How far should a doctor's beliefs be allowed to affect a patient's treatment? (Full Version)

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Fightdirecto -> How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/4/2012 7:49:24 PM)

Doctors With Gay Bias Denied Meds, Man Says

quote:

A gay HIV-positive man says in court that a hospital denied him treatment and visitors, as the doctor remarked, "This is what he gets for going against God's will."

Joao Simoes sued Trinitas Regional Medical Center in Elizabeth, New Jersey, in Union County Superior Court. He says that the hospital admitted him in August 2011, but that "requests for his lifesaving medication were not honored," and his sister was denied visitation rights.

Susan V. Borga, M.D., from the Department of Behavioral Health and Psychiatry, allegedly approached Simoes while he was confined to the hospital's mental health wing. Borga is not named as a defendant.

Simoes says Borga was unfazed when another patient told her that he had just gotten out of prison, where he served time for murder. But her reaction was allegedly different when Simoes said that he did not work because he planned to go back to school and because of his HIV status.

Borga then allegedly asked Simoes how he got HIV, to which he responded, "I got it from unprotected sex."

The complaint then says that "Dr. Borga closed the plaintiff's file, put it down and looked at plaintiff with disgust on her face and asked, coldly, "Is that from sex with men?"

Simoes says he responded affirmatively and that, "immediately after hearing this, Dr. Borga proceeded to exit the room."

After this consultation, no nurse or doctor came to see Simoes, even though he told them that he needed to take his HIV medication, according to the complaint.

When the hospital finally permitted Simoes to call his personal physician on the third day of his stay, he learned that the doctor had already spoken with Borga about Simoes' medication, according to the complaint.

Borga allegedly responded: "You must be gay, too, if you're his doctor."

"Additionally, apparently realizing that plaintiff's doctor had an accent, Dr. Borga exclaimed, 'What, do you need a translator?' to which plaintiff's doctor had again responded that Dr. Borga needed to give plaintiff his HIV medication," the complaint states.

"Dr. Borga responded to plaintiff's doctor by stating, 'This is what he gets for going against God's will,' and hung up the phone on plaintiff's doctor."

Simoes says his sister had been at the hospital when he checked in, but the hospital refused to let her visit.

When the sister came to the hospital again on the day Simoes spoke with his personal physician, she brought her brother's medication.

"Plaintiff witnessed his sister leave his medication with the nurses' station and it was not until this time that the nurses, seeing that the plaintiff had witnessed his sister give his medication to the nurses, that the nurses eventually gave plaintiff his medication," the complaint states.

The hospital's conduct allegedly caused Simoes to miss five doses of his medication.


How far should a doctor's personal beliefs be allowed to be considered if they affect a patient's treatment?




jlf1961 -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/4/2012 7:52:38 PM)

Somehow I think that this doctor violated the oath he took as a doctor.




Karmastic -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/4/2012 7:53:42 PM)

certainly not THAT far. this sounds outrageous!

as an aside, i believe that it's usually unlawful for a hospital to refuse life saving treatment; if the story is accurate, i hope they lose their asses.




erieangel -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/4/2012 9:46:58 PM)

It sounds as if Dr. Borga should have been named as a co-defendant because from the little information this article gives, the refusal to give the man his meds came from her and not from the hospital directly.





tazzygirl -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/4/2012 10:38:48 PM)

Dont let the hospital off the hook so fast. There are multiple checks and balances. The nursing staff knew.. and should have reported it. There are more ways to report illegal acts within a hospital than just complaining to one Doctor... even in a mental hospital.




Kirata -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/5/2012 2:55:44 AM)


quote:

ORIGINAL: Fightdirecto

How far should a doctor's personal beliefs be allowed to be considered if they affect a patient's treatment?

Not that far. It will be interesting to see if somebody tries to trot out religious freedom...

