Re: The Demise of Medical Ethics and the Old School
- From: Hawaiian Wayne <birdie998@xxxxxxxxxxx>
- Date: Fri, 02 Nov 2007 07:35:45 -0000
On Oct 30, 2:38 pm, "Juba" <j...@xxxxxxxxxxxxxxxx> wrote:
Sean C <redh...@xxxxxxxxxxxxxxxxxxxxx> wrote in message:
301020071945562937%redh...@xxxxxxxxxxxxxxxxxxxxx,
Hi folks,
I would really appreciate some comments on the blog about this one.
Once again, I've gotten into a scrap with Scalpel where he has
revealed my real name, and this is my response. One of the reasons I
started the blog was to highlight this kind of behavior, and Scalpel
has certainly been obliging in that regard. Not that my real name is
any state secret, but it's the principle of the thing. He has taken
to moderating his posts and refusing anonymous posts, so you rpobably
can't respond there.
<http://paynehertz.blogspot.com/2007/10/demise-of-medical-ethics-and-old-
school.html>
or
http://tinyurl.com/2s2oc5
Sean C
The "Old School" has closed its doors forever. It used to be, back in
the day, that even punks and bullies had a code of honor, and if you
stood up to the bully, he would take his medicine like a man and that
would be the end of it. Nowadays, they come back with their crew and
machine-gun your entire family, or if the punk in question happens to
be a doctor, he will come back with his crew and try to destroy your
medical care by blacklisting you, or publishing your name on the
Internet in the hopes that other doctors will deny you treatment, or
simply to intimidate you into silence. The days when even enemies
could treat each other with honor and respect and there were rules of
engagement to be followed are over. Now, it seems, malignant
narcissism is the rule of the day, and there is no limit to the
depths of sleaziness and cant some people will sink to get revenge
against someone for "dissing" them. Drive-by-shooting or medical
sabotage, the goal, and the mindset underlying it, are the same.
Case in point: the author of Scalpel and Sword, a patient-bashing site
by an "ER doc in Texas," has twice responded to my criticism of his
hate-filled articles about chronic pain patients by revealing my real
name on his blog and on other blogs. In his latest outing, he has
called on ER docs in my area to be on their guard around me, as if I
am some dangerous criminal. I don't need to explain to anyone who has
been shut out by the "Good Ole Boy" network for speaking out what the
effect of this is likely to be. Scalpel has boasted on his website of
violating the HIPAA laws by blacklisting patients, and has admitted to
making people in pain wait in the ER or denying them treatment
altogether for failing to show him proper respect, so this kind of
behavior is hardly out of character for him. There is a code of
conduct among bloggers where we respect people's anonymity and right
to confidentiality, as we often know the names, e-mail addresses and
IP addresses of people who visit our blogs, even when they post
anonymously. It's abundantly clear that Scalpel has no more respect
for this code than he does for the right of his patients to
confidentiality under the HIPAA laws, or their right to be treated
with dignity and respect. It is a fundamental tenet of medical ethics
that a doctor should respect patient confidentiality and should "do
no harm" and it is readily apparent that Scalpel, like far too many
doctors nowadays, has no respect for these standards. Though I am
obviously not Scalpel's patient (thank God for small miracles), one
would expect similar conduct from a true doctor even in non-medical
contexts. Scalpel obviously disagrees.
Scalpel is also in violation of Google's Terms of Service/Content
policy, which states:
PRIVATE AND CONFIDENTIAL INFORMATION: We do not allow the
unauthorized publishing of people's private and confidential
information, such as credit card numbers, Social Security Numbers, and
driver's and other license numbers.
Needless to say, Scalpel has no respect for the policy under which
Google generously allows him and other bloggers to express their views
for free.
In his latest post, Scalpel is responding to my article entitled "More
ER Asshattery" where I address many of the fallacies presented in his
article on the numeric 1 to 10 Pain Scale and a related article where
he proposes an alternate pain scale. He then responds to my criticism
by revealing my real name and accusing me of having a "revenge
fantasy" against doctors. I hope you will forgive me for not
repeating my real name here or linking to the original article, as I
obviously don't want to paint a roadmap to this info, though in fact
any narcissistic ER doc with a little downtime in between abusing
patients could probably find this info in the same manner Scalpel did:
Courtesy of [my name omitted], a chronic pain sufferer in [my state
omitted] who used to be anonymously known as Redhawk but who now blogs
under the pseudonym Payne Hertz. I won't link him, but with a little
internet sleuthery you can find his whiny blog yourself, if you are so
inclined. He thought I was on the wrong track with my pain scales, so
he came up with this:
After which he quotes my tongue-in-cheek pain scale and accuses me of
a revenge fantasy. While my humor may be a little offensive and over
the top to some, it is just that, humor, and not a call to violence
against doctors. No unethical, arrogant doctors were harmed in the
production of Payne Hertz that I'm aware of, though Scalpel's ego has
obviously gotten a good bruising. Interestingly, he posts a "revenge
fantasy" of his own, though in fact revenge is no fantasy for him but
a real life activity he engages in regularly, as evidenced by his
blog and the behavior I am describing here. This is a guy who has
boasted of inflicting pain and suffering on his patients and
attempting to sabotage their medical care, and he is attempting to do
the same to me.
