it’s possible that I’m misunderstanding here but I think the sepsis diagnosis is from a retrospective review of her file. at the time there was no sepsis diagnosis. they even specifically call out that doctor for having been under review for missing diagnoses in the past

After two hours of IV fluids, one dose of antibiotics, and some Tylenol, Crain’s fever didn’t go down, her pulse remained high, and the fetal heart rate was abnormally fast, medical records show. Hawkins noted that Crain had strep and a urinary tract infection, wrote up a prescription and discharged her.

Hawkins had missed infections before. Eight years earlier, the Texas Medical Board found that he had failed to diagnose appendicitis in one patient and syphilis in another. In the latter case, the board noted that his error “may have contributed to the fetal demise of one of her twins.” The board issued an order to have Hawkins’ medical practice monitored; the order was lifted two years later. (Hawkins did not respond to several attempts to reach him.)

the second ER did not diagnose her with sepsis, they diagnosed her with strep throat and a UTI. some portion of responsibility IMO lies with that OB-GYN for screwing up that diagnosis, although i understand the larger point of the article seems to be that doctors are reluctant to diagnose or treat really any condition in pregnant women for fear of getting legally crushed by the state

ive always imagined that test audiences believed it to be a prosthetic and therefore a deliberate creative choice by lars von trier. which is fucking hilarious, because it so thoroughly cheapens the serious arthouse themes he was playing with of like sex and nature and depression if you believe another theme he wanted to showcase was “and the guy has an absolutely monstrous hog”