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Medical malpractice or medical malpractice? - Point 12: All's well that ends well

The episode that I told really happened in July 2008 .
I intentionally crippled the names of places and people because, otherwise, I should have asked permission to publish kind of a , but the facts are exactly as I have told. Fortunately
the evolution of the neo my daughter was that provided by the dermatologist hospital: is it enough for sewing small pieces of soft tissue on the internal wall of jeans, at the neo to solve the problem and prevent recurrence in these two years.

Contrary to expected, the "secretary" of Dr. Montano I was never contacted to ask for billing information, and then, in exchange for concern and anxiety, I saved 120 € (and in exchange for welfare I have saved my daughter's 500!).

My friend Annika , which are still sorry to have messed up the holidays, I was called repeatedly from Sicily get updates, and came home, I was reassured several times on her husband's surgeon availability in case of need.

So what? Why
revive two years after the episode and stories published on the Net?

For a simple random that made me re-emerge in memory the events of those days: this week by consulting the volume of Yellow Pages, looking for another phone number, the list is open to me right at the entry "Medical specialists" and those who think you're as bearer of plastic surgeons in the town of Rhodia ? But the well-known Studio Physician Associate Polispecialistico Dr. Montano!

The leopard can not change its spots: it has changed category but the details are always those of two cell and address given is always the same. Note that, unlike what happened before, do not specify all activities carried out by the clinic: regurgitation of consciousness or reduction of badget available for advertising?
I do not is unknown ... and I'll look good and contact the person to ask for enlightenment! ©

Radaelli-Ross 19:07:08

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Medical malpractice or medical malpractice? - Item 11: Question of mode ...

Dr. Botta raises his eyes from the cookbook and addressing the questions whether the ' wearing apparel is what usually brings ...
I glance at my daughter low rise jeans , T-shirt and studded belt sides. Yes, definitely has his usual look .... her and countless other girls the same age, so what?

Sensing our confusion, Dr. Botta is quick to explain:
- I noticed that Miss pantalani are closer right at the new ... the denim itself is pretty rough, also with the belt metal decorations also imposed at that point: the repeated rubbing of fabric maybe added to the sweat caused by the heat in recent days, the irritation caused ... -
- Ah !......- I do not know what to say, all I could think of except for a cause so trivial !

But I recover quickly from the early-and surprise! - I ask the doctor the question that we care about most: the neo is to be removed or not?
- I would say that is not the case - decided to respond to Dr. Botta - Just take the necessary precautions to avoid irritation : bring comfortable pants or cloth softer .... such as those in suits gymnastics ... - Then note the look that is launching murderess The smile and adds: - ... of course, if Miss wants to follow fashion , simply wearing a vest that will protect the new jeans by rubbing ... -

Then it gets more serious and warns us: - Right now is the mole innoffensivo , however if the inflammatory episodes are repeated over time they might induce the transformation ...-
And then concludes, as we usually end all medical examinations of this type, with a view to which we could have come from the sun but if it is expressed by a specialist, has a different weight:
- Does not do anything for the moment and take the neo observed in order to grasp any changes to the first occurrence ...-

We take leave from the doctor lifted the morale and just outside the hospital, also located in the way of irony:
Let it be clear-something tells me ...- with serious -... do you can forget that I put the vest! -
And both burst into uncontrollable laughter and release . ©

Radaelli-Ross 19:07:08

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Medical malpractice or medical malpractice? - Step 10: The verdict

After having poured over a drop of oily liquid, Dr. Botta tool supports the new and look carefully through the cable eye. They spend long endless second-or so it seemed to me holding the breath- before a decision is to express an opinion : - Nothing to worry about ... - He says - ... is just a little 'irritated. The
breath too long locked up my breaks out in a sigh of relief so loud that Dr. Botta raises his eyes from his work and smiles at me sympathetically.

