lawyer when doctors dont follow up with patuents

by Celestino Hyatt 4 min read

If inadequate postoperative follow up leads to injury, the doctor may be liable. Call Knowledgeable Attorneys to Discuss Concerns About Your Follow Up Care If a doctor’s failure to follow up has harmed you or someone you love, contact the Baltimore, Maryland, and Washington D.C. law firm of Schochor, Federico and Staton, P.A. today.

Full Answer

What happens if a doctor does not follow up on patients?

If they do not, they may be found to be negligent and a patient may be able to prove that medical malpractice occurred. Malpractice requires proving that a breach in duty occurred in the form of a failure to follow up and that it caused significant patient harm.

Who won’t find a medical malpractice attorney?

Studies show that nine of 10 patients seeking a medical malpractice attorney won’t find one — women, children and the elderly in particular. Ernie Ciccotelli was trying to do a good deed when he donated a kidney to his brother. But within days of the surgery, his incision was oozing green fluid and his guts were rotting.

What is inadequate follow up in medical malpractice?

Proving malpractice means proving that a duty to provide care was breached and caused the patient damage. Inadequate follow up measures not only apply, but are increasingly common as reasons that patients file lawsuits. As care has become more ambulatory, follow up care has become more complicated, difficult, an often inadequate.

What is a physician’s responsibility for follow-up?

Physicians, medical offices, and other medical professionals and settings have a responsibility to do more than simply care for a patient once. They have a responsibility to follow up and provide after care.

What are the most common deficiencies cited as big legal risks for physicians?

Who is Skeptical Scalpel?

image

What can you do if your doctor ignores?

Here are steps you can take if your doctor isn't listening to youBe honest about how you are really feeling. When the doctor says “How are you?” how do you respond? ... Set clear goals and communicate them. Take some time to consider what you want to get out of this appointment. ... Ask the Right Questions. ... Find a new doctor.

How do you prove patient abandonment?

Examples of Patient Abandonmentthe hospital has inadequate staffing.the medical staff fails to reach out to a patient who has missed an important follow-up appointment.the medical staff fails to communicate an urgent question from the patient to the doctor, or.More items...

What is medical abandonment?

Abandonment is considered a breach of duty and is defined as unilateral termination of the physician-patient relationship without providing adequate notice for the patient to obtain substitute medical care. The patient-physician relationship must have been established for abandonment to occur.

What happens if a patient does not follow the doctor's recommendations for care?

Your doctor's diagnosis and treatment plan are useless if you don't follow his or her advice. Patients who do not follow their doctors' orders, especially patients with chronic conditions, may experience health complications, rapid disease progression, decreased quality of life and even premature death.

What is the difference between abandonment and negligence?

Both cases involve patient harm and deviating from the standard of care. However, abandonment and negligence are still two different types of malpractice claims. Abandonment essentially is the cessation of treatment, while negligence still involves treatment, but incorrect or inappropriate therapies.

What is classed as medical negligence?

Medical negligence is substandard care that's been provided by a medical professional to a patient, which has directly caused injury or caused an existing condition to get worse. There's a number of ways that medical negligence can happen such as misdiagnosis, incorrect treatment or surgical mistakes.

Can a doctor just drop you as a patient?

Even though physicians retain the legal right to dismiss patients in many situations, there are some circumstances when it's not only unadvisable but unethical and, depending on the state where it occurs, illegal and punishable both by law and by censure.

What are the 4 D's of medical negligence?

Malpractice can have devastating consequences for victims and their families, such as causing serious injury or death for the patient. To protect yourself from medical malpractice and seek justice whenever needed, it is vital to be aware of the four D's: duty, direct cause, damages, and dereliction of duty.

Can a doctor terminate a patient relationship?

In general, the physician-patient relationship can be terminated in two ways without creating liability for abandonment: 1) the physician ends the relationship after giving the patient notice, a reasonable opportunity to find substitute care and the information necessary to obtain the patient's medical records, or 2) ...

What percentage of patients do not follow their doctor's treatment plan?

In fact, 20 to 30 percent of prescriptions for chronic health conditions are never filled, and about half are not taken as prescribed, according to the CDC. Patients' failure to follow their medical treatment regimens is a common and costly problem with potentially dire consequences.

What is non adherence?

Non-adherence: is generally a term which includes unintentional refusalby the patient (i.e. patient is overwhelmed, does not understand, helpless, confused, and/or concerned with healthcare costs).

What is intentional non adherence?

Intentional nonË—adherence occurs when the patient decides not to follow the treatment recommendations. This is best understood in terms of the beliefs and preferences that influence the person's perceptions of the treatment and their motivation to start and continue with it.

It’s Not Easy Supporting a Loved One Who Refuses to Follow Doctor’s ...

Homecare Havertown PA-When that elderly loved one is not adhering to the advice of their doctor, is not listening to what he or she told them, and is not doing what they say, it can certainly be frustrating.

Noncompliant Patient Missed or Cancelled Appointment (Sample Letter ...

