Samson Isberg

Posts tagged with "Helsetilsynet"

Board of Health: Bureaucracy sabotaging politicians

Sunday, 3. December 2006, 10:22:45

The politicians of this country have for some years now focused - or at least tried their best to focus - on preventing child abuse. To this end there is an Act (Lov of Barnevernstjenesten, The Act for Protection of Children), containing § 6-4:

In this paragraph, every health worker who "has a reason to suspect" child abuse are obliged to report it to the proper authorities. This part of the paragraph is nullified by the Board of Health, who in its turn demands that "reason to suspect" more or less means that the doctor has completed a full investigation of the case himself, looking at welts, bruises and multiple fractures is not enough. Even making an autopsy of a battered baby is not enough.

The other part of the paragraph states that if the Bureau for Protection of Children asks for documents, the doctor must hand them over. The Board of Health protested against this as well, and was told clearly and unequivocally in a letter from the Ministry that the doctor was NOT supposed to do any investigation of his own here, just fork the papers over, no questions asked.

The Board of Health however, is opposed to this kind of touchy-feely where kids are concerned, and is equally opposed to this act and has been so all the way. But now the act is in force, so what can they do?

They can punish the doctors who are trying to abide by it.

In Bergen, some sort of child-abuse case was being investigated by the proper authorities, and during that process they asked the hospital where the child was born for information. The hospital duly sent that information to the Bureau for Protection of Children, and when the child's parents heard about this, they promptly filed a complaint against the Hospital to the Board of Health.

The Board of Health jumped at the occasion and has issued a stern warning to the Hospital.

This is disgusting, this is sick, but is is typically Norwegian; we have had government agencies before who didn't give a rat's ass about democracy, rule by law, ethics, morality or anything. But in the end those agencies were brought down by the politicians.

Hopefully, the politicians will now see even more clearly that the Board of Health is actively and knowingly sabotaging their laws. And dissolve the whole Board.

So, psychopaths of Norway, you may still freely maltreat, beat, abuse and kill your kids with complete impunity, Norwegian doctors are not allowed to report anything.

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Doctors are fondling boobies

Friday, 3. November 2006, 06:20:53

boobies, tits, fondling, kissing ...

Somewhere in Østfold county, a woman went to see the docor for some ear ailment with fever. After examining the ears, the doctor wanted to auscultate hear lungs.

- first, he ausculted my back, then he bent over, lifted by breasts up from the bra and tried to kiss them. He then tried to kiss my face. I turned away.

What is even odder is that this is not the first case of tit-kissing doctors in the same county, the Gestapo already has another case - involving another doctor - on its desk.

If this is true, clearly there are some deviant characters involved. If they have gravduated here in Norway, one must ask: What University allowed them to graduate from med school, and why are they not held accountable? And if they came in from abroad, who granted them their licence, and why are they not held accountable?

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Hanging not punishment enough...

Monday, 9. October 2006, 16:39:12

board of health, Helsetilsynet

A doctor came to see (yes, a house call, no less, you still can get that here) a man. The story, as usual in these cases, contains virtually nothing that would enable the enlightened reader to form his own opinion about the doctor's treatment; we are only told that "he [the patient] had been sick before, and now suffered a relapse" and that the doctor left him "with paracetamol".

During the night, the man's condition deteriorated, and in the end his wife called a private medical center - these had him admitted to the Hospital where he fell into a coma, six weeks later he succumbed.

The doctors at the hospital are reported to have "adviced me to press charges", the widow said. Unfortunately, this may very well be true. Doctors like that do exist. So she reported the doctor to the Board of Health.

Two years later, the Board of Health sentence, and censured the deceased's regular GP, not the doctor who actually made the house call. This was surprising to the widow, but as she felt that the wrong culprit had been executed, she siced her lawyer on the Board of Health.

And after another year, the Board of Health also criticized the House call doctor, but without giving him a formal warning.

So the widow this time appealed the case further. While this was going on, she read in the tabloid press about the same doctor having left a another dying patient, this time being fired from the ER where he worked.

One year later he is "discovered" (by whom, one may wonder) working in another ER in the neigboring county.

So the article ends; by various non-entietis demanding the doctor's head on a platter.

What they all neglect is this: The man has never been convicted of anything; he has never received a single warning from the Board of Health, he is actually clean as a whistle. case against him? There is no case.

"Who would want to see a doctor who has received a warning from the Board of Health", the Patient's Ombudsman asks rhetorically.

The answer is simple - plenty. I myself have been warned by the Board of Health (and am proud of it, I may say), and I have so many patients I have to turn people away every day.

1 comment

Anything wrong with Russian doctors?

Sunday, 1. October 2006, 18:29:54

lisens, russisk, lege, Helsetilsynet ...

Apparently, 150 of them have started working in Norway.They ave been duly licensed by the Board of Health.

Now it transpires that "a number of them" don't have any medical education at all.

But no, "nobody" feels that obtaining a Norwegian medical license is too easy.