-Now we see others ...- said then, turning to the, devoting himself to meticulous observation of all the spots it can find on the skin of my daughter.
After the examination, told to get dressed and in the meantime that cleans and puts the dermatoscope, confirms the negative results of the survey :
- There are no changes in place, the mole on the side is swollen and inflamed, but no signs of degeneration, I would say that you can rest assured ...- He pauses, as if uncertain whether to tell us more ... then you decide: Given the
-.. type of person, blonde, fair skin, should be repeated every time the test we did today .-

all?! It occurs to me, but nodded with an expression grateful to Dr. Botta and, while he sits down at your desk to draw up the written report , re-emerging from exile in which I had recently confined, my reasoning that leads me to formulate the logical question :
-How come it has ignited the neo? - ©

Radaelli-Ross 19:07:08

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Medical malpractice or medical malpractice? - Step 9: Path of Hope

The Hospital of Legro is a big health complex that spans multiple buildings connected together by avenues, although it is a few miles from our house, and though there's happened several times to take the path that runs along the outer wall , we never had the opportunity to get in (to add luck).
On Friday afternoon we start on time because the nice lady booking office has been advised to switch to cash appointment with your doctor before you go ... It takes

five minutes to get there, ten minutes to find parking and quarter of an hour to locate and reach the pavilion is located where the acceptance of the clinics, then we take the ticket with the numerino and there get in line to pay.

After about twenty minutes for our turn comes and we discover that we could avoid the queue :
- But why has the count? - I question the "cashier" - and screaming, if anything, there were still pending: - Patients to be given priority over other payment! -
I avoid the comments and, after paying due I walk away with your eyes low not make eye contact with these .... but I feel the same, to rain on his shoulders. their disapproval of ochhiate .

Finally we arrive and are welcomed by nell'ambulatorio Dr. Botta : a middle-aged man, tall and thin bundled up in a hospital gown by at least two sizes too big, that hangs on him like a dress on the hanger. It makes us sit in chairs in front of his desk and began to do in the the usual questions: where there's always this new state, when he noticed the change, if you have altered the shape or color or both things ...

then asks her to undress and lie down on the couch while he recovers in a locked metal cabinet, a box with dermatoscope . Meanwhile, that extracts and turning the instrument explains what is examination risparmiarselo ... could, as in he has done before, but I appreciate the effort put comfortable .
And then comes the question, of course, starting from the newly indicted ... ©

Radaelli-Ross 19:07:08

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Medical malpractice or medical malpractice? Step 8: Just pay ....

Heartened by ' Enzo optimistic attitude, which I know I can trust blindly, and spurred by his undeclared but perceptible criticism on my "boccalaggine" I take courage and call Dott.Montano to cancel the appointment .
I tell him the truth: that I thought that before and to make my daughter who is undergoing prefer a dermoscopy specialist from .... at this point, because my skills have been restored to reason, I expected its possible replication :
-No problem - I expect to say - I'll take the exam by dermatologist colleague ...-
Dermatology is in fact one of the assets managed in the famous Clinic Polispecialistico that the Yellow Pages in Rhode placed and instead turned out to be a totally different place ... and I even prepared my objection: I prefer that In both followed by a doctor in the area ... Instead, the

Dott.Montano does not even pretend to indulge:
- I'm sorry lady - he says - but here we have already booked and now must pay ... -
Anyone who knows me knows I'm a patient person and so easy to keep your cool, instead of indignant and send him to hell as they deserve, I can help myself and ask politely "what" should I pay (an not made an examination and histological?).
-C 'is the reservation and pay a visit to my office on a holiday ... - The

reservation?! Perhaps
means the battery power of your handheld-phone-or-that-is ... The
visit?!
would be the look that he gave in to the neo? In
"his" study ?! That
of Dr. Leopold Shwarz? In a festive
... well, you need to give this act, it was Sunday and I did not find any other doctor willing to receive us ....

So, reluctantly, I ask him how much I for the "noise" (to call him "visit" just did not succeed).
- 120 Euro - he replies resolutely Dr. Montano.
and I resign myself to cut short tell him to send me an invoice for his "performance" and will pay ....