[My name omitted], I would love for you to try that out sometime.
But my question for you is, if you are already at a "level 10" from
your chronic mystery pain and someone were to hypothetically spray you
in the eyes with pepper spray, stab you in the neck with a pencil, or
break your elbow by vigorously hyperextending it, would that not
bother you at all because you're already maxed out, or would your
pain level go up to a 15 or so? Just wondering.
My advice to Scalpel would be to stick to what you know and continue
to backstab your patients in the manner you're accustomed to. Direct
physical confrontation with your latest victim might not be in your
best interest, and you might find out the hard way what level 10 pain
feels like.
Interestingly, in a classic case of projection, Scalpel quotes an ER
nurse blog complaining of patients with "personality disorders" and
how tiresome they can be:
I have seen a couple of people get out of control when they didn't
get their narcs. I read an article in emergency medicine magazine that
takes about a doctors role in treated chronic pain in the emergency
setting. What's fascinating about it is that the author says that 50%
of chronic pain sufferers have personality disorders or affective
disorders. I can vouch for that. They wear you out, the people who
come in for chronic pain because they are people who are neurotic and
difficult to work with. Antidepressants have been found to be very
helpful in these people, along with psychological help. They seldom
get it.
It has been my personal experience reading and hearing hundreds of
stories from abused chronic pain patients that those doctors who are
most willing to play amateur psychologist by branding their patients
with the "personality disorder" label are the ones most likely to be
suffering from severe personality disorders themselves. After all,
what kind of personality does it take to blacklist a patient and
willfully sabotage his or her medical care because you perceived him
to be manipulative or disrespectful to you, or to leave another human
being writhing in agony by refusing to treat his pain? Or for that
matter, to violate a blogger's right to blog anonymously? Maybe it's
this kind of personality:
Their lack of self respect is even more damning. Because of it,
nothing is beneath them. No lie is too mean to tell. No trick is too
lowdown, dirty, and rotten to play. Things you or I couldn't stoop to,
because sinking to that level would make us feel like we are wallowing
naked on our bellies in sewage, narcissists glory in like
mud-wallowing hogs. Ironic, isn't it? that such deep, unbearable
shame makes one shameless? But it does.
...This is why every malignant narcissist has two middle names: one
is "Abuser" and the other is "Slanderer."
Scalpel certainly fits the bill on all counts, particularly as abuser
and slanderer and willing to low crawl where most people wouldn't dare
to go, all because his ego got bruised.
Here is where Scalpel plunges the knife:
Indeed. If anyone reading this happens to work in an Emergency
Department in [state omitted] and is unfortunate enough to come across
this gentleman....you might want to guard your nuts.
This is an unequivocal attempt by Scalpel to libel me and sabotage my
medical care, and an attempt to intimidate me into silence. I can
promise you, it will have the opposite effect. It is sad that a doctor
with a so-called code of ethics would feel the need to sink to this
level, but this kind of thing happens all the time. If it weren't for
the high prevalence of ruthless, amoral and egotistical doctors like
Scalpel, Payne Hertz wouldn't exist. While I have no intention of
sinking to his level by revealing his real name, location or place of
employment, Scalpel might do well to heed the warning some other
people have made to him about karma, because he's got a lot to lose
if his real identity was ever revealed, and he most definitely has it
coming to him. The next person he screws over might be a hacker
looking for some payback.
This is what I attempted to post on his blog, but he's moderating
comments on the entry you referred to. My remarks may not show up,
because he is a gutless scumbag:
You obviously value your privacy. You want to post your opinions here
without worrying about real-world consequences, but when another blogger
criticizes your opinions, you post his name and his location AND attempt
to damage his ability to receive emergency care. Are you insane? Or just
a pathetic little paper tyrant? Clearly you are also humor-impaired. Get
over yourself.
--
Jubawww.masterjuba.com
Check out the PAYNE HERTZ bloghttp://paynehertz.blogspot.com
Aloha?
This thread has me so LOST that nothing either person said in their
posts made any sense to me whatsoever.
Sean? Are you asking for support for your pain or advice on what to do
next (on what, is beyond me)?
Juba, obviously you understood more than I did, however, since I'm
completely in the "ozone" right now, you could be talking about
Disneyland and I wouldn't know the difference! LOL!
No comprendo!!
Hawaiian Wayne
.
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