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Stage 4 Neuroblastoma in a 3 year old (Malpractice) South Carolina

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rmet4nzkx

Senior Member
challa said:
"I don't find it odd that she has not called to check on the boy, I have pt's dx everyday with terminal dz and cannot possibly call them all to check on them. It is not a flipant attitude, it is the sad truth of how busy we ALL are"

Of COURSE YOU don't have time to call and check on anyone. You are FAR TOO busy abusing everyone on a "free advice" website. That in and of itself is pathetic AT BEST. Secondly, it's no surprise that SO MANY OF YOUR PATIENTS ARE DIAGNOSED AS TERMINAL! Good G-d, can't imagine the missed diagnosis THERE. I seriously question the validity of your credentials.
You are way out of line here. Most of Panzertanker's posts are in off hours, he has a practice devoted to many aspects of medicine a significant portion re pain management, inturn many may be terminal. I know he is licensed and in fact holds additional professional competencies. I actually sent him a message to review your case, that is why he responded, because we are all concerned about the child, yet you answer none of our questions that might help establish merit of the case.



I'm guessing Sally Struther's University, perhaps? Did you TRAIN AT HOME for that degree? Only morons such as yourself would take SUCH pleasure in taking advantage of others who unknowingly stumble into this nightmare of a website for a little guidance. WHAT A LOSER YOU ARE. TRULY. YOUR MOTHER MUST BE SO PROUD.

I know for a fact his parents are proud of his professional career and trust his professional judgement.

GOTTA RUN. Wouldn't want to hold you up. I know HOW BUSY YOU ARE beating up everyone with your EVER SO HELPFUL ADVICE. Such the busy professional, barking garbage and slinging insults from your little corner of the world.

YOU SUCK and so do your accomplices. Reading back through this thread I could kick myself in the ass for responding after post #1.

For all of the newbies here, RUN (don't walk) from this Jerry Springer side show. There are PLENTY OF GOOD websites offering DECENT SOUND LEGAL ADVICE, MINUS THE IDIOTS AND INSULTS.
And just what have you spent 10 posts doing up until this point?

Please update us after your consultation with the medmal attorney.

Advice: If the medmal attorney wants a retainer, most likely you don't have a case.
 


rmet4nzkx

Senior Member
snoogiejj1 said:
ROTFLMAO......................................

Why so defensive my dear???? A lil sarcasim thrown your way and boy it just eats at you eh?????

MORON???? Please I already laughed one to many today looking at your responses to different posts. Hardworking I doubt oh let me take that back I forgot that insulting people ALL DAY online is very hardwork. Guess I will just go to my house on wheels and grab me a six pack and enjoy me an episode of Mash. Care to join??? Last I heard 2 of a kind should stick together. :D
This is not a forum for idiots, that means you. What purpose does your distraction add to a serious topic? NONE!
Your are just angry because you can't sue someone to get a winfall.
 

snoogiejj1

Junior Member
rmet4nzkx said:
This is not a forum for idiots, that means you. What purpose does your distraction add to a serious topic? NONE!
Your are just angry because you can't sue someone to get a winfall.


Well I have been called a fat black lesbian, a moron and now and idiot. Before I started posting here I felt low and disgracefull but you guys have brought out the better side of me and I now realize I have all these wonderful charateristics. Thanks so much. :D
 

challa

Junior Member
Quote "Please update us after your consultation with the medmal attorney."

Since this is a reasonable, level headed request, I'll respond as to what I know THUS FAR. Two attorney's called me this morning. One from Spartanburg who conference in another atty from Cola. In checking around some they have good credentials. The one in Cola specializes in med mal which is very encouraging. Neither, to my knowledge, are run of the mill personal injury attorneys.

They believe, based on what I told them (I called my friend in the interim to get ALL THE DETAILS prior to the phone conversation), that there was clearly a deviation from the 'standard of care'.

I would post the update as to some things I overlooked in my original post but I DARE NOT GO THERE AGAIN and open myself up for POINTLESS interrogation and sarcasm. The attys know the details and quite obviously they are interested in this case as I have already been faxed the medical authorization form her to sign. Once they review the records they will know more, obviously.

So, it looks encouraging but it's far from a victory. I really didn't think this would spark any interest because it's cancer and often diagnosed late. At this point at least there is SOME hope and for that we are thankful.

It's about making sure this 'doctor' A) answers very valid questions at to the treatment of care rendered and B) if she was negligent, making sure she never has the chance to do the same thing to another child. There are three children that I know of who went un-diagnosed (cancer) by the same 'doctor'.

If the diagnosis had been made two or three months prior, could it have saved his life? We will never know and that is the saddest part of all.

Quote "You are way out of line here. Most of Panzertanker's posts are in off hours, he has a practice devoted to many aspects of medicine a significant portion re pain management, inturn many may be terminal. I know he is licensed and in fact holds additional professional competencies."