E 'to this that, after two days of anxiety, worry and excitement, I enjoy a intense moment of true-and-dare I say evil spirits seizing the sudden indecision in the voice of Mr. Montano:
- ... bill? He wants the bill?! - Ask me. And then is justified - but if I did not even its data ...-

TA-DAA!

-pity - replica - A serious practitioner should annotarseli ...- and (now I lose my right to laugh ) concludes: - Now you do not have time to dictate, I am very busy, good morning. - And closing the phone still feel angry that Mr. Montano plays his last card: the
-.. I call from my secretary to get the data ...-

Okay, I think, I will address the problem when present, now I have to do something more important: book a visit to the dermatologist . Enzo
As I suggested, I try to ' Hospital Legro and after half an hour of trying, I can take the and talking to a polite lady who told me that the first day for the dermatological is at the end of September .... but today is July 7!

PANIC!

agitated that I explain my daughter has a mole in the process of transformation and must do as soon as possible dermoscopy. The nice lady and I am not flustered that to pay a visit there would first place ...
-... Friday at 16.45 with Dott.Botta, the visit costs 80 €, can fit them? -

Here would be an opportunity for some not very flattering account the functioning of the public health system but they are so raised the possibility that I offered to drive controversy and now the appointment.
After all this does is confirm a unwritten rule of social life : You can have almost everything and the best, you pay ... ©

Radaelli-Ross 19:07:08

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Medical malpractice or medical malpractice? - Step 7: What good are otherwise friends?!

Usually disapprove of those who exploit their knowledge for personal benefit and difficult to make use friends to take advantage of their professional qualifications but as the saying goes ...? Necessity is the mother of invention ... or When the water reaches the throat ... and learn to swim Opportunity makes the thief ... and I could go on to the bitter end in quoting proverbs in my justification ... but perhaps it takes only one: The friend in need is recognized ... that maybe it would be better adapted In times of need we remember of his .... and so, in the night I remember the sleepless Sunday that Annika husband, my dear friend, is surgeon and works at the hospital Legro, a few miles from our home.
Step over the fact that the couple already left for the holiday in Sicily - that are otherwise friends?! - and Monday morning contact Annika on the phone.

omit the niceties, a little 'because they are part of my natural attitude and a bit' cause I know-it-and-you-know-who does not bother on vacation if something serious had happened.
I am talking to her husband to whom I explain the situation ...

I open a parenthesis: Enzo, the husband of Annika is one of those doctors idealists who a few years ago, confronted the driver of a lucrative aut-surgery health insurance and hospital work, has opted for the latter.

So when I say that is willing Baleazzi giovanottello of (paying, of course) to work in within a few days, Enzo indignant, rails against the "quack" who claims to speak without even knowing that nature is the neo suspicion and makes me promise that I will not touch my daughter by anyone until his return from holiday in a couple of weeks
- If it is to be made, I am working in the hospital - I guarantee it.

In the meantime, I recommend, I can take her to the dermatologist to the usual mapping of the through epiluminescence and reassures me citing statistics that show how to be a small percentage are really in need of removal.

© Radaelli-Ross 19:07:08

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Medical malpractice or medical malpractice? - Step 6: The night brings counsel

Usually people like me, quiet, cutlery and rational, have great organizational skills , are appreciated in the family and professional because they are able to make detailed plans, predict potential bottlenecks and propose remedies and end up being weighted
the reference point of relatives, friends and colleagues who planned to life optimally. To
eyes of most people seem to strong, steadfast and determined, because the knowledge that you have prepared and weighed every decision puts them away from thoughts: Do not ever repent of their choices because they are the logical consequence of a reasoning unimpeachable.

These people, however, a small but significant shortcoming: they are not able to improvise , to quickly decide what to do, their mental mechanisms need time to develop the project and, when confronted with the need to resolve quickly a situation, find themselves in difficult and distressing almost always opt for the least appropriate . Of course
almost always realize it was wrong and, in retrospect, almost always find at least a dozen possible solutions to the problem, any more appropriate than dictated by so much so fast ... but now the thing is done!

