Visit a doctor…

Disclaimer: I do not generalize. There probably are a lot of good doctors out there (just how to find them?). These are my personal experiences and opinions that come from said experiences.
I'm not calm at the moment and can't proofread my text or anything right now.

This blog entry actually started some time ago with profile messages.
This one got the exact reply I expected. Shortly afterwards I was told this true story – the child survived and she is fine now.
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If you are a medical expert, a doctor and reading this: It is your job to help. It is one of the, if not THE most responsible jobs a person can have. Care for your patients and examine them instead of ignoring them. In short: DO YOUR F…ING, RESPONSIBLE JOB!!!

My grandma is dying right now. There is nothing that can be done about this as she is dying of high age, of infirmity, dotage, senility (some translations leo offered me for "Altersschwäche") and not of a particular, treatable disease. It can take days or weeks. Who knows? She is crying and shouting at night without a break – maybe because of pain, maybe because of fear, maybe both.
Emergency physician came at night (weekend) and she said: "Can't heal her." and gave my grandma morphine and lorazepame to treat the symptoms. That is all that can be done. Emergency doctor may not prescribe regular packages of drugs, only do what she could at the moment. She wrote everything down and said to tell the general practitioner to prescribe the drugs against the symptoms.

What did this guy say today: "No. I don't prescribe anything." and "No. I won't visit her." and "I won't do anything."
This heartless man, with a lot of power given to him by law, does not care. He does not treat the symptoms, he does not visit his dying patient, he does not call somebody else for help. No interest. Failure to render assistance on purpose. In a just world he would lose his medical license this instant… and never be a doctor in his life again.

I've informed the "Kassenärztliche Vereinigung" (Association of doctors who are allowed to treat patients from statutory health insurance). This institution is responsible for dealing with complaints of that kind. The sad thing is: It is an association for the doctors, not the patients… and they will rather not do anything against one of their members and more likely reject all complaints. I've not the right to decide here: If I could I would go to the police in this case.

I'm disappointed, I'm angry, I'm depressed.

That is the reality I faced so often (one of the more extreme cases). And if somebody tells me, to just visit a doctor (and another one, and another one, and another one…) with a medical problem → Nope! I won't! Maybe I'll die prematurely because of untreated […]. I don't care. That is my decision. I'm an adult, I am sound of mind and disposing memory.

Edit/Update:
My grandmother now has intravenous drip -- morphine. After phoning everybody the "nurse" got some help from palliative medics. It was about time. That doesn't change the fact that the doctor in the text above greatly failed and the complaint about him is the correct thing to do.

Kassenärztliche Vereinigung already tried to stop me from filing a complaint in the first place... with the reason: "It won't help your grandma. Instead try contacting the following institutions." Although this is technically correct, I cannot let him get away with that attitude towards his responsibilities. So I told the woman on the phone that all institutions in question will be contacted, but that this doesn't stop me from filing the complaint.
She kept humming and hawing for a while desperately trying to find a remotely plausible explanation/excuse for the impudence of not caring for a dying patient. All she could come up with was: "He isn't a palliative expert and maybe thought he wasn't able to cope." Pretty weak considering he could just have said that and called for help himself. All the palliative organizations normally want the doctor to call them in -- not the relatives or a "nurse".

Comments

Maybe there's a way ...SAPV (Ambulante Palliativmedizin),maybe you could do some Google Search...as a Funeral Director it's a good way to "deal" with the pain your grandma has.

Another chance is...the "Sozialdienste der Gemeinde" in the Town you're living at.
 
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@Freezer6
That is not the point. She will get all the drugs to treat the symptoms – one way or the other. I am not responsible for taking care of this (long story, really long; goes over 3 decades!!)
She has 24/7 help and they will take care of the problem. There is a reason why I store some substances for myself. There is a reason why BtMG is :shit:.
The point is that this doctor just does not do his job. He should be stripped of his powers (and his big source of income!) forever.
It is totally not okay that medical experts act like they were half-gods who must not be criticized. This case with my grandma may be one of the most extreme cases (refusal to work) I've encountered in my life. But one things is sure: It is not a rare exception. The number of BAD (I mean really BAAAAAAD) fails and fuck-ups I've seen from people in that responsible profession is shocking. They can do whatever they want… and nobody is gonna judge them.

@Alexander1970
Same thing. No discussion, medical license should be gone with no chance to ever get it back because of this. Discrimination… by a doctor.
But please do not make me publicly talk about anything related to that virus.
For any random reader not knowing what Alex knows: I'm vaccinated twice but have zero understanding for intolerance towards the personal decision on vaccination. I will not discuss political things in public.
 
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Sometimes I like the "everybody should pay for his own Health" Thought.....sometimes.
Unfortunately that also means "No Money,no Medical Care..."

Hmm,but wait,we have a Characterstic,a Human one,let me think a little...I have it in a Second,please.....

Got it - Personal,individual responsibility.Hahaaaa.....

So,we can "save" some Money from our Job Salary and buy then Medical Care,great idea,isn´t it ?
Oh,I see.....some People have not that much Money/Salary to "save" Money for Medical Care......


