Archived posting to the Leica Users Group, 2003/02/27

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Subject: Re: [Leica] OR photography and what can really happen
From: "animal" <s.jessurun95@chello.nl>
Date: Fri, 28 Feb 2003 03:32:08 +0100
References: <NDEIJCBGJPIEPDFEENCMEEDMCKAA.kitmc@acmefoto.com>

yes but interesting i believe.
dont you?
simon
- ----- Original Message -----
From: "Kit McChesney | acmefoto" <kitmc@acmefoto.com>
To: <leica-users@mejac.palo-alto.ca.us>
Sent: Thursday, February 27, 2003 7:59 PM
Subject: RE: [Leica] OR photography and what can really happen


> Simon--
>
> I'm not talking about the doctor's being a rush to close a sucking chest
> wound. Of course an ER doc is in a hurry to take care of that. I mean
> slowing down to make sure things are done correctly. Or having adequate
> staff to double-check to be sure the doctor isn't forced to do more than
he
> or she should, under difficult circumstances. Medicine in the U.S. ain't
> what it used to be, that's for sure. When a hospital ward has 32 patients
> under the care of one RN, you know something is wrong. The same for
doctors
> and the operating room. I'm not blaming the docs, per se, but insurance
> companies are putting money and time constraints on doctors that are
> affecting the quality of health care.
>
> Boy, is this off-topic!
>
> Kit
>
> -----Original Message-----
> From: owner-leica-users@mejac.palo-alto.ca.us
> [mailto:owner-leica-users@mejac.palo-alto.ca.us]On Behalf Of animal
> Sent: Thursday, February 27, 2003 11:27 AM
> To: leica-users@mejac.palo-alto.ca.us
> Subject: Re: [Leica] OR photography and what can really happen
>
>
> Kit
> Well if your minimum speed is 300 feet a second that is not true.
> And i would think that with an open Thorax you are in a hurry to.
> Speed is life.
> simon
>
>
>
> ----- Original Message -----
> From: "Kit McChesney | acmefoto" <kitmc@acmefoto.com>
> To: <leica-users@mejac.palo-alto.ca.us>
> Sent: Thursday, February 27, 2003 6:59 PM
> Subject: RE: [Leica] OR photography and what can really happen
>
>
> > Simon--
> >
> > Well, I think that docs in the OR are under tremendous pressure to
perform
> > quickly (we can debate why all day long, but insurance companies
probably
> > have something to do with it given their push to drive down medical
> > expenses) and to get people out of the hospital as fast as possible.
There
> > were reports that they had closed incisions leaving surgical
instruments,
> > other surgical equipment, waste from the surgery itself (materials used
in
> > the process) and other debris. Patients discovered that they had "stuff"
> > inside their bodies later, after developing serious infections. The
result
> > of many preventable mistakes is often death. And then there are the
cases
> > where the wrong part of the body was subject to operation, etc, not to
> > mention the amputation of the "wrong" limb. Ouch.
> >
> > I think the best procedure for minimizing mistakes is to slow down. Like
> > anything else. Slower is better. Haste makes waste.
> >
> > Kit
> >
> > -----Original Message-----
> > From: owner-leica-users@mejac.palo-alto.ca.us
> > [mailto:owner-leica-users@mejac.palo-alto.ca.us]On Behalf Of animal
> > Sent: Thursday, February 27, 2003 10:24 AM
> > To: leica-users@mejac.palo-alto.ca.us
> > Subject: Re: [Leica] OR photography and what can really happen
> >
> >
> > I,d suspect that there are other  reasons for speed.
> > There might be a limit how long surgery can last anyway.
> > Everybody makes mistakes constantly.
> > Even though results of mistakes vary.
> > You can not blame people,s poor design.
> > You just have to device procedures to minimize mistakes.
> > It,s a very interesting complex subject human factors.
> > The highest number of accidents occur in the home when people make tea.
> > When distracted it,s very easy to boil two times the amount of water and
> at