So step the rest of Sunday to weigh the alternatives , pretending with my daughter and the rest of the family that the problem is now resolved, unable to think of anything else without being able to realize a better solution.

Fortunately the day ended, and once in bed, in silence and darkness, so I have to concentrate on the matter calmly and finally un'ideuzza me is ... ©

Ross- Radaelli 19:07:08

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Medical malpractice or medical malpractice? - Step 5: Person? No, clinical case

My bells begin to ring. Not to hear them ask your doctor when you could be doing intervention. Pick up your handheld (or phone or whatever it is) and tells me that he just happened to have a clinic in availability for the following Thursday at 12.00. involved in doing this than having to send out their own business would be more comfortable on another day, perhaps on Saturday.

Dr. Montano is a time puzzled and asked my daughter how old she . Found that the one who has so far treated as a girl is actually a young age but an entrepreneur, not flustered and, passing with sudden deference to her from you , says:
- I'm sorry miss, but try to get rid of the commitments we make them because these actions only to Thursday . -
- Where, here in Baleazzi? - I wonder.
- No, in my study gave San Ambrosiano. -
Bells, bells, bells!
- Why, doctor?! Yellow Pages she appears in the list of Rhodia ...-
not even care to deny it:
- Yes, well ... be a misunderstanding of the Yellow Pages , my surgery is to give San Ambrosiano - Confirmation - however - he adds - is easily accessible from Rhodia, just take the East Ring Road, then west, exit at Rodovegro and follow the signs to San gifts ... So, we book for Thursday? -

I try one last card, economic, and brazenly wonder what it will cost us everything.
Dr. Montano raises his eyebrows in the beautiful tanned face, as if unable to believe that a mother who cares about the health of her child could be so pragmatic. But you do not pray and I rattles off a list of benefits to which we shall be entitled to the modest sum of 500 € : surgery, histology, visiting all .... outright!

In fact it does not seem too much to ask-I would be willing to pay more to fix it! - Quell'esitazione that Dr. Montano attributes to the concern for the expenditure is actually due to reluctance to trust a young doctor apparently inexperienced ...

But he continues to illustrate the therapeutic and, as if the surgery was a done deal, says that will require antibiotic treatment and that we will meet again after ten days to remove the points and evaluate the results of ' histology ...
nod and Dr. Montano, interpreting it as a final consensus, asks me the phone number to log into his PDA-Phone-or-that-is, Then he hands me a business card which states, in addition to the address of a studio in Milan, even that of the surgery to give San. I called
date and time, I note that I carefully on the card, along with directions for the way forward for San've got, and then dismissed us to go back to his hospital commitments.

When we exit the elevator to go down, I realize that Dr. Montano there has not even asked for name-and-surname .... how have you noted the date on its electronic agenda, "removal neo "followed by the phone number?!
Bells, bells, bells!

© Radaelli-Ross 19:07:08

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Medical malpractice or medical malpractice? - Step 4: The "visit"

The next morning, Sunday , Time set in advance, we parked the car in front of the Baleazzi and, pending, I try to calm my daughter telling her, as I did when I was a child, that should not be shaken by the visit , after all, is not the first time that you submit to 'examination of the : your doctor will make the usual oil droplet on the skin and will tickle the tube with silver, there is nothing to worry about ...
we both know that I'm lying shamelessly, but each to reassure each other, we pretend to believe it.

