Medical Forum / Diseases and Disorders / AIDS / December 2006
Doctor in trouble for listing cause of death on death certificate as Aids
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Steve Hayes - 23 Nov 2006 20:37 GMT Today there was a news report about a doctor who was facing disciplinary action from a medical body for listing Aids as a cause of death on a death certificate, on the grounds that this was an invasion of the privacy of the patients, and threatened the confidentiality of the doctor-patient relationship.
That seems a strange kind of reasoning, as surely the same would apply to any other cause of death. If it is such a threat to privacy and patient confidentiality, then surely no causes of death should be recorded on any death certificates at all.
There are several good reasons for recording the cause of death on death certificates: to see if death was caused by foul play, to see what is statistically responsible for most deaths, which can guide efforts aimed at prevention or cure -- should we concentrate our efforts on reducing deaths from road accidents, or snake bites, for example. Which kills more people -- shark bites or mosquito bites?
The other thing is that at an Aids seminar I went to yesterday, and in many other similar seminars, people have urged that the stigma must be removed from Aids. But surely keeping it off death certificates is one thing that perpetuates the stigma. When medical people speak with two voices, one urging the removal of the stigma, and the other urging its retention, to the extent of prosecuting those who list it as a cause of death, there will never be concerted action against this epidemic.
more at
http://methodius.blogspot.com/2006/11/hiv-aids-etc.html
 Signature Steve Hayes from Tshwane, South Africa Web: http://hayesfam.bravehost.com/stevesig.htm E-mail - see web page, or parse: shayes at dunelm full stop org full stop uk
FreeSpirit_uk - 24 Nov 2006 03:29 GMT Hmmm... A tricky one. He maybe should have stated the final cause of death. AIDS was what disabled the deceased's ability to fight off the illness (or whatever) but it was the illness that killed him/her. But as you suggested - it's a stigma thing.
> Today there was a news report about a doctor who was facing disciplinary > action from a medical body for listing Aids as a cause of death on a death [quoted text clipped - 33 lines] > > http://methodius.blogspot.com/2006/11/hiv-aids-etc.html Bob Dubery - 24 Nov 2006 04:04 GMT > Today there was a news report about a doctor who was facing disciplinary > action from a medical body for listing Aids as a cause of death on a death [quoted text clipped - 6 lines] > confidentiality, then surely no causes of death should be recorded on any > death certificates at all. Technically speaking the doctor was wrong. AIDS didn't kill the patient. Some opportunistic infection that AIDS prevented the patient's body from fighting was the cause of death. Strictly speaking AIDS does not kill.
But I doubt that's what this is about.
> There are several good reasons for recording the cause of death on death > certificates: to see if death was caused by foul play, to see what is > statistically responsible for most deaths, which can guide efforts aimed at > prevention or cure -- should we concentrate our efforts on reducing deaths > from road accidents, or snake bites, for example. Which kills more people -- > shark bites or mosquito bites? Which is a good reason for stating that it was AIDS.
Having written all of this, it does occur to me that perhaps there is something else going on here. How did the doctor know that the patient had AIDS? One can't properly make the diagnosis without the necessary tests, and the tests can't be done without consent. This is speculation on my part - but did the doctor take a blood sample and test for AIDS without the patient's consent?
That WOULD be an invasion of privacy - not to mention illegal
Peter H.M.Brooks - 24 Nov 2006 05:28 GMT > Technically speaking the doctor was wrong. AIDS didn't kill the > patient. Some opportunistic infection that AIDS prevented the patient's > body from fighting was the cause of death. Strictly speaking AIDS does > not kill. That's not quite true, and depends on whether you are concerned with final or ultimate causes or proximate ones. My aunt, on her death certificate, had five different causes of death listed. From your perspective, and that of proximate cause, it is indeed ridiculous - even Rasputin had only one cause of death (his heart stopped), and my aunt was no Rasputin.
Though my aunt's death certificate tried to be comprehensive (they'd given her a post mortem autopsy, so they had a pretty good idea), it failed because it didn't list old age and a liking for cream as ultimate causes.
Of course, for all of us, there is only one ultimate cause of death - birth. Though Sterne, who we discussed here a day or so ago, would probably, and correctly, list the big bang, after some peregrinations through grand-parents, pre-human hominids, bacteria and so forth.
Bob Dubery - 24 Nov 2006 06:27 GMT > Of course, for all of us, there is only one ultimate cause of death - > birth. Maybe the doctor wrote "sexually transmitted terminal disease" on the certificate. That would be true for any death. Life has a 100% mortality rate after all.
