Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

Remember the good actors in medicine

Sanjay Gupta, MD
Physician
September 10, 2013
Share
Tweet
Share

Many of us find ourselves responding recently to a shocking news story about a Michigan oncologist who may have violated the primary charge to clinicians: First, do no harm.

The federal government is charging Farid Fata, MD, with multiple counts of fraud for intentionally misdiagnosing patients with cancer to justify billing Medicare for unnecessary scans and chemotherapy.

The case will be sorted out in federal court over the coming months and years, but how do these charges impact patient encounters for each of us going forward?

There is the possibility that these allegations could lead to erosion of patients’ trust in us. On the flip side, this can serve as an opportunity to remind ourselves of strategies that we can employ to maintain and build that trust.

Keep in mind that telling a patient that he or she has cancer is likely the worst conversation that any of us will have with a patient. In my experience, it may be telling an apparently healthy 30-year-old woman who has had nothing but headaches that she now appears to have a glioblastoma.

Of course, we are never cavalier in such discussions, but just as importantly we can never appear rushed. Even on the busiest day, you can’t rush.

Second, you must immediately discuss strategies for moving forward. You must not only not dismiss the idea of a second opinion, you must responsibly encourage it. And part of that encouragement means that you must make sure that all of the patient’s records — including scan results and your notes — are easily made available for that second opinion.

My mom had cancer and I know from our experience how difficult it was for her to be comfortable that she was doing the right thing in seeking a second opinion. That is a burden we cannot place on our patients.

Finally, for every headline like the ones being generated by the Michigan case, there are hundreds of headlines about the “good actors” in medicine. We need to remind our patients, and ourselves, of that good news.

Sanjay Gupta is editor, The Gupta Guide at MedPage Today, where this article originally appeared, and chief medical correspondent, CNN.

Prev

Don't confuse death with dignity with suicide

September 9, 2013 Kevin 13
…
Next

Bluffing wasn't a skill I was expecting to master in pathology

September 10, 2013 Kevin 13
…

Tagged as: Oncology/Hematology

Post navigation

< Previous Post
Don't confuse death with dignity with suicide
Next Post >
Bluffing wasn't a skill I was expecting to master in pathology

ADVERTISEMENT

More by Sanjay Gupta, MD

  • a desk with keyboard and ipad with the kevinmd logo

    A change of heart on medical marijuana

    Sanjay Gupta, MD
  • a desk with keyboard and ipad with the kevinmd logo

    Explaining the rise in the autism rate

    Sanjay Gupta, MD

More in Physician

  • How shared language saved a patient from isolation

    Syed Ahmad Moosa, MD
  • The shocking risk every smart student faces when applying to medical school

    Curtis G. Graham, MD
  • The physician who turned burnout into a mission for change

    Jessie Mahoney, MD
  • Time theft: the unseen harm of abusive oversight

    Kayvan Haddadan, MD
  • Why more doctors are leaving clinical practice and how it helps health care

    Arlen Meyers, MD, MBA
  • Harassment and overreach are driving physicians to quit

    Olumuyiwa Bamgbade, MD
  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • How shared language saved a patient from isolation

      Syed Ahmad Moosa, MD | Physician
    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why specialist pain clinics and addiction treatment services require strong primary care

      Olumuyiwa Bamgbade, MD | Conditions
    • Harassment and overreach are driving physicians to quit

      Olumuyiwa Bamgbade, MD | Physician
    • Why peer support can save lives in high-pressure medical careers

      Maire Daugharty, MD | Conditions
    • When a medical office sublease turns into a legal nightmare

      Ralph Messo, DO | Physician
    • Addressing menstrual health inequities in adolescents

      Callia Georgoulis | Conditions
  • Past 6 Months

    • Forced voicemail and diagnosis codes are endangering patient access to medications

      Arthur Lazarus, MD, MBA | Meds
    • How President Biden’s cognitive health shapes political and legal trust

      Muhamad Aly Rifai, MD | Conditions
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • The One Big Beautiful Bill and the fragile heart of rural health care

      Holland Haynie, MD | Policy
    • Who gets to be well in America: Immigrant health is on the line

      Joshua Vasquez, MD | Policy
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
  • Recent Posts

    • How shared language saved a patient from isolation

      Syed Ahmad Moosa, MD | Physician
    • The shocking risk every smart student faces when applying to medical school

      Curtis G. Graham, MD | Physician
    • Clinical ghosts and why they haunt our exam rooms

      Kara Wada, MD | Conditions
    • High blood pressure’s hidden impact on kidney health in older adults

      Edmond Kubi Appiah, MPH | Conditions
    • Deep transcranial magnetic stimulation for depression [PODCAST]

      The Podcast by KevinMD | Podcast
    • How declining MMR vaccination rates put future generations at risk

      Ambika Sharma, Onyi Oligbo, and Katrina Green, MD | Conditions

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Remember the good actors in medicine
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...