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Eric Turkewitz, The Turkewitz Law Firm, New York, NY |
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Wednesday, June 6, 2007Flea, The Boston Globe and Morality in Journalism and Blogging (Having discussed the trial of medical blogger Flea, I turn today to coverage by the Boston Globe)Was it just me, I wondered? Flea's name was plastered on the front page of the Boston Globe and I thought, "Is that really necessary?" Leaving aside the issue of whether this pediatrician brought undue attention on himself due to his blog entries about his medical malpractice trial, we have to turn to the conduct of the Globe and ask some questions: Was the outing of a doctor's pseudonymous blog in a courtroom a human interest story? Yes. Was it interesting enough to write about? Yes. Was his name critical to the story? Well, no. Did this deserve to be a front-page story, above the fold (without his name)? Maybe. Human interest stories do appear there, but when they sit atop a human tragedy, in this case the death of a 12-year-old, there really isn't much of the "fun" quotient usually associated with such prominent placement. Page 10 of the local news, maybe. When I saw the article appear I was surprised both by its extraordiary placement on the front page, and more significantly, the outing of the doctor's actual name by the Globe in such a spot. So too with the names of the patient and his father. While the episode was surely interesting, these informational nuggets added little to the story. They were, however, guaranteed to bring heartache and pain for those named. This is not a discussion of whether the Globe could do this -- the First Amendment clearly protects them -- but whether they should do it in the manner they did. It goes to morality, not to law. After deciding to use the names, and deciding to blast the story with the acerbic blog comments across the front page, the writer then engages in a self-fulfilling prophecy: The case is a startling illustration of how blogging, already implicated in destroying friendships and ruining job prospects, could interfere in other important arenas.That's true. It can interfere in important arenas. So why did they do it? Is it the policy of the Globe to inflict pain on people simply because they can? Was there some kind of sick gratification in seeing a young doctor get his comeuppance for perceived arrogance in his writings, and damn the consequences? While he was outed in the courtroom, it was an outing no one else knew of beyond those limited confines. Until, that is, the Globe thought it would be fun to blast it to the rest of the world. I asked the plaintiff's attorney, Elizabeth Mulvey, about the Globe article, which appeared over two weeks after the trial was over. She said: I asked the Globe not to use either party's name, as I felt both sides had been through enough and that it really didn't add anything to the story, and also that I was not the original source of the story, which was leaked to the Globe by someone not involved with the case. Although I would have preferred not to comment at all, I felt that it was necessary to correct some misinformation supplied by this source. I really feel that it is regrettable that, because of this source's indiscretion, both my clients and the doctor were subjected to unnecessary pain.The result of the Globe's decision to use names is that this story will repeatedly pop up when new patients Google this doctor years from now, since numerous blogs have now reprinted Flea's name while quoting the article. That seems grossly unfair given that it results from his prominence as a medical blogger rather than any wrongdoing as a doctor. But those bloggers that have already published his name, simply by quoting directly from the article, can un-do some of the damage they may have inadvertantly done if, upon reflection, they feel an injustice has been done. They can go back to their blog postings and edit out his name -- using instead his initials, first name, or pseudonym -- so that they are not unintended accomplices to the Globe's lack of good judgment. The question to ask: Should Flea be permanently branded, in his real-life profession, because of this? Bloggers may not only wish to make that modest edit, but to explain to their readers what they have done and why, so that others might follow. Will that scrub the Internet of such references? Of course not. But it might cut down on what could be page, after page, after page of such results. No matter what some might think of the comments Flea made, the punishment that the Globe sought to inflict upon him seems vastly disproportional to any sins he committed with his blog. The Globe created a very high profile problem. The blogosphere magnified it. Can any of that damage be undone? It seems like an experiment worth trying. Labels: Blogging, Flea Medical Malpractice Case
Comments:
Sound advice, Eric. Following your reasoning, wouldn't it also seem prudent to remove the Dr's real picture from your blog?
I thought about that when I first put it up, but I can't figure out any way it would turn up in a search result, since there is nothing to connect the picture to a name. If it were possible to do that, I would take it down.
--ET
Once the Globe chose to go with the story, they more or less committed themselves to naming names.