Life - 27 Nov 2006 05:39 GMT >> Of course, for all of us, there is only one ultimate cause of death - >> birth. > Maybe the doctor wrote "sexually transmitted terminal disease" on the > certificate. That would be true for any death. Life has a 100% > mortality rate after all. Does it?
Bob Dubery - 27 Nov 2006 05:44 GMT > >> Of course, for all of us, there is only one ultimate cause of death - > >> birth. [quoted text clipped - 3 lines] > > Does it? Absoloodely.
There is a 100% correlation. Everybody alive ends up dead.
Life - 27 Nov 2006 05:39 GMT > Rasputin had only one cause of death (his heart stopped), and my aunt was > no Rasputin. Rasputin was not your aunt ... but despite the fact that EVERYBODY'S heart "stops" when they die, you overlook the most obvious fact that his body was chopped into a thousand pieces to prevent his re-animation!
"AIDS" is not much different - the notion that a virus causes such a wide disparity of death causation should be a source of panic - but, yet, there is none... gee, one wonders why...
Moira de Swardt - 27 Nov 2006 08:40 GMT "Life" <Life@life.com> wrote in message
> "AIDS" is not much different - the notion that a virus causes such a > wide disparity of death causation should be a source of panic - but, > yet, there is none... gee, one wonders why... Because most of the people dying of AIDS are black?
-- Moira de Swardt posting from Johannesburg, South Africa Remove the dot in my address to find me at home.
Life - 27 Nov 2006 17:01 GMT > "Life" <Life@life.com> wrote in message > [quoted text clipped - 5 lines] > > Because most of the people dying of AIDS are black? You only ask that because you are, Moira... but one must wonder how clever a virus must be to prefer dark meat (meat is exactly what viruses seek out, after all).
But yet again you miss the point, so here it is: if a virus is the cause of a fatal illness, there would be a narrow set of causes of death - viruses don't respect political boundaries and don't present themselves at the time of death with every possible presentation of death - including, for some African countries, "auto accidents".
Moira de Swardt - 27 Nov 2006 19:44 GMT "Life" <Life@life.com> wrote in message
> "Moira de Swardt" <moira.ds@wol.co.za> wrote in message > > "Life" <Life@life.com> wrote in message
> >> "AIDS" is not much different - the notion that a virus causes such > > a > >> wide disparity of death causation should be a source of panic - > > but, > >> yet, there is none... gee, one wonders why...
> > Because most of the people dying of AIDS are black?
> You only ask that because you are, Moira... but one must > wonder how clever a virus must be to prefer dark meat (meat > is exactly what viruses seek out, after all). You presume to read my mind?
> But yet again you miss the point, so here it is: if a virus is the > cause of a fatal illness, there would be a narrow set of causes > of death - viruses don't respect political boundaries and don't > present themselves at the time of death with every possible > presentation of death - including, for some African countries, > "auto accidents". HIV affects the immune system - as its name suggests. From there a wide variety of opportunistic diseases cause death.
Which African countries list "auto accidents" as a cause of death for AIDS or HIV?
Incidentally, the good news is that when people who are HIV positive take ARVs correctly they are more likely to die of an auto accident than an AIDS related disease.
-- Moira de Swardt posting from Johannesburg, South Africa Remove the dot in my address to find me at home.
Death - 27 Nov 2006 22:37 GMT "Moira de Swardt" <moira.ds@wol.co.za> wrote in message >
> HIV affects the immune system - as its name suggests. That's why I like GRID hyphen as it's name sug-gests.
Life - 28 Nov 2006 00:11 GMT > "Life" <Life@life.com> wrote in message >> "Moira de Swardt" <moira.ds@wol.co.za> wrote in message [quoted text clipped - 14 lines] > > You presume to read my mind? I presume nothing,Moira, including the ugly reality that you have no mind of your own - you only believe the bullshit you are paid to believe.
>> But yet again you miss the point, so here it is: if a virus is the >> cause of a fatal illness, there would be a narrow set of causes [quoted text clipped - 5 lines] > HIV affects the immune system - as its name suggests. From there a > wide variety of opportunistic diseases cause death. How "opportunistic" is that? Especially for a pharmaceutical "missionary"?
> Which African countries list "auto accidents" as a cause of death > for AIDS or HIV? Anything sub-saharan. Anything dependent on pharma-greed.
