The Case Of Riser V. American Medical Int, Inc. Essay

The Case Of Riser V. American Medical Int, Inc. Essay

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In the case of Riser v. American Medical Int’l, Inc., Riser, a 69-year-old mother of four children, was suffering from circulation complications in her lower arms and hands. She had a history of several conditions such as diabetes mellitus, end-stage renal failure, and arteriosclerosis. The physician at Hospital A, Dr. Sottiurai, requested bilateral arteriograms to find the etiology of Riser’s circulation problems. However, Hospital A could not fulfill Dr. Sottiurai’s request, so Riser was transferred to Hospital B under the care of Dr. Lang, who was a radiologist. At this instance, Dr. Lang mistakenly performed a femoral arteriogram instead of the bilateral arteriogram that Dr. Sottiurai had originally ordered, and after the procedure when Riser was on her way to be transferred back to Hospital A, she suffered a seizure. The status of Riser’s condition became much worse, and consequently, she died eleven days later (Pozgar, 2016, p. 402).
This predicament leads into the main ethical issue of Dr. Lang failing to obtain informed consent from Riser, thereby performing the femoral arteriogram without the patient’s permission. In other words, he committed a commission, which means that he carried out an improper action (Pozgar, 2016, p. 191). In this situation, Dr. Lang demonstrated commission by operating a femoral arteriogram without patient consent. In addition, there is also evidence of medical malpractice from Dr. Lang’s stance when he performed the wrong procedure and was negligent when ideally, he should have known that the femoral arteriogram would not be beneficial for the patient. Given the fact that he was negligent, specifically he portrayed misfeasance. By definition, misfeasance is a form of negligence where an individu...


... middle of paper ...


...ogram itself had been performed without apparent problems.
I believe that the hospital should have intervened and prevented the femoral arteriogram. A staff member should have checked to see if a consent form authorizing a femoral arteriogram had been completed or not. Since, in this case, there was no evidence of Riser being notified or conscious of the procedure, then the hospital should have taken action and restrict Dr. Lang from going through with the femoral arteriogram. Unfortunately, no intervention was ensued, and the outcome of Riser’s eventual death had resulted. This situation emphasizes the importance of informed consent, and that other hospital staff members should assess the status of the patient’s authorization to confirm whether the patient is informed of the procedure or treatment, and if he or she had given approval or refusal of the procedure.


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