This is an example of sloppy work by the licensing authorities, and there can be absolutely no doubt about that. If a doctor had done his diagnostic work with similar negligence, his licence qould be toilet paper within a week.

But as a governmental bureaucracy is responsible, as the authorisation agencey (SAFH) is, no heads will roll. That's the beauty of being a bureaucrat, isn't it.

3 comments

Another Swedish Immigrant we could have done without...

Saturday, 30. September 2006, 06:37:35

Helsetilsynet, board of health, licence, alcoholic

"I will shoot the head off you and anybody else who's saying that I have an alcohol problem"

- With these harsh words a Swedish anaesthesiologist working in Norway put two loaded guns to the head of his girlfriend. These guns he regularily had under his pillow. At another occasion he ran after the woman with a raised dagger crying "Nu jävlar" (a genuine Swedish expression invoking the Prince of Darkness)

He has been convicted for these offenses, and has even moved back to Sweden. Now the Board of Health are wondering if they should do something with his medical licence as well; as they have been receiving complaints about him since 1991 from patients and colleagues.

The picture being painted in all these complaints are of a sloppy, burned-out alcoholic with a serious personality disorder.

Sure, you may yank his Norwegian licence. I've got no problem with that. But why did the Board of Health issue such a licence to him in the first place? What questions did the Norwegian B of H put to their Swedish counterparts?

The responsibility for letting this person continue to be menace to himself and his patients lies primarily with himself (of course), then at the University who graduated a psychopath, thirdly with the authorities who issued a medical licence to him, fourthly to the Norwegian Board of Health who gave him a Norwegian licence and lastly to the various hospitals who hired him.

So perhaps the Board of Health could have started the investigation at home?

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Shoulder pain and anal cancer

Saturday, 30. September 2006, 06:15:43

board of health, Orthopedics, anal cancer, Helsetilsynet

...is one of the main reasons I never once considered orthopedic surgery as a carriere. (The other reasons being the low average IQ I perceived among the orthopedic surgeons - the surgeons closest to gorillas -, the boring repetitiveness of the nuts-and-bolts handicraft, and also the fact that I never once could manage to get a radial fracture straight).

Now an orthopedic surgeon is in trouble over shoulder pain - not his own, but a patient's. The doctor has been working at Rana Hospital, just a few kilometers south of the Arctic Circle. Apparently, he has operated a shoulder but the patient didn't get well. That is the problem with orthopedics, you know. That is the reason they have been leading in med-mal cases throughtout these last years (neurosurgeons and OB's are in a class by themselves, of course) - their patients are looking for restoration of their lost health, and surgery isn't going to give them that, just as a car, once it has been repaired never more will regain its pristine state.

The doctor has now received "criticism" from the Board of Health - for record keeping, as always. The Health Personel Act is so vaguely written concerning record keeping that it constitutes an enabling act, the Board of Health can put whatever they like into it; this is the beauty of the thing, they can discipline anyone they like, making the transgressions up as they go (having been on the receiving line of this process, believe me, I know...I know...). There are always some t's to be crossed or some i's to be dotted; there are always some thoughts, reactions, actions or something you didn't write down ("In the records you mention the patient's last stools...however, we cannot see that you have adequately described their volume, color, smell, density or possible radioactivity...nor the patient's reactions to them...nor the penultimate stools not to mention last week's menstrual period...this is clearly in violation of the Health Personell Act")

Thank God most orthopedic surgeons I know of don't give a rat's ass about the Board of Health or anything these corrupted bureaucratic lawyers might spew out of their word processors. But in case this one does, here is some personal advice:

Dear orthopedic colleague:
- Take the letter you have received from the Board of Health.
- Look at it. It is written on high-quality paper (having received a number of these myself, I know...).
- It is written on high-quality absorbant paper, isn't it?
- This fact alone should alert you to the possible practical uses you might have for this piece of paper.
- The rumours that printer's ink can cause anal cancer are completely fictious. Don't listen to them.

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Six hours waiting in the ER

Sunday, 24. September 2006, 12:58:29

ER, board of health, waiting at the ER, legevakta ...

in Bergen, Norway's scond largest city.

No solution is forthcoming. I remember when I worked there (many years ago), the genuine patients in need of the ER were few and far between - shoulder dislocation, fractures of the radius, the odd foreign body on the eye and so on and so forth.

But the doctors were kept busy nevertheless:
- Drug addicts seeking drugs took up a great portion of the doctor's time,
- old decrepit ladies whom the children suddenly had had enough of and wanted out;
- drunkards wanting somebody to quarrel with
- prisoners wanting to get some time off from prison
- neurotics that felt their lives were empty unless they got examined by a doctor every day

and during these last years this bunch has been completed by

- asylum seekers trying to get some diagnosis - any diagnosis - that will give them the possibility of being granted residency for "humanitarian reasons".

