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Dr Jan Adams and Patient Selection in Plastic Surgery

Posted Nov 21 2007 12:00am

TMZ

Apparently Dr Jan Adams made a statement to People regarding a number of malpractice suits against him. If I read the quotation correctly, I find myself agreeing with him to an extent:

Adams also tells People (in its latest issue) that the 11 malpractice suits uncovered by TMZ in the last week don’t represent his deficiencies as a surgeon, but instead, “represent a bad decision in terms of choice of patient.”

One of the most difficult things for people to understand in health care seems to be the fact that bad outcomes and malpractice suits do not always constitute poor or negligent care. Often the choice to operate upon an inappropriate patient is the surgeon’s biggest mistake. Some people are in poor health, smoke and/or take poor care of themselves or simply have unrealistic expectations. These are often “no win propositions” for the surgeon.

Needless to say, it sometimes costs me cold hard cash to do the right thing and say I won’t operate.

Best Regards,
John Di Saia MD

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