> Incidentally, the good news is that when people who are HIV positive > take ARVs correctly they are more likely to die of an auto accident > than an AIDS related disease. Wow - you really ARE a drug company missionary!
AND you understand the political correctness that goes with what you are and what you have done to your fellow human being.
> Moira de Swardt posting from Johannesburg, South Africa Quizzling... a true drug company nigger in the finest sense of the word...
I LOVE IT!!!
Moira de Swardt - 28 Nov 2006 05:12 GMT "Life" <Life@life.com> wrote in message
> "Moira de Swardt" <moira.ds@wol.co.za> wrote in message > > "Life" <Life@life.com> wrote in message > >> "Moira de Swardt" <moira.ds@wol.co.za> wrote in message > >> > "Life" <Life@life.com> wrote in message
> >> >> "AIDS" is not much different - the notion that a virus causes > > such > >> > a > >> >> wide disparity of death causation should be a source of panic - > >> > but, > >> >> yet, there is none... gee, one wonders why...
> >> > Because most of the people dying of AIDS are black?
> >> You only ask that because you are, Moira... but one must > >> wonder how clever a virus must be to prefer dark meat (meat > >> is exactly what viruses seek out, after all).
> > You presume to read my mind?
> I presume nothing,Moira, including the ugly reality that you > have no mind of your own - you only believe the bullshit > you are paid to believe. You presume that I am black. You presume I'm employed in the field of HIV and AIDS. Neither are true. The latter hasn't been true for three years.
> >> But yet again you miss the point, so here it is: if a virus is the > >> cause of a fatal illness, there would be a narrow set of causes > >> of death - viruses don't respect political boundaries and don't > >> present themselves at the time of death with every possible > >> presentation of death - including, for some African countries, > >> "auto accidents".
> > HIV affects the immune system - as its name suggests. From there a > > wide variety of opportunistic diseases cause death.
> How "opportunistic" is that? Especially for a pharmaceutical "missionary"? You spout rubbish.
> > Which African countries list "auto accidents" as a cause of death > > for AIDS or HIV?
> Anything sub-saharan. Anything dependent on pharma-greed. No cite because what you say is more rubbish.
> > Incidentally, the good news is that when people who are HIV positive > > take ARVs correctly they are more likely to die of an auto accident > > than an AIDS related disease.
> Wow - you really ARE a drug company missionary! No. I just acknowledge that drugs are producing benefits.
> AND you understand the political correctness that goes with what > you are and what you have done to your fellow human being.
> > Moira de Swardt posting from Johannesburg, South Africa
> Quizzling... a true drug company nigger in the finest sense of the word... Your bigotry is showing.
> I LOVE IT!!! What do you love. Showing what an ignorant bigot you really are?
-- Moira de Swardt posting from Johannesburg, South Africa Remove the dot in my address to find me at home.
Life - 28 Nov 2006 17:40 GMT > "Life" <Life@life.com> wrote in message >> "Moira de Swardt" <moira.ds@wol.co.za> wrote in message [quoted text clipped - 12 lines] > >> >> > Because most of the people dying of AIDS are black?
>> >> You only ask that because you are, Moira... but one must >> >> wonder how clever a virus must be to prefer dark meat (meat [quoted text clipped - 7 lines] > > You presume that I am black. I presume nothing, Moira. I never said you were black.
> You presume I'm employed in the field > of HIV and AIDS. Neither are true. > The latter hasn't been true for three years. Fine ... so you are NO LONGER employed as a pharmaceutical missionary.
Let's get real here, OK?
>> How "opportunistic" is that? Especially for a >> pharmaceutical "missionary"? > > You spout rubbish. You HAVE to believe that, otherwise you wouldn't be able to look at yourself in the mirror.
And you STILL remain the pharmaceutical missionary, given some of your commentary below.
>> > Which African countries list "auto accidents" as a cause of > >> death for AIDS or HIV? > >> Anything sub-saharan. Anything dependent on pharma-greed. > > No cite because what you say is more rubbish. Oh, so there's no corruption in sub-saharan Africa where nobody is bending the statistics about the body count and everybody who dies of any cause is tested for HIV post-mortem ??
Let's get real here, OK?
>> Wow - you really ARE a drug company missionary! > > No. I just acknowledge that drugs are producing benefits. Sure - for Pharmaceuticals and the slugs who do their bidding.
But your claim of "producing benefits" is nothing more than rhetoric.
