Question:
I just found out that my surgeon lost a patient about 2 weeks ago

This is their first death after nearly 300 surgeries. However when I requested information about the death I was told that the wife didn't want an autopsy done so they couldn't be sure what the exact cause of death was. I also asked if she (the program manager) would tell me any of the persons stats (ie BMI etc) she said she couldn't (which I understand). My question is.. do you think it's a little funny that the wife wouldn't want an autopsy done? Do you think I should be concerned that I can't get any information? I don't think they are lying about this being the only death because when I asked last month I was told that they hadn't had any deaths. Thanks    — SJP (posted on April 23, 2003)


April 23, 2003
There are strict rules about releasing patient information to anyone, especially as of April 14 with the new HIPPA(Health Information Privacy Protection Act) regulations. This might be one of the reasons you are having a difficult time finding out what the cause is. Most of us know that any surgery is a risk, and being obese and having surgery is a double risk. This might not alleviate your concers, but give you an idea why they won't answer any questions.
   — Rebecca M.

April 23, 2003
This woman may have had many reasons for requesting no autopsy be done. My father died suddenly after a different type of surgery and he had been a test patient for his type of cancer for so many years the docs wanted to do an autopsy and my mother agreed. My great aunt went nuts! Some people just don't agree with it. Some time it is due to a religious orientation as well.
   — Sharon B.

April 23, 2003
My opinion is that if the patients family thought that the doctor or hospital was at fault that they would insist on an autopsy. Just a thought.
   — Tammy P.

April 23, 2003
I have to tell you, I had almost the same experience. But, mine was a little further our from my surgery. My Dr. lost his 1st patient and shared what little info that he could with our support group. I was shocked, to say the least. We all know it can happen, but rarely do we think about it in concrete terms. What made me decide to go on was this- I had implicit trust in the skill, experience and ability of my surgeon. If I didn't I never would have decided to have the surgery in the first place. Good doctors loose patients. It happens. You have to decide how well you trust your surgeon and his 'record' and then decide if you want to move on. I do not think it would be realistic to say that you only want a doctor because he has never lost a patient. There are so many other factors to consider. Good luck to you.
   — LMCLILLY

April 23, 2003
it is a scary thing, and this just adds to it doesnt it? but you know what it does happen unfortunately, but not often, you just need to put your life in gods and the drs hands and it will be ok.. i was the most nervous person about that.. and im fine im 5 and a half months down 119 lbs.. and i would do it again.. knowing the risks.. it was just that gentlemans time to go.. good luck in your journey!! ~erinn
   — Erinn M.

April 23, 2003
Susan, It's normal to be a little nervous after hearing YOUR surgeon had a recent death. One must take into consideration that many patients who have this surgery are not in the best shape to begin with, I mean obesity does make surgery more of a risk! No autopsy is probably due to religion beliefs or something of that nature. I would definitely suggest you use a doctor you are completely comfortable putting your faith into. My surgeon has had 7 deaths out of about 3500 surgeries, I find that to be a great stat. (probability wise, of course) What ever you decide I wish you best of luck!!
   — Sylvia E.

April 23, 2003
Hi there. First, I wouldn't be concerned that you can't get any information. Confidentiality laws are so strict these days, a doctor could lose his practice if he was sued for disclosing private patient information. You can contact the board of medical examiners in your state (call information or check the phone book government listings) to check and see if the doctor has had complaints or action taken against him/her for malpractice. Also, the first thought that came to my mind when you said the wife didn't want an autopsy was maybe that the husband had so many comorbities or health complications that she just didn't want to suffer further by having an autopsy done. Maybe his health was so messed up that the surgery was that risky for him. I have been told by several people, a doctor included, that the 'majority' of people who have complications/death from wls are people who's health was in serious jeopardy going into surgery. If you are relatively healthy the chance for complications is lessened. Hope this helps.
   — beeda

April 23, 2003
Hi Susan, I know you must be freaking out, but you can't. My doctor has been doing this for years, and I did ask him about how many of his patients have died. He was very honest about all of it. We talked about it, and it does happen, even to the best of doctors. The are chances of complications with every surgery. The fact that we are obese, puts us even higher. The new regulations from OSHA make it very hard to find out info on anyone, expecially someone you don't know. Good luck with your journey.
   — Sandy H.

April 23, 2003
HIPPA is certainly a factor is the surgeon, hospital, program coordinator, etc. not being able to discuss the death with you. However, my comment about the family not wanting an autopsy would be this - if the patient was sick enough to die after this surgery then the family most likely already knew what was wrong. For example they already knew if the patient had an infection, cardiac issues, pneumonia, etc. The family probably knows exactly why the patient died and didn't feel the need for an autopsy. In addition it could certainly be what other posters stated such as religious reasons, personal issues, etc. Great surgeons and great programs lose patients. It's an unfortunate reality. If you trust your surgeon I'd say you should proceed if you feeled comfortable. Best wishes to you.
   — ronascott




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