imc indymedia

Los Angeles Indymedia : Activist News

white themeblack themered themetheme help
About Us Contact Us Calendar Publish RSS
latest news
best of news




A-Infos Radio

Indymedia On Air

Dope-X-Resistance-LA List


IMC Network:

Original Cities africa: ambazonia canarias estrecho / madiaq kenya nigeria south africa canada: hamilton london, ontario maritimes montreal ontario ottawa quebec thunder bay vancouver victoria windsor winnipeg east asia: burma jakarta japan korea manila qc europe: abruzzo alacant andorra antwerpen armenia athens austria barcelona belarus belgium belgrade bristol brussels bulgaria calabria croatia cyprus emilia-romagna estrecho / madiaq euskal herria galiza germany grenoble hungary ireland istanbul italy la plana liege liguria lille linksunten lombardia london madrid malta marseille nantes napoli netherlands nice northern england norway oost-vlaanderen paris/Île-de-france patras piemonte poland portugal roma romania russia saint-petersburg scotland sverige switzerland thessaloniki torun toscana toulouse ukraine united kingdom valencia latin america: argentina bolivia chiapas chile chile sur cmi brasil colombia ecuador mexico peru puerto rico qollasuyu rosario santiago tijuana uruguay valparaiso venezuela venezuela oceania: adelaide aotearoa brisbane burma darwin jakarta manila melbourne perth qc sydney south asia: india mumbai united states: arizona arkansas asheville atlanta austin baltimore big muddy binghamton boston buffalo charlottesville chicago cleveland colorado columbus dc hawaii houston hudson mohawk kansas city la madison maine miami michigan milwaukee minneapolis/st. paul new hampshire new jersey new mexico new orleans north carolina north texas nyc oklahoma philadelphia pittsburgh portland richmond rochester rogue valley saint louis san diego san francisco san francisco bay area santa barbara santa cruz, ca sarasota seattle tampa bay tennessee urbana-champaign vermont western mass worcester west asia: armenia beirut israel palestine process: fbi/legal updates mailing lists process & imc docs tech volunteer projects: print radio satellite tv video regions: oceania united states topics: biotech

Surviving Cities africa: canada: quebec east asia: japan europe: athens barcelona belgium bristol brussels cyprus germany grenoble ireland istanbul lille linksunten nantes netherlands norway portugal united kingdom latin america: argentina cmi brasil rosario oceania: aotearoa united states: austin big muddy binghamton boston chicago columbus la michigan nyc portland rochester saint louis san diego san francisco bay area santa cruz, ca tennessee urbana-champaign worcester west asia: palestine process: fbi/legal updates process & imc docs projects: radio satellite tv
printable version - js reader version - view hidden posts - tags and related articles

The New Killing Fields

by Charles Phillips Wednesday, Apr. 01, 2009 at 6:09 AM

The New Killing Fields

Subject: My topic tonight is The New Killing Fields -- no, not a new horror story out of Southeast Asia -- but rather the ongoing slaughter in the offices, clinics, gurneys, and beds of Managed Care. This is not the gun-to-the-head assassination of the uncooperative, it is the slow vitamin-deficiency-like-poisoning caused by acts of omission perpetrated on the cooperative. This new killing is being wrought on those very patients who suspended their general disbelief of advertising and got hooked for one more year by slogans like "in the hands of doctors" -- the Kaiser system.

But before giving you the new details I have come across today, let me ask for you to pause and judge the relative depravity of two assassins. One is guilty of a rapid commission of death sentence comprising a millisecond of pain perhaps not even perceived by the victim but rather beaten by the bullet to the centers of recognition. The other is guilty of ignoring long suffering until its own terminus extinguishes the contract of care, thus also pulling down generations of love ones who can't get past the anger of grieving the unnecessary pain. I would imagine that society has always assigned the degree of murder based on the length and complexity of premeditation as well as the unnecessary pain produced.

Yesterday, I shared with you my impression that two stress tests considered negative performed two months apart at a Kaiser "hospital" on a man just below 50 would soon be read by an impartial, private cardiologist as being positive. This was on the man who suddenly died at home still dutifully taking his stomach acid pill as a non-cardiac patient.

