Re: Alfred Cutner, Gyneacologist

Dear Jihadist,

You make a great many points in your post, it's kind of hard to address them
all without going through your post paragraph by paragraph. Your opening
line is all screwy to begin and will turn a lot of people off since religion
and medicine are two different animals, and a fatwa can only be decreed by
an Imam, but even being an empty threat it still shows you're pretty pissed
at this guy, so you accomplished your goal. But you could have just said " I
am so pissed at this doc, what do you guys think about all this..." and
accomplished the same thing.

Being pissed it's often easy to let words run away with the story, so I hope
you don't mind if I go through it a section at a time asking questions or
making comments. Here goes:
__________________________________________________________________
"Jihadist" <muntabique@xxxxxxxxxxx> wrote in message
news:85438a35-bfe3-4757-8d21-8a1594319c20@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
The events described on this site were committed against a Muslim;
hence this is a fatwa against Mr. Alfred Cutner.


Alfred S Cutner, Gyneacologist practicing at UCHL, Portland & King
Edward iiv Hospitals.

**See my first comments on the above parts**

On 26th April I was reviewed and placed on waiting list for surgery by
a member of the team of the above. A recommendation was made at that
consultation that I see a haematologist but no referral was ever made.

** I'm assuming you mean hematologist or a doc that specializes in blood
related issues. Referral or not it's the patients job to hammer the doctor
on such things. He's probably got a 1000 other patients to worry about. We
have one patient to be concerned with, ourselves. Call them till they get
sick of hearing from you**

Despite recommendation I discontinue medication 6 weeks prior to
surgery, I was given 4 weeks notice before admission. A pre-op
assessment never took place, partly because my notes had not arrived
and the very young member of the team I saw on that occasion didn't
really seem to know what to do.

** Rookie doctors can be a cause of concern to anyone going under the knife,
but you never know , he could have been a young looking 45 and the top guy
in his field. You can't judge a book by the cover. But here come the part
where you MUST TAKE THE ULTIMATE BLAME. 6 weeks before the surgery you
stopped following doctors orders. Pre-op procedures are not suggestions. Do
what you're told or you could end up on a slab in the morgue. You said there
was no pre-op exam, but...***

The pre-op assessment nurse I saw made very inappropriate personal
comments and sabotaged the whole admission by not carrying out all
the necessary tests, made the whole process extremely difficult and
even on the day of admission, 2nd July manipulated events in such a
way that necessary tests could not be carried out and the necessary
prep could not be carried out. UCHL is still refusing to release her
name to me as it is necessary to report her to the UK Nursing and
Midwifery Council as she is more than likely to harm other patients
that are being subjected to her, given the abuse she subjected me to.

***You say you saw a pre- op assessment nurse. That sort of contradicts your
earlier statement. Please clarify. Also please be a little more specific if
you can about what personal and inappropriate comments she made. We're all
adults and most of us have heard the same somewhere along the line. There's
nothing that fills you with confidence more (total sarcasm) that having a
doc who's going to have your guts in his hands in about 10 minutes calling
you "another goddamn junkie". But get more specific on the nurse and how she
screwed things up. There's nothing I enjoy more than helping someone get a
person, who has no business being in the medical field, another vocation.***

On arrival on the ward, her deceit quickly became known; a bed had
only come available at 3 pm where she claimed she had rung me at 1 pm
to say a bed had become available. To make matters worse, patient
confidentiality was breached in a serious way on several occasions.
When I spoke to nurse in charge of ward concerning this, he corrected
what he could and raised the issue during the next handover, resulting
in key nurse turning extremely hostile.

*** Yes, the old "Before I go home, guy in 214/B has an attitude problem".
Nothing unusual about that and the only way to fix it is to prove them wrong
and be a nice guy. Not so easy when every where you turn something new is
screwed up. Can you get more specific about the confidentiality issues, and
what the charge nurse did to try to fix it, besides putting you in the
doghouse with the next shift?***

When treating surgeon came to see me prior to surgery, these issues
were raised as well as the fact that I was feeling extremely unwell.
This resulted in the immediate accusation that I was not
psychologically ready for surgery. Normal protocol is that physical
concerns are investigated before even alluring to "psychological
issues". Certainly where it is evident that not all necessary tests
etc have been carried out.