Now if these groups were formally banned from even entering the ER, this service could function without waiting and cheap too. But then the politicians must act to keep the Board of Health off the ER's back.("The doctor is reprimanded for not crossing the t's and dotting the i's in Mr Inebriated's chart" - "even if he was dead drunk, puking can theoretically be a symptom of an intracranial tumor - so a MRI was clearly indicated and should have been ordered" - "if the old lady with metastatic colonic carcinoma had been admitted to the hospital, she could theoretically have lived for two more hours, perhaps three, so she should have been admitted")

I have said this so many times; the easiest and cheapest way to make the Norwegian Health System efficient is to abolish the Board of Health altogether. You could even as a bonud save their salaries (althoug some sort of social security had to be paid to them - they are unemployable)

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Insane shrink keeps licence

Saturday, 23. September 2006, 06:29:40

board of health, Helsetilsynet, insane doctor, shrink

This is a case of mind-boggling proportions...

A female (as if that was of any importance) psychiatrist in O. county treated her patients with telepathy. She often woke up in the middle of the night with a feeling that one of her patients was "in a crisis", and she then sent him/her happy thoughts. This insanity is called "Spiritual Response Therapy", but the problem is that the shrink billed her patients for this treatment - which of course created some raised eyebrows.[although lawyers bill for hours when the client isn't present - but then they're lawyers, right?]

With the patient actually present, she used the swing of a pendulum to determine the treatment.

The Board of Health has let her keep her licence, but repored the case about the phony bills to the proper authorities.

When I went to med school, we had two certified lunatics in my class, one of whom (a manic-depressive) killed herself in the end, but the other (a schizophrenic) completed the school and went on to work as a doctor. There were several others in the classes above and below. Why they were not thrown out, I'll never know. Cowardice from the professors, likely.

Letting her keep her licence is all right I guess, she wasn't actually harming anyone, and most patients have left her by now - the real alties who believe in that sort of thing will go on seeing her and they're welcome to it.

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So much to do, so little time

Sunday, 17. September 2006, 06:06:35

Helsetilsynet

The Board of Health has now delivered its verdict in a case against a hospital - almost two years after the event:

A women suffering for chronic migraine experienced headaches of such a magnitude that the ER admitted her to the hospital.She spent the night there "for observation", and when morning came her pain was better. So she was released, but after a few hours the pain came back, and she went to the ER once more. They again admitted heer to the Hospital, this time a cerebral hemorrhage was diagnosed and the underwent neurological surgery.

So the Board of Health opened a case against the Hospital. And now, after the implicated Health peronell has been on the Inquisition's rack for 21 months, the conclusion is: nobody has done anything wrong.

The Board of Health adds that the time lapsed is due to "extraordinary workload".

And that is what makes me want to puke. They create their own workload, unlike the doctors at a hospital, they can say "no" to complaints, unlike the doctors, they can process a case within five minutes if they wish (that's the time it takes to write "RUBBISH" in large, red letters across a complaint file and return it to the sender), and worst of all - they are immune to complaints - unlike the doctors at the hospital.

The Board of Health doesn't seem to acknowledge the pain and suffering they have visited upon the doctors named in this complaint. Foir 21 months of their lives they are wroking with their licences in the balances, probably wondering what kind of work they can take when the licence goes; driving a truck, waiting at tables or flipping Burgers at McDonalds; and this on a case that even I (as a non-neurologist) can tell was completely meritless from the start.

Why are not the Board of Health fined for this?

And why don't the doctors sue the patient who filed the complaint?

And where is the NMA (sleeping?)

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Convicted innocence without conviction

Friday, 8. September 2006, 16:40:30

korrupt, corrupt Board of Health, Helsetilsynet

...On January 6th 2005 an insane man stabbed his old, 84 y/o mother at Otta (look it up in the map, it lies in the long valley called Gudbrandsdalen north of Lillehammer).

The police and the local doctor came to the crime scene; the doctor stabilized the old woman and called for the ambulance. When he had done what he could do for her, he left the scene. The ambulance came and drove her to the nearest hospital (Lillehammer). The woman later died of her injuries.

A sad story? It gets sadder still: The police reported the doctor to the Board of Health (which is by itself rather disgusting behavior, the least they could have done were to indict him before a regular court where he at least would have a fighting chance). The police felt that he should have ordered a helicopter instead of an ambulance, and that he should have stayed at the scene until the ambulance arrived.

Now the Board of Health have finished their ~~inquisition~~ "inquiry", but much to their chagrin they weren't able to find any faults with the doctor's behavior.

So is this a sunshine story? No. The inquiry is now on his record forever, and the way the Norwegian Board of Health functions, no-one is completely innocent aymore once an inquiry has been opened. This doctor - although admittedly completely innocent of any wrong-doing, dereliction of duty, malpractice or negligence, is now one step closer to losing his licence.

The genius of it all is that he has no opportunity whatsoever of protesting or appealing as he hasn't been reprimanded (although he has, hasn't he?)

Franz Kafka would have recognized it...after all, he was a lawyer too...

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