>> Quizzling... a true drug company nigger in the finest sense of the > word... > > Your bigotry is showing. Sure, you can label me a bigot - but in your case, that is your last refuge from the painful truth.
Moira de Swardt - 28 Nov 2006 21:36 GMT "Life" <Life@life.com> wrote in message
> "Moira de Swardt" <moira.ds@wol.co.za> wrote in message > > "Life" <Life@life.com> wrote in message > >> "Moira de Swardt" <moira.ds@wol.co.za> wrote in message > >> > "Life" <Life@life.com> wrote in message > >> >> "Moira de Swardt" <moira.ds@wol.co.za> wrote in message
> >> >> > Because most of the people dying of AIDS are black?
> >> >> You only ask that because you are, Moira... but one must > >> >> wonder how clever a virus must be to prefer dark meat (meat > >> >> is exactly what viruses seek out, after all).
> >> > You presume to read my mind?
> >> I presume nothing,Moira, including the ugly reality that you > >> have no mind of your own - you only believe the bullshit > >> you are paid to believe.
> > You presume that I am black.
> I presume nothing, Moira. I never said you were black. Read above.
> > You presume I'm employed in the field > > of HIV and AIDS. Neither are true. > > The latter hasn't been true for three years.
> Fine ... so you are NO LONGER employed as > a pharmaceutical missionary. I have never been a pharmaceutical missionary.
> Let's get real here, OK? I am.
> >> How "opportunistic" is that? Especially for a > >> pharmaceutical "missionary"?
> > You spout rubbish.
> You HAVE to believe that, otherwise you wouldn't be > able to look at yourself in the mirror.
> And you STILL remain the pharmaceutical missionary, > given some of your commentary below. What? Because I believe that ARVs extend both the length and the quality of life for the vast majority of HIV positive people who take them?
> >> > Which African countries list "auto accidents" as a cause of > > >> death for AIDS or HIV?
> >> Anything sub-saharan. Anything dependent on pharma-greed.
> > No cite because what you say is more rubbish.
> Oh, so there's no corruption in sub-saharan Africa where nobody > is bending the statistics about the body count and everybody > who dies of any cause is tested for HIV post-mortem ?? Cite it.
> Let's get real here, OK? I am real here.
> >> Wow - you really ARE a drug company missionary!
> > No. I just acknowledge that drugs are producing benefits.
> Sure - for Pharmaceuticals and the slugs who do their bidding.
> But your claim of "producing benefits" is nothing more than rhetoric. You reckon? Why not read the testimonies of those on the drugs?
> >> Quizzling... a true drug company nigger in the finest sense of the > > word... I thought you said you didn't indicate that I was black? You are a liar and a bigot. Again.
> > Your bigotry is showing.
> Sure, you can label me a bigot - but in your case, that is your last > refuge from the painful truth. What painful truth? Everything that you have said is demonstrably a lie.
-- Moira de Swardt posting from Johannesburg, South Africa Remove the dot in my address to find me at home.
Death - 28 Nov 2006 22:33 GMT "Moira de Swardt" <moira.ds@wol.co.za> wrote in message
> What? Because I believe that ARVs extend both the length and the > quality of life for the vast majority of HIV positive people who > take them? I think the killing of red and white blood cells is a good thing.
GMCarter - 29 Nov 2006 10:34 GMT >"Moira de Swardt" <moira.ds@wol.co.za> wrote in message >> [quoted text clipped - 3 lines] > >I think the killing of red and white blood cells is a good thing. But then you think the killing of blacks, gays and pretty much anyone not fitting into your mold of abject bigotry, racism and homophobia is a good thing, don't you?
Death - 29 Nov 2006 17:00 GMT "GMCarter" <fiar@verizon.net> wrote in message
> But then you think the killing of blacks, gays and pretty much anyone > not fitting into your mold of abject bigotry, racism and homophobia is > a good thing, don't you? Yes
gilleebee - 28 Nov 2006 23:26 GMT > "Life" <Life@life.com> wrote in message >> "Moira de Swardt" <moira.ds@wol.co.za> wrote in message [quoted text clipped - 90 lines] > What painful truth? Everything that you have said is demonstrably a > lie. And not that painful, really....
 Signature gilleebee
*go with the flow* ;-)
Life - 02 Dec 2006 17:31 GMT > "Life" <Life@life.com> wrote in message >> "Moira de Swardt" <moira.ds@wol.co.za> wrote in message [quoted text clipped - 20 lines] > > Read above. YOU read above - I never said you were black - I merely voiced my concern that you were dying of AIDS, you racist bitch!
