Actions for Discussion 3.1: Kidney Failure Locked after Monday, April 17, 2017 1

Question

Actions for Discussion 3.1: Kidney Failure Locked after Monday, April 17, 2017 12:00 AM MDT. Must post first. Chapter 8. Scenario (based on a real Louisiana case): A patient with chronic kidney failure required continual dialysis treatment. As such, hemodialysis catheters, also called access grafts, were surgically inserted in the patient's arms. These access grafts eventually caused problems and needed to be removed by a vascular surgeon. After the procedure, the patient was hospitalized and he suffered two incidents where he bled copiously from a surgery site in his left arm. The bleeding was stopped with pressure dressings, and the patient received a blood transfusion. The patient was hospitalized for four additional days for observation. He had no other episodes of bleeding, he received his dialysis treatment fine, ate well, and had good vital signs—therefore, the patient was dismissed from the hospital. The physician's discharge summary noted the patient had been instructed on how to apply pressure if his arm should bleed and was told to call his physician if problems occurred. Upon returning home, the patient had two bleeding incidents. Pressure was applied and the site was wrapped with gauze. No one called the physician to report the two bleeding incidents. The next day, the patient was left alone while his wife went to run some errands. When she returned home about 30 minutes later, she found her husband dead, lying in a pool of blood. The patient died from loss of blood caused by hemorrhaging from the incision in his left arm. His wife filed a wrongful death suit against the physician. What is the basis of the claim? Applying the elements of negligence, what did the physician do wrong, if anything? If the physician is held liable for the death, does he have any defenses he can raise to absolve himself of liability (in whole or in part)?

Explanation / Answer

The patient died from loss of blood caused by hemorrhaging from the incision in his left arm. This was the basis of the suit filed against the doctor. If the patient's bleeding was stopped due to pressure dressings, there shout have been an incision.

However, in his discharge summary, the doctor had specified of how to apply pressure in order to stop the bleeding and to call or inform him in case there were any kinds of problems. On returning home, the patient had two bleeding incidents , of which the doctor was not informed about.

To absolve himself of the liability the doctor can put forth a major point in which he had been kept uninformed about the two bleeding incidents that the patient had witnessed. He could have suggested if any remedies or admission to the hospital or any probable way out to solve the problem. This was a major fault on the part of the patient and his family of keeping the doctor uninformed.

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