You seem like a decent person with common sense and good intentions. Integrity is the word that comes to mind. Why you would choose to associate yourself with the conduct I have observed on this board is puzzling. I don't care on ANY level who Panzertanker is or where he came from. Knowing that he really IS a 'professional' in the medical field is downright frightening and almost SAD in a way. What COULD BE a very informative website has been tainted by conduct that would make Jerry Springer proud and how unfortunate.

If you would like updates on this case, you may email me and I will share what I know. I think this is an important topic of interest and could very well help someone out someday (I pray not, but you never know).
 

rmet4nzkx

Senior Member
We don't always agree here either and we have different backgrounds, but in this case we all have some severe reservations about the merits of this case which is highly charged emotionally, that is why it must be reviewed. What seems inportant to you or a violation of the SOC may not be as serious as you believe or even if it is, may not have changed the outcome. What facts that you presented here did the attorneys say sounded like a violation of the SOC? Do not be vindictive against the doctor, it may not be their fault that this child has a bad outcome. What about the ENT failing to diagnose the neuroblastoma?
 

challa

Junior Member
I assumed (in error) that the ENT would not be liable on any level. It IS feasable that the tumor was bulging and/or causing pressure in the ear. Perhaps there was an infection, I don't know. So, if the ENT meerly treated the problem of an ear infection, looking for cancer or tumor as an uderlying problem wouldn't be within HIS SOC. The atty's state that he could VERY WELL BE liable.

Interestingly to note the admitting MD's and the oncologists saw zero sign of ear or throat pain. Of course, that was after they looked around and over the huge tumor in his chest, neck and extending to the back of his head. The tumors were CLEARLY visible from the outside of his body - CLEARLY VISIBLE.

This is a sad case. The boy's arm had been drawn up (I believe they call this seizing of the arm?) for two weeks. He could NOT lift his head. The entire reason she went to the ER was because she, herself was convinced at that point he had menengitis. She made half a dozen attempts to sway the doctor who REFUSED to act. We are talking ONE STEP FURTHER. That is all it would have required.

Where would the SOC come in? Multiple visits to family doctor for persistent fever, no response to dozen antibiotics, and lack of urine or blood testing. I think it's the lack of STANDARD routine tests that is the key here.

The oncologists did say that very often this cancer is dx late. We all know that, right? No newsflash there. However they also said that they had NEVER seen a case as advanced as this one at the point of diagnosis ... especially someone who was receiving frequent medical care. Put it this way, when they did the first CT neck and head scan (not even chest at that point), they repeated it two times in disbelief. 30 minutes later he was being life flighted. He saw his family MD the very day he was dx at the ER. She STILL saw 'nothing' and was refusing to be any part of the 'spinal' he clearly did not need. Hence, the reason for the ER visit.
 

challa

Junior Member
I also understand the doubts that you "all have". The real story is that I don't care about your doubts or whether you think this case has any merit to it. Truly, I don't. That does me not one bit of good. I came for ADVICE, not to be ruthlessly interrogated by those who have about as much court room experience as I do.

The entire PREMIS for my original post was to acertain whether or not the case had any merit legally (and I mean legally... that does not include the opinion of idiot armchair generals who think that an RN or related degree makes them an expert in litigation). Clearly it does not. I have honestly been BLOWN AWAY but what I have read in other threads. Words fail, you know?

I have my OWN reservations about this case and have wondered for nearly two years whether it was worth mentioning AT ALL. I do not want to ad stress to my friend or her family as this is a VERY critical time. If I am going to take up ANY of her time I would like to believe that there is a point to it. Do you understand? The statute of limitations is running out. This is why I posted what I did when I did and this is why I consulted with an attorney on her behalf.

The only thing that matters to me NOW is that two attorneys are interested ENOUGH to obtain her son's records and get an expert opinion on it. That's all I care about at this point. Anything else is speculation and opinion and I am SO NOT interested ON ANY LEVEL considering the calibur of what I have observed during my short visit here on this forum. I am sure you understand.
 

challa

Junior Member
QUOTE "I see you were replying to my last post, what happened?"

Well, you asked me a question. The question was free from sarcasm and seemed sincere so I replied. ?
 

rmet4nzkx

Senior Member
You say you came here to determine merit and instead want to debate what the standard of care should be.

How many times have I asked you about why you are not making these allegations against the ENT? If the doctor referred patient to the ENT 3 months after the symptoms began, then that is where you need to focus, not on the doctor who referred patient and not focus on a test that has questional clinical value. That will create more stress for this family about to lose their precious child.

I am an expert witness, I am a forensic neuroscientist. Yet you treat me and everyone else here with total disrespect.
 

challa

Junior Member
Obviously, I came here because there is much I don't know. I never even considered the ENT until after your post. It was the attorney who was also very interested in this aspect of the case. Therefore there may be something there. The ENT will be providing his medical records as well as the atty wants to see them.