Noncompliant Patient Missed or Cancelled Appointment (Sample Letter) NOTE: This sample letter is provided as a guideline only and should be modified according to the situation. Be sure to place a copy of the letter in the patient’s chart. If the patient’s condition warrants a receipt, ask for delivery verification (DV).

SAMPLE MISSED APPOINTMENT LETTER - MedMal Direct

SAMPLE MISSED APPOINTMENT LETTER [Date] Via Certified Mail, Return Receipt Requested [Patient Name] [Patient Address] Dear [Patient Name],As you know, you [cancelled or did not show ] for your follow -up appointment on [indicate date] without rescheduling.

Can a Doctor Be Liable for Harm to a Patient He Has Never Seen?

Legal Background. Dr. J argued that since he had no doctor-patient relationship with the patient, he owed no duty to that patient. He argued that the mere existence of a collaborative practice ...

Sample Patient Letters: Unable to Reach After Hospital Discharge

Transitions of care or episodic care management requires following up with patients after they've been discharged from the hospital, a skilled nursing facility, in-patient rehabilitation facility, etc. to their home, rest home, or assisted living facility. However, sometimes patients can be difficult to reach. When you've exhausted efforts to contact by phone, you may have to reach out via ...

What are the most common deficiencies cited as big legal risks for physicians?

Failure to make sure that appropriate follow-up was done and failure to contact patients about missed appointments are among the most frequent deficiencies cited as big legal risks for physicians.

Who is Skeptical Scalpel?

Skeptical Scalpel is a recently retired surgeon and was a surgical department chairman and residency program director for many years. He is board-certified in general surgery and a surgical sub-specialty and has re-certified in both several times. For the last three years, he has been blogging at SkepticalScalpel.blogspot.com and tweeting as @SkepticScalpel. His blog averages over 1000 page views per day, and he has over 6700 followers on Twitter.

When failure to follow up is not the fault of the doctor?

When Failure to Follow Up is Negligent. There are situations in which a failure to follow up with a patient is not the fault of the doctor. The patient has a role to play in this too and a responsibility to make appointments and take a physician’s advice.

What does it mean when a patient doesn't get enough follow up care?

This can be especially serious when the patient’s condition is cancer. Not getting adequate follow up care often means not getting needed or recommended treatments. The ultimate consequences of all of the possible ways in which after care can fail or be inadequate varies by individual.

What is the legal requirement for medical malpractice?

Malpractice requires proving that a breach in duty occurred in the form of a failure to follow up and that it caused significant patient harm.

What are some examples of failure to follow up?

There are many examples that constitute a failure to follow up, whether they are proven to be medical malpractice or not. From communication issues to failure to comply on the part of the patient, or even complete failure to contact a patient on the part of the doctor, there are many ways in which after care can be delayed or incomplete:

Why is cancer the most serious consequence of medical negligence?

Cancer is often the most serious consequence of medical negligence because any delay in diagnosis and treatment can lead to progression to a terminal illness. This was the case when a man was treated for a case of anemia. The cause of the anemia could not be found and eventually the man died of colon cancer.

What is the responsibility of a physician?

Physicians, medical offices, and other medical professionals and settings have a responsibility to do more than simply care for a patient once. They have a responsibility to follow up and provide after care. When this doesn’t happen, or there are failures in the follow up leading to inadequate care, the patient may suffer a range ...

What happens if you don't follow up on a cancer patient?

In either case the resulting harm may range from additional or worse mild symptoms to severe symptoms and progression of disease, and even death. This can be especially serious when the patient’s condition is cancer.

How to terminate a physician-patient relationship?

A physician-patient relationship can be properly terminated in the following ways: 1 The physician and the patient mutually agree to terminate the relationship. 2 The patient unilaterally dismisses (fires) the physician. 3 The physician terminates the relationship after giving the patient notice and a reasonable amount of time to find another physician.

What happens if a physician terminates a patient relationship?

However, if the physician never formally terminated the physician-patient relationship, then, depending on the circumstances, the patient may have a reasonable expectation that the physician will continue to treat the patient.

What is Martindale Nolo?

Nolo is a part of the Martindale Nolo network, which has been matching clients with attorneys for 100+ years.

What is the proper notice to give to a patient who is actively treating for a condition?

For a patient who is actively treating for a condition, a physician must: give the patient proper notice that the physician is terminating the physician-patient relationship , and. give the patient sufficient time to find another physician before finally refusing to treat the patient any further.

How does a physician terminate a relationship?

The physician terminates the relationship after giving the patient notice and a reasonable amount of time to find another physician.

What does it mean when a physician abandons a patient?

Once a patient-physician relationship has begun, a physician is said to "abandon" a patient who still needs medical attention when the physician refuses to continue treating the patient (i.e., severs the physician-patient relationship) without giving the patient proper notice and an adequate amount of time to find another physician who can take over the patient's care. Medical abandonment can form the basis of a medical malpractice case. Read on to learn more.

How to give a patient notice of termination?

