According to the Florida Board of Medicine, Dr. Ishwari Prasad couldn’t hear the patients yelling in pain because he wasn’t wearing his hearing aids. He’s not allowed to perform colonoscopies for now.
Was there not a whole team? It’s not a solo procedure.
Others were in there, but he apparently ignored them…
According to the Herald, the order said that Prasad “continued to insert the scope despite being told to wait and began to thrust the scope into (the patient’s) rectum while (the patient) shouted in pain.”
…or misunderstood them?
The outlet also reported that a hospital administrator had been present in the room and told Prasad he needed to wait, to which the gastroenterologist "leaned over (the patient) and shouted “I know!” to the administrator, yet continued to manipulate the scope.”
Dude needs to lose his license.
Not a big fan of sue to sue, but this is the time. Show the hospital they must take further action.
Holy fuck, that’s horrible
The secret is, all power is in the doctor who can fuck with everybody else’s careers, while he gets to go chat with a “review board” of his buddies from med school.
I think this is the primary reason they fight so hard against nurses getting more responsibility.
I know a lotta MDs and it’s depressing how accurate this is, particularly the last part. Also a huge culture of sexism exists among doctors.
Considering about half of them falsely believe that black people feel less pain, I’m going to add in some racism to your list.
As a woman and a DO medical student, I have been pushing back on this stuff when I see it and have been challenging my classmates and professors if they are being assholes about anything.
John Oliver (predictably) does a great segment on medical review boards, and iirc it comes down to medical review boards being 100% ex-doctors who have strong predispositions and bias against reprimanding or punishing doctors, along with strong opposition to ‘non-medical’ trained people being included as an impartial and ‘common sense’ balance to reviews.
Not even the board. Their Union is one of the last strong ones and hoo-boy do they get to throw their weight around on medical institutions. They play super hardball when an institution or employees of the institution dares try to correct someone in the Union.
In one instance at the Tampa Ambulatory Surgery Center in June 2023, Prasad “improperly delegated” tasks to a surgical tech, the complaint reads. The tech did not have a medical license but was instructed by Prasad to perform at least one inappropriate task from a list that includes scope insertion, scope manipulation, manipulating an instrument over polyps or tissue, or removing polyps or tissue.
“(Prasad) did not immediately stop the procedure when it became apparent that (the patient) was not fully sedated,” and he failed to realize it because he could not hear the yells, says the complaint. Tasks were also inappropriately delegated to a non-licensed tech during the procedure, the complaint says.
Not once but twice did he instruct a non qualified person to perform medical producers. Pretty open and shut case for pulling his license.
Apprenticeships… Probs will not be a popular comment, but there’s an argument for learning on the job, if the apprentice and teacher are both at the right level, it’s safe etc.
[Edit] In this scenario it seems it was not the best choice as the teacher should have worn their hearing aid, but the practice of delegating tasks is not a bad thing in general, imho.
a tech is not an apprentice doctor. medical school has plenty of initial practice on corpses before you are on the living.
Fair enough, I don’t know who, can do what in this scenario.
Edit with a silly comment but I’m not too sure how much a corpse will respond to rough treatment
yeah but they can be graded based on lack of tissue damage.
We weren’t graded on the quality of our dissections, but the exams were based on how good the dissection was. We would have a set of assigned anatomical structures to expose and/or dissect in a given unit, and then the practical exam used our dissections. They would stick a pin in something and you had to write in the name of the structure, what nerve/nerve root innervated that structure, what was it’s blood supply, or what structures should be above or below it, etc. The year before mine got absolutely screwed on one exam because almost no one finished all the assigned dissections, so the professor just stuck a pin on the outside of the cadaver with one of the questions above.
Personally, I was obsessively meticulous about my dissections and when my tankmates (other students assigned to the same cadaver) messed something up, I would get very frustrated with them. I would come in on weekends to carefully expose and clean individual arteries and nerves for hours at a time. The main anatomy professor kept asking me what kind of surgeon I wanted to be, but I’m a horrid little gremlin that likes night shift and hanging out in hospital basements, so I want to go into emergency medicine.
Performing surgery on someone and putting up a sheet of drywall have very different stakes
A tech is not an intern doctor, a tech has not gone to medical school.
Not qualified to do. There is no " go ahead and try," if you didn’t get the education first. That is how you kill people.
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Even if the doctor couldn’t hear, couldn’t they see or feel the patient moving in pain?
The person may have been sedated enough to not be able to move but was able to feel pain and even get out a “scream.”
Yeah, this more reads like he was not even in the room and they used the hearing aid schtick as an excuse to make it less bad.
