perspective from orthopaedic trauma surgeon, practice ... · 26. we are embarrassed, angry and hurt...

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Perspective from Orthopaedic Trauma Surgeon, Practice President and Policy Advocate Douglas W. Lundy, MD, MBA, FAOA, FACS co-President and Orthopaedic Trauma Surgery Resurgens Orthopaedics Atlanta, Georgia

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Page 1: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

Perspective from Orthopaedic Trauma Surgeon, Practice President and Policy Advocate

Douglas W. Lundy, MD, MBA, FAOA, FACSco-President and Orthopaedic Trauma Surgery

Resurgens OrthopaedicsAtlanta, Georgia

Page 2: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

Disclosures

• I have no conflicts to disclose

Page 3: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

Perspectives

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My Experience with You People

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Page 5: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

First Plaintiff’s Attorney – Adam Jaffe• Complaint: missed infection• Problem:

– No positive cultures– No documentation of infection– No documentation of antibiotics

or any treatment of infection– Patient healed at time of her

deposition in spite of no treatment for infection

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Page 6: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

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Page 7: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

63 yo ♂ kicked by a mule

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Page 8: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

63 yo ♂ kicked by a mule

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Page 9: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

Four months later, kicked by a horse…

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Four months later, kicked by same mule…

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Page 11: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

Six weeks later in clinic…

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Page 12: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

Re-stabilized with shorter nail…

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Page 13: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

Lengthening the femur…

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Page 14: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

Lengthening completed…

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Knock-kneed… (valgus)

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Deformity corrected

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Five months later…

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Complaint

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Negligence

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How do we see this?

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Page 22: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

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Page 23: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

Bad Day Unrealized… At the Patient’s Expense

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We take this personally

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Physicians either…

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This dramatically affects our practice

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We are embarrassed, angry and hurt

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This implies that we are bad or that we have failed

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Plaintiff’s Attorney

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Resurgens Orthopaedics

30Proprietary information of Resurgens Orthopaedics

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MD versus plaintiff when it comes to settling.

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Reduce cost

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Page 33: Perspective from Orthopaedic Trauma Surgeon, Practice ... · 26. We are embarrassed, angry and hurt 27. This implies that we are bad or that we have failed 28. Plaintiff’s Attorney

Minimize risk

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Control perception

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Legislative efforts

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