"After Dr. Shaknovsky removed the organ, 'The staff looked at the readily identifiable liver on the table and were shocked when Dr. Shaknovsky told them that it was a spleen,' the state documents said. 'One staff member felt sick to their stomach.'"
From "Surgeon Who Removed Wrong Organ From Patient Is Charged in His Death/Dr. Thomas Shaknovsky tried to persuade his colleagues in the operating room that the liver he removed from a 70-year-old patient was a spleen, according to Florida’s Health Department" (NYT).
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৯৫টি মন্তব্য:
Colleagues in the USSC 'had concerns' that KBJ did not have the skill level to...
Colleagues in the Senate 'had concerns' that Joe Biden was too old to run...
Colleagues in the Party 'had concerns' that Newsom | Swalwell | Schiff | Pelosi | Schumer | etc. were not...
Eek.
Tim to add a new tag: “Splenetic”
This story seems fake.
Holy Cow there’s a lot left out of that summary. If it’s a guest link I might actually read that one.
Whatever happened to giving the patient a sharpie to write “take this one” on the body part at issue?
None of the colleagues thought of correcting him when he was cutting in to the WRONG Area of the body, The opposite side of the body from the spleen? Fuck, a nurse could have pointed that out. That family, are going to be multimillionaires from the lawsuits.
A lot of Florida stories seem fake but an incredible amount of them are not. The medical system is the one thing we miss from California.
Poor guy. Now how will he pay for his student loans?
You blue state snobs will want to blame it on the redneck Riviera but even Mass General kills a few patients every year. Maybe not with this kind of panache but still…
And even more surprising: The doctor was dressed as Jesus.
"Mike (MJB Wolf) said...
Whatever happened to giving the patient a sharpie to write “take this one” on the body part at issue?"
When I had my retina reattached recently, the Dr. put a black X on my forehead over the correct eye as a reminder.
" If it’s a guest link I might actually read that one."
I only get 10 gift links a month. Just google the names. This story is everywhere.
Mike (MJB Wolf) said...
Whatever happened to giving the patient a sharpie to write “take this one” on the body part at issue?
It’s pretty hard to write on your spleen.
One staff member felt sick to their stomach.
Probably because the doctor had removed his spleen, too...
When I had my hip replaced, the surgeon came in before I was put under and confirmed with me the procedure and the hip in question and then signed over where the incision would be. There seem to have been a bunch of procedural safeguards that were missed here.
He either never went to medical school or, or he’s insane.
Tom’s alma mater: Chicago College of Osteopathic Medicine at Midwestern University.
He’s not an MD.
Mistakes were made.
Dr: There.
Colleague: That's not the spleen. That's a liver.
Dr: No. It's a spleen.
Colleague: It's a liver. Look at the size of that thing.
Dr: Um...it's enlarged. I think that's one reason we're taking it out. It was crowding the liver.
Colleague: That's his liver, dude. I'll bet you.
Dr: How much?
Colleague: A hundred bucks.
Dr: I'm not gonna bet that much.
Colleague: Chicken.
Dr: I'm not chicken. I just don't enjoy gambling.
Colleague: Buk Buk Buk! Bukaw!
Dr: The point is, that's his spleen.
Colleague: Okay, Liverboy.
Don't hijack this thread for another matter. There is a café for raising your own topics. It's an abuse of this forum, especially when you post multiple long comments. This is a case about criminal negligence by a surgeon, who removed the liver and allegedly called it a spleen.
Comments deleted.
The leg bone’s connected to the neck bone…
The comments I'm talking about are already gone, so what I said doesn't refer to anything that's still up.
I am not criticizing Bob Boyd!
Yikes. We all want to think our Surgeons, espicially the ones who operate on us, are Gods that make no errors. But they're just human. And some of them are really incompetent.
I was just reading about Dana Carvey who sued his surgeon in the 90s for "repairing" the wrong Heart artery. The damaged one was on the Left, the Doctor operated on the heathy right one.
I am not criticizing Bob Boyd!
God forbid!
I assume the surgeon was drunk or under the influence of a drug. Someone like a pilot who crashes the plane while bombed out of his mind. Reckless negiligence.
Conflation through semantic appeal is a common problem of choice. This time it was a liver.
The doctor graduated from "Midwestern University Medical School." This school is unranked by US News, but it seems to be a legit university.
https://www.healthgrades.com/physician/dr-thomas-shaknovsky-g9ftd
https://www.usnews.com/best-graduate-schools/top-medical-schools/midwestern-university-04146
There is a wide range of ability and intelligence in any profession. We are lucky if we never encounter those in the lower end of the spectrum.
