Laura Ingraham:
(quotes ‘CDC’S Guidance for Certifying Deaths Due to Coronavirus Disease 2019 (COVID-19)’:“In cases where a definite diagnosis of COVID-19 cannot be made, but it is suspected or likely (eg, the circumstances are compelling within a reasonable degree of certainty) it is aceptable to report COVID-19 on a death certificate as “probable” or “presumed”. – CDC April 2020
So doctor, what’s the problem with that?”
Dr. Scott Jensen:
“In short, it’s ridiculous. I spent some time earlier today just going through the CDC’s manual on how to complete death certificates and the parts that were specifically written for physicians, and in that manual it talks about precision and specificity and that’s what we are trained with. The determination of the cause of death is a big deal. It has impact on estate planning, it has impact on future generations. The idea that we’re going to allow people to massage, and sort of game the numbers is a real issue because we’re going to undermine the trust. And right now as we see politicians doing things that aren’t necessarily motivated on fact and science, the public’s going to… their trust of politicans is already wearing thin.”
Ingraham:
In that same guidance sheet on covid-19, it references the fact that basically this is a judgement call for doctors, and I read it. What goes on line 1, and what goes on line 2, and what goes on the final line, as far as contributing factors and ultimate cause of death. But they concede that it is a judgment call. Again, why is that not correct?
Jensen:
Let’s just take influenza. If I have a patient died a month ago, had fever cough and died after three days and maybe had been an elderly fragile individual and there happened to be an influenza epidemic around our community. I wouldn’t put influenza on the death certificate, I’ve never been encouraged to do so. I would put, probably, respiratory arrest would be the top line and underlying cause for disease would be pneumonia and contributing factors I might well put in emphysema or congestive heart failure. But I would never put influenza down as the underlying cause of death, and yet that is what we’re being asked to do here.
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