***We haven't touched on what type of procedure you we having done, but
mental preparedness is every bit as important as physical readiness. Having
quit the preop meds 6 weeks before the surgery,, when you knew for at least
4 of those weeks you were going to do this thing, I could see where he could
feel your mental state wasn't ready for this. If you don't even make an
attempt at pre-op readiness, what is he to think you will do during the more
important recovery and post-op instructions? Skip it, because YOU don't feel
it's going to help? And your feeling like crap could be a direct result of
skipping the medication for 6 weeks.***

Needless to say, surgery was cancelled and I was told by key nurse
that "the bed was needed" before she walked away. I could not even
have so much as a cup of tea after two days fasting and having the
surgery I'd been waiting for for 7 years cancelled through no fault of
my own. The next day I received an outpatient appointment for in 6
months time.

***I wouldn't say no fault of your own. Pre-op procedures were not followed.
They aren't optional, and they aren't suggestions. They don't call them
"doctors orders" for nothing. That covers your lack of physical preparedness
for the surgery. It's not a very far walk from there to an assumption that
you aren't taking the situation seriously enough, henceforth you aren't
mentally prepared either. And hospitals on either side of the border are
notoriously cheap, so they need the room and the bed for someone that's
going to make them some bucks, and you're free to go get a steak and cheese
sub and a Dr. Pepper from the cafeteria if you want..But hey, I would have
given you crackers.***

Initially I made a complaint, both to complaints department and
doctor; I then asked for it to be temporarily suspended if there could
be a meeting with treating surgeon to resolve outstanding issues -
which never materialized - as well as appointment being brought
forward which was done.

***They won't take your complaint seriously for the very simple fact that
the procedure was cancelled because YOU did not follow your pre-op
instructions as prescribed. Whatever it was you were having done, you had to
fast for a couple days. That's usually to clean you out, but also for your
safety. Going under general anesthesia within hours of eating can kill you.
You throw up in your "sleep and inhale the vomit in to your lungs. Instant
pneumonia. They'd decline to do the surgery in that case because YOU didn't
follow your pre-op instructions. Any deviation is enough to cancel right on
the spot. And with all the BS involved, all the doctors schedules, the
hospital schedule, the recovery and post op care, all that goes out the
window, so they have a right to be pissed.***

In the meantime, because by then three doctors had recommended I see a
haematologist, all of whom failed to refer me, I was left with no
option but to see one privately as I was really feeling ill. This care
is normally available on the NHS but was not being made available to
me. Being on Income Support, I obviously can not afford this but
reimbursement is not forthcoming as yet. The results of the clinical
tests carried out were very worrying; even then, I was very concerned
that these would provoke professional embarrassment given the
accusation of "psychologically not being ready" for surgery, despite
the fact that all the clinical indications make this surgery of
extreme urgency and exceptional need.

*** You still should have pounded them for the referral. Call the doctor
every two hours till you get it. That part of medicine is the same whether
it's socialized like where ever you are, or just plain stupid, as in the US.
With doctors doing a volume business, having thousands of patients in their
practice and seeing hundreds of them in the course of the day, you have to
be the squeaky wheel that stands out from the crowd to get real
attention.***

In the meeting intended to resolve outstanding issues, nothing was
resolved, primarily through the presence of Alfred Cutner who had no
intention to resolve outstanding matters whatsoever, while other
issues were resolved between treating surgeon and myself. Then came a
letter from Alfred Cutner accusing me of lying about test results
( despite a formal report by haematologist giving as diagnosis primary
APS - no monkey snot! ) dated 17th October and implying I didn't want
the surgery. In said meeting he also openly accused me of wasting time
and resources. A very inappropriate remark to make in any
circumstances, especially in mine. Alfred Cutner also intended to make
a in house referral to a general physician to oversee general health
matters, thereby stating that in house referrals can be made - so why
not the recommended referral to hematologist that was needed
presumably before surgery could be undertaken? I was also accused of
faking symptoms of a serious illness - primary APS aka Hughes Syndrome
- to get out of the surgery!