I called the cardiologist about 2 p.m. today, thinking that I had blown my chance for a sudden reading on a Friday afternoon -- as he is one of the busiest cardiologists in Fresno. My office staff was prepared to take the copies of past tests wherever he was to be found. But he called back personally and said he would come to my office to solve my question. Yes, it was to be a free gift -- half of what medicine is all about according to the Mayo Clinic.

He had no problem as I blinded out the past Kaiser readings. Rather he turned his rapid review of the 58 pages into a teaching session. In turns out that stress test interpretation is a common topic he likes to teach. He told me to pay special attention to poor circulation persisting into the Recovery Phase when the patient is lying down again -- no other muscles interfering.

To the first stress test he said that he would have been highly suspicious of coronary artery disease. He would at least of started an enteric coated aspirin once a day as well as a beta blocker. He would have told the patient that the answer was not yet conclusive even though the test was basically positive by the math of the Bruce protocol.

At the first symptom of more chest pain, the standard of care, he continued, (and I am only paraphrasing) would be to advance to a stress ECHO or stress thallium test to gain sensitivity and precision. The fact that the institution merely repeated another stress test two months later was of itself not up to the standard of care; it fell to malpractice.

The second test was definitely positive by symptoms, by the math, and by an extension to another area of the heart -- although not interpreted that way by the Kaiser cardiologist. The private cardiologist would have recommended an angiogram at that point in time, willing only to delay if the patient required a middle ground.

He would have told the patient clearly that he had angina until proven otherwise. Strong medication protection would have been started; activity would have been limited until solutions were found. Maintaining the patient only on stomach acid medication after both stress tests was an unbelievable outcome. (This confirmed what I had read of the same tests in my own amateur style last night wandering through the Internet for backup calculations and diagrams.)

I told him that my 18 months in the emergency room at Kaiser lead me to believe that this was the global standard -- medical marginalization. And that any sequential private reading of tests from stress tests to x-rays to lab tests would demonstrate the calculated errors of omission practiced by most. (Such practice, I believe, falls to Kaiser management more than the medical professionals, the former for setting impossible time/volume interactions; it is the reason I propose that health care administrators need now to be licensed -- accountable for the time/volume decisions that maim and kill.)

The cardiologist was not surprised. He also understood the concept of the obvious anchor effect noted when managed care comes to town -- the competitive draw down spilling over into the private community. If Kaiser can pass off a hospital that isn't, I added, every hospital in town is at risk. (If you can pass off sandstone for granite, you can destroy the granite industry in less than a generation.)

I asked if he could take on the role and pressure of looking at 100 sequential stress tests within the crucible of the legal industry. He explained that he has already had to testify within the Fen-Phen legal arena and realizes that it now comes with the territory.

He could be contacted if needed. Cardiology, which is not used to the benefit of the patient, is not real cardiology.

Soon after I was distracted by a pleasant conversation with one of the founders of as well as possible chance to network on medication costs with a local senior advocacy group. Next I saw my last patient, adjusted his cholesterol medicine, and turned off the lights.

But it was clear to me as I pulled into my garage that Kaiser had stumbled -- no fallen flat. In their race for "productivity" they had gone beyond just missing cancers -- and other subtle areas of judgment -- into a mathematical zone with a reproducible record. And massive shredding would get them nowhere. The absence of hundreds of stress tests would be as much fraud as the misreading of those found.

I had the confidence of going to the medium mountain and returning not with a set of tablets but a new Rosetta stone. The key to breaking the code of the Pharaohs was at hand. And the firewall of "that's just an isolated Permanente physician problem" would not work. The dangers of having chest pain -- or any illness with a document track -- would someday fall out of the Kaiser fortresses.

The New Killing Fields responsibility reaches up to the top floor of the Kaiser high rise overlooking Lake Merritt in Oakland, California. You will know you are at the top floor when the usual potluck chicken lunches further down turn to catered roast tenderloin.

And Kaiser is only a single estate in a land of mismanaged killing fields. I'd suggest to all top managed care executives -- MDs and/or MBAs -- that the writing in blood is already on the wall and it is time to call U-Haul for boxes, packing your family pictures first. But if any of you turned whistle blower on the way out, you might still avoid the curse of Hippocrates.