Giving proper notice to a patient usually includes telling the patient, either on the phone or face to face, that the physician is terminating the physician-patient relationship and writing the patient a letter confirming the termination. The letter should be sent by certified mail, return receipt requested. The physician should not just say to the patient, "You're fired. I don't want to see you anymore." The physician should tell the patient the reasons why he/she is terminating the relationship.

When should a physician follow up on a patient?

When physicians prescribe medication for a patient, especially when it is the first prescription for that medication for that patient, there should be some follow-up to determine if the patient is having problems with the medication. Physicians should always instruct the patient to contact them immediately if the patient notices any adverse or unusual side effects. In addition, if the physician knows that the medication can have serious side effects, a follow-up call from the physician’s office should be considered. Also, if follow-up blood testing is necessary to monitor the medication, the patient should be fully instructed about this step, and the physician should have a procedure to ensure that the patient is reminded of his or her obligation to have the testing done.

How long should a surgeon follow up after surgery?

Action Step Surgeons should always follow up with the patient after surgery for a reasonable period of time.

What is proper notice?

Most courts have held that proper notice means that the notice of withdrawal must be actually communicated to the patient and must give the patient sufficient time to obtain other medical treatment from another physician of the patient’s choosing.

Why do doctors have to contact the hospital?

In that situation, the physician has a duty to contact the hospital to explain why the patient was sent and to determine if there is a need for the physician to attend the patient while he or she is in the hospital. This is especially true when the patient is sent to the hospital from the doctor’s office.

What should be reviewed in Mistake 3?

in Mistake 3 should be reviewed.) A patient should always be informed under what circumstances after discharge he or she should contact the physician. Any other follow-up instructions appropriate to that patient should be considered and should be given to the patient, preferably in writing.

What is the duty of a surgeon?

The surgeon must also determine the relative success of the operation and must exercise judgment as to whether additional operations may be needed. While the surgeon’s duty may not extend throughout the balance of the patient’s hospital course, the surgeon will be responsible for treating any surgical complications, even if they arise at some time after the surgery. Many states do allow a surgeon to limit his or her duty to the patient by contract. The better practice is for the surgeon to follow up, at least with the attending physician, to determine the patient’s condition until discharge from the hospital and perhaps for a time thereafter.

How long should a solo practitioner be away from the office?

Action Step Physicians should always arrange for coverage if they will be away from their office for more than one to two days. Mistake 2 Failing to Respond to E-mail.

What patients need special attention?

Certain patients surely require special attention: non-English speakers, persons with dementia or other neurological conditions and those with social problems that interfere with their ability to show up. Doctors’ offices should anticipate these types of issues and work with patients to improve compliance.

What is the no show rate for a patient?

Patients frequently miss appointments and tests that their doctors schedule. No-show rates range from 5 to 55 percent. In some instances, like when a patient skips a cardiac stress test, for example, then has a heart attack, the hospital might classify what occurred as a “systems error.”.

What do doctors say when something goes wrong?

Doctors and hospital officials who subscribe to this philosophy, such as those at the University of Michigan Health System, the University of Illinois at Chicago Medical Center and Stanford University Medical Center say they tell patients when something went wrong and offer an apology and sometimes even compensation.

Why do attorneys refuse cases?

That’s when he ran into a problem faced by many who are harmed in a medical setting: Attorneys refuse their cases, not because the harm didn’t happen but because the potential economic damages are too low.

How many attorneys are surveyed for the Emory study?

More than 450 attorneys were surveyed for the Emory study, “ Uncovering the Silent Victims of the American Medical Liability System ,” which found that three out of four medical malpractice attorneys reject more than 90 percent of the cases they screen. The study found:

Why do I turn down meritorious cases?

“ I turn down clearly meritorious cases all the time because I think they’re just not worth enough money ,” said an attorney from Pennsylvania, which the study said did not have caps on damages.

What happens if you spend $50,000 and only get $50,000?

If you spend $50,000 and only get $50,000, the lawyer gets nothing and the patient gets nothing, ” he said. “Nobody wants to do that.”

How much money do lawyers have to invest in a lawsuit?

But lawyers may have to invest $50,000 or more to pursue a case, and they usually only get paid if they win or settle.

When does Malone settle a case?

Most cases settle, Malone said, but not usually until the last minute, years into the process. So he has to prepare the patient and himself for a long haul.

What are the most common deficiencies cited as big legal risks for physicians?

Failure to make sure that appropriate follow-up was done and failure to contact patients about missed appointments are among the most frequent deficiencies cited as big legal risks for physicians.

Who is Skeptical Scalpel?

Skeptical Scalpel is a recently retired surgeon and was a surgical department chairman and residency program director for many years. He is board-certified in general surgery and a surgical sub-specialty and has re-certified in both several times. For the last three years, he has been blogging at SkepticalScalpel.blogspot.com and tweeting as @SkepticScalpel. His blog averages over 1000 page views per day, and he has over 6700 followers on Twitter.

image