by Dr. Johnny Benjamin - Sports doctor, orthopedic surgeon
- on August 3, 2009
With the stunning loss of Michael Jackson and the not so distant
losses of Anna Nicole Smith and Las Vegas legend Danny Gans
also under dubious circumstances, the roles of their personal
physicians will come under greater public and possibly legal
scrutiny. The lure of high profile, celebrity patients is a
two-sided blade that can certainly cut a physician both ways.
Beyond the obvious direct financial reward which can be tremendous,
the notoriety and publicity that comes from caring for high
profile patients can be priceless promotion for your practice.
Others will assume correctly or not that you must be an exceptional
clinician if the celebrities are vying for your services. This
assumption may appear reasonable on face value but many times
fails under closer examination.
It´s a simple fact that people promote doctors that they
like. Patients many times cannot adequately assess ability or
fund of knowledge but they are excellent judges of affability.
People very rarely recommend their doctor because of their amazing
intellect. I´ve got the greatest doctor
She´s
so nice and listens is a far more likely affirmation.
Celebrities recognize the very real monetary value of their
active and passive endorsement. A celebrity promotes a doctor
just by being seen leaving their office. ´If so and so
uses that particular doctor they must be good´ is a mentality
shared by many people.
Once your celebrity clients have put you on the map as a ´doctor
to the stars´ the boundaries may become blurred. The intoxicating
world of private A-list parties, hard to score 50-yard line
tickets complete with all access credentials and swag lounges
have enticed more than a few doctors to write prescriptions
that are questionable to say the least.
Your new celebrity BFF´s ´made´ you and they
can send you back to the world of an obscure, mundane suburban
office practice in the blink of an eye at the first denial of
a Percocet or Xanax prescription request.
During this Michael Jackson saga, the drug Diprivan continues
to be mentioned. Diprivan (propofol) is a highly potent sedative
that is routinely and safely used during the induction of anesthesia.
In my nearly 20 year of medical career, I have never (without
exception) witnessed this medication administered outside of
an operating room, intensive care unit, recovery room or emergency
room and only to highly monitored patients (i.e. hooked up to
several machines that monitor vital function). The mere idea
that Diprivan could or would be administered in a private home
to an unmonitored individual for any reason, much less poor
sleep, is beyond absurd
but actually doing it is sheer
lunacy.
How insane? Just imagine that you're a private pilot of your
very own little single engine plane. You've been flying for
years and feel pretty confident. So you decide that you're ready
to step it up. Therefore on Monday morning, you waltz into JFK
airport and decide that you are going to dismiss the pilot and
crew of a 757 commercial flight bound for Paris (with 300 or
so people aboard) and fly that baby yourself. And just to make
it interesting, you turn off all of the computers and navigation
system to truly test your skills. Now you´re beginning
to understand the scope of craziness involved in bedroom general
anesthesia.
If a physician loses their mind (soon to be followed by their
medical license and freedom) and chooses to perform bedroom
general anesthesia, please, please remember one thing. Do not
call me when the police and the Fed's are at your doorstep or
you when you need an expert witness for your defense. I am a
pretty fair spine surgeon
but criminal attorney? Not so
much.
Hint -- as a physician, when a patient begins to request/demand
prescription narcotics and sedatives by name and dose, you have
a very real issue. When that patient is a celebrity you have
a serious dilemma. When you foolishly write that shaky prescription
for said celebrity
Houston, we have a problem.
The world may never know the full story behind these tragic
celebrity deaths but the physicians involved are destroyed regardless
of the facts. As a physician, our reputation is everything.
And right or wrong, perception helps to form reality.
Dr. Johnny Benjamin