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(Washington Post)   "Most people who find out they are not HIV-positive view it as good news - they don't run out and get a lawyer." Then again, most people haven't been living under a faulty HIV diagnosis for 5 years   (washingtonpost.com) divider line 11
    More: Obvious, HIV, d.c. superior court, negligent infliction of emotional distress, master status, psychiatric hospitals, D.C. Court of Appeals  
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4972 clicks; posted to Main » on 11 Aug 2012 at 4:09 AM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2012-08-11 09:18:07 AM
1 votes:
'
So in modern day HIV diagnostics, you've got a screening test and then the confirmatory test, so you don't (or shouldn't) tell anyone they've tested positive until they've tested positive by the screen AND the confirmatory test (different methodologies).

So if the clinic worker mistakenly wrote in the chart he'd been tested twice, positive on one test and not the other, not sure if they wrote two different screen test results or positive screen / negative confirmatory - in any case, no one should be diagnosing anyone with HIV without a positive confirmatory test.

There's a movement pushing to have test results released directly to patients. Might have helped in this case. Just because it is a free clinic doesn't mean you can throw quality care out the window. That being said, I hope this guy didn't make too much off this case. Plenty of people get bad diagnoses every day and don't go on huge downward spirals over it. I'd be curious to know what his drug and alcohol usage was before his diagnosis, they present it like he was saint until his devastating diagnosis, but one has to wonder...
2012-08-11 09:10:30 AM
1 votes:
CSB:

After I found out that my exwife was a farking whore, I went and got a STD screening.

After I had called back for the results, it went something like this.

Nurse: Everything looks good. Except for one thing that came back as positive.
Me: Well??
Nurse: The test shows you are positive for Hep B.
Me: That farking sucks.
Nurse: have you ever been vacinated for Hep B?
Me: Um...yeah about 4 years ago before I went to Korea.
Nurse: Oh, well if you've been vacinated the test will show up as positive regardless. Don't worry about it then.
Me: Maybe next time you could lead with the vacination part....
2012-08-11 06:06:36 AM
1 votes:

BronyMedic: Holy shiat. Had he been on HAART for that time period too?

I'd be suing too. That's insane. And the way HAART farks with your body is harsh. It'll keep you alive, but damn.

/got needle stuck in 2006, and did a 30 day course of HAART. Would not wish that on anyone.


He would not be on HAART without viral load tests and CD4 counts which would have shown ZERO VIRUS and NORMAL CD4 COUNTS.
2012-08-11 06:01:58 AM
1 votes:

BronyMedic: Dr. Mojo PhD: Got a needle stick in 2008, skipped HAART entirely. Wasn't worth it for the relatively low risk of transference from a negative-tested patient with few risk factors since his intake screening.

The three- and six-month tests were still incredibly tense waiting for the results.

I wasn't going to chance it. Patient skipped from the ER before they could get consent to run the test.

The mouth ulcers were the worst. Like I've had canker sores, but this was a whole new level. I lost a lot of weight, too.


No, I don't blame you at all. Mine was in an assisted living home for mentally ill patients, and I worked in the health care department. We had access to the patient jackets that clearly showed my guy as being HIV- (they're all screened at intake), and his risk factors were nil -- he had a higher risk of killing himself from constantly ordering pizza with his diabetes than he did doing IV drugs or having unprotected sex, I don't even think he knew how to have sex. Still, it was scary as shiat, especially because the HIV+ prevalence in the place was around 10% of the population.
2012-08-11 05:58:30 AM
1 votes:

Galius_Persnickety: So he never got treatment, or even a second test? WTF?


Yes, WTF indeed. Because if he took the viral load test, and it showed zero antibodies and zero virus well, you know he just wanted to sue sue sue for the jackpot at the expense of the community free clinic, that ingrate.
2012-08-11 05:16:51 AM
1 votes:

Lsherm: Because Whitman-Walker is a free clinic. They don't provide comprehensive medical care. They focus mainly on tests to diagnose and treatment for GLBT clients who don't have insurance. At the time, they weren't a primary care provider, so they wouldn't run blood tests on HIV positive patients for maintenance. They would just treat if they had the money to do so.

They farked up.


I understand that, and I realize that was often thankless work.

But free clinic or not, if it doesn't at least come with a FIND A SECONDARY OPINION if they know there's a possibility of a false negative *or* false positive...

And according to TFA, that apparently wasn't there. Hell, he was monitored there, they arranged for him to get housing, but they had no funds or ability to run a second test to make *sure*?

It sucks when people have damn good intentions but miss the details, and that seems to be the case here. In spades.

The test at the clinic, he would later discover, was negative. But a clinic employee mistakenly wrote in Hedgepeth's files that he had taken two tests at the clinic and that one of them was positive. Then, a doctor at the clinic failed to carefully review Hedgepeth's chart and instead began counseling him about the virus.

During the next four years, no further blood tests were done,
and Hedgepeth continued to believe that he was HIV-positive. He became depressed, according to the court records, quit his job as a caterer, began using drugs and alcohol, and twice was committed to psychiatric wards because of suicidal thoughts.

Hedgepeth continued to be monitored at Whitman-Walker but was never medically treated for the virus. The clinic also arranged for Hedgepeth to live in a facility with HIV-positive people.


In June 2005, Hedgepeth decided to seek alternative treatment from the Abundant Life Clinic in Southeast Washington. The clinic conducted a routine blood test and discovered that he was not HIV-positive. A month later, Hedgepeth was referred to Johns Hopkins Bayview Medical Center to take a follow-up test, which confirmed that he had not contracted the virus.


Clinic #2, it's implied, referred him for a follow up test. At least.

I understand funds being available for monitoring but not treatment, for placement. But seriously, this was 2000 when he was misdiagnosed.
2012-08-11 04:50:46 AM
1 votes:
Dr. Mojo PhD: Got a needle stick in 2008, skipped HAART entirely. Wasn't worth it for the relatively low risk of transference from a negative-tested patient with few risk factors since his intake screening.

The three- and six-month tests were still incredibly tense waiting for the results.


I wasn't going to chance it. Patient skipped from the ER before they could get consent to run the test.

The mouth ulcers were the worst. Like I've had canker sores, but this was a whole new level. I lost a lot of weight, too.
2012-08-11 04:48:58 AM
1 votes:

BronyMedic: /got needle stuck in 2006, and did a 30 day course of HAART. Would not wish that on anyone.


Got a needle stick in 2008, skipped HAART entirely. Wasn't worth it for the relatively low risk of transference from a negative-tested patient with few risk factors since his intake screening.

The three- and six-month tests were still incredibly tense waiting for the results.
2012-08-11 04:41:04 AM
1 votes:
StreetlightInTheGhetto: And if you're a medical professional and make a life threatening (or hell, a death sentence) diagnosis, isn't it proper form to call in a second opinion before telling the patient?

Here's what I don't understand. It's common place to draw quarterly titres for HIV patients, IIRC. Why didn't this guy know that it was a false positive the moment they drew his CD4+ white count, or drew a viral titre.
2012-08-11 04:34:04 AM
1 votes:
Holy shiat. Had he been on HAART for that time period too?

I'd be suing too. That's insane. And the way HAART farks with your body is harsh. It'll keep you alive, but damn.

/got needle stuck in 2006, and did a 30 day course of HAART. Would not wish that on anyone.
2012-08-11 04:16:21 AM
1 votes:
So he never got treatment, or even a second test? WTF?
 
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