If you're not making mistakes, you're not trying hard enough.
Never bring a knife to a gunfight...or to work if you're an osteopath.
The victim looked as if he were 9-months pregnant with quintuplets. That had to make the dissection super difficult.
In his defense, “Shaknovsky” is a Polish name.
Dr. Shaknovsky graduated from Midwestern University in 2009. Dr. Shaknovsky completed a residency at Palisades Medical Center|Hackensack University Medical Center.
You might want to keep these in your back pocket when checking on your surgeon.
I bet he’ll never make that mistake again.
Just change the diagnosis on the paperwork to MAID and its all good.
My primary care doctor called surgeons the knife boys. It was not a glowing remark.
I've had a number of surgeons take a whack at me. They all seemed poised and self confident. Not all procedures went as hoped, but the confidence and poise of the surgeons have never wavered. Well, anyway, the results so far have not been catastrophic, and there aren't many octogenarians currently alive who wouldn't be alive but for medical and surgical intervention. .....This seems a remarkably bone headed mistake for someone who's not an orthopedic surgeon. There's more to this story. Perhaps the surgeon's confidence and poise overwhelmed the doubts of his associates.
“In his defense, “Shaknovsky” is a Polish name.”
Polish surnames end in an i not a y.
Russian, Ukrainian, Belarusian, or other East Slavic orgins.
I wonder if the term "DEI hire" makes an appearance in this article.
"Shaknovsky was affectionately known as 'Dr. Nick' among his colleagues..."
“Yes, Shaknovsky (and its variations like Schaknowski or Shakinovsky) is considered an Eastern European surname with strong ties to Jewish and Slavic/Polish communities. It likely originates from regions within modern-day Poland, Ukraine, or Belarus, potentially evolving from regional Slavic naming conventions or local occupational terms…”
Nassim Taleb might want to reconsider his advice that your surgeon should look like a butcher. In Shaknovsky’s case he quickly graduated from looking like one to being one.
I don't think DEI played a role here. He's a white guy, even if his name is East Slavic. I think he's a mediocre doctor from a mediocre university seeking to increase his income through the higher pay of surgical procedures.
The medical industry is split between (1) those with a compassionate calling, (2) those who continue in a family business generation after generation, and (3) get-rich-quick predatory slimeballs who want more $$$$$$$$$.
The way to get more dollars is through more appointments, prescriptions and procedures, whereby surgeons sometimes quickly jump into cutting and follow-ups. Also see the Vanderbilt University transgender "get on board for the profit" controversy.
[Wink] @ Big Mike.
And I also am not criticizing Bob. That was a funny althoustaposition though!
and it was meant to be a joke, Eva Marie.
Chris way back at 5:47 said what my wife said when I read the post out loud: "Nobody stopped him? Said anything?"
"Save the liver. Don't throw it away. I hope I've made my point... Now, after we remove the giblets and save the 'you-know-what'..."
Nope. This didn’t happen unless they mixed up the patients. I hate it when that happens.
When my daughter, age 4, was being wheeled to the OR for the first of many back surgeries, I stopped the cart and asked the nurse point blank what they were operating on. She responded correctly.
Don't hijack this thread for another matter.
I thought surgical mistakes was on point.
He held the scalpel in his shaky right hand
He didn’t know an organ from a gland
And when he could, he gave that liver a tug
With the faintest of shrugs
You'll never know how bad it can feel
When you’ve earned the tag of a real shitheel
When he screwed teh pooch down at Palisades Med
Down at Palisades Med
h/t “Palisades Park” Freddie Cannon
This didn’t happen unless they mixed up the patients. I hate it when that happens.
I'm fascinated by the impossibility of this mobius loop scenario.
Note: removing the entire liver will result in death 100% of the time, whereas one can survive without a spleen.
I know some graduates of Midwestern in Glendale, AZ. They're very competent doctors and dentists. Not surgeons though. I would think the residency is at fault for allowing him to specialize in surgery. He's 44. A little too old to blame the general lack of standards in medicine for current graduates.
Is this guy an illegal?
I have a relative who is a lead nurse in the OR. I asked her if there were good surgeons and bad ones. Oh yeah she said, easy to spot. The good ones know exactly what they want, when they want it, in the OR. The nurses are all relaxed. The bad ones are herky jerky, change their mind throughout the procedure. Nurses are tense. She said it works out well, just a more difficult process.
Florida Man!
You know what they call the surgeon who graduated at the bottom of the worst medical school in the country? "Doctor".