Trinitas Regional Medical Center is a Catholic community teaching hospital sponsored by the Sisters of Charity of Saint Elizabeth in partnership with Elizabethtown Healthcare Foundation. At Trinitas Regional Medical Center we dedicate ourselves to God's healing mission. We strive to provide excellent, compassionate healthcare to the people and communities we serve, including those among us who are poor and vulnerable.

http://www.trinitashospital.org/mission_statement.htm

K.




DarkSteven -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/5/2012 3:32:08 AM)

Too weird.

1. He was in the mental health ward and was dealing with a psychiatrist. That psych should in no way be allowed to affect the care he was receiving for a non-mental condition.
2. Borga overruled Simoes' personal doctor's treatment without consulting with him. Unprofessional and dangerous, and not at all standard.
3. In the legal world, it happens occasionally that a judge has personal beliefs that affect his/her ability to be impartial, and the judge simply recuses himself/herself. Here, the same thing should happen. Once Borga realized that she did not want to treat her patient, she should have notified the hospital and requested another doctor to stand in.
4. The hospital refused to allow Simoes to call his own doctor? Did they declare martial law? Since when does a hospital refuse to allow someone to call whom they choose?
5. The hospital refused to allow his sister to visit? Again, this is a violation of common decency.

That said, something stinks here. If he wanted to fix things, he should have appealed to the hospital's credentialing board. He's asking for punitive damages only, because he cannot quantify actual damages, and the law firm representing him has a website that screams "late night infomercial" to me. http://www.costellomains.com/




Kirata -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/5/2012 3:38:10 AM)


quote:

ORIGINAL: DarkSteven

That said, something stinks here. If he wanted to fix things, he should have appealed to the hospital's credentialing board. He's asking for punitive damages only, because he cannot quantify actual damages, and the law firm representing him has a website that screams "late night infomercial" to me.

Yeah, there is that aspect to it too. Still, it does sound pretty outrageous.

I'm waiting for the Justice Department to step in and investigate it as a "hate crime".

Never waste an opportunity, yanno.

K.





GotSteel -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/5/2012 6:16:51 AM)

quote:

"requests for his lifesaving medication were not honored,"


Wow, if that's actually true I think it might constitute attempted murder.




Owner59 -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/5/2012 6:23:19 AM)

Never waste an opportunity, yanno to show fake outrage.......[8|]


If there is ever a protrest at TRMC.....I`m so there........and no I`m not gay.




subrob1967 -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/5/2012 6:25:57 AM)

Um, if this story is even true, you're talking about the word of one patient, and apparently psychiatric patient to boot. Instead of blowing this story way out of proportion, like the OP has a history of doing, why don't we sit back and wait for the facts to come out, before passing judgement on Dr Borga, and the hospital?

For all we know, the guy could be insane, with no diagnoses of hiv, and suing because he's nuckin futs.




Owner59 -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/5/2012 6:27:22 AM)

And his doctor.........




subrob1967 -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/5/2012 6:29:26 AM)


quote:

ORIGINAL: Owner59

And his doctor.........


The unnamed "Doctor", who hasn't come forward to make any kind of statement?




fucktoyprincess -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/5/2012 6:38:30 AM)

Well according to the following, it would appear that while the WMA does prohibit (as a matter of ethics, not law) "discrimination" against patients due to religion, nationality, race, party politics or social standing, it does not specify sexual orientation (of course, it was last amended in 1983, so probably due for an amendment on that front.


quote:

Declaration of Geneva of the World Medical Association

(adopted 1948, amended 1966 and 1983):

I solemnly pledge myself to consecrate my life to the service of humanity;
I will give my teachers the respect and gratitude which is their due;
I will practice my profession with conscience and dignity;
The health of my patient will be my first consideration;
I will respect the secrets which are confided in me, even after the patient has died;
I will maintain by all the means in my power, the honor and the noble traditions of the medical profession;
My colleagues will be my brothers;
I will not permit considerations of religion, nationality, race, party politics or social standing to intervene between my duty and my patient;
I will maintain the utmost respect for human life from its beginning even under threat and I will not use my medical knowledge contrary to the laws of humanity;
I make these promises solemnly, freely and upon my honor.