Moira de Swardt - 02 Dec 2006 21:18 GMT "Life" <Life@life.com> wrote in message
> "Moira de Swardt" <moira.ds@wol.co.za> wrote in message > > "Life" <Life@life.com> wrote in message [quoted text clipped - 3 lines] > >> >> > "Life" <Life@life.com> wrote in message > >> >> >> "Moira de Swardt" <moira.ds@wol.co.za> wrote in message
> >> >> >> > Because most of the people dying of AIDS are black?
> >> >> >> You only ask that because you are, Moira... but one must > >> >> >> wonder how clever a virus must be to prefer dark meat (meat > >> >> >> is exactly what viruses seek out, after all).
> >> >> > You presume to read my mind?
> >> >> I presume nothing,Moira, including the ugly reality that you > >> >> have no mind of your own - you only believe the bullshit > >> >> you are paid to believe.
> >> > You presume that I am black.
> >> I presume nothing, Moira. I never said you were black.
> > Read above.
> YOU read above - I never said you were black - I merely voiced > my concern that you were dying of AIDS, you racist bitch! Why would you think I am HIV positive or have AIDS?
-- Moira de Swardt posting from Johannesburg, South Africa Remove the dot in my address to find me at home.
Bodie - 28 Nov 2006 20:21 GMT > "Life" <Life@life.com> wrote in message > > "Moira de Swardt" <moira.ds@wol.co.za> wrote in message [quoted text clipped - 75 lines] > > What do you love. Showing what an ignorant bigot you really are? Why would you think him a bigot?
Please elaborate. Ta. Bodie.
-- "A fear of weapons is a sign of retarded sexual and emotional maturity." ("General Introduction to Psychoanalysis," S. Freud)
Death - 29 Nov 2006 03:18 GMT "Bodie" <bodie@home.net> wrote in message
> Why would you think him a bigot? I am bigoted. What is my crime you ask, I have an opinion. Only a hypocrite calls someone else a bigot.
GMCarter - 29 Nov 2006 10:38 GMT >"Bodie" <bodie@home.net> wrote in message >> >> Why would you think him a bigot? > >I am bigoted. What is my crime you ask, I have an opinion. >Only a hypocrite calls someone else a bigot. LOL...not everyone is a bigot dear. That's trying to water down the ugliness of it to make you feel better or something?
Do people have prejudices? Sure. I think everyone does. An instant set of judgments, good or bad, about a person's presentation based on gender, ethnic morphology, attire.
That's not bigotry.
Evolving humans don't wallow in the filth of them and feel and express violent ugly thoughts toward people who are black or gay as you have repeatedly done.
While hiding anonymously! What a surprise.
George M. Carter
Death - 29 Nov 2006 17:09 GMT "GMCarter" <fiar@verizon.net>
> " Death" <Death@yourdoor.net> > wrote: [quoted text clipped - 8 lines] > LOL...not everyone is a bigot dear. That's trying to water down the > ugliness of it to make you feel better or something? Bullshit, learn what the word means.
Web brainydictionary.com
Bigot
A person who regards his own faith and views in matters of religion as unquestionably right, and any belief or opinion opposed to or differing from them as unreasonable or wicked.
In an extended sense, a person who is intolerant of opinions which conflict with his own, as in politics or morals; one obstinately and blindly devoted to his own church, party, belief,.........
............or opinion.
Moira de Swardt - 29 Nov 2006 12:56 GMT "Bodie" <bodie@home.net> wrote in message
> "Moira de Swardt" <moira.ds@wol.co.za> wrote in message > > "Life" <Life@life.com> wrote in message
> > > Quizzling... a true drug company nigger in the finest sense of the > > word...
> > Your bigotry is showing.
> > > I LOVE IT!!!
> > What do you love. Showing what an ignorant bigot you really are?
> Why would you think him a bigot? > Please elaborate. > Ta. > Bodie. The word "nigger" gives it away.
I notice you don't find it necessary to ask why he's ignorant. That's self-evident.
-- Moira de Swardt posting from Johannesburg, South Africa Remove the dot in my address to find me at home.
> -- > "A fear of weapons is a sign of retarded sexual and emotional maturity." > ("General Introduction to Psychoanalysis," S. Freud) Death - 29 Nov 2006 17:03 GMT "Moira de Swardt" <moira.ds@wol.co.za> wrote in message
> The word "nigger" gives it away. That is a racist, not a bigot. I know the difference, I'm both.
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