatment doesn't go according to plan. A doctor who loses a patient like this is not a bad doctor. Families should only be able to sue for serious failures in treatment, not cases like this.
he probably didn't even see the patient until it was too late
That argument was made and it was certainly a possibility the jury would find that way. But they did not.
@@Millerandzois wow
Common sense of a non instructed person is not enough to judge a medical doctor case. For lawyers it is easy because the system is evil, the world. They instruct their students for wrong; I propose to instruct them for good, including the judge. Doctors in medicine should be lawyers so they can defend themselves; otherwise law is not accord to the practice of good medicine, I can conclude. The 10 million dollars should be given to the poor, maybe through giving them a job in an enterprise. Lawyers, be honest, and study right, not left. Law may only be to distinguish between right or left leg for example, more than that is not of its competence because it has no competence for that matter. What the lawyer says reflect ignorance, to justify himself and to others; that is not enough. What should be done? A committe of good doctors, to judge the case, doctors in medicine, honest. For lawyers, choose the right path. But for now, learn, medicine is not your competence. Maybe you know something of psychology? Medicine is not for "making money off its
ribs". You are not authorized to.
37:47
At this point I was feeling a bit nauseous and quit.
If you’re the doctor and you need something done you order it not request it. If I request a part do you think a parts store will give me one or will I get one if I order it?
Does it need for Dr. Burks to agree for releasing these video in public?
nope
It is a matter of public record, just as if someone sits in a courtroom n listens to trial unless the Judge closes the proceedings to the public.. it's the law...
Can someone tell me which depositions are related to this case?
I've watched almost all of your depositions on your website, and though you've been called an ambulance chaser quite a bit and that's supposed to be a negative thing I will just come out and say thank god for ambulance chasing lawyers. Doctors are too careless in this country these days and with what they make they damn well better be held accountable when they aren't diligent. I get the point that there are frivolous lawsuits out there and people sue over nothing and that's stupid as we all pay for their high malpractice insurance costs whether we realize it or not, but just as frequently doctors really drop the ball when they should have taken just a few extra minutes to be thorough and ruin lives
Suing doctors for malpractice is part of the accountability system we have for doctors in the U.S. When doctors mess up there really is no other effective means of holding them accountable because disciplinary action by the medical board is exceedingly rare (for various reasons) and usually toothless.
@@Millerandzois
You are correct that our state medical boards are often very poor at enforcing standard of care practice. But, is the answer for the physician’s insurance company to pay out millions of dollars? How will this make physicians “accountable”? Remember, these are employed physicians here so they won’t even have to pay a higher insurance premium because their employer pays for the group plan.
We certainly do need to improve medical board and departmental oversight of our docs. But I’ll give you an example. It’s true but names are withheld. A doctor was practicing below standard of care. The hospital’s medical department and hospital medical director arranged to take away hospital privileges for the poorly performing physician. The physician sued the hospital and medical staff. And the courts actually found in favor of the physician. The legal system is out of touch with the medical system.
Lol too careless? You are an idiot
I need an advice. Im actually a lawyer in Guatemala City, Central America. Im a US Citizenship, How can I practice law in U.S.A? Need help.
Hey Mario. I believe there are 2 states where you can pass the bar. The bar is the exam to practice law. All other states you need to have a law degree from an accredited law school and pass the bar.
My apologies. There are 4 states that you can pass the bar and practice law. They are Washington, Vermont, California and Virginia.
Yo también nací en Guatemala. What kind of law do you practice? Bendiciones. 🙏🇬🇹
There is no excuse fore them not telling you when a procedure will start and there’s no excuse for you not checking up on the progress.
You just don't get it. You clearly don't know what it's like to work in healthcare in this country. It's NOT as simple as you think it is.
EXACTLY
@@miabelladagoonLow-IQ.
I AM A RETIRED NURSE AND I HAVE NEVER HEARD OF MEDICAL RECORDS BEING SHREDDED
This Dr said the papers were not part of the Medical records. As a nurse don’t you write down patient information for your own plan of care for patients that you keep on a clip board that shouldn’t stay in your pocket or leave the hospital. That is what he is speaking of.
@@pattyk734 Yes nurses write information about patients down so they can plan the patients care for the shift.
Seems fishy to me
Clearly the disposing attorney did not understand the purpose and use of the informal piece of paper that is shared by providers as they turn care over to other providers. It is a list of all patients where they jot down notes so that the provider taking over can have it in one place. As it is not part of the medical record, everything there should be in the medical record. The physician did not adequately convey any of this.
They are his rounds notes. They aren't "official medical records". They are just his notes, so he can inform the next attending physician what's going on with the patients on the floor. He explained it in his answer. They are notes they make, so they don't have to pull the individual medical records, for each individual patient. It's much more efficient, and since they are not "official" records, they have to be shredded, so that information does not find its way to someone who should not have said information.
There is nothing fishy about it.
Also, you do not need to write in all caps in order to get a point across. We've invented exclamation points for a reason. Use them.
Dialysis 24/7 wrong answer
Poorly prepped defendant regarding review of literature prior to deposition.
Probably because he is an honest Dr with a family and no spare time
Why?
@carlos bond
You nailed it.
Should give you the shakes.
33:00 - 34:00 Shredding medical documents? Sounds suspect to me!
The sign out sheet/ notes the doctor shreds sound very similar to what nurses call a “brain”. It’s just a single piece of paper you keep in your pocket during your shift with notes. We also call them rounding sheets in critical care. It’s not considered to be shredding medical records to get rid of it.
Why is this doctor sittin' up here lying about times?
Lol. He nervous just answering questions!! You know he be messing up in all kind of things and people at the hospital. Come on “DOCTOR” be confident in wtf you talking about smh