medical errors

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ABOUT THIS CONVERSATION: The COVID years brought to light the dangers of protocols like never before. Many of us have now heard of midazolam and morphine in the Care homes and Remdesivir and ventilators in hospitals. These protocols resulted in the acceleration or cause of death in thousands of people across the West, who were labelled as COVID deaths. One such death is of Danielle Alvarez. A 28-year-old girl living in New York at the height of the Plandemic. In this podcast episode Rebecca Charles, Danielle’s mother recounts the fateful events leading up to Danielle’s admission to hospital and how she died at the hands of doctors and the medical system. For Rebecca, Danielle was a “beacon of sweetness, love, and innocence, illuminating our lives with her presence, even as she navigated the complexities of special needs caused by a birth injury resulting from medical negligence.” The devastating loss of Danielle 28 years later propelled Rebecca into a fervent quest for truth and transparency in healthcare. Danielle’s premature death at the hands of the doctors and nurses at Northwell Health Hospital unveiled a harrowing reality faced by many within the medical system. Driven by a profound commitment to honour Danielle's memory, Rebecca has founded Death by Hospital Protocol, a platform dedicated to highlighting systemic failures in hospital care and preventing further tragedies like Danielle's. 
The "Death by Hospital Protocol" app was conceived not just as a tool, but as an essential resource for those requiring hospital care, offering a beacon of hope and advocacy. Rebecca is currently taking legal action against the hospitals and doctors and needs all the support she can get. Please support her (see link below). See my full substack article for more information. Much love Ahmad Links

• GiveSendGo ⁠Support Rebeccas Fight
• Website ⁠Death By Hospital Protocol

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Marty Makary is a surgeon, public policy researcher, and author of the New York times best-sellers Unaccountable and The Price We Pay. In this episode, Marty dives deep into the topic of patient safety. He describes the risk of medical errors that patients face when they walk into the hospital and how those errors take place, and he highlights what amounts to an epidemic of medical mistakes. He explains how the culture of patient safety has advanced in recent decades, the specific improvements driven by a patient safety movement, and what’s holding back further progress. The second half of this episode discusses the high-profile case of RaDonda Vaught, a nurse at Vanderbilt Hospital convicted of negligent homicide after she mistakenly gave a patient the wrong medication in 2017. He discusses the fallout from this case and how it has in some ways unraveled decades of progress in patient safety. Furthermore, Marty provides insights in how to advocate for a loved one in the hospital, details the changes needed to meaningfully reduce the death rate from medical errors, and provides a hopeful vision for future improvements to patient safety.

We discuss:

• Brief history of patient safety, preventable medical mistakes, and catalysts for major changes to patient safety protocols [0:12];
• Advancements in patient safety and the dramatic reduction in central line infections [14:55];
• A surgical safety checklist—a major milestone in patient safety [23:03];
• A tragic case stimulates a culture of speaking up about concerns among surgical teams [25:19];
• Studies showing the ubiquitous nature of medical mistakes leading to patient death [29:42];
• The medical mistake of over-prescribing of opioids [33:48];
• Other types of errors—electronic medical records, nosocomial infections, and more [35:43];
• Importance of honesty from physicians and what really drives malpractice claims [40:26];
• A high-profile medical mistake case involving nurse RaDonda Vaught [47:31];
• Investigations leading to the arrest of RaDonda Vaught [59:48];
• Vaught’s trial—a charge of “negligent homicide” [1:05:16];
• A guilty charge and an outpouring of support for Vaught [1:12:09];
• Concerns from the nursing profession over the RaDonda Vaught conviction [1:18:09];
• How to advocate for a friend or family member in the hospital [1:20:22];
• Changes needed for meaningful reduction in the death rate from medical errors [1:26:42];
• Blind spots in our current national funding mechanism and the need for more research into patient safety [1:31:42];
• Parting thoughts—where do we go from here? [1:35:48];
• More.

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In this episode, Marty Makary, Johns Hopkins surgeon and NYT bestselling author, discusses his ambitious attempt to fix the broken U.S. healthcare system through educating the public, changing the lexicon, encouraging radical transparency in pricing, and more. We go in detail into the main drivers of inflated health care costs, the money games being played making it hard to understand, and the unfortunate system structure that has resulted in one in five Americans finding themselves in medical debt collections which can ruin the lives of people and families seeking basic medical care. Marty also shares some very practical advice and tips if you find yourself a victim of predatory pricing and stuck with an outrageous medical bill. In the end, despite the current state of the system, Marty discusses the many exciting trends gaining traction in healthcare and why he is very optimistic and hopeful about the future.

We discuss:

• The science of delivering healthcare, how we need to do better as a system, and why no single person or entity fully to blame [10:15];
  
• The stories that prompted Marty to write his first book (Unaccountable) [19:15];
  
• The Surgery Checklist [26:15];
  
• The problem is with the system (not any one person or entity) and the misaligned interests of all the parties involved [28:15];
  
• Patients crave honesty and transparency, and the story of Peter’s back surgery gone wrong [33:00];
  
• Today’s med students and young doctors have less tolerance for predatory pricing and healthcare industry BS [44:30];
  
• Funny stories about John Cameron (legendary surgeon at Johns Hopkins) [48:00];
  
• How doctors are trained to internalize traumatic experiences which can result in a misunderstood form of “burnout” [57:40];
  
• The beat down of med students with traditional medical education and some exciting innovations to medical education [1:07:00];
  
• Exciting trends in healthcare and an optimistic view of the future [1:11:30];
  
• The Price We Pay (Marty’s new book), an attempt to illuminate the blackbox that is the US healthcare system [1:21:00];
  
• Why it’s not always in the best interest of the insurance company to negotiate the best price [1:28:30];
  
• Who is actually paying for medical costs, and Marty’s frustration with the healthcare lexicon [1:32:00];
  
• Pros and cons of a single payer system [1:37:00];
  
• How to fight outrageous medical bills and predatory pricing (and make a dent in the wasteful healthcare spending for the country) [1:49:30];
  
• Disrupting the healthcare industry with private healthcare facilities with market demanded transparency [2:05:45];
  
• The people hurt the worst by the current US healthcare system, the sad breast cancer statistic, and the importance of knowing that medical bills are negotiable [2:09:30];
  
• The healthcare industry bubble [2:14:00];
  
• Increased costs from unnecessary tests and procedures [2:16:30];
  
• Malpractice concerns due to the litigious culture in America: What influence does it have on unnecessary testing, healthcare costs,  and overall quality of treatment  [2:22:00];
  
• Drug pricing, price gouging, middle-men money games, kickbacks, and other drivers of healthcare costs [2:27:45];
  
• How can we possibly fix the healthcare system? [2:34:30];
  
• Helpful resources [2:46:15]; and
  
• More.
  

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By some estimates, medical error is the third-leading cause of death in the U.S. How can that be? And what's to be done? Our third and final episode in this series offers some encouraging answers.