*** Jihadist- If you've got APS, you have to know how very important it is
for you to do what they tell you in the weeks beore surgery. You are
fighting time if they're going after a clot or something like that, but they
very nature of the condition means they can't just dive in and begin to
carve, That's going to cause more blood clots and that's the last thing you
need. A couple weeks on Coumadin or some blood thinning drug has to be
considered part of the procedure or a clot could bust loose and go someplace
where it's "game over" and you're dead. The docs don't want it, the nurses
don't want it, I don't want it and you sure as hell don't want it. As a
patient, I would refuse the procedure, as a doctor it would be irresponsible
to proceed without having done everything possible for successful
outcome.***


That was the final straw and I defended myself against these
accusations. Immediately I was removed from the waiting list for
surgery which is getting more urgent by the day. On five occasions
have I tried to resolve issues, none of which were of my making except
the way I complained to treating surgeon about events in July and
these were resolved between him and myself. The person supposed tto
mediate between Alfred Cutner and myself made a set of statements to
me in opne week and stated completely the opposite the week after; she
has not even tried to amicably mediate and resolve the situation.

Despite removing ( on 25ht October) me from his list for fully funded
surgery, Alfred Cutner has not referred me on as a matter of urgency
to another doctor to be treated as priority - normal protocol - given
I've been on waiting list since April 2006 and due for surgery in July
2006 in the same hospital. I find myself once again without the
prospect of any treatment at all, however urgent as at extreme risk of
both developing cancer as well as needing to come off all hormones
given the objective clinical diagnosis of primary APS.

*** Again, the squeaky wheel gets the grease but you have to maintain a cool
head while you squeak. If you get all irate and crazy on some poor
receptionist, the odds of your messages going in to the circular file (aka
the trash can) go way up.***

Before the reader considers to accept Alfred Cutner as doctor, he is
advised to consider

* The total lack of care condoned by Alfred Cutner
* Breach of patient confidentiality condoned by Alfred Cutner
* Acting against best interest of his patients.
* Acting against patients health and welfare
* Denial of the right to appropriate treatment
* Denial of the right to treatment full stop.
* Whether he wants to accept unfounded accusations.
* To have a doctor happy to operate without being fully aware of all
the clinical conditions.
* To have a doctor happy to operate without investigating any possibly
clinical conditions when being made aware of them.
* Not forward a patient to another doctor despite exceptional clinical
need based on personal dislike and professional embarrassment.
* Leave you in limbo for months on end with total disregard for
personal loss incurred, financially, professionally and personally.
* To remain ill to a greater degree through the refusal of treatment
for longer than necessary.
* Whether a dishonest, unjust, vindictive, greedy, power-madman
malicious liar is a doctor you would choose to be "treated" by?

On the NHS or privately?

Anyone else been the victim of Alfred S Cutner? Anyone wishes to?

I am still awaiting the release of the names of the 2 nurses to report
to the UK Nursing and Midwifery Council which the hospital refuses to
release to me.

***In your situation, I'd see the hematologist first, ask him for a
recommendation for a surgeon. Half of any healing is having faith in that
healer and Mr. Cutner no longer seems to qualify in your case. I do not know
how much experience you have had with the medical profession and in
particular surgeons, but many times they hand out a God complex with that
medical diploma. They deal the cards of life and death every day. When a
patient recovers and all is well, it's thanks to their exceptional skill as
a surgeon. When a patent dies on them it was either God's will, or the fault
of the patient. Which do you think Dr. Alfred S. Cutner would use as an
excuse if (Allah forbid) something went wrong in your case?
Not knowing exactly what kind of procedure you're having done, some of my
remarks may be a bit off base, but having tangled with my share of doctors
over the years, I assure you nothing I have said is Bulls**t. They all are a
pain to deal with in one fashion or another, even the "good ones" have their
limitations and faults. But I'd think long and hard, especially when dealing
with a potential blood disorder, about letting a doctor I already have
personal issues with near me with a scalpel.




.

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