rooshvforum.network is a fully functional forum: you can search, register, post new threads etc...
Old accounts are inaccessible: register a new one, or recover it when possible. x


The Story of Justine Pelletier, Elite Doctor Arrogance, and Parental Rights
#1

The Story of Justine Pelletier, Elite Doctor Arrogance, and Parental Rights

I stumbled upon an interesting story about a young girl by the name of Justine Pelletier.

The long gist of the story goes, Justine had several very odd GI tract issues, poor energy during the day, and learning disabilities. Her parents had her enrolled in a special needs school which helped take care of her learning issues, but her GI tract and poor energy issues worsened.

They took her to Tufts Medical in Boston and a team of doctors diagnosed her with a rare mitochondrial disorder where her cells don't make enough energy. This was a specialist team who looked into mitochondrial disorders specifically.

The kicker of the story is, Justine's older sister was also diagnosed with the very same disorder after a litany of tests were done (including a muscle biopsy).

The treatment includes a feeding tube for nutrients, a cecostomy (a hole to allow irrigants to flush out items in the colon), and a collection of drugs to help her digestive tract do its job.

One night back in 2013, Justine's conditioned worsened to the point where so was completely bed ridden. Her parents drove her from Connecticut up to Boston. Since it was late at night her parents opted to go to Boston Children's Medical Center instead of Tufts Medical.

Woe to her family because at this point things began to get worse.

Instead of a gastroenterologist, a dutch nuerobiolgist decided that this girl was not experiencing any GI tract issues but instead was suffering from a somatization disorder (ie making it up). It was noted by the dutch neurobiologist that the girl's condition worsened around her mother.

The neurobiologist then calls in a psychologist to make an evaluation. The shrink agrees and then they decide to end all of Justine's medical procedures and focus on psychiatric evaluations. More so called "elite" medical professionals from interns, doctors, postdocs, nurses, etc came in to examine this girl. They all agreed with the original somatization disorder from the neurobiologist.

This was all done without the consent of the parents and the original doctors who made the first diagnosis.

Livid, Justine's parents demanded an explanation. Instead of getting one, Boston Children's Hospital decided to file a "Medical Abuse" claim against the parents which allowed Child Protection Services to take control of the child. In doing so, Boston Children's moved the girl to a locked wing of the hospital meant for children experiencing severe mental disorders. Justine was essentially bed and wheel chair ridden the entire time.

The state eventually declared that Justine's parents were unfit for them to visit her and that all visitations would be guarded by a "visitation specialist". To make matters even more dastardly, Boston Children's refused to let the original diagnosing doctor and team look at Justine.

Now reading into both sides of the story, it came out that Justine's parents are quintessential helicopter parents. In Justine's medical charts, it came out that her parents had argued with several doctors. Justine's original primary care physician accused them of doctor shopping and just being outright difficult.

Normally, I would take such information at face value and agree that maybe her parents were being difficult because they're being idiots.

However, Justine's parents had another daughter who also suffered from the very same issues. She was diagnosed by the same doctors and had a handful of tests done to diagnose the rare mitochondrial disorder up to and including a muscle biopsy. The disorder is considered genetic.

Hilariously, after pulling the girl off of her drugs her conditioned supposedly worsened and they eventually had to put a feeding tube back in her to get her nutrients she needed.

At this point knowing the type of people who occupy positions of power in these "elite" medical institutions around Boston made me side with the parents.

This type of arrogance about the state knowing what is best for children with rare medical disorders sickened me and the complacency of CPS to come in because of Boston Children's connections with Harvard is disgusting.

While I can contend that smart folks go to these elite institutions, the level of arrogance assuming that they know what's best and using state apparati to dictate their whims is the height of totalitarianism.

Justine's parents are now suing Boston Medical for its handling of their daughter's issue.