I'm almost not surprised no one said anything. Underlings generally tend to be hesitant in such situations and give the supposed expert the benefit of the doubt.
I once took a shuttle from a hotel to the airport and the driver obviously missed the exit, and ended up going around the entire airport on service roads and no one said a thing.
Until I piped up and said "Do you actually know where you're going?" and everybody else looked at me like I'd just farted.
So the surgery would have gone better if I did it, and I've never even seen a live liver or spleen. That's encouraging.
"...He faces up to 15 years in prison if convicted....
'Up to'.
He was probably on drugs. He was actually a D.O, not an M.D., though he chose to call himself an M.D. on the internet. I wonder how much training in surgery he had. Osteopaths can do surgery in the U.S. Not in some other countries. Still, Doctors of Osteopathy do get training in basic anatomy, so it's hard to see how Shaknovsky could have made that mistake if he were sober and his brain was functioning.
@Anthony --
Yes, the hospital may have poor management and low standards. In my experience, the doctor, the nurses, and the the anesthesiologist all ask "What are you here for today?"
If they saw a problem -- such as cutting on the liver side rather than spleen side -- they should have spoken up. I expect a lawsuit against the whole crew.
Liverside is a city in Southern California near Onion City, and not far from Stankineggs.
“When I had my retina reattached recently, the Dr. put a black X on my forehead over the correct eye as a reminder.”
Hmm…that could be ambiguous. I’d rather put “NO!” over the wrong one.
That must have been quite a post-surgical conference with the family.
An actual human being was killed.
In aviation there's a concept called "cockpit resource management". Which is bureaucrat-speak for systems deliberately designed to overcome the reluctance of junior crew to point out possible errors being made by the Pilot In Command (PIC). Several air crash disasters are attributed to that reluctance, notably Korea Airlines at SFO.
Seems like a problem in surgical OR, as well.
It didn't really say in the article, but I wonder if they might have reacted by rushing in someone who was trained in transplant surgery to try to save the patient. I'm guessing it would have been a very long shot indeed, imagining that there are protocols for liver organ removal in the cases where transplant is the objective, that would not have been observed by this particular expert.
Remember years ago when a Korean airliner flying from Alaska went over Siberia and was shot down? And in a post-incident analysis, perhaps based on cockpit chatter, it seemed that others in the cockpit thought the plane was going in the wrong direction, but due to cultural impediments, did not say anything? Why did no one in the operating room say anything before this guy started to cut? Could be an interesting one-act play, but pretty tragic for the patient.
Non-surgeon MD here who's been on staff at a leading academic medical center for three decades. I know of ostensibly well-trained surgeons that have operated on the wrong hip, transected major nerves, etc. Consequently, it isn't at all surprising that a surgeon at a community hospital in Florida would mistake the liver for the spleen. There are a lot of dangerous operators out there that should have their instruments confiscated, licenses revoked and, if warranted, sued and indicted.
I can't tell a spliver from a liveen.
I did some searching on this case -- it apparently went from bad to worse. A distended "megacolon"; a blocked view and messy work area; standing on the wrong side of the patient; cutting the inferior vena cava when removing the liver. I think this patient had no chance given the blood loss and the doctor's "flying blind" approach to surgery.
Before this case, he had previously misidentified the pancreas as the adrenal gland and paid a $400K settlement (but the patient lived). He had also incorrectly removed part of an intestine (3rd case).
"Close your eyes, cut, and hope for the best."
True story: Many years ago, I had to get a biopsy of my thyroid. The paper order form that my doctor used had check boxes for different parts of the body, and he made an X so large that it effectively checked off both "thyroid" and "trans-rectal prostate." I was nervous about this, and I tried to get my wife to write a warning across my rear, but she reminded me that we'd agreed on "no butt stuff."
Sorry no - not Polish. Polish names end in an i and not in y. Poland or rather the Polish people adopted the latin alphabet over a 1000 years ago.
@Iman, Polish surnames end in an i no matter what AI tells you.
Reading this made me laugh. Am I bad person? I guess have some patience, because I'm a little mixed up.
https://www.youtube.com/watch?v=oc1iIRKZE9w
I bet they took the liver and put it in someone else, a lose win situation.
@Dave: lol, that poor patient probably would have done better with the Carve-o-matic.
The Times piece reads like a medical malpractice attorney's Original Petition. That is analogous to assuming a defendant is guilty based on the DA's presentation to the Grand Jury.
I'm not going to defend removal of the incorrect organ, if that is indeed what happened.
