← All cases

Hyperthyroidism\Self-Discontinued Medication\Tachycardia\Radiofrequency Ablation\Narrowly Escaped Disaster

Summary

Hyperthyroidism, self-discontinued medication, leading to tachycardia and shock. Cardiology recommended radiofrequency ablation.

Treatment Record

Detailed Treatment Process

Outcome of Treatment

For at least the following 9 years, the patient experienced no further episodes of tachycardia and went on to marry and have children.

Outcome Analysis

During hospitalization, a medical history should have been taken, so cardiology would certainly have known about the patient's history of hyperthyroidism. For a patient with a history of hyperthyroidism, recent medication compliance should have been inquired about during admission, so cardiology would certainly have known that the patient had recently stopped her medication on her own. In that case, thyroid function tests should definitely have been performed, especially with surgery imminent. What is more, even after cardiology became aware that the patient was in a hyperthyroid state, they still did not change the plan for radiofrequency ablation. It was only at the very end that the patient herself declined the procedure. The probability of each of these events occurring is zero. The overall probability of the whole sequence is the product of several zeros, which is still zero. When something with zero probability happens, it suggests it was not unintentional, but deliberate. Radiofrequency ablation involves substantial financial interests.

Experience Discrepancy Index

Over-Treatment 10
Lack of Informed Consent 10
Outcome Misrepresentation 10
Financial Exploitation 10
Rehabilitation Neglect 10
Diagnostic Inaccuracy 10
Communication Breakdown 10
Procedural Complications 1
Lack of Accountability 8
Delayed Intervention 5
EDI 84

Audit Intervention

This family showed the highest wisdom. They contacted this website at the first opportunity. This website suggested that the tachycardia was caused by hyperthyroidism. Resuming methimazole would resolve the issue. But they did not dare ignore the hospital's advice, because the hospital building was dozens of stories high and held enormous influence in the eyes of the patient's family. This website then advised that thyroid function must be tested before surgery. So, they insisted on having thyroid function tests before the procedure. In principle, thyroid function should have been checked before surgery anyway, yet this time the doctors had not ordered the test. The patient firmly requested the thyroid function test, and the doctors had no choice but to agree. The results showed the patient was in a hyperthyroid state. The patient then understood everything and declined the surgery.

← All cases