The Boston Globe had an excellent story on what happened and can be viewed here:
https://www.bostonglobe.com/metro/2013/1...story.html

TL;DR: Girl with rare medical disorder was taken from her parents at the behest of "elite medical experts" who assumed that they knew best when in fact they didn't.
Moral of the story: don't take your kid to a children's hospital and especially don't go to a different hospital from where the primary treatments are taking place!
Reply
#2

The Story of Justine Pelletier, Elite Doctor Arrogance, and Parental Rights

kinda torn on this one. yeah, the parents should be in charge of the entire medical treatment of their own children, and whatever the doctors are trying to achieve, it should be in done in cooperation with the parents.

but damn, those are some effed parents from everything that the all of the doctors have written about the parents. it takes some real guts to say, "fuck, these kids need a break from these parents dictating every single variable in these kids' lives. if the parents would just back the fuck off and let these kids live their own life, all of the medical symptoms would disappear"

sorry, but I have got to go with the doctors on this one. or at least in principal and not in practice. the best way to have done this would be for a doctor to call them in a conference room, look the parents in the eye and say, "hey! back the fuck off of your kids. all of your controlling is fucking up their emotional and psychological balance. don't you fucking understand that?"

but of course, in practice, that three sentence conversation is surplanted with weeks worth of testing, charts, expert opinions, and medical terms that suck all of the punch out of what the parents need to be told. so in the end, the parents just become more bitter and stubborn, and nothing gets done.

too bad. really sucks to be those kids.
Reply
#3

The Story of Justine Pelletier, Elite Doctor Arrogance, and Parental Rights

Everyone involved this mess deserves some blame. Most of this blame fall upon the doctors in charge of her care in Boston. I read up on the story. In the hospital's eyes, there are sign that kid is being abuse or in danger, hence the steps they took. From the story, I get gut feeling that someone forgot to do something every important in medical care: looking at her past medical history. This is drill to any medical student in the US in your first two years of med school. A person's medical history and complaints provides 95% of a diagnosis.

Let assume that all her medical problems in her head, but she has number of procedures done to her. Parents are shopping around for a doctors and gone all over the place. She has records all over the place and diagnoses from numerous doctors. You see still need to sit down and figure out what the hell is going on. You see her physical condition and see her history. You have assume it something going with her physically.

An old saying goes: "When you heard hooves, think horse not zerba." The meaning of this in medicine is the problem a person will have is something common, not exotic. Justine's case is zebra, something rare that lot of doctors will miss. The only thing we can do now is learn from this mess and hope for the best for her.
Reply
#4

The Story of Justine Pelletier, Elite Doctor Arrogance, and Parental Rights

@Thersites: that's exactly what happened. There was a fresh out of Harvard med school doctor that decided to do a 180 on her treatment, completely disregarding the original medical work done.

Personally, i'm of the belief that parents should have 100% say in the treatments of their children. If a child dies it's a shame and sad outcome.

However,the alternative i find is much worse arrogant doctors with a god complex and social workers imposing what they see fit on parents. Apparently Boston Children's Hospital has done this several times before where doctors there decided to lock out the parents and previous doctors opinions and go their own way.

There are some damning comments in the boston globe article as well. BCH should have sent them elsewhere instead of involving CPS.
Reply
#5

The Story of Justine Pelletier, Elite Doctor Arrogance, and Parental Rights

Quote: (09-21-2016 11:20 AM)The Beast1 Wrote:  

@Thersites: that's exactly what happened. There was a fresh out of Harvard med school doctor that decided to do a 180 on her treatment, completely disregarding the original medical work done.

Personally, i'm of the belief that parents should have 100% say in the treatments of their children. If a child dies it's a shame and sad outcome.

However,the alternative i find is much worse arrogant doctors with a god complex and social workers imposing what they see fit on parents. Apparently Boston Children's Hospital has done this several times before where doctors there decided to lock out the parents and previous doctors opinions and go their own way.

There are some damning comments in the boston globe article as well. BCH should have sent them elsewhere instead of involving CPS.

The problem is the 1-PGY, but Dr. Bujoreanu and her hammer diagnosis of
somatoform disorder. We have no idea if anyone talk to her her former doctor on staff that should be be able to provide all the answer for in person. This case is too complex to throw out previous diagnosis. That why I stress on looking at her history to figure out the best plan. I'm freaking idiot compare to anyone that goes to Harvard Medical School, but I know when something is up and somatiform disorder isn't correct.

Most damning thing here is the number of cases that BCH has been having the disputes is from same doctor according to article.
Reply
#6

The Story of Justine Pelletier, Elite Doctor Arrogance, and Parental Rights

Here is the thing about doctors at elite university hospital systems: they take massive, and I mean massive pay cuts for the "privilege" of working at big name institutions. These are people who elect to make 180k instead of 380k in private practice or in community hospitals so that they can pat themselves on the back about working at Boston Children's or Mass General.

There is definitely a personality type that is selected for in making that kind of trade-off. In many cases, it is of the insufferable better-than-thou variety.
Reply


Forum Jump:


Users browsing this thread: 1 Guest(s)