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Thu, 16 Oct 2003 23:56:14 -0500

WC Douglass

Improvisational medicine?

 

Daily Dose

 

October 17, 2003

 

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Eight is enough (I hope) for this medical " MacGyver "

 

Remember back in March, when I told you about how 20% of hand

surgeons have operated on the wrong hand or wrist of a

patient at least once in their careers? What about when I

told you how at least 1500 patients yearly leave U.S.

operating rooms with a piece of surgical equipment - like a

hemostat, electrode, or sponge - sewn up inside of them?

 

Well, if reading about it so often in the Daily Dose has

desensitized you to this manner of medical carelessness,

here's an item that'll shock you all over again...

 

According to CNN.com, a Hawaiian surgeon - correction, a

surgeon practicing in Hawaii only because he'd had his

medical license suspended or revoked in 2 other U.S. states -

is being sued for malpractice (for at least the EIGHTH TIME,

mind you) after a 2001 operation in which he implanted a

sawed-off section of screwdriver into a patient's spine

instead of the sterile, high-strength titanium rod that was

supposed to be installed.

 

Apparently, this quack misplaced the rod that was specially

made for the sensitive procedure, but didn't realize it until

after he'd already begun operating on the patient. So he

improvised. Like something out of an episode of MacGyver, he

rummaged around in the surgery drawer for a spare Phillips

head, whipped out his trusty hacksaw (the one he's no doubt

used to amputate many a wrong limb with), and sent his

patient home with a SECTION OF THE TOOL'S SHAFT in his spine!

 

Of course, it snapped a few days later. And after a pair of

additional surgeries, the patient, Arturo Iturralde, ended up

a paraplegic. Now, his relatives are suing because they

maintain that his death this past June is due to

complications from the procedure(s). The 48-year-old doctor

(I won't name him to avoid giving coronaries to anyone who

may be reading this that may have received " care " at his

hands) was under review by the Hawaiian medical board at the

time.

 

This is a tragic story - one most people think makes

headlines because this kind of thing is so rare. But I'm

telling you that it's not. And what I want to know is this:

How can a doctor who's been sued for malpractice almost as

many times as he has fingers (unless he accidentally hacked a

few of them off during surgery, which is not at all

unlikely) - not to mention being sanctioned or reviewed by

the medical associations of 3 different states - operate on

anyone, anywhere?

 

The really scary part is that this guy is still out there. In

fact, last year he applied for a medical license in yet

another U.S. state...

 

I hope his next practice isn't on the " preferred provider "

list of your health insurance carrier.

 

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The FDA goes nuts - but in a GOOD way for a change...

 

Finally, there's some headway in spreading the word about

REAL " health foods. "

 

Recently, the ever-tightening tentacles of the Food and Drug

Administration loosened their chokehold - albeit it ever so

slightly - on the consumer information that producers of

TRULY healthy foodstuffs (in this case nuts like almonds,

pecans, etc.) can print on their products...

 

In other words, now they can finally say what everybody

already knows: That most varieties of nuts are great for your

heart - slashing your risk of heart disease by up to 40%,

according to some studies.

 

Although the FDA still considers the well-documented heart-

healthy benefits of nuts " unproven, " you've probably known

for a long time (especially if you're a Dr. Douglass' Real

Health Breakthroughs or Daily Dose reader) that the Omega

fatty acids in most kinds of nuts are actually one of the

best things you can feed your ticker. Even the glacially slow-

to-change American Heart Association says so...

 

And starting this September, so will the labels on most

varieties of store-bought almonds, pecans, hazelnuts,

walnuts, pistachios, and peanuts (technically legumes). Rumor

has it that similar labels are waiting in the wings for some of

my favorite heart-foods - salmon and other cold-water fishes.

Halleluiah!

 

One warning, though: Before you crack open that can of nuts,

take care to read the WHOLE LABEL on these (mostly)

healthy snacks before indulging - just to make sure you

aren't ingesting a bunch of vegetable oils and other

additives that may be useless at best, or packed with trans

fats at worst.

 

Because if there's one thing I've learned over the years,

it's that the food industry can find a way to turn even the

most wholesome of eats into an artery-clogger...

 

Giving credit where it's due,

 

William Campbell Douglass II, MD

 

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