At 10:15 we enter the main entrance, go up the stairs, past the reception and take the elevator to ascend to the second floor.
come here there is no indication that there may be presumed to be in the right place, so I look in the long corridor and, on the bottom addocchiata the white coat of a nurse, I reach it and wonder if that is the Department of Plastic Surgery . Affirmative answer to his instinct to ask Dr. Montano's , gives me a strange look inquisitive but not bat an eyelid and turns to walk into a room to call him.
Only then did I remember that the doctor had told me to give him a ring on the cell .... well now .... patience! From the hall can

nurse followed up and light a giovanottello that, with a vague attitude of embarrassment, asks us to wait in the waiting room .... right: after all, are not yet about 10.30! Meanwhile

that we head to the waiting room my daughter asks me point blank: - Do you think that has already taken twelve years? -
I throw them a dirty look of reproach and I must point out that a young doctor offers more guarantees as to update the meantime ... the alarm bells ringing but I'm too agitated to pay attention.

Shortly after Dr. Montano joins us and invites us to follow him to a maze of corridors and down stairs, until you get in front of a door on the side of a label which identifies the study of Dr. Leopold Shwarz . The young man fiddles with
a bunch of keys on the lock, but after having tried everything without success, he concludes that they are not the right ones and asks us to wait while he goes to retrieve the others.
Alarm bell? No, not this time, I am aware that in a hospital only doctors have the most important rank their own analysis, others have a common room but can not guarantee sufficient privacy for a visit, so I did not create surprise that Dr. Montano has asked the top (or the nurse?) the keys to that room.

The young man comes back after about ten minutes, this time the door opens and we enter the studio .
We are asking us to sit down and explain the problem. I tell him that you are editing the new and interrupts me immediately with: - Here we go! -
He sat on the bed and she raises her shirt with a view to putting the offending stain.
Dr. Montano raises between thumb and forefinger area of \u200b\u200baffected skin , the searches for a moment, then returns to his desk and declares - It 's certainly raise! - Then what fishing in the pocket seems a small handheld (or is one of those new handsets all-in-one, I was trying!) and start tapping the screen with a tiny stylus.

I ask him if he can make a diagnosis on the nature of neo but not off balance
- Must be the ' histological examination after excision - and meanwhile, calls the approach to: - Come, which I'll explain what we do. .. -
My daughter looks at me perplexed and seems about to ask: "But the visit is already over? - but obeys and comes to us.

Dr. Montano rummages among the various papers piled on your desk until it finds a piece untouched and began to draw on it with the pen, while explaining to the: - You do cut diamond around the mole, then sewed the flaps of skin so as to leave a small scar over time become more and more subtle ... - In

seems a bit 'disgusted by the details of the crudest description ... maybe he's thinking that what the doctor is doing symbolically sliced \u200b\u200bwith a pen porebbe be the skin of his side ... The dr. Montano does not notice and s'infervora in magnifying the operative technique they wish to attend, apparently more interested in the outcome esthetic and curative ... it has become apparent that in multi-specialized, the dermatologist is not he ...

© Radaelli-Ross 19:07:08

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Medical malpractice or medical malpractice? - Step 3: The alarm bells

I think that happens to everyone, sometimes to prove a vague feeling of apprehension a very nuanced perception of imminent danger, a kind of premonition of negative event do not know what to give a rational explanation. It 's a feel so untouchable that we pay almost no , arrives and immediately goes, he takes us in moments of tension and bustle, we do not have time or desire to stop and examine it, the driven with a flurry of other thoughts the mind as well as with the hand driven fly that buzzes around us.
And 'what we used to, in retrospect, define "alarm bell" .
In retrospect, only after the negative event is now envisioned materialized.

The first alarm bell heard him play just close the phone call but choke now and instead of wondering why in a multi-specialized center is not a nurse to screen calls on a visit to the doctors I find myself enjoying the fact that he caught the dermatologist in one!

pass ten minutes ... and then ten more and ten more ... more ...

Continuous consultation Yellow Pages Online , expanding the search to nearby towns, but I can not talk to anyone, only a few cases, the metallic voice of a answering machine announces that the study is closed and asks to leave a message.