Oh,wait.....then there IS already a Thing called "Health /Social insurance"...Bravo !!!!
Now we ALL have the same Change to get the same Medical Care for all People,oh yes !! Life is so good !!

But wait....only one Thing is missing actual....hmm.....
YES ,I am not vaccinated so:

Hah,haha..........good Topic,Sinchen:

https://www.krone.at/2555908

Last Week "No Unvaccinated Patients welcome !"
Now this "Doctor" has his Message a little "toned down" - 2G Welcome !"

View attachment 284965

And,of Course "Wearing an FFP2 Mask !"

So.........People "judge/decide" over "other" People who has the Right for "better" Medical Care....



Famous Quote from an Vaccination Information Evening:

"Wenn ich mal Corona hab,möchte ich nicht das so ein scheiss Ungeimpfter MEIN Bett auf der Intensivstation belegt...."
"If I ever have Corona, I don't want such a shitty unvaccinated person to occupy MY bed in the intensive care unit ...."
 
With the perk of being doubly removed from any party in the story so far, and a language barrier (dotage, senility and infirmity are three quite different concepts, and I doubt I would hear the former come out of a medic's mouth as part of a diagnosis) it appears I might get to play contrarian again, at least as far as "in a just world" part as I don't know it quite reaches the level of some kind of malpractice. Questionable, certainly but unquestionably malpractice... different matter.
For that we probably get to debate acute vs chronic (acute being something that is passing and chronic being something more long term). I also lack much context for the emergency doctor system -- it is not unknown for home visits these days (though a fraction as common as it was in the 80s) and occasionally there are doctors working ambulances but that is rare too, lorazepam and morphine are also considerable chemicals in the grand scale of things.

On the face of it then from your description I would probably say good candidate for some kind of palliative care scenario, which sounds like exists, and possibly even hospice (though home* hospice can also be a thing, especially without serious needs a firmer timeline).

If you are looking to accelerate things then depending upon what goes many such systems operate with a squeaky wheel policy. A single callout for an emergency medic... "meh no need to do much", multiple callouts within a given timeframe... well now. Might also be scope for you to go outside them or escalate things yourself in that scenario but that I do not know about (the whole ask your doctor about thing the US has in medical adverts is basically unthinkable in the UK and I know even less of your part of Germany).

*a concern in this being if dedicated hospice space is the path taken when they could stay at home (I'll leave when they carry me out in a box sort of thing).

As far as speaking to medics. I would say it goes by age and whether you feel anything - sending the average or even fit 25 year old male for a full checkup every year without any previous conditions or family history of anything is of dubious merit. Where the line upon which is makes more sense to go probably wants to be debated by those with access to better stats than I. Don't however discount it entirely.

On medical disciplinary boards then I don't know the German system (other than that hilarious fake doctor story) and I have my issues with a lot of them (though medical unions are more of a bugbear there) but they do aim to do well everywhere I have seen. Though make sure you play it right and try to get a statement from the emergency medic if and when you do go there, even more so if you do the squeaky wheel thing above. Your timed and dated detailed personal notes, and anything you have from overnight care if you ask them in the morning, is possibly of less value but not of none.
 
@FAST6191
(dotage, senility and infirmity are three quite different concepts, and I doubt I would hear the former come out of a medic's mouth as part of a diagnosis)
Correct. Of course this is not from a medical diagnosis. I hastily copied a few of the words from https://dict.leo.org/englisch-deutsch/Altersschwäche and pasted them into the text -- not knowing what to choose and not willing to start researching which is the correct word for "Person getting weaker each day (body+mind), no particular treatable disease -- will probably die of old age very soon."

As much as I appreciate your critical input normally*, I will not start a lengthy discussion this time. I feel exhausted. Palliative care at home will happen as good as possible. We've had cases like this in family a few years ago. I've seen enough relatives die slowly in a painful way. Such a behavior from a doctor on the other side NEVER happened. (Though I could tell a high number of other terrible but true stories)

There is not much - if any - room for interpretation here. The people taking care for my grandmother were shocked and unable to understand it. One of those women has her job for decades and has cared for countless dying people. She said: "I've never seen or heard something like this."
I don't see anything questionable when a doctor is called for help and he refuses to even look at the case. "I will not do anything!" as a reaction on severe suffering or agony (I hope this word fits). It will be interesting to see what farfetched arguments Kassenärztliche Vereinigung will pull out of nowhere to defend their member (They will defend him!)

That case goes beyond failing in the job as medical expert. Any non-medic would find themselves in criminal court soon after ignoring a call for help while explicitly stating unwillingness to (re)act in any way. A non-medic would face the consequences of acting like this - no doubt. A medic will hide himself behind some Latin and his organizations (including insurance who usually have the best lawyers)
As said above: If I was responsible for all decisions concerning my grandmother (which isn't the case), I would nevertheless have visited the police and/or https://dict.leo.org/englisch-deutsch/Staatsanwaltschaft and reported an offense.

Sorry for the leo links, but I'm really not able to deal with English words from the fields medicine and law today and hope it is understandable and not mistakable.



____________________
* Your critical comments have often been the most interesting, helpful and valuable of all.
 

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