> > the second to an allready full teapot which can result in horrible burns
> for
> > kids below the counter.
> > While in the past research focused on aviation and the nuclear
industries
> > research has shown the complexity and is now focusing on the more common
> > household accidents.
> > simon
> > ----- Original Message -----
> > From: "Kit McChesney | acmefoto" <kitmc@acmefoto.com>
> > To: <leica-users@mejac.palo-alto.ca.us>
> > Sent: Thursday, February 27, 2003 5:59 PM
> > Subject: RE: [Leica] OR photography and what can really happen
> >
> >
> > > Edward--
> > >
> > > There was a recent report on NPR about how many times surgeons left
> > > instruments and other debris INSIDE the patient prior to closing the
> > > incisions. It was horrifying. Apparently they are under so much
pressure
> > to
> > > perform quickly that they are making horrible mistakes. I'm also
> thinking
> > of
> > > the transplant mistake last week. It probably will be tricky to obtain
> > > permission to photograph in hospitals, but if you prepare the
groundwork
> > > sufficiently in advance, make friends with the docs you want to  work
> > with,
> > > really take the time to make yourself a known quantity to them, and to
> > make
> > > it clear that you aren't there to show their mistakes, but to show the
> > human
> > > side of the subject, you may have some luck.
> > >
> > > You're a veterinarian, yes? So you know how doctors feel already.
Gosh,
> > I'd
> > > love to follow you around and document what you do!
> > >
> > > Kit
> > >
> > > -----Original Message-----
> > > From: owner-leica-users@mejac.palo-alto.ca.us
> > > [mailto:owner-leica-users@mejac.palo-alto.ca.us]On Behalf Of Edward
> > > Caliguri
> > > Sent: Thursday, February 27, 2003 9:23 AM
> > > To: leica-users@mejac.palo-alto.ca.us
> > > Subject: [Leica] OR photography and what can really happen
> > >
> > >
> > > Thanks Buzz, Tina-
> > >     With my wife's help - I'm a health care professional as well
> > (animals!)
> > > - I might pull it off if I can find the time. The OR  - human or
> > otherwise -
> > > is a tough place to be admitted, with the freedom to listen and
> > photograph.
> > > I have heard some stories from my wife (even concerning world class
> > > surgeons) that would curl nose hair - worse than the surgeon who left
> his
> > > Orthopedic patient open in the OR here in Boston just to make a an ATM
> > > transaction --- you can bet that they are on their best behavior when
> > > someone is watching, with a camera no less. In some ways, however, I
> think
> > > that the stories she tells from the NICU are more robust and sincere
> > > (children bring out the best in these folks), with much fewer
incidents
> of
> > > 'questionable' behavior from surgeons and surgical residents -- I
hope!
> > > Maybe BD and Ted have seen/heard these tales.
> > >     Ed
> > >
> > > > Date: Wed, 26 Feb 2003 22:29:27 -0500
> > > > From: "Buzz Hausner" <buzz.hausner@verizon.net>
> > > > Subject: [Leica] OR/NICU Photographs
> > > > Message-ID: <000001c2de10$721e0c10$121afea9@Hausner>
> > > > References:
> > > >
> > > > Well...perhaps and perhaps not.  Ted and Sandy are photographing a
> book
> > > > on "Women In Medicine," capturing, as I understand it, women in all
> > > > venues where medicine is practiced.  We'll have to wait for a report
> > > > from Ted and Sandy whether or not they worked in a NICU (Neonatal
> > > > Intensive Care Unit).  I am certain they will be photographing in
the
> OR
> > > > because I know one of the surgeons who they will follow.
> > > >
> > > > Hospital administrators seem reluctant...stupidly...to permit
> > > > documentary photography in intensive care units.  This may be from
> > > > liability jitters, but who knows.
> > > >
> > > > Buzz Hausner
> > >
> > > --
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In reply to: Message from "Kit McChesney | acmefoto" <kitmc@acmefoto.com> (RE: [Leica] OR photography and what can really happen)