After an hour and a quarter, when the doctor calls me back, so to speak are "cooked to perfection and I would be willing to do the triple somersault with screwed if I may ask! Instead we have the presentation Dr. Montano - (il-gran-capo-del-poliambulatorio!) and asks me just where we live. According alarm bells.
-Rhode ...- -... and I am tempted to add, of course, because otherwise I would have called you? "- But then I think of all the phone calls go to I'm empty and quiet.
-Well, he knows the hospital Baleazzi? - Third alarm bells. Yes ...-
here I am tempted to make an addition -... and who does not?! After the fire in the hyperbaric chamber, where 11 people were burnt alive, is notorious to all ... But this time I do comments and look forward to the verdict ...
-Can I get your daughter tomorrow morning at 10:30 Baleazzi-hospital and gives me directions to get there:-Enter the side of the desk, go up on the second floor, where there is the Department of Plastic Surgery and then make me one ring on the cell that reach ...-
Double wake-up call: It is normal is a dermatologist in plastic surgery? And would not it be easier to announce that a nurse by phone? Then I remember that among the multi-specialized specialty of plastic surgery and there was also conclude that the Dott.Montano has admirably managed to combine two subjects that often depend on each other (and with it also knocks the bell twice). ©

Radaelli-Ross 19:07:08

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Medical malpractice or medical malpractice? - Step 2: The background

In My daughter is blonde, has blue eyes and pale skin that statistics say it is a subject at risk for developing skin cancers .
has recently turned his twenties but, though it is a person rather than mature and independent is quite intolerant of bureaucratic constraints, among which, in its view, it is also the medical prevention .
So, since he was a child, am I that I still regularly by dermatologist for the mapping of the : The doctor puts a drop of oily substance on every speck of skin and examines it with its luminescent instrument. The response is always the same: no obvious abnormality but only a few from the "watch" for any changes promptly seize and remove the intruder before he does damage ...

is why when a Saturday morning I says that she noticed that a mole has always been on the side suddenly changed shape, size and color , my heart-of-mother jumps. I ask her to let me watch and riscontratane 's obvious alteration, which is the case I decide to show it as soon as possible by a physician.

The first impulse is to take it to the P Relief Toronto, but then realized that is not in imminent danger of death and I say that is not the case for further hamper a service that is (or should be) dedicated to the sickest patients.

So, given that the family doctor is not available on Saturday , I decide to rely on technology to check the availability of a dermatologist within easy reach: I connect to the Internet and on the website of the Yellow Pages Online , I try to Rhode Dermatology, Milan. I seem three elements: the first is a physician specializing in dermatology, the other two phone numbers (both cell phones) make reference to: Dr. Montano
Studio Polispecialistico Associate Medical Aesthetic Plastic Surgery, Dermatology, Geriatrics, Pulmonary and Rheumatology
20071 Rhoda (MI) tel ........
Well, I think, a multi-specialized surgery is more likely to be open on Saturday, So I try to call ....

Yes, I know, an adult, sane and balanced being short-me-every day should be considered anomalous that a multi-specialized clinic does not provide at least one landline phone number ... but obviously at certain times my rational controllers are less e. .. I do the call.

the male voice responding say they need a skin examination for my daughter, I am asked what is the problem and explain that a neo in flux, and that I'm worried that I would see it as soon by a specialist.

The friendly gentleman told me that at the moment is with a patient but that stores the number and I will call him in ten minutes ..... ©

Radaelli-Ross 19:07:08

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Medical malpractice or medical malpractice? - Step 1: Introduction

There is much talk, in modern times, of poor health care and the news tells us often tragic events, incredible and shocking, the more chilling as become manifest bad faith and malice . But there are also less dramatic situations of poor health care, or to be more precise, "medical malpractice" , who decry the 'image of the medical missionary , romantic legacy of television seasons populated by various Dr. Dr. Kildare and Welby , replacing it with the busy professional does not mean to safeguard the health of their patients but to making money on it.

Although usually these businessmen fail to produce real harm-if not to our portfolio! - There are still lose confidence in the welfare system already plenty compromised by the events I mentioned above.

If you have the patience to follow me, I'll tell you my own personal experience ...

© Radaelli-Ross 19:07:08