More interesting is the following:

quote:

American Medical Association Code of Ethics (post- 1980)

Preamble: The medical profession has long subscribed to a body of ethical statements developed primarily for the benefit of the patient. As a member of this profession, a physician must recognize responsibility not only to patients, but also to society, to other health professionals, and to self. The following Principles adopted by the [AMA] are not laws, but standards of conduct which define the essentials of honorable behavior for the physician. II. A physician shall deal honestly with patients and colleagues, and strive to expose those physicians deficient in character or competence, or who engage in fraud or deception.

III. A physician shall respect the law and also recognize a responsibility to seek changes in those requirements which are contrary to the best interests of the patient.

IV. A physician shall respect the rights of patients, of colleagues, and of other health professionals, and shall safeguard patient confidences within the constraints of the law.

VI. A physician shall, in the provision of appropriate patient care, except in emergencies, be free to choose whom to serve, with whom to associate, and the environment in which to provide medical services. VII. A physician shall recognize a responsibility to participate in activities contributing to an improved community.


Certainly, ethically, what happened does not actually appear to be prohibited. While the medication is critical, the situation would not be considered emergency care medically.

It begs the question, though, of whether this actually ought to be the case or not. I understand that ethically we don't ever want a doctor to feel they have zero choice about who to serve - they are still free agents and should be free to not take on a patient if they choose to do so. But clearly, as a society, we need to ensure that all members of our society have access to quality medical care somewhere by someone. Otherwise there is a serious issue.

Also, while the specific doctor in question appears to be within their ethical rights to be free to choose not to serve this patient, I'm not sure the hospital as a whole can also make this claim as the AMA Code is specific to individual doctors and does not apply to institutions as a whole. It would seem that the hospital, perhaps, cannot refuse (which is why the hospital and not the doctor are being sued).

So, it would appear, at some level, our medical care is subject to the personal beliefs of individual doctors. Which is fine if one lives in an area where there are many choices of doctors. But what if you are somewhere where there is only a few doctors for miles around and they are all anti-homosexuality? What, exactly, is one supposed to do then?




Owner59 -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/5/2012 6:39:03 AM)

Yada yada.......




Moonhead -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/5/2012 6:45:23 AM)


quote:

ORIGINAL: DarkSteven
That said, something stinks here. If he wanted to fix things, he should have appealed to the hospital's credentialing board. He's asking for punitive damages only, because he cannot quantify actual damages, and the law firm representing him has a website that screams "late night infomercial" to me. http://www.costellomains.com/


To be fair, punitive damages are going to be much easier to quantify than actual damages ion a case like that, and the "no win no fee" massive might be all he can afford after pissing money away on medical care that wasn't actually delivered. Beside3s, punitive isn't inappropriate here, is it? It might even convince some other twat who belongs in the holy order rather than the medical profession to think twice before pulling shit like this on somebody else who isn't deemed competent to make an appeal about being denied treatment.




DarkSteven -> RE: How far should a doctor's beliefs be allowed to affect a patient's treatment? (6/5/2012 6:58:05 AM)


quote:

ORIGINAL: subrob1967

Um, if this story is even true, you're talking about the word of one patient, and apparently psychiatric patient to boot. Instead of blowing this story way out of proportion, like the OP has a history of doing, why don't we sit back and wait for the facts to come out, before passing judgement on Dr Borga, and the hospital?

For all we know, the guy could be insane, with no diagnoses of hiv, and suing because he's nuckin futs.


Although you expressed it much more strongly than I would have, I agree with you, rob.

This is a link to Borga's department. Note that her coworkers, going by last name, include:

Two Chinese
Two Arabs
Three Indians
Five Hispanics

So I have a hard time believing that she showed disrespect to Simoes' "ethnic" doctor.




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