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Sprouleas analysis of closed CMPA cases shows clearly that Aaweave seen increasing number of cases, and increasing medical-legal costs associated witha doctors behaving badly. Complaints come from not just co-workers and hospital staff, but also patients and their families. Sproule didnat break the disruptive doctor files down by gender. aBut the literature is clear on that: itas generally males,a he said, and most often male doctors working in high-stress, high-tension areas, such as surgery, emergency medicine, intensive care and obstetrics. Stress, burnout, cynicism, frustration over health-care cuts and other triggers can exacerbate the problem. According to the College of Physicians and Surgeons of Albertaas 2010 document on managing disruptive behaviour in the health-care workplace, 78 per cent of doctors displaying disruptive behaviour may suffer from a major psychiatric disorder; up to 40 per cent may suffer from depression. And while the unruly behaviour can compromise patient safety, studies from the United States suggest that many doctors have kept quiet rather than confront a aknown intimidator.a Colleagues might ignore them, or work around them. Some doctors lack any kind of insight into the impact of their behaviour, experts say. Many are highly skilled, even achampions for their patients,a Dr. Paul Farnan, an occupational health consultant based in Vancouver, said at a special session on disruptive doctors at the CMPAas annual meeting in August. aThey want to be perfect, they want to get everything right, and someone is saying, aNo, you canat have that CAT scan or you canat get into the OR right nowa and this can be devastating for these folks.a Part of it may be due to the personality types drawn to medicine. Many doctors are high-performing, high-achieving perfectionists, Sproule said.
View gallery A Canadian microbiologist who reassured a frightened nation during the 2003 SARS crisis, ignited a controversial debate with a posthumous plea for assisted suicide. (AFP Photo/Philippe Huguen) Michel Comte September 26, 2013 7:58 PM Ottawa (AFP) – A Canadian microbiologist who reassured a frightened nation during the 2003 SARS crisis, has ignited a controversial debate with a posthumous plea on Wednesday for assisted suicide. Dr. Donald Low of Toronto’s Mount Sinai Hospital died on September 18 at age 68, seven months after being diagnosed with a brain stem tumor. Eight days before his death, he recorded a video — just released on YouTube — pleading for Canada’s laws to be changed, so that he and other terminal patients could choose the time and manner of their death. Doctor-assisted suicide is illegal in Canada. “I’m going to die. What worries me is how I’m going to die,” he said in the video, describing his failing health. “Am I going to end up being paralyzed and have to be carried from the bathroom to the bed, am I going to have trouble swallowing… what the end is going to look like, that’s what is bothering me the most.” He noted that palliative care made death “a bit easier to face,” but could not take away his symptoms. In the video, Low was critical of opponents of assisted suicide, and said it was an option he would have availed himself of, had it been legal. “I wish they could live in my body for 24 hours and I think they would change their opinion.