Showing posts with label TNT. Show all posts
Showing posts with label TNT. Show all posts
Wednesday, October 14, 2015
Proof's Problem with HIPAA
Proof (not to be confused with my debut medical thriller with the same title) is a medical drama starring Jennifer Beals as renowned cardiothoracic surgion Dr. Carolyn Tyler.
Dr. Tyler is recruited by billionaire Ivan Turing to investigate near death experiences (NDEs) as he is soon to face the other side due to a terminal cancer diagnosis.
Tyler is a skeptical atheist and believes death is the end-- even though she's had a NDE herself and longs to reconnect with her teenage son who died in a car accident.
Of course, Turing uses his wealth and a big donation to the hospital to obtain Tyler's cooperation.
Through the course of her investigations, nearly every religious permutation of the after life is explored-- past lives, reincarnation, and soul jumping among them.
The issue becomes when families become aware of Tyler's investigations and want information that in real life she should never disclose. They're clearly HIPAA violations. I've blogged extensively on HIPAA here, here, here, here and here!
Why is HIPAA so important? It is the law. It's what healthcare workers are instructed (pounded into the head) to protect every single day. It's not taken lightly. Medical people have been fired for violating a patient's privacy by disclosing healthcare related information.
However, the television show Proof seems to not understand what HIPAA entails.
In one instance, a mother who lost her son begins to believe his soul has inhabited another child's body because he has the same rare blood type, same rare heart condition, and was a piano playing genius. The mother latches onto him and offers to pay for his medical care.
It becomes a sticky situation because the mother who lost her child begins to overstep her bounds and Dr. Tyler begins to believe she's at risk for kidnapping this other boy over the loss of her son.
To prevent her from taking that step, she begins to list a litany of medical reasons why this patient isn't her son. The problem is, this mother has no right to any of this information. It is a HIPAA violation.
In another instance, Dr. Tyler convinces a wife to donate her brain dead husband's heart. Now, she has a vested interest in this happening because one of her patient's with a rare blood type (evidently everyone in this show has a rare blood type) has been waiting for a heart for years and is running out of time.
The wife agrees and the heart is transplanted but the patient nearly rejects the heart. When the wife of the heart donor catches wind that this has happened (she seems to be hanging around the hospital after the donation has occurred) Dr. Tyler gives her detailed medical information on how the patient who received her husband's heart is doing.
Again, this wife, even though she donated her husband's heart, has no right to this information. In fact, donor and recipient identities are highly protected. It's not that these families never meet but it usually happens months after and is coordinated by the organ bank and not doctors on site.
In fiction, you can break the rules. Healthcare workers can disclose medical information but they should also face a consequence for it just like we do in real life. The plus, it dramatically increases the tension which is always the goal of any work of fiction.
Tuesday, September 2, 2014
The Problem with TNT's The Last Ship
There's nothing like a good TV show about a virus running amok especially with the largest Ebola outbreak EVER in history happening to make it even more realistic.
I'll update you with the story line if you're not familiar with the show. Be warned, this post will contain spoilers.
A deadly virus is wiping out much of the earth's population. It's swift, but supposedly not airborne, which may present the first issue with the theory behind the show.
One U.S. Navy vessel was sent to Antarctica under the guise of military exercises. On board, a research scientist tagged along and spent a lot of time on the ice. It was only later disclosed that she was trying to find the "primordial strain" to help her develop a vaccine. She was able to find the strain needed. What her mission truly entailed was developing a vaccine for the disease. Essentially, the crew has had to stay away from civilization until this was developed.
It's actually a very good set-up. Of course, what generally trips a show up is those pesky medical details and I want to highlight the biggest violation here today.
Of course, this research scientist develops a vaccine but she needs to test it out before she can truly say it works. Six volunteers are picked from the crew that meet certain age, race, and gender requirements.
First, this group of six gets the vaccine and then fairly immediately-- gets dosed with the pathogen.
Sure.
What's misleading here is the time it takes for a person to develop immunity. It's never mere minutes. Generally, it takes weeks to months. The flu vaccine (which I hope all of your are planning on getting) takes about two weeks for immunity. This link from the CDC states it takes 4-5 weeks for seroconversion for the MMR vaccine.
Needless to say, it's unrealistic to portray a vaccine working in mere moments. This is also the reason for multiples injections-- some people gain immunity only after a couple of doses. You can read more about that from the above link.
The kicker is-- I actually don't think it would have destroyed their story line in any way. There's plenty of drama to be had with a deadly virus killing off the majority of the world's population. Whoever owns the cure, rules the world.
Overall, I liked this show but there wasn't a need to cheat on the medical details.
Labels:
Immunity,
Immunizations,
Pathogens,
Seroconversion,
The Last Ship,
TNT,
Vaccine immunity
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