Surgeon reprimanded for swearing at obese patient

Last updated 07:38 11/02/2010

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An experienced surgeon who told a severely obese patient she was "going on a f***ing diet" has been reprimanded over his foul mouth and for removing the patient from a waiting list after she complained.

In a decision issued today, Health and Disability Commissioner Ron Paterson found the gastro-intestinal surgeon breached the patient's code of rights and showed no understanding of the vulnerability of his gastric bypass patient.

Neither the doctor nor his district health board (DHB) were named in the report.

The 44-year-old Maori patient saw the surgeon last April after she had repeatedly failed at dieting.

When she said she preferred the word "lifestyle" to "diet", the doctor told her she was "bullshitting" herself and was "going on a f***ing diet".

The doctor used the word "f***" at least three times during the consultation, after which the woman was put on a list to be considered for surgery.

He later removed her from the list after she complained to the commissioner, a move Mr Paterson said "appears to be retribution".

The DHB's medical director said although the doctor had a foul mouth under stress and could be "direct and coarse" with patients, he was highly qualified and severe penalties would be a "terrible shame".

Mr Paterson found the doctor's language and conduct had been insulting, demeaning and unprofessional.

"He showed disrespect for a patient who understandably felt embarrassed about her obesity."

The DHB had not done enough to address his behaviour, did not respond to the complaint in a timely manner, and had partly tolerated his language.

Mr Paterson recommended the doctor undertake a course in communication skills course and meet with the woman to address her concerns.

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- NZPA

185 comments
Shaun   #185   12:15 pm Feb 11 2010

"Lifestyle" to "diet", what a crack up...I needed a good laugh, cheers, great start to my day...I'm not a betting kind of person but I bet it happened in the HawkesBay...I suggest he wash his mouthout with soap as mum would do and promise to never do it again, hahahahhaha

house   #184   12:10 pm Feb 11 2010

Well at the end of the day as a doctor you'd probably find it frustrating too, that you are paying 40% income tax only for it to be wasted on a seemingly unmotivated woman, who can't even articulate her condition in an realistic, and appropriate manner. Seeing these people everyday, multiple times (because the same cohort keep coming back), for thirty years odd, and yes, you'd probably cuss a bit too. Stereotyping for a sec, because this is an open forum, I'd say a patient like this is unlikely to ever contribute to society in a financial sense enough, to pay back the cost of the medical expenses put into her. When that's PRIMARILY due to her lifestyle, as a doctor that'd be frustrating.

Jono   #183   12:07 pm Feb 11 2010

@ J #123

Read this story under the herald, it says there that she hasnt been able to stick to diets. So your argument is goooone.

Des   #182   12:05 pm Feb 11 2010

@ Jeremy... scariest comment on here! You do know that TV medical shows AREN'T real?

Good on the Doctor! We have done this to ourselves, people who need the truth, soon use the complaint process when they hear it!

JP   #181   12:05 pm Feb 11 2010

Its not a disease...

Jeremy   #180   12:03 pm Feb 11 2010

If anyone was sanctimonious enough to utter "I prefer lifestyle to diet..." after having a few too many tubs of Icecream, well, I'd say the same. True words spoken from the Heart.

Sarah   #179   12:02 pm Feb 11 2010

And why does everyone think that it's a case towards those that are obese? I used to be overweight but the issue here is the doc told the truth in a horrible manner to a client that would not listen. He over reacted.. so what! Sometimes truth hurts. I agree with Paul #135!

Paull   #178   12:02 pm Feb 11 2010

Why the excessive PC attitude towards people who are just FAT? What next, the state funding gastric bypass operations?

Paul   #177   11:59 am Feb 11 2010

I would welcome going to a doctor like this, at least you would know the facts. As for wanting it called a lifestyle as opposed to a diet... get real, I think people are starting to miss the bigger picture here!!

Ric   #176   11:59 am Feb 11 2010

Good on him I say. Have we all become so P.C concious, that our Doctors can't even tell us the truth in a manner which might have some impact? I imagine that he has become particularly frustrated with a patient who has it within her power to affect her own health but is unwilling to do so and instead is taking her frustrations out on the system and her poor Doc. She needs physiciatric help more than the knife!


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