The State Medical Board of Ohio, under Governor Kasich & Mr. Rick Whitehouse, are continuing to take the medical licenses of women who object to admittedly wrong care and just request referrals; that the erring physician sign-off. That apparently is 'making too much of bad care, ' and only requested so that the woman MD can work and care for patients.
Continuum of care for women MDs is not allowed in Ohio - they don't 'deserve' care. Six psychiatric evaluations are then requested of the woman MD who just asked that the male MDs, for the money, do a little work and/or sign-off to another physician who wants to do some care. Asking for a referral, a records summary, a sign-off to another physician, etc - just asking for the the superficial business stuff -is cause for a medical license suspension in Ohio = Rick has nothing better to do. The boys get to be boys in Ohio, starting at Riffe Center 30th Floor.
Male orthopedics in Ohio get to walk off and not refer, consult or send even a summary of care = that's asking too much, and it is an IMPAIRMENT of the WOMAN PHYSICIAN in Ohio to ask them to do so, or to complain about this after months of trying to fill-in the blanks of what happened. Male MDs in Ohio figure that the women MDs need to 'figure them out' - just like the Governor.
Women physicians are getting their licenses pulled for decades because, after months, they complain - the guys won't put the casts on before the fracture swells to 'excrescence, ' they forget the stockingette so the cast 'eats' through the skin after several days, the men won't write for physical therapy or an EMG (they don't know what it is), they order splints that disintegrate in several hours, and go to BEER ROUNDS. Drinking beer is one talent of male orthopedics in Ohio.
If you call down to the State Medical Board asking that they reaffirm the standard that male physicians have to send records, you are told to write a letter. Then you 'don't sound good, ' and need therapy and your medical license gets suspended for 'provisional' personality problems - no evidence just the word of the guys.
Sending records, referring, consulting, and being a 'team' (as in football or soccer) professional colleague are part of the 'game' in medicine - but not for males. None of them is a Tebow, none of them pray, none of them believe in anything but themselves - ditto the Governor. Males can play any other game, but not the referral-consultation game in medicine. They don't make mistakes, so patients don't deserve another opinion. That shortcut leads to endless diagnostic errors, that the male MD is error free.
It is not a personality problem of the woman physician, trained by other men, that she expects some communication (in English), or that she expects mistakes to happen and that they be handled with professionalism.
You can't just dump patients on the office next door - but Dr. Timothy Nice gets to do this in Mayfield Heights, Ohio - he has 'friends' on the State Medical Board of Ohio and can 'make or break' any woman MD who doesn't do his bidding. Against state law, he gets his 'confidential' complaints so he can counter-complain - he's got nothing better to do as he won't do orthopedics. The males who can't do anything but Beer Rounds get their 'confidential' complaints, so that they can then spend hours testifying against the woman MD who asked that they do 5 minutes of ORTHOPEDIC work. Their white coats say 'ORTHOPEDIC SURGEON, ' not 'little boy.'
It's not the women physician's job to do the male physician's work - of care that they, or another patient, are paying the male MD to do. But Anita Steinbergh DO, on the State Medical Board, says this is asking too much - she's not responsible for male MDs not doing any work for the money - women MDs have to have Oslerian aequanimitas about this - that males are troubled and can't do care?
One wonders if she knows what the word means: calmness of mind, goodwill (Christmas), imperturbability in a troubled world. Aequanimitas does not mean that medical negligence is ok. Aequanimitas depends on patient safety in medicine, it depends on male & female MDs working together to make the medical envirnment safe - not in one-upping each other with complaints & counter-complaints. But somewhere the Medical Board of Ohio has to say this - and send the notes saying that Dr. Nice has a wife back to the jerk.
One women MD has had her Ohio license pulled for 19 years for making too much of bad care - she asked the male orthopedics to refer after unanticipated results, and they DON'T HAVE TO REFER IN OHIO - even when the physician wanting to take over the care calls - he's just not one of the guys. That's her crime, ie making too much and not handling males walking off care better. How to handle a male is a question that there is no good answer to. This is not what women physicians are trained to - they aren't the medical care police.
Ohio is a state where boys can be boys, where a women MDs medical care can be a boys experiment, where a womans bone problem are just psychiatric as she has trouble with men, ie she says 'No. Forty-plus states have medical mistake laws, and prohibit experimental being forced on women MDs (they can't complain so things are done to them without consent or discussion in Ohio & at Mayo Clinic). Other states mandate early referrals & consultations not so in Ohio under Kasich & Whitehouse = Two Boys.
The latest Medical Knowledge Self-Assessment Program of the American College of Physicians comments about patient errors and quality management in medicine. If one physician doesn't want to care for a patient - he/she still needs to refer, and sign-off, even if that patient is a physician = communication among caregivers is mandated in all states except Ohio. Adverse effects can happen in Ohio, the patient is just 'crazy.' Care-to-function is not allowed woman MDs at the State Medical Board - that's making too much unless Anita Steinbergh DO is the patient.
Orthopedics in Ohio make the common heuristic error of jumping to the conclusion that when women fracture bones they are just 'unlucky.' There is no differential diagnosis, and the woman patient does not deserve care if she wants a workup feeling that 'something else is wrong.' Blood work is not even allowed women MDs, at the State Medical Board of Ohio level, before licenses are taken for the face value assessment that the woman MD is just exaggerating her bone pains. This is going on under Mike DeWine now.
The AG's office women attorneys make fun of the symptoms that the woman MD complains of in the chart, or in notes asking the physicians to do a workup - it's a joke in Kasich-Ohio. Women's health issues are sexual dysfunction, breast, contraception, menopase, vaginal & uterine - and the only pain allowed is pelvic pain - because that's how the guys think. And men cause a lot of other pains besides pelvic.
Most states, except Ohio, have medical mistake laws in some form which mandate early referral & consultation when an 'unanticipated' result happens. Governor Kasich can't get his head around this concept - that he and other men make mistakes or just don't want to do something - so just sign-off and leave the woman's livelihood alone. Refer, even though Dr. Nice doesn't have to. But don't take the woman MD's medical license because of Dr. Tim Nice or Dr. Michael Keith - they were asked to refer for months - fired multiples and told to sign-off = one sentence on a dictated page of paper. But that was asking too much???
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