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Collateral Damage: A Patient, a New Procedure, and the Learning Curve ReviewI finished this book over a week ago and have been trying to formulate my feelings about it, for which there are many, and many are very disturbing ...
When I go to a doctor, I must assume that he/she is competent and honest. I don't think these are unrealistic assumptions. But after reading "Collateral Damage," my viewpoint and my trust have been deeply and profoundly changed. What happened to Pam and Dan Walter should not happen to any of us. If mistakes are made, people of good faith, integrity and professionalism should step up ... not cover up. The patient is the victim and should not be made the villain. Yet that's exactly what happened to Pam. My heart goes out to her.
When medicine, ego, technology, and profit merge, the alliance is tainted, the system is compromised and the patient is at risk. That's exactly what happened to Pam. She didn't have a chance. Johns Hopkins' reputation is well-known. Soon Hugh Caulkins' reputation will be known as well. And perhaps the millions of dollars they receive in research money will be questioned as will their reputations. As it stands now ... we the people must speak up! Tragedies like this should not happen. And if mistakes are made, then physicians ought to take responsibility. After all, isn't the oath they take to do no harm? Someone should remind Hugh Caulkins of that.
This story is about Pam and Dan Walter. Yet it could be me or you! I was reading this book while my husband was waiting to see his cardiologist. I'd just finished reading a portion of the book that suddenly played out in front of me!!!! The cardiologist, who is treating my husband for afib, started sounding like a character in this book! I said to myself, "are you freaking kidding me?" It was all eerily familiar to Pam's story in the ease at which ablation was swiftly and easily woven into the discussion as if it were the natural progression of treatment.
Thanks to Dan Walters' book, we were armed with independent studies about the dismal record of ablation for afib. The doctor dismissed our research as worthless unless it was from the medical establishment. Interestingly, the study was published in the Journal of the American Medical Association (JAMA). Still, it was disregarded. And so was the cardiologist's recommendation for ablation.
I am so sorry that Pam and Dan Walter had to endure this tragic event. But if it's any solace, their story helped our story end in a positive way. So Pam, your suffering has had meaning and purpose. Dan, your work is stunning, your writing is extarordinary, and your research is impeccable. Thank you for sparing us what you and Pam have long endured.
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