It is a news dictum that you try to answer as many of the major questions as you can. In this case, the obvious question from readers would have been: So what's the guy's name? Hm, the Globe didn't publish his name. Why not? Did someone buy them off? Are they showing undue deference to the medical profession? What are they trying to cover up? They publish everyone else's name, so why not this guy? Hey, maybe I can keep my client's name out of the paper too! Can open, worms everywhere. From what I know of the inside workings of the newsroom, there was probably some debate about where to place the story and how far to go with it. But once they committed themselves to running the story, they couldn't have omitted names without raising a whole new set of ethical issues - especially since the names were made public already in an open courtroom. It might be worth your while to contact one of the media ethics gurus at the Poynter Institute - www.poynter.org. I'd love to hear their take on this situation. FWIW, your commentary on this entire incident has been outstanding - very insightful and knowledgeable and well done.
Mr. Turkewitz, I agree with the anonymous commenter above that your coverage of this episode has been fair and insightful. Thanks for the suggestion about removing Flea's name from blog posts.
Regards, Vijay.
Mr Turkewitz,
I've read your blog from time to time and I've decided to de-lurk. I appreciate reading your perspectives on med-mal. I also agree with your current assertion that the Boston Globe never should have published Flea's name. I do, however, have a question. While I do believe that genuinely-wronged people should have a right to pursue damages, I am also training to become a physician and I see med-mal as a reason why medical costs are rapidly increasing. Malpractice insurance premiums, while obscene, are not the biggest factor in this increase. Instead, from what I have seen and been told by physicians, unnecessary (and extremely expensive) tests are routinely ordered to cover the one-in-a-million possibility of disease so that doctors can more successfully defend themselves if sued. These are tests that would not be ordered if the perspective of frivolous lawsuits were not hanging over the heads of physicians. One reason that doctors feel the need to practice CYA medicine (and the reason that many bloggers have speculated Flea settled the case) is the perception that juries are easily swayed by charismatic lawyers and sympathetic patients and are reputed to ignore science and medicine when making decisions. (Well, in Flea's case, it may have been that he was afraid the jury would be swayed not by the medical facts of his case, but by the fact that he comes off as arrogant in his blog). While tort reform is an idea I strongly support, might there not be another way to mitigate frivolous lawsuits and unconscionably large awards (and in so doing, reduce the cost of malpractice insurance and CYA medicine)? What would your opinion be on have something like a "medical court" where grievances can be brought to be heard by a panel of judges and physicians who are more likely to be swayed by actual facts and true damages than emotional appeals and theatrics? Besides finally having a use for people with MD/JDs ;-), such a system might help assure that malpractice suits can be arbitrated more fairly and justly than they are today. While I appreciate the care with which you approach accepting medical malpractice cases, other lawyers are, perhaps, not as scrupulous. Anyway, please keep blogging about medical malpractice so that I (and the many others who read your blog) can keep attaining insight about med-mal from an attorney's perspective.
I too am de-lurking, prompted by md student's comments. I have been fascinated and angered from the beginning by Flea’s comments – but feel that the price he has paid – especially to be “outed” in a newspaper – is way out of proportion. My qualifications to speak on this subject are virtually non existent – being neither a lawyer or a doctor and English to boot – but I am fascinated and somewhat preoccupied, as the mother of a brain-damaged daughter who did not sue, by the greedy litigants saintly doctors dichotomy, and the many myths it engenders. The notion that us patients are somehow out there, waiting to pounce seems to me the biggest myth of all. And md student's suggestion that all this could be solved if we would just leave it to the lawyers and the doctors also pisses me off. Recently, my (other) daughter suffered an ectopic pregnancy. The treatment she received, at a hospital in great trouble for its dreadful record, was beyond appalling. Did we sue? No. Did we complain? No. The experience was frightening, exhausting, stressful and, at times, unbelievable. I kept notes, drafted a long letter of complaint, but, in the end, did nothing. Did my daughter suffer great trauma, financial loss? No not really – though she did have to be admitted to another hospital to have the damage done sorted out. Why did we let it drop? Because to do anything else would have meant running in to either bland assurances or active hostility. It would have changed nothing. It damn well should have done. The system is a mess – but I have some trouble believing it is doctors who are the principal victims, and sorting it out would require a bit more than letting the doctors decide who is at fault. How many whistle-blowers are there in the medical profession? How many would think “There but for the grace of God…” when deciding on justice? Negligence is a very difficult concept – it may not take active and blameworthy negligence to ruin someone’s life – but what should then happen to that person? No fault compensation wouldn’t work either, as that would really bring those “frivolous” cases to the fore. What really angered me about Flea’s comments was his contempt, the general “It’s all about the money” sneers. I am certain that the large majority of patients do what I have done, and avoid compounding bad with worse by going to law, lost in the smoke and mirrors of two powerful professions. Doctors should not be ruined by one mistake. But let us not pretend that they do not make them, or that they are keen to admit it when they do.