Report this post as:

Local News

Change Links September 2018 posted S02 10:22PM

More Scandals Rock Southern California Nuke Plant San Onofre A30 11:09PM

Site Outage Friday A30 3:49PM

Change Links August 2018 A14 1:56AM

Setback for Developer of SC Farm Land A12 11:09PM

More problems at Shutdown San Onofre Nuke J29 10:40PM

Change Links 2018 July posted J09 8:27PM

More Pix: "Families Belong Together," Pasadena J02 7:16PM

"Families Belong Together" March, Pasadena J02 7:08PM

Short Report on the Families Belong Together Protest in Los Angeles J30 11:26PM

Summer 2018 National Immigrant Solidarity Network News Alert! J11 6:58AM

Watch the Debate: Excluded Candidates for Governor of California M31 5:20AM

Change Links June 2018 posted M28 7:41AM

The Montrose Peace Vigil at 12 Years M22 8:01PM

Unity Archive Project M21 9:42AM

Dianne Feinstein's Promotion of War, Secret Animal Abuse, Military Profiteering, Censorshi M17 10:22PM

CA Senate Bill 1303 would require an independent coroner rather than being part of police M10 9:08PM

Three years after OC snitch scandal, no charges filed against sheriffs deputies M10 8:57PM

California police agencies violate Brown Act (open meetings) M02 8:31PM

Insane Company Wants To Send Nuke Plant Waste To New Mexico A29 11:47PM

Change Links May 2018 A27 8:40AM

Worker-Owned Car Wash on Vermont Closed A27 5:37AM


lausd whistle blower A11 6:58AM

Website Upgrade A10 10:02AM

Help KCET and UCLA identify 60s-70s Chicano images A04 8:02PM

UCLA Luskin: Casting Youth Justice in a Different Light A02 6:58PM

Change Links April 2018 A01 6:27PM

More Local News...

Other/Breaking News

OUR HOUSE Grief Support Center Celebrates 25 Years with the House of Hope Gala S24 7:10PM

Against the Rent Madness and For a Nonprofit Orientation! S24 11:56AM

Cybermonde, cyberguerre, cyberespace, cyberterrorisme S24 6:35AM

Paraphysique de psychosomatique S22 6:58AM

Chuck Grassley: Women Abusing, Animal Murdering, Illegal War Supporting Criminal S22 2:58AM

Finance Capitalism and the Digital Economy S21 4:45PM

Muselières syndicales, muselières patronales S21 7:19AM

Jeff Bezos, Amazon, The Washington Post, Whole Foods, Etc S21 2:50AM

Why Choose Nut Milk Over Cows' Milk S21 1:01AM

Antrhopocène, le grand effondrement S19 9:53AM

Abolir l'économie S18 11:18AM

The Dictatorship of Corporations S17 5:26PM

18 Lethal Consequences Of Hunting S17 3:13PM

Paraphysique de l'outplacement déontologue S15 6:51AM

Shopping du bashing S14 8:42AM

After Lehman Brothers, Experts Say Global Financial Crisis Can Happen Again S13 8:28PM

“Animaniacs in Concert!” Starring Voice Legend Rob Paulsen S12 9:30PM

Probabilités de fin d'humanité S12 6:49AM

Florida Area of Migrant Farmworkers Denied Right to Construct Health Clinic near NaplesCIW S11 2:57AM

Steer clear of work morality! S09 12:10PM

The Shortwave Report 09/07/18 Listen Globally! S06 11:23PM

August 2018 Honduras Coup update S06 12:28PM

Brett Kavanaugh Filled The 5th Circuit With Execution Judges S06 6:14AM

Augusta Georgia Woman Gets 5 Year Prison Sentence for Writing About Russians Crime Acts S05 8:29AM

Paraphysique de contextualité S05 8:29AM

Crisis Regulation in Global Capitalism S03 3:39PM

Ex-voto de réification S03 10:24AM

Please Oppose Warmonger, Execution and Torture Supporting Bush Operative Brett Kavanaugh A31 10:45PM

More Breaking News...
© 2000-2018 Los Angeles Independent Media Center. Unless otherwise stated by the author, all content is free for non-commercial reuse, reprint, and rebroadcast, on the net and elsewhere. Opinions are those of the contributors and are not necessarily endorsed by the Los Angeles Independent Media Center. Running sf-active v0.9.4 Disclaimer | Privacy