IMO you are wrong there Walkie hun, that sounds like malpractice to me. If the reason they miss something is because they were being an arrogant cunt, then that makes it their fault, since if they were not that arrogant bastard, and behaved like a decent human being and decent doctor, it might well not have ended that way.
I wouldn't call for any doctor who misses something to be struck off. It is WHY they miss something and HOW they miss it, as well as what they miss, that makes the difference between tragedy, and tragedy that is the result of malpractice and could have been averted had the one responsible only done their job properly. That, IMO makes it malpractice.
What would you call, then, something like either of these:
Hospital medic, having set a line in a patient's vein, to treat an infection with intravenous antibiotics delivered as a drip, then asking the patient if they are allergic to any antibiotics, told 'you can't use fluoroquinolones safely due to tendinitis, seizures preexisting, as well as taking tizanidine (a muscle relaxer, it is specifically a contraindication to their use), also allergic to penicillin-type beta-lactam antibiotics, although no experience with carbapenems, cephalosporins seem alright [two other types of beta-lactam antibiotics, that cyclic amide ring is the allergenic structural part, the beta-lactam core, although allergic sensitivity varies and not all patients crossreact with other major families if allergic to one family], I told him, when he asked what happens 'if I am either not very lucky, or untreated, I die'.
He then set up an antibiotic drip, answering only, when asked 'what is that?' 'it's something to treat your infection'
Only when really really pressed and demanded of him 'I KNOW that, I am asking you what specific antibiotic is in that IV bag', to which he replied (forget now which exact one) 'penicillin'. The same thing, I'd told him seconds before that even orally, could kill me in minutes if I was not damn lucky. Last time, accidentally (possibly accidentally at least, it was a capsule of one my borderline hellwhore former housemate had been taking a course of at the time, and I have my suspicions that she switched capsules, after I'd put a med of my own out ready to be taken moments later, in an attempt to poison me, nonfatally probably, so she could be the center of attention and receive gratitude for bringing me round with artificial respiration, AFAIK asthma inhaler to widen my airways, after I dropped to the ground unconscious minutes later. She really was THAT much of a mental little piece of shit, and a viper in the nest of the vilest kind possible), I nearly died. By mouth.
IV, it'd have killed me. I howled and shouted in protest after requesting was ignored, fucker walked off and actually said 'you'll be alright, I'll come back in 10 minutes to check on you'
I ended up having to use my knife to sever the IV line itself, with the contents crawling just a couple of inches away and advancing steadily towards my vein. Leaving the drip contents as a puddle on the floor.
When he EVENTUALLY came back, he was like 'what the fuck', before I chewed him out for nearly committing at the mildest, negligent manslaughter.
And then tried something similar right after, by changing to metronidazole, which I didn't even allow him to set up at all. Not before he told me precisely what drug he intended to administer. Had to rip him a new asshole verbally, after telling him I'd drunk an entire bottle of southern comfort not too long before, but long enough for my liver to begin converting EtOH to acetaldehyde. Metronidazole is WELL known as a drug one MUST NOT give to someone with alcohol in their system or drink for several days after, because it acts like antabuse (disulfiram); a drug given as a primitive, and barbarous early treatment for no-hoper alcoholics, the idea being to make them so, SO ill, without killing them, that they won't ever touch another drop. They are given the drug, and a short time later, told to consume a tiny measure of alcohol, it near enough kills them, and makes them wish it had. But stops just short, of actually killing them.
It has done, though AFAIK. But metronidazole plus more or less a liter of rye whiskey, the very thought of what that would do to someone, the magnitude of that result and scale might well kill someone IMO, even alcoholic mouthwash can make people sick as fuck. He just denied it, said 'oh you'll be fine', it's an antibiotic, it'll make you better not make you ill'
I had to give him a fucked-off lesson in enzyme inhibitors, pharmacology and pharmacokinetics of metronidazole, in minute, excruciatingly thorough (for him, and deliberately so), explaining precisely what happened, how, and why, and TELL him what antibiotic to use, hell's shitting TEETH that guy was a pillock alright!
IMO a patient very, very rarely should EVER need to tell a hospital doctor how to go about his job safely, once, far less twice.