well said Liz.
We don't know the medical circumstances around the Flea case, but it has been my experience and observation that far too many family doctors and pediatricians do not understand Type 1 diabetes, a common autoimmune condition. In my opinion, too many children end up with diabetic ketoacidosis or dead at diagnosis, due to doctors who don't understand how Type 1 diabetes can develop, and to people who put too much trust in doctors. I am sympathetic to the difficult careers doctors have chosen, but I am also sympathetic to parents whose concerns for their child are dismissed because some doctors have a misplaced confidence in their own abilities and knowledge. Here are couple of examples: http://www.childrenwithdiabetes.com/dteam/2002-07/d_0d_94q.htm http://www.childrenwithdiabetes.com/dteam/2007-02/d_0d_ehy.htm And there are more like it at that website if one cares to look. There are also many examples of doctors doing the right thing, and when in doubt, monitoring and counselling the parents not to immediately exclude diabetes. My point is, I can certainly understand why a parent would want to sue a doctor when their concerns were dismissed, and their child subsequently dies. Everyone makes mistakes, but the medical system is too slow to learn from them or try to prevent them.
The links again,
http://www.childrenwithdiabetes.com /dteam/2002-07/d_0d_94q.htm http://www.childrenwithdiabetes.com /dteam/2007-02/d_0d_ehy.htm
For what it's worth, when googling Flea's real name, the first hit is for a computer science professor of the same name. Of the ones actually referring to the doctor, his own web site is first, the globe article is second, and only one blog appears on the first page. I don't think he's actually going to have a huge problem with cleansing his google reputation.
MD/PhD student:
You asked many questions, I put up a response separately here: Medical Malpractice - A Response To Many Questions
Terrific blog post. I found it compelling. Flea was a blogpal of mine and this whole thing is so distressing (on so many levels).
From a journalistic/blogging standpoint (and in the interest of being "fair and balanced"), I'd like to hear from Flea's attorney now.
Any chance you might call him/her up Eric? As for medical whistleblowers, we're out there. We've just been crushed. The journalists for sure don't care. And when we try to draw attention to our predicaments (for existance by blogging), it's all about us. You can't win.
I'd like to hear from Flea's attorney now.
Any chance you might call him/her up Eric? The Globe article said that neither Flea nor his attorney wished to comment, so I didn't make the call. If Flea wanted to make a statement, he could either self-publish or email to any one of a dozen different bloggers any thoughts of his own. If you want to make the call, go for it, but I don't see much likelihood of success. Barring any new developments or information, I see the issue as closed and have no further posts on the subject planned. --ET
From the get-go I thought the Globe blew this out of proportion, and I'm happy to see someone else thinking along those lines. I think Flea should think about suing the Globe...You can read my thoughts at http://adenacb.blogspot.com
Eric,
As one of the bloggers who referenced and linked to the Globe story, I found your opinion interesting to say the least. I'm sure not an expert on the legal or medical fields whatsoever and the right and wrong of this case is for others to decide and judge. That said, given the actions of this doctor, who obviously did a pretty dumb thing given this era of so-called transparent communications we now live in - he pretty much was going to get called out one way or another. He brought this on himself, not The Boston Globe or the online community that wrote about it. As a blogger, I'm sure you understand this more than anyone. To suggest that people should edit their blog posts to remove his name is pretty far-fetched to say the least. As for the doctor's long-term reputation, it safe to say that he'll have bigger issues to face than just his online image in Google.
Fair enough, Eric. I've heard from Flea via e-mail (after sending him well-wishes). But not in a manner that discusses the case.