I assumed IN ERROR as I previously stated that I personally didn't think the ENT would be liable. Obviously this is why it's good to consult with an attorney. The symptoms started in September. The ENT did surgery in October. He was officially dx in April. This is what I know to be fact right now.

If there is to be a case here, this is what needs to be established according to information provided on another site (see below). I am sure you agree. Sharing all the details to others who seem to be less than sincere doesn't do much for me. That does not include you. If I'm responding to YOU as I have been I am obviously interested in what you have to say. Don't do yourself a disservice and compare or position yourself next to those who compare a child's penis to that of their pet dog.

"In evaluating a potential medical malpractice claim, a lawyer must determine if the doctor violated the governing standard of care. If there is a violation of the standard of care, it must then be determined if the violation caused the injury or worsened the prognosis. In the situation you describe, this means first finding an expert who would testify that, based upon the available medical evidence, the doctor violated the governing standard of care in not ordering the test for the neuroblastoma, and second that the delay in diagnosis from when the doctor should have performed the test affected the outcome of the case. That is an assessment best made with full access to the medical records."

We will go from here. Records first THEN SEE if there is a case. I am encouraged that someone thinks it's worth looking into. That's all. Nothing mroe, nothing less.

"
 

rmet4nzkx

Senior Member
Look, I have to be blunt, you have been very hostile and difficult to work with and if you had a different attitude in the begining it would not have taken over 40 posts to get you to this point. You do owe all of us an appology.

If I had not persisted with you all this time you would not be in the same place. This happens all the time, people hear adivce they don't like, become angry and they tune out. You don't know how many times a person is angry with me here on the board only to PM me with their appology and thanks because I was correct.

In this case you only gave what you thought was important and withheld what was needed. We are used to giving unbiased evaluations based on fact, not emotion. In case you noticed Panzertanker asked you if patient had been refered to an ENT before I asked you about it again. You need to have an open mind to get advice.

With the latest timeline, that you could have given in the first place, Pt presented with flulike symptoms September, was referred to ENT and had Surgery Oct, that is a far cry from seeing the doctor 3 times a week for 6 months without any test or referal. Who knows, if you were involved directly with the pt's care you may have, with your attitude even interferred with their care.

EVEN SO, the outcome may not have been any different and there may be no cause of action or administrative complaint. From what you have relayed, it would appear the child's PCP acted appropriately within the SOC for family medicine. That is made without evaluating the medical records. As was said earlier most neuroblastomas are Dx at stage 4 when the prognosis is poor.

You must remember when all is said and done, medical providers do not heal or cure they merely encourage the body's own ability to heal it's self. You either get better or you get worse, sometimes all that can be done is to affect comfort and how long it takes.

Let me prepare you for the fact that the ENT's records may also show appropriate SOC and still missed the Dx. Do keep us updated.
 
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challa

Junior Member
"As was said earlier most neuroblastomas are Dx at stage 4 when the prognosis is poor." WRONG. Most neuroblastoma is dx after it has metastisized, not when it is at stage 4. Of course I suppose the oncologist treating Grant lied when he told us that he had never seen a case diagnosed so late.

Yes, original MD in Sept, ENT in Oct, back to MD in Oct. Care continued with same MD from Oct to end of April (every three days). It's pretty bad when the child's school teachers and staff are inquiring about spinal menengitis (during this time) and yet a doctor who sees him every three days is unable make ANY observation of her own along the same lines. Please.

Whether or not there is a case here remains to be seen. IT REMAINS TO BE SEEN. I am not moved either way. I will wait and see.

As for offering anyone an apology, you must be joking. Go back and REREAD this thread. Read the tone, the sarcasm, the inferrence that this woman must have been happy with the care her son was receiving, read the comments regarding Munchausen syndrome. Read the posts. Read them. Either you are blind or are choosing to believe that everyone here 'really does want to help' and are living in fantasy land.

I am the one owed an apology. I'm not waiting around on it either. I am sure my chances are better with a malpractice lawsuit.

I am done posting here. While YOUR advice may be well intentioned, even you have poor tone which immediately puts people on the defensive. If you are aware of this fact (and clearly you are) and your intent is to help.. why not change the tone? Especially knowing that asking the exact same question a different way can yeild immeidiate results (as opposed to three pages of posts)? One would believe that you must enjoy this sort of bantering which simply means that you clearly do belong here where mockery is apparently the standard.

I am signing off. No need to stick around.
 

challa

Junior Member
"Who knows, if you were involved directly with the pt's care you may have, with your attitude even interferred with their care."

No, I was not involved - But this statement is really sick. It really is. You are a sick person and to think that I OWE YOU AN APOLOGY?

Gross. I need a shower. I can't believe I invested so much time here.
 

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