{"id":8065,"date":"2020-02-26T14:24:24","date_gmt":"2020-02-26T19:24:24","guid":{"rendered":"http:\/\/localhost:10028\/uncategorized\/can-doctors-perform-pelvic-exams-without-asking\/"},"modified":"2020-02-26T14:24:24","modified_gmt":"2020-02-26T19:24:24","slug":"can-doctors-perform-pelvic-exams-without-asking","status":"publish","type":"post","link":"https:\/\/napolilaw.lemonadestand.org\/en\/article\/can-doctors-perform-pelvic-exams-without-asking\/","title":{"rendered":"Can Doctors Perform Pelvic Exams Without Asking?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Before she had stomach surgery at an Arizona hospital, <\/span><a href=\"https:\/\/news.yahoo.com\/she-didnt-want-pelvic-exam-130751124.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Janine<\/span><\/a><span style=\"font-weight: 400;\"> specifically told doctors she did not want a pelvic exam. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">They gave her one anyway. And, this was not an isolated incident.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Only a few states in the Union require pelvic exam informed consent. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">In most cases, doctors or even medical students may perform such exams if they consider them medically necessary, even if the patient is fully sedated at the time.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The practice also adversely affects medical students who are expected to intimately examine helpless women.<\/span><\/p>\n<h2><b>Medical Standard of Care<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Generally, doctors have a <\/span><a href=\"https:\/\/biotech.law.lsu.edu\/Books\/lbb\/x236.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">fiduciary duty<\/span><\/a><span style=\"font-weight: 400;\"> toward their patients. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">That\u2019s the highest standard of care in the law. Essentially, doctors must cast aside all other priorities, such as making money or their own convenience, and focus only on what is best for the patient.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The bigger they are, the harder they fall. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">That higher standard of care makes it easier to establish physician negligence, as outlined below.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Informed consent is one element of a physician\u2019s fiduciary duty. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Patients must fully understand both the exact nature of any surgical procedure and also the risks of the procedure. And, there are always some risks.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Failure to obtain proper consent is a major deal. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">In many states, including New York, unconsented procedures, especially while the patient is anesthetized, could be assaults. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Intentional torts like assaults go beyond mere negligence or lack of care. As a result, extremely high damages might be available in such cases.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Misdiagnosis is another common fiduciary duty breach. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Generally, doctors misdiagnose conditions because they fail to listen to patients and they do not properly perform diagnostic tests. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">So, misdiagnosis is a dual failure.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In one study, over 80 percent of doctors said they listened carefully to their patients. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">But on average, doctors listen to patients for about <\/span><a href=\"https:\/\/www.sciencedaily.com\/releases\/2018\/07\/180719112209.htm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">eleven seconds<\/span><\/a><span style=\"font-weight: 400;\"> before cutting them off. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">So, doctors have almost no diagnostic evidence, such as the patient\u2019s pain level or source of discomfort.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A lack of hard data compounds this problem. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many doctors do not run a full array of tests because they are afraid the insurance company will not pay for them. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other doctors delegate test results interpretation to nurses or technicians. Sometimes these professionals miss things, and other times, items are lost in translation.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Both these areas, concern about money and arranging things for their own convenience, clearly violate the doctor\u2019s duty of care.<\/span><\/p>\n<h2><b>What to Expect in a Legal Claim<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Almost all civil cases settle out of court, and some settle rather quickly. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Frequently, there is no question as to liability. That\u2019s especially true with regard to misdiagnosis. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">If that\u2019s the case, the insurance company has a legal duty to settle the claim within a few weeks.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, in most cases, there is at least some dispute as to liability. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lack of consent is a good illustration. Most doctors have patients sign waivers before surgery. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Insurance companies often see these waivers as get-out-of-jail-free cards which excuse almost any negligence, but that\u2019s usually not the case. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">For example, perhaps English is not the patient\u2019s first language or there is some other reason the patient does not fully understand the waiver.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So, most <\/span><a href=\"\/practice-areas\/medical-malpractice\/\"><span style=\"font-weight: 400;\">New York personal injury attorneys<\/span><\/a><span style=\"font-weight: 400;\"> file legal claims to pressure the insurance company into settlement. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Frequently, the insurance company just needs to know that the victim\/plaintiff is serious about the matter and has a solid negligence case.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The discovery period usually comes after a court filing. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">During discovery, the two sides exchange information about their claims and defenses. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Commonly, medical malpractice claimants must submit to medical exams, provide oral depositions, and answer written questions under oath.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When the discovery period ends, if the case still has not settled, most judges refer these matters to mediation. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">A professional mediator works with both sides to try and forge a settlement. If both sides negotiate in good faith, mediation is almost always successful.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Damages in a medical malpractice claim usually include compensation for economic losses, such as medical bills, and noneconomic losses, such as pain and suffering. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additional punitive damages are often available in these cases as well. A damages cap might apply, in some cases.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Doctors must obtain informed consent and otherwise live up to very high standards. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">For a free consultation with an <\/span><a href=\"\/contact-us\/\"><span style=\"font-weight: 400;\">experienced personal injury attorney in New York<\/span><\/a><span style=\"font-weight: 400;\">, contact Napoli Shkolnik . Home and hospital visits are available.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Before she had stomach surgery at an Arizona hospital, Janine specifically told doctors she did not want a pelvic exam. They gave her one anyway. And, this was not an&#8230;<\/p>\n","protected":false},"author":3,"featured_media":8066,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[780],"tags":[851,855,880,881,953,964],"class_list":["post-8065","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-malpractice","tag-personal-injury-lawyers-near-me","tag-torts-and-personal-injury-law","tag-surgery-errors","tag-doctor-mistakes","tag-medical-malpractice","tag-personal-injury"],"acf":[],"page_builder_type":"gutenberg","gutenberg_data":[],"_links":{"self":[{"href":"https:\/\/napolilaw.lemonadestand.org\/en\/wp-json\/wp\/v2\/posts\/8065","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/napolilaw.lemonadestand.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/napolilaw.lemonadestand.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/en\/wp-json\/wp\/v2\/comments?post=8065"}],"version-history":[{"count":0,"href":"https:\/\/napolilaw.lemonadestand.org\/en\/wp-json\/wp\/v2\/posts\/8065\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/en\/wp-json\/wp\/v2\/media\/8066"}],"wp:attachment":[{"href":"https:\/\/napolilaw.lemonadestand.org\/en\/wp-json\/wp\/v2\/media?parent=8065"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/en\/wp-json\/wp\/v2\/categories?post=8065"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/napolilaw.lemonadestand.org\/en\/wp-json\/wp\/v2\/tags?post=8065"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}