Here's the thing: you're the guy with the Boston legal connections (which you've used for your posts), and might have a better chance of getting some legal insight from the other side than any of the rest of us. The blogging "coverage" of the settlement seems a little one-sided until that happens.
Here's the thing: you're the guy with the Boston legal connections (which you've used for your posts), and might have a better chance of getting some legal insight from the other side than any of the rest of us.
I have no Boston legal connections. I looked up Ms. Mulvey after I saw her name in the Globe and cold-called her. --ET
I also agree that you have done a good job of being fair with all this information. I am going to remove his name from the blog post I did of him. He was my blog pal and he does not deserve all this that has happened. Will you also be removing his name from all of your posts you have written about him?
Oh. Okay Eric. I misunderstood. I was under the impression you had some inside connections.
You're not a journalist, but reporters covering a story usually at least try to speak to people representing both sides of the issue. If one side chooses not to comment (or cannot be reached), the reporter then says so. So before you close the book on your blogging of the matter, another "cold-call" . . . this time to Flea's lawyer . . . might be in order. Flea once reminded me that the proximity of one to a news story is generally inversely related to the truth.
Cathy:
Will you also be removing his name from all of your posts you have written about him? I've never used his name. Mike: He brought this on himself, not The Boston Globe or the online community that wrote about it. Sure. But the Globe still has to account for its own actions. I understand that others may have a differing opinion on this, but to me it appears that the destructive power of using his name significantly outweighed any additional benefits. To the Globe, its just another here-and-gone human interest story. Not so to the actual participants. Dr. Johnson: So before you close the book on your blogging of the matter, another "cold-call" . . . this time to Flea's lawyer . . . might be in order. You are free to make that call if you think it will amount to something. His attorneys already said "no comment" once, though, and I will respect that. If and when Flea wishes to say something, he surely knows how to get a message out. --ET
Mr. Turkewitz,
With all due respect, you have not used his real name, but you use his "other" name over and over and over. The name Im referring to, obviously, is his online blog name. That name, since it became public knowledge, will always be connected to him. So even though you dont use his given name, you know darn well that just as many folks who google his real name will also be googling his online name. That will especially happen once they google the real name and find reference after reference to his online one. So saying you have not used his name means nothing, when in fact, you have, are, and most likely will continue using another name that will direct many people to this information when they google him. I googled just his online name and got over 1,210,000 hits. Now, I didn't check all those hits but I imagine all of your posts are sure to be there.
Also, Mr. Turkewitz, when one googles his "real" name a link to your blog, and one of your posts, come up on the very first page.
Now, if you were to go through and change all the places where you have his online name to something different, then maybe some of your posts will not come up in search engines. Will you try it?
So even though you dont use his given name, you know darn well that just as many folks who google his real name will also be googling his online name.
Post a Comment
If a person already knows the name of Flea, then they already know about the incident. My comments concerned the new patient several years from now that is unfamililar with the incident, and therefore suggested others remove his name from their posts. That way, hopefully, there would fewer hits when his name his googled. It obviously will never be gone entirely, for such is the Internet where this stuff sticks around forever. I am not suggesting that which is impossible, or even that which is difficult. Only that folks make reasonable efforts. --ET Links to this post: << Home
The New York Personal Injury Law Blog is sponsored by its creator, Eric Turkewitz of The Turkewitz Law Firm. The blog might be considered a form of attorney advertising in accordance with New York rules going into effect February 1, 2007 (22 NYCRR 1200.1, et. seq.) As of July 14, 2008, Law.com became an advertiser, as you can see in the sidebar. Law.com does not control the editorial content of the blog in any way. Throughout the blog as it develops, you may see examples of cases we have handled, or cases from others, that are used for illustrative purposes. Since all cases are different, and legal authority may change from year to year, it is important to remember that prior results in any particular case do not guarantee or predict similar outcomes with respect to any future matter, including yours, in which any lawyer or law firm may be retained. Some of the commentary may be become outdated. Some might be a minority opinion, or simply wrong. No reader should consider this site (or any other) to be authoritative, and if a legal issue is presented, the reader should contact an attorney of his or her own choosing for advice. Finally, we are not responsible for the comments of others that may be added to this site.
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