Was it the entire liver that was removed, or an enlarged left lobe that can extend into the quadrant of the abdomen where the spleen lies and can interfere with visualization of the spleen?
The article criticizes the surgeon for not identifying the distended colon prior to the surgery. The colon may have appeared distended on the pre-op CT, or may not have appeared distended at that time. Even if it did, there is no way to tell if distension will cause a problem until the scope is inserted into the abdomen.
The article implies that the cause of death was removal of the incorrect organ. That is not true. The cause of death was cardiac arrest due to hemorrhagic shock. The hemorrhage, and cardiac arrest, occurred before any organ was removed. It would take several days at minimum to die from removal of a liver. This patient died in the operating room.
If the surgeon in fact removed the entire liver, he would be guilty of causing the patient's death, and should suffer the consequences, professional, civil, and criminal.
If the sequence is that the surgeon's approach to the spleen resulted in bleeding, hemorrhagic shock, cardiac arrest, removal of a part of the liver in an ill-fated attempt to control the bleeding, and death, we have a surgeon guilty of poor technique, poor intraoperative judgement, and a resultant tragic outcome. He should be kept far away for an operating room at the minimum, but it's a bit premature to be clearing a cell at Supermax for him.
I was thinking that after his liver was removed, he would need a liver transplant, but they had his liver right there. Why couldn’t they transplant it back in?
I’d rather put “NO!” over the wrong one.
I've seen an orthopedic surgeon have the patient write "YES" and "NO" over the correct/incorrect knee, hip, etc., with a surgical marker, followed by his or her signature, and then photograph it.
When a liver transplant is done, the major blood vessels are divided in a way to facilitate reattachment, both on the donor side and the recipient side. The patient's major blood vessels have to be controlled at a site remote from the place where the new liver will be placed. All of this takes planning and time to accomplish.
Also, the bile duct has to be reconstructed for the patient to survive. This is difficult/impossible if the initial liver removal is not done with this in mind.
All of this assumes that the surgeon would recognize the need for all of this, had the skills to complete the reinstallation, and the hospital had the tools and support staff to do all of this.
Iman said...
“and it was meant to be a joke, Eva Marie.”
Then make it funny next time. (also a joke) See, I label mine. lol
Also-
There is a fair amount of DO/osteopath bashing in this comment section.
The Venn of DO and MD knowledge and skill is not a circle, but it's not 2 circles either. There is a tremendous amount of overlap between the 2.
There is a ~25% chance that your MD earned his or her degree from an overseas medical school. It's difficult to impossible to assess the quality of that school from here.
Unlike legal training, the particular medical school has little bearing on the quality of the physician's practice.
The residency (3-5 years) and fellowship (another 1-3 years) after med school is far more important than the medical school. A lot of residencies pick from the best MDs and DOs and turn out great doctors.
All of this is to say, do not reject a physician just because he or she is a DO (and don't worship one who holds an MD).
Always research your surgeon for malpractice. If you don't know a lawyer with lexis-nexus, go to the nearest public law school and ask for help.
You can often find a vitae online. Look for awards and membership in discerning associations. Don't dismiss foreign schools out of hand. My best doctor ever trained and practiced in Mexico City's "Harvard."
Never leave a patient alone in a hospital, especially female ones. You'd be shocked by how many sexual assault cases my husband litigates over employees assaulting helpless or comatose patients.
West TX is absolutely right about everything he or she says here.
Why couldn’t they transplant it back in?
Because he wasn't an organ donor.
“Then make it funny next time. (also a joke) See, I label mine. lol”
Sorry, but I’m from the school of thought that if you must label a joke as funny, you may be doing it wrong.
Anyway, I can see I’ve touched a nerve, so my apologies for that.
@Iman, not at all. No apologies necessary. Although the y, i thing bugs me. This is small issues bother small minds territory.
👊
In my extensive past experience with surgery, when the wrong organ was selected and the hand wasn't steady, a buzzer went off and the patient's nose lit up bright red. I guess this was a different patient.
Tom T. said...
"Shaknovsky was affectionately known as 'Dr. Nick' among his colleagues..."
Hi, everybody!
Don't hijack this thread for another matter.
I could have sworn this was the Doctor Screws Up And Strangles the Baby and Faces a Murder Trial thread.. My bad.
Comments deleted.
I've been wearing shorts all day in a pro-life protest.
At first I thought this might be a patient with situs inversus, a very uncommon condition where organs are on the wrong side. But that would have been figured out in a patient this age and in an elective surgery. Then somebody peeked behind the paywall....and yikes. Just awful.
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