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To: plain talk
No. 20 specialists = 20 different opinions. You stand corrected.

No, you stand naïve. Here's how it often works. Likely only one or two of those specialists has actually seen the patient, or even his file. Typically, the others are asked to make a diagnosis based SOLELY ON THE DATA AS PRESENTED TO THEM by the attending physician/specialist. Therefore, the downstream diagnoses are only as good as the thoroughness and/or bias of the original presenter. Also adding to this is the tendency of doctors in the same institution or locale to "circle the wagons" and not undermine each other. This is more true in some disciplines than others (especially orthopedists, at least in my area), but it can happen with any of them.

In this particular case, the family's attempts to bring in a specialist from outside the local area were thwarted by the court. I find that most troubling, because this is precisely what my family would attempt to do in a similar situation.
89 posted on 12/19/2007 9:32:08 PM PST by beezdotcom
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To: beezdotcom
Another update on the death of Paulo Milo:

Family outraged as hospital ends life support

By Tara Ravens
December 20, 2007 04:12pm

A NORTHERN Territory family has reacted with anger as well as sorrow to the death of a man hours after a court ruled he be taken off life support.

The Melo family yesterday lost an 11th-hour bid to keep 29-year-old Paulo Melo on life support when they failed to prove to the NT Supreme Court in Darwin that he could come out of his coma.

The court agreed with doctors that further treatment would be futile.

Ninety minutes later, at about 4.30pm (5pm AEDT) yesterday, the Royal Darwin Hospital turned off the machines that were keeping Mr Melo alive.

He died about 9am (CST) today, shortly after the hospital gave him a morphine injection, said his family, who have welcomed a coronial inquiry into the death.

"My brother didn't pass away, he was forced on," Nelson Melo said today following his brother's death.

"We are devastated but we are also very, very angry."

Mr Melo had been on life support since his spinal cord was severed and he sustained serious head injuries in a head-on car crash in Kakadu National Park two weeks ago.

His family said even after his life support was turned off Mr Melo was breathing well and seemed to be talking.

"At eight o'clock this morning he was breathing well, he actually seemed to be breathing better than he had on the machine," Nelson Melo said.

"We were actually very confident and the family this morning had a sense of calm.

"Last night my mother, myself and the priest were at the hospital and he seemed to be talking. It sounds like 'hurt, hurt' and then 'dad, dad'."

The hospital told the family earlier this week that Mr Melo would never breathe independently again.

But the family claimed Mr Melo had begun to respond to them, moving his eyes and showing signs of breathing alone.

On Tuesday the territory's chief justice gave the family 24 hours to secure medical opinion that their son could survive his extensive injuries.

But yesterday afternoon Justice Dean Mildren rejected a request for another extension to fly a Sydney neurosurgeon to Darwin to make an assessment in person.

"On the medical evidence before me the case is futile," he said yesterday, as the court erupted into sobs.

Nelson Melo said today the family had already spoken to the coroner, who said she would investigate the matter fully.

"My mother is devastated, everyone in the family is....because of my brother's strong response (when he was taken off life support)," he said.

"We were happy and joyous because he seemed to be talking and that was the most anyone could hope for.

"Then for this to happen after they gave him the injection is so devastating and terrible."

The hospital's medical superintendent, Len Notaras, yesterday said every effort had been made medically and more than 20 specialists had agreed Mr Melo would not recover.

Asked if the hospital could have waited until after Christmas, Dr Notaras said there was no right time for something like this to happen.

Morphine overdose?
91 posted on 12/19/2007 9:43:24 PM PST by BykrBayb (In memory of my Friend T'wit, who taught me much. ~ Þ)
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To: beezdotcom

Just speculation on your part. Of course you are entitled to your speculation and I am entitled to dismiss your comments. Maybe some doctor screwed you over before. Not sure or care what your agenda is.


121 posted on 12/20/2007 4:05:41 PM PST by plain talk
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