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Duration : 0:0:7

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Duration : 0:0:11

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A “Trainwreck” is a patient that is unusually and unfortunately messed up for whatever reason, and has value at a teaching hospital.

The document I used to effect the transfer:

DIRECTIVE FROM ATTORNEY IN FACT REGARDING MEDICAL CARE OF
PATIENT ALICE JONES
TO DR. A, DR. B, AND D MEDICAL CENTER

Background:

1.Alice Jones (”Alice”), 62 years of age, has been a patient at D Medical Center (DMC) since March 10, 2009. She has had several surgeries with complications from those surgeries and hospitalization, including, but not limited to, infection from antibiotic-resistant strains of viruses and extensive transmission of septic material from her colon to her chest.
2.Alices primary care physician is and has been Dr. A, general surgeon. Dr. A has been assisted in many of her responsibilities by Dr. B, cardiothoracic surgeon.
3.I am Alices brother and attorney in fact and legally authorized to issue this directive.
4.Alices mother (Mother Jones), sister (Sister Jones) and I are in agreement that we have lost confidence in the ability of Dr. A and Dr. B to appropriately diagnose medical conditions, and to pursue and implement medical decisions which would assist Alice in regaining her health, and desire to have Alice transferred to Barnes-Jewish Hospital to be cared for by physicians from the Center for Advanced Medicine.

Directions:

1.Dr. A is directed to contact the colorectal surgeons at the Center for Advanced Medicine to initiate and accomplish the transfer forthwith of Alice from DMC to Barnes-Jewish Hospital, if such transfer can be done without further endangering the health of Alice.
2.If Dr. A is unwilling or unable to do so, Dr. B is directed to take these steps as if he had been principally assigned to perform them.
3.If both Dr. A and Dr. B are unwilling and/or unable to cooperate with the physicians at the Center for Advanced Medicine to effect the transfer, or fail to initiate the process in good faith by 9:00 am on Friday, June 12, 2009, then DMC is directed to assign a physician competent in an appropriate specialty or specialties as primary care physician to Alice to accomplish this transfer if such transfer can be done without further endangering the health of Alice.
4.Dr. A and Dr. B are directed to cooperate in every manner requested by the doctors and surgeons at the Center for Advanced Medicine.
5.If the Center for Advanced Medicine will not accept transfer of Alice to Barnes-Jewish Hospital, then Dr. A, Dr. B and DMC are directed to contact me at ___-__-____ for further instruction immediately upon discovery that the Center for Advanced Medicine will not accept Alice as a patient. I will issue further directions at that time and in those circumstances.

Duration : 0:9:30

[youtube mmHCTAEr_U0]