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cover of episode Case Files 21: Rady Children’s Part 5

Case Files 21: Rady Children’s Part 5

2025/6/5
logo of podcast Nobody Should Believe Me

Nobody Should Believe Me
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A
Andrea
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Dr. Bex
Topics
Andrea: 本集节目将讨论Paolo Bolognese医生，他是一位神经外科医生，在Rady儿童医院的诉讼案中扮演着关键角色。我们发现他面临着大量的医疗事故诉讼，这些诉讼的指控非常相似，包括进行不必要和实验性的神经外科手术、误诊患者以证明手术的合理性、未能披露手术风险和实验性治疗、使用未经批准的医疗设备以及参与欺骗性营销和虚假信息。Bolognese医生的行为模式表明，他可能将患者视为客户，而不是患者，并且存在明显的经济动机。 Dr. Bex: Bolognese医生在意大利接受培训，并在20世纪90年代来到纽约。他专注于Chiari畸形的管理，并与Thomas Millerat医生共同成立了Chiari研究所。现在，他在Chiari EDS中心工作，将Chiari畸形、脊髓栓系和其他神经问题与埃勒斯-当洛斯综合征联系起来。然而，关于埃勒斯-当洛斯综合征与Chiari畸形之间联系的科学证据有限，主要基于案例研究和小规模队列研究，缺乏大型随机对照试验。Bolognese医生使用的形态测量学和TCI特殊手术方法也存在争议，因为缺乏医学共识，并且测量结果可能存在主观性。此外，进行这些手术的风险很高，并且可能导致严重的并发症。 Andrea: Bolognese医生在Rady儿童医院的诉讼案中被描述为一位受人尊敬的神经外科医生，他确认了Madison患有埃勒斯-当洛斯综合征，并增加了POTS和纤维肌痛的诊断，还排除了医疗儿童虐待的迹象。然而，单个医生排除医疗儿童虐待的迹象并不能免除责任。Bolognese医生进行的腹腔神经丛阻滞手术以减轻Madison的疼痛，但神经外科医生进行这种手术是不寻常的。Bolognese医生的行为模式以及大量的医疗事故诉讼，表明他可能存在严重的道德和专业问题。 Dr. Bex: 神经外科是医疗事故诉讼最多的专业之一，因为手术风险高，结果可能很糟糕。Bolognese医生面临的医疗事故诉讼数量远高于平均水平，这表明他可能存在严重的医疗过失。许多诉讼指控他进行不必要和实验性的神经外科手术，误诊患者以证明手术的合理性，未能披露手术风险和实验性治疗，使用未经批准的医疗设备以及参与欺骗性营销和虚假信息。这些手术非常昂贵，并且通常不在保险范围内，这表明存在明显的经济动机。

Deep Dive

Chapters
This chapter introduces Dr. Paolo Bolognese, a neurosurgeon with a significant number of malpractice lawsuits. His specialization in Chiari malformation and its connection to Ehlers-Danlos syndrome (EDS) is discussed, along with the lack of robust scientific evidence supporting this link. The concept of informed consent in experimental procedures is also highlighted.
  • Dr. Bolognese has 40+ malpractice lawsuits
  • Specializes in Chiari malformation and its connection to EDS
  • Lack of robust scientific evidence for EDS-Chiari link
  • Importance of informed consent in experimental procedures

Shownotes Transcript

This week, Andrea and Dr. Bex dive into the controversial Dr. Paolo Bolognese, a neurosurgeon with a significant number of malpractice lawsuits and explore his role in the Rady Children's lawsuit. 

Andrea and Dr. Bex also highlight the complexities of medical malpractice, particularly in neurosurgery, emphasizing the risks associated with experimental procedures and the importance of informed consent. They also explore a darker side of medicine—where financial incentives might be shaping decisions more than patient outcomes and niche specialists become gatekeepers to high-risk surgeries. The conversation culminates in a whistleblower complaint that reveals